The US Senate sets to vote on a health care bill over Christmas this Tuesday after what have been months of fierce political debate. As the opposition warned of “socialized medicine” and “death panels”, public support for “Obamacare” and the president himself understandably plummeted.
Although America’s health care is among the most expensive yet one of the most restricted systems in the world, people began to fear that under the Democrats’ plans, they would face a further decline in quality against ever rising costs. Strangely enough, people also indicated that by majority that health care today is too costly on the whole and that it placed a serious burden on the already fragile US economy. President Obama repeatedly stressed that America’s health care is in desperate need of reform but critics seem to have a point when they say that the Democrats will only make it more expensive.
Unfortunately, Republicans prefer instead to devise little doomsday scenarios and warn people that their elderly will soon be put to death if the Democrats have their way. They point at countries as Canada and the United Kingdom and say, “look how bad things are over there.” In fact, health care in these both countries is far from terrible.
In spite of the rather communist qualities of the British National Health Service, it operates at a lower cost per capita ($2,560, compared to $6,096 for the US in 2007) while providing better care (PDF). Canada on the other hand, while much cheaper per capita than the American system, provides an approximately similar quality of care. It would appear then that a collectivization of health care doesn’t necessarily make things better or worse. A lot of other factors are in play.
Rather than denouncing “socialized medicine” as being impractical therefore, opponents should point out that it is immoral.
The NHS in Britain was established after the end of World War II, in 1948, with the express purpose of providing health care to all, “regardless of wealth.” Its principles were that the service should “meet the needs of everyone,” “be free at the point of delivery” and “be based on clinical need, not ability to pay.” This gave all Britons a right to proper care, no matter whether they were able to afford it or not. Need, not ability became the standard according to which care would henceforth be distributed.
This is a strange twist of ethics. Imagine that the law were to give people a right to much more basic needs than health care such as food and shelter. No such laws exist of course, for if people indeed are entitled to such rights, others must inevitably provide for them at their own expense.
Granting people a right to health care demands that others provide such care, for free if necessary. Only a government can allocate care under such conditions for few individual doctors and nurses would go about their work unpaid any more than a supermarket would remain in business for long if it is to meet peoples’ “right to food”.
Even the Republicans, supposedly the champions of the free market, dare not question the alleged right to health care in the United States. Probably because they know how most people would respond to such criticism: “Should we just stand by then and let people die?” they’ll ask
Perhaps proponents of collectivization are only more than willing to pay so that others need not insure themselves but as long as they can’t answer the simple question, “Why shouldn’t we?” to their own charge without speaking of non-existent rights and undeserved charity, no man should be held responsible for the health and care of others against his own choice.
That is what opponents of “Obamacare” should have argued. Because they didn’t, collectivized health care is now likely to become a reality in the United States.