Really what this health care law thing is all about is a difference in philosophy between conservatism and progressivism.
You really don’t have to know much more than that to understand what the fuss is all about.
Conservatives in general think it is up to people to take on responsibility and pay for health care coverage themselves. They do allow that people have to have some kind of access to health care plans and that there needs to be something to choose from out there.
Progressives tend to think that health care is so important that no one should be left without it and they realize that not everyone can afford it on the open market and not everyone is fortunate to work somewhere where it comes with the job.
Conservatives think that people have to make hard economic choices and sometimes might have to forego other things they might want in order to buy health care coverage. Of course some of those so-called conservatives are in government and we pay for their health care. Others are people lucky enough to have good health care coverage though their work.
Then there is the military where health care coverage has been part of that life for a long time. I heard one caller on a talk show claim that he was a retired colonel and that he had good coverage though Uncle Sam and that he “deserves it”.
I think that pretty well sums up the feeling of a lot of people, even out of the military, people who have good insurance through work. They feel they deserve it.
I myself have benefited from health care coverage through work and nowadays benefit from Medicare and a supplement that I pay for.
Even though I think people ought to have some skin in the game, so to speak, so that the resources of health care, always expensive, are not over taxed, causing problems for all of us — I mean when you have to pay part of the cost, you tend to make more careful decisions — I also feel that it is best for society in a practical way for all to be covered. In addition it is the only moral thing to do, that is to see that all are covered.
And if a people decided they could get more efficient and less costly health care by banding together in a cooperative effort, why not?
Conservatives think the free market provides the most efficiency and the highest quality. I don’t know that such is true in the field of health care. Certainly it does provide incentives to providers. But it tends to leave a lot of people out in the cold.
What I am seeing so far in the Republican plan to replace Obamacare is the willingness to leave some people out in the cold.
And that seems cold hearted to me.
Although single-payer insurance by the government would always be a tremendous burden on the taxpayer, does anyone think that health care on the private market will ever do anything but jump up in cost by leaps and bounds each year? I don’t know what the solution is. I do think, though, that health care is something that does not fit neatly into the normal economic laws of free market capitalism, or then again maybe it does, and that is the problem.