Why This Healthcare Thing Scares Me

Wednesday, July 29, 2009

I’m disabled, I live in a socialist country, and I live among those very  strange people called artists. My monthly healthcare premium is exorbitantly high due to a preexisting condition. If anyone should be pro universal health care it should be me.

 

Obama’s current push towards free health care fills me with dread and little else.

 

Now there are some healthcare practices which everybody should have for free. And if there ever could be such a thing as free universal health care the world would doubtless be a much better place. But on this planet, the terms “free” and “universal” are very often mutually exclusive.  

 

If someone could just answer a few questions that I have, I would feel much better. The first is: in a government hospital, who do you sue when malpractice occurs?  I only know to ask this question because I have two childhood friends who became disabled from blatant medical malpractice in an army hospital. The problem, of course, comes in when you’re looking for a malpractice lawyer willing to try and sue the US government. And even if you are fortunate enough to fine the one self sacrificing attorney willing to jeopardize his career to prosecute his country’s government, what makes anyone think that the courts will be imperial? In a world where politicians think they are also doctors, who heals the justice system?

 

People have often reminded me when I bring up this question that I am ‘focusing on the exceptional situation, and the exceptional situation will always be the exception  not the rule.’ Maybe because I consider myself to be an exceptional person, I find this concern valid. Problem is, I don’t know anyone who isn’t “exceptional.”

 

This ‘exceptional argument’ leads me directly into my second question: when government starts making medical care decisions, who is going to keep politics out of the operating room?

 

Any healthcare system is going to be working with the problem of limited resources and limitless ailments. Any medical professional that engages in the battle  for health is admirably fighting a loosing  and highly inefficient war.  Government, on the other hand, is inevitably about pragmatism and finding the best answers for the greatest numbers of people. Everyone forgets that ‘the greatest good for the greatest number’ focuses on being efficient and that such smooth running bureaucracies cannot  leave room for exceptional people.

 

And so, inevitably, when you add politics and government to medicine, everything becomes about cost and value. Limited resources, such as beds, will be  dived up according to which life needs to be saved for the greater good and which ones will be a drain on society.

 

In America’s national healthcare debate, no one is bringing up that there was a society which tried universal healthcare back in the 1930’s. It was Germany and it lead directly to  the Holocaust via Action T4. For those out there who know their history and still think I am leading to an exceptional leap of logic, let me ask: do you really think that Nazi leaders were all that different  from us? Are we not, as humans, made from the same stuff?

 

I really don’t have a problem with universal heath care in America as  long as someone could address these issues rather than repeating an ideal. But any attempts to define the limits and concerns about the system are met with harsh accusations of conspiracy theory. These are logical questions  not being addressed, which makes me wonder: what  else will be ignored in the name of pragatism? 

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