Universal health care is government controlled health care. In the United States, the federal government already control a great deal of the health care sector. While I think that some variant of government managed health care is inevitable it is important to remember that we already have government managed health care. What some of us are clamoring for now is government mandated health care; this under the assumption that any health care is better than no health care at all. For some Americans that might well turn out to be true.
John Mackey, CEO of Whole Foods, recently wrote a thoughtful editorial against the “right” to health care. I personally agree with 90 percent of what he has to say in that article.
Many promoters of health care reform believe that people have an intrinsic ethical right to health care-to universal and equal access to doctors, medicines, and hospitals. While all of us can empathize with those who are sick, how can we say that all people have any more of an intrinsic right to health care than they have an intrinsic right to food, clothing, owning their own homes, a car or a personal computer? Health care is a service which we all need at some point in our lives, but just like food, clothing, and shelter it is best provided through voluntary and mutually-beneficial market exchanges rather than through government mandates. A careful reading of both The Declaration of Independence and the Constitution will not reveal any intrinsic right to health care, food or shelter, because there isn’t any. This “right” has never existed in America.
Even in countries such as Canada and the U.K., there is no intrinsic right to health care. Rather, citizens in these countries are told by governmental bureaucrats what health care treatments and medicines they are eligible to receive and when they can receive them. All countries with socialized medicine ration health care by forcing their citizens to wait in lines to receive scarce and expensive treatments. Although Canada has a population smaller than California, 830,000 Canadians are waiting to be admitted to a hospital or to get treatment. In England, the waiting list is 1.8 million citizens. At Whole Foods we allow our team members to vote on what benefits they most want the company to fund on their behalf. Our Canadian and British team members express their benefit preferences very clearly-they want supplemental health care more than additional paid time off, larger donations to their retirement plans, or greater food discounts; they want health care dollars that they can control and spend themselves without permission from their governments. Why would they want such additional health care benefit dollars to spend if they already have an “intrinsic right to health care”? The answer is clear-no such right truly exists in either Canada or the U.K.-or in any other country.
Rather than increase governmental spending and control, what we need to do is address the root causes of disease and poor health. This begins with the realization that every American adult is responsible for their own health. Unfortunately many of our health care problems are self-inflicted with over 2/3 of Americans now overweight and 1/3 obese. Most of the diseases which are both killing us and making health care so expensive-heart disease, cancer, stroke, diabetes, and obesity, which account for about 70% of all health care spending, are mostly preventable through proper diet, exercise, not smoking, minimal or no alcohol consumption, and other healthy lifestyle choices.
Mackey is correct in thinking that the root causes of disease are what most need to be addressed. He is correct in claiming that there is no intrinsic right to a service provided by other people. Health care will continue to become more expensive until root causes are addressed. I cannot think of a single government managed project that becomes cheaper or more efficient after it has been taken over by government. Is airport security cheaper and more effective now that the federal government runs it? It is a more pleasant experience for travelers? Why will health care be any different? Someone explain that to me.
The irony of the national “dicussion” we are having on this issue is that is isn’t really a discussion. It’s a room full of morons shouting at one another while all the thoughtful voices are drowned out. Mackey’s reward for his thoughtful opinion is that some people are boycotting his company’s stores – that’s freedom in action. Once we have a national health care plan in place being run at the federal level freedom of choice won’t be an option for Americans who don’t want to participate in that plan. That’s my understanding anyway – there is no opt out for Social Security, why would there be one for AmeriHealth or whatever they decide to call this great project. Government will pick the care options instead of Cigna. Government will tell you when the plan limits are reached. Congress will not apply the standards used on voters to themselves. Business as usual except more government offices will sprout in major cities to administer the fine new system.
Basic human rights are a great conceptual vision. When applied by bureaucrats and politicians their luster tends to wear off pretty quickly. Money for nothin’ and your chicks for free is a pipe dream. At least that has been my experience with such matters.
Disclaimer: I get my health care through the Tricare (military government program) because my civilian employer’s program costs three times as much. However, that doesn’t change my viewpoint that government inevitably makes thing operate less efficiently and cost more. The paperwork reduction act, for instance, caused more paperwork. I don’t know how that is possible but it’s true.