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Posts Tagged ‘rights’

A deep, ideological component in the furious debate over “repealing and replacing” the Affordable Care Act (“Obamacare”)–as it was in the furious 2009-10 debates over the ACA’s passage, the 1993-94 failed Clinton health care plan, Johnson’s 1965 Medicare and Medicaid initiatives, and still earlier–is the opposition of two world views about health care.

On one side, health care is a right, just like equal protection of the law, free speech, and childhood education; it therefore must be in some fashion provided by government. (This is, for example, Bernie Sanders’ position.) On the other side, health care is a commodity individuals can choose to buy, just like clothes, housing, or iPhones, and therefore not a responsibility of government. (For two recent defenses of this position, see Shapiro and, more nuanced, Ponnuru.) The realpolitic of the current debate, of course, involves taxes, spending, vested interests, political promises, and a lot more than philosophy. But philosophical division is entwined in the long history of health care controversies.

FSA doc

Physician working with the Farm Security Administration, Missouri, 1939. (Source.)

Most Americans, like most citizens of western countries, say that “providing health care for the sick” should be “the government’s responsibility,” but Americans are less unified and insistent on that than are other westerners.[1] And we have the weakest public system of health care for the non-elderly in the West. That may be why Americans are much more likely than citizens of other affluent nations to report having in the previous year gone without medical treatment that they needed.[2]

Americans have generally leaned toward the “human right” position on health care–if not in those exact words–but in recent years party polarization has increasingly colored the recurrent debates. So has generational politics.

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The Giving Nation?

The Page Family Foundation, funded by Google co-founder and philanthropist Larry Page and his wife Lucy, recently announced that it would cover flu shots for all 4- to 18-year-olds in the San Francisco Bay Area. “For some children, the cost of a flu shot could be prohibitive, so Larry and Lucy want to remove that obstacle,” said a Foundation representative.

This is a generous act of Christian …. er, sorry, Larry … of tzedakah in this Holiday Season. The Page gift is an example of what is so wonderfully charitable about America. And it is, at the very same time, also an example of what is so frustratingly inequitable about America.

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