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Until this country recognizes that free health care is essential to personal liberty and pursuit of happiness, we will never see a society that truly reflects the founding fathers’ vision.
I’m going to put forth a radical idea. I am willing to acknowledge and explore my own shortcomings and biases when it comes to politics. I certainly wish more people would do the same, especially when it comes to universal health care and climate change.
Opponents of cap-and-trade laws always (sometimes religiously) cry that it will simply cost too much money, that we should not punish the energy sector for making profits, and that to do so is an infringement of “carbon freedom,” which is now number 1 on my list of phrases made entirely of horse shit.
The same argument is used when they want to oppose a nationalized healthcare system. Higher taxes will make the true costs of healthcare even more expensive than they are now. The fact is that the increase in taxes will be almost nothing compared to the debt that one can compile if you ever become ill. From personal experience, I can say that even with insurance, the costs can become staggering in a very short amount of time.
In a civilized society we have an obligation to look after the less fortunate, the people who can’t afford to pay tens of thousands of dollars in medical bills. (Which is a lot of people, by the way.)
Maybe all your posturing about costs is merely a smoke-screen. Maybe you’re still denying climate change and universal health care because you are just plain immoral. If you really don’t care about the condition of the planet our children will be living in, or about people dying because they simply can’t afford medical treatments, then why don’t you just come out and say it? Stop hiding behind “big government spending” arguments, and just admit that you care more about money than about quality of life or the environment.

Tim, obviously you and I agree on a lot of things, and disagree on a lot of things. Here though, you are making a blanket statement about those that oppose the two issues you are talking about.
When it comes to global warming, you can't find me one skeptic of global warming, including myself, that does NOT feel that we shouldn't take care of the earth God gave us. I don't litter, smoke or drive too many places. I recycle, reuse and conserve as much as possible. Those have nothing to do with global warming if you are a skeptic. I, and others, realize that the earth and solar system go through cyclical changes that cause warming and cooling and that less than 2 % of the CO2 in the atmosphere comes from human emmissions, it's actually less than 1%. Throwing money at a problem just to say that "we're working on it" doesn't solve a problem that may not exist. That said, as i always say, there is no reason to abuse the environment.
When were people refused healthcare in this country?? Emergency rooms must take you, and they end up eating the costs if you can't pay, your life isn't going to end because you can't receive healthcare, matter of fact if you can't afford it AT LEAST you're alive to talk about it! And I beg to differ on the whole cost of everything "he fact is that the increase in taxes will be almost nothing compared to the debt that one can compile if you ever become ill", wrong, you are taking things too personally and spreading your personal experience out amongst the entire population. There are a good majority of people that don't pay increased taxes for Universal Healthcare, that get covered by their employer, that will go through life paying as needed and it may not come close to what happened to you. I truly am sorry that you had shi**y coverage, life throws lessons at you, learn from them, I am sure you will look for better benefits in the future now before signing on to a job. There is, however, no reason that I should be paying higher taxes when I am covered by my employer and I don't get sick that often. Those costs are not little by no means either, as I said before it would most likely raise sales tax here in PA from 6% to near 20%. This doesn't mean I don't care for other people, like I said they WILL get taken care of, this involves the position I take when it concerns myself. If I hear ANYTHING about how "self centered" that is, I will launch into a rant about what I FEEL is "self centered" when it comes to the other side of the aisle, and trust me I have a huge list of things!
I don't need the government involved in my life, leave me alone and let me succeed on my own, I will learn from my mistakes and pick myself back up! I don't ask for anything but protection from our enemies and the freedoms laid out in our Constitution, other than that I will be fine!
Tim-you're a good guy and I know that you always mean well and I enjoy your posts but obviously these are THE two topics that I just have an opposing passionate view on. Sorry.

"In a civilized society we have an obligation to look after the less fortunate, the people who can’t afford to pay tens of thousands of dollars in medical bills. (Which is a lot of people, by the way.)"
I would agree with this statement but, this is a personal opinion. The problem with liberals is that they foist their personal opinions on others via the government. Personally, I believe we should take care of the poor. That's why I make donations to private charities (conservatives donate more to charity than liberals do, see the recent study by Syracuse University professor Arthur C. Brooks). However, I think the government is a poor vehicle for helping the poor, it's inefficient and wasteful.
Socialized "Universal" healthcare is wasteful and wrong, by pursuing it you are asking me (as a taxpayer) to foot the bill for your personal project driven by your feeling of a civic duty to provide healthcare to everyone. Let's help the poor together through charities and private means, not ineffective, inefficient, bloated government programs that we force on the general populace.

This is a somewhat radical statement, but I'm on the fence as whether or not health care is even a right....in America at least. Should taxpayers have to foot the bill for someone's cholesterol medication? Drug rehab stay? Insulin for type 2 diabetes? ER bills for a woman who planned an unassisted birth and wound up needing an emergency C-section? There's too many people making too many poor health decisions, which negates the government's responsibility to fix it. If you did it to yourself, it's your duty to fix it, not pass it off on taxpayers.
On another note-- we are a country founded on individualism. If universal health care flies, that means the government now has a vested interest in what I do with my body-- whether or not I get pregnant, for example, because then the government has to pay for my delivery. That means they can tell me where to deliver, how to deliver, who my provider can be, what sort of shots my baby will have to get, how long I can stay in the hospital, etc.
Is anyone really ok with giving up this much autonomy ?
Finally...we have picture of what universal, government run healthcare looks like -- it's called the VA. Anyone lining up for a stay at Walter Reed Army Hospital? *didn't think so*

Chris, you're missing the point. Whether you are a skeptic or not, we are in fact contributing to climate change. The energy industry spends millions of dollars in propaganda to convince people that we are not. Yes, the earth goes through cycles, but the data is clear that we are going through unprecedented change, not to mention the number of species that are going extinct. I never said throwing money at it will help. We need to consume less energy, plain and simple, and one way to do that is to provide economic incentives.
Congratulations on being covered by your employer and not getting sick that often. But a lot of people aren't covered, and DO get sick a lot and they need to be helped.
Brandon- Private charities do a lot of good but people still fall through the cracks. Yes, a life-threatening illness can be treated and must be here, but it will bury you in debt. No charity program is going to foot an 80,000 dollar medical bill.
Don't lump all liberals together- you know damn well that I'm only liberal one some issues. I could easily say that the problem with conservatives is that they think everything is perfectly fine, and if not, it's just too damn expensive to do anything about.
That Syracuse study included tithing, so it greatly imbalances the equation.
Socialized medicine is not inherently wrong- most of the civilized world has already gone ahead with it. It's not a personal project. Am I asking you to "foot the bill" so that every American can live a healthy lifestyle without sinking into poverty? Um, yes.

I agree. Any country who does not offer universal health care doesn't care about it's citizens.
The only reason people are complaining about universal health care is because they currently don't have to pay health insurance, because their company pays for them. Stop being greedy.

Tim, if you are intelligent enough to point out that "The energy industry spends millions of dollars in propaganda to convince people that we are not" affecting the environment, then I would ask if you are also willing to accept the fact that people like Al Gore and GE stand to make a profit off of the global warming hype, that's all...let's be fair here, both sides stand to make money off of what the general public "believes".

@ - Tim, you're a great man because you think like a Canadian. I mean, just look how opposed to anything with liberal/social sense people can be.
The main reason the above are against universal healthcare is "the govt is controlling us" element, a mindset that has been around since the Cold War. The other would be that they claim the free-market should rule medical delivery. That does nothing but ensure prices stay ridiculous, and that your doctor stays really super rich.
@ Chris - According to many, the free-market will help fix our climate problems too. Yea. And yes, the human impacts ARE putting unprecedented amounts of CO2 into the atmosphere between industry, deforestation, cars and more - the levels are much higher than what 'nature' itself would put out. The cycle IS there; but it's about making sure we don't make it any worse. Personal responsibility is one thing, and many people will take that on - but do you think industry will really sort itself out? Will the biggest make sacrifices on their own terms? Nope. Nope.
@ Anna - "footing the bill" - such a typical response. So scared that maybe, just maybe, you're doing something to help someone else (god forbid) against your own will.

@ torbjorn rive: wow, character assault much?
I'm not against helping people, nobody is. That's a trite and illogical argument you countered with.
I am against ineffective use and allocation of resources. Charities who CARE and are PASSIONATE are much better at taking care of those who need help, not common, "selfish", independent taxpayers en masse. I'm not trying to be ungenerous, I just know who and what can do it better than me and all my taxpayer friends.
Thoughts on the autonomy issue, anyone? Or the proof we already have in the VA system that the government will be unable to provide effective and quality care?

In a civilized society we have an obligation to look after the less fortunate, the people who can’t afford to pay tens of thousands of dollars in medical bills. (Which is a lot of people, by the way.)
We already do that. It is called medicare and medicaid and we spend billions of dollars on it every single year. If you want to argue that our safety net for the impoverished needs some work, I am with you. But to expand that argument into mandated universal health care and to cast anyone who opposes it as against the Founding Father's intentions is about as hyperbolic and reactionary as you can be.
I want a choice when it comes to health care (including none at all) and a safety net for those who need it. I get tired of universal health care zombies telling everyone that their way is the only way you can truly care about your fellow human being. That's the height of insult and is an ignorant and egotistical driven argument.

Tim,
Take a deep breath, put down the strawman, and explain how state-run healthcare, which you admit would be costly and require higher taxes, is free? You should spend less time moralizing and more time researching.
Anna,
You are 100% correct. Healthcare is not a right. Nothing can be a right that needs to be provided by someone else. You have no right to doctor's time and labor. You have no right to your neighbors time and labor. They aren't slaves. If anything here is immoral, it's the idea that one individual needs to pay for the poor health choices of another individual. What's immoral is Tim foisting his morality on others. I wonder what his response would be to an Evangelical trying to legislate his life according to their moral code. I fully expect apoplectic fits with no sense of irony.
Tim,
"socialized medicine is not inherently wrong"
According to you and your moral code, which I don't share. Stop trying to push your morality onto other people.
Torbjorn,
"you’re a great man because you think like a Canadian"
I dunno. The Canadians I've met have been quite a bit more rational.
"“the govt is controlling us” element, a mindset that has been around since the Cold War."
What?? Are you kidding? Pick up a history book, the idea of laissez-faire social system is quite a bit older than the cold war.
"you’re doing something to help someone else (god forbid) against your own will"
Spoken like a bully. Typical indeed. You have a lot of nerve reprimanding Anna because she bristles at the idea of being told to act against her will. What right do you have over her life or anyone else's? By what moral code do you decide how people should live their lives? Why should she act against her will? Because you know better? I see no indication of that.

I should totally refrain from 'arguing' with Americans my age.
Hard not to; and never goes well.
(Exit Stage Left)

Torbjorn,
Actually, arguing is something you may want to try.
"Anna - “footing the bill” - such a typical response. So scared that maybe, just maybe, you’re doing something to help someone else (god forbid) against your own will."
That's not an argument, it's a potshot.

Attacking a philosophy is arguing. Not a 'potshot'.
It doesn't matter who's character is what. Her philosophy is based on her thinking that she thinks people who need help with tax based systems are selfish.

"Attacking a philosophy is arguing. Not a ‘potshot’. "
Don't flatter yourself. The implication of your comment is very clear that Anna may be fearful of helping people and that such help would be against her will. Of course you have no idea what her proclivity to help people is, it just doesn't match your version of government mandated 'help'. Rather than address her concerns for retaining individual autonomy, you try to cast her as a misanthrope.
Boo.

Testudo- the idea that people who need coverage make poor health choices is about as ignorant as it gets. Not everyone who needs major surgery and can't afford it is a smoker or obese.
This whole ideology of "pick yourself up by your bootstraps and pay your own medical bills" really scares me. People don't choose to get sick, to say that I'm forcing my morality on you by asking to help pay is ironically very social Darwinistic considering it comes from conservatives.
My moral code involves helping people in need, which comes from my faith. It has nothing to do with some socialist takeover nonsense, so stop projecting that.

Tim,
First, "the idea that people who need coverage make poor health choices " is not what I said. You're misrepresenting my argument. Some people make poor health choices and they should not force other people to pay for them. Care to argue that? It's not the same as what you claim I said (that people who don't have health care make poor health choices). You know, like all dogs are quadrupeds but not all quadrupeds are dogs?
Second, do you feel the same way about people picking themselves up and paying for anything else they consume, or just medical expenses? Coffee, shoes, education, food, shelter, furniture...
Third, I'm not sure if you are being dishonest or are just confused. Are you now arguing that you would be happy to pay for other people's medical expenses because you personally believe it's moral but you wouldn't force other people to? Or you still would force people to abide by your morality but you think it's OK because it's your morality? If I believe it isn't right, do I have the choice to opt out of the system you propose, or am I forced to comply? What if I don't share your faith? Some faiths don't even believe in medical care at all. You and I may call that crazy, but it's their faith, who are we to impose?

@Tim -
The title of the post is "the immorality of fighting universal healthcare." It needs to be qualified, and changed to "my personal version of immorality of fighting universal healthcare."
You need to accept that not everyone shares your vision, and it's acceptable, even moral, if they don't.
Your argument leaves no room for people like myself - who live by their own moral code. I can't help but feel that you actually have little interest in individual rights, and don't accept that maybe, just maybe, no one needs your morality to help them make decisions about what is right. For the record, I abide by a faith, and I donate my time and money to causes I think are worthy. Your assumption that someone like me is "greedy" because I oppose tax increases for universal healthcare is insulting.
I completely agree with you on helping others in need, and do believe it is a cornerstone of civilized society. I don't think anyone is arguing that.

I don't think I misrepresented your argument. You're trying to say that because a few people make poor health choices that nobody should have to contribute to nationlized healthcare, and that's throwing the baby out with the bathwater.
I never said anyone should pay for coffee or shoes. Free education, for your information, is not some socialist fantasy, it's something that George Washington believed was absolutely necessary to maintain a healthy democracy.
We have a right to LIFE, liberty, and the pursuit of happiness. A right to LIFE means that we have an obligation to protect people from the threat of redcoats, and from disease.
I'm not being ambiguous, here. In the civilized world, everyone has to pay taxes in order to improve the lot of the common good. If you don't believe in that, then you don't have to. Just stop paying your taxes, and you can write a letter to the government explaining that you don't want any of your money going towards programs that you don't believe in. You don't need to share my faith- you need to be a citizen of this country, which means you have to CONTRIBUTE to social programs, whether you like it or not.

In defense of Tim here, the real title of the blog is "you might be immoral if", still not exactly a "great" title but less insulting than the above.
Tim you are certainly allowed to post you opinions, that's really what makes this country great here. The rest of us also have that privlege, let's all take a moment and really thank God or whomever or whatever you worship, that we live in America. Even if you are born to the most dirt poor family here in America you are still more privleged than children born in other countries...it's amazing

@Milena, you're assuming that your taxes are going to skyrocket. It's entirely possible to have universal healthcare in this country without that. There is more than enough money- we just shift our resources. Like maybe not spending half the GDP on defense, and putting some of that towards education and healthcare.
I think your vision of socialized medicine is not informed by reality. In Europe and Canada they are not being buried in taxes, and their standards of living are doing just fine.
The reason that programs like welfare exist is because too many people are selectively moral. They donate to people and programs they believe in, while the rest are left out in the cold.

@Tim - there is already a system in place to care for the most destitute in our country.
The system is dismal, but at least it's there.
Why would you want the government to control ALL of healthcare? At least give us an "opt out" if we don't want it! We don't pay, we don't get coverage! That's a moral solution.

Chris, America is great and we are all lucky that we don't live in China or Russia. But there is always room for improvement. The hysteria that the prospect of universal healthcare provokes is rooted in some deep-seeded Cold War era fear of anything and everything that can be compared to socialism. (I'm opposed to social security, for the record.)
The nations that last the longest are willing to embrace change. China, with all its flaws, has been around for 5,000 years because they have always been willing to do things differently. It's a lesson we can stand to learn from.

Milena- if you don't want to pay and not get coverage, that's your decision, and that is moral. But there are alot of people who CAN'T pay, and therefore, CAN'T get coverage. And that is immoral.

@Tim - I'm not assuming my taxes will skyrocket. I'm against the principle.

@Tim -
Again - there is already a system in place to care for those who cannot afford healthcare.

Here's the major issue...
Universal Healthcare isn't the solution to the problem, and specifically not the only solution.
We don't need another government program - they interact poorly with companies that like money: for example, what does guaranteeing federal loans do? Drive up college costs to the point of being ridiculous. Sure, you're helping poorer people attend college, but let's think back to when college was only five grand a year... is it better to let college cost 5 grand a year, and some extremely poor people (easily helped by private scholarships) would have some challenges, or let college costs get up to 15 to 30 grand a year, saddling even the middle class with debt?
Likewise, costs in healthcare will get driven up by government interference. I'm talking about personal costs, and not just taxes.
But the solution also isn't throwing everything to the free market - that's also a mess.
What we really need is strong regulation, and personal control of health insurance. For example, if you're signed up with a program through an employer, you should be able to take that insurance with you to your next job, provided you pay exactly what your employer paid. We should be making it much more difficult for an insurer to drop you; if they reap the benefit of your young and healthy years, they should be able to balance that out with when you are old or sick.
We also need stronger regulation of hospital pricing. It might help to have the government covering overhead costs for non-profit hospitals, so they can't justify charging $25 for a band-aid. Financially, the hospitals are broken, which is the biggest problem.
Finally, all "basic" healthcare plans should include preventative care at a strikingly lower deductible than catastrophic. By separating these two types of care, we can prevent many more illnesses that would become more costly if put off.

Tim,
What I'm saying is that not everyone agrees that state mandated healthcare is a good idea. Some think it's at best inefficient. Some, like myself, think it's immoral. There are many reasons one may not support it and that doesn't make them monsters. If you want to help your fellow man, by all means, please do! What I take offense to is the idea that you want to impose your vision of helping people on everyone else. Well, count me out. I also don't believe in 'free' education. You are abusing the word free. It has to be paid for somehow. We're merely argueing the means of payment. What you call 'free' is compulsory, expensive, inefficient and unaccountable.
I also don't subscribe to your theory of rights. You seem to lump positive and negative rights together, but they're mutually exclusive as positive rights negate negative ones. A right cannot be a claim on someone else. It cannot infringe on their rights and that's the problem with the erroneous concept of positive rights. Your alleged 'right' to a product or service infringes upon someone who has to provide it.
"You don’t need to share my faith- you need to be a citizen of this country, which means you have to CONTRIBUTE to social programs, whether you like it or not."
This doesn't sound remotely frightening to you?
"too many people are selectively moral"
Again, according to you, but why should you define their morality?

This is a wonderful strange disagreement between liberals and conservatives. It seems that conservative religious folks have the most to lose from abusing the planet considering it was God's gift to man, and he ordered him to keep it and dress it (check out Genesis 1 and 2 if you don't believe me). I always thought global warming should be an easy one, because whether you believe that the world is warming or not, you still should protect the environment. But hey, maybe they (we?) aren't as Bible thumping as I thought.
As for universal health care, I think this goes along with the abortion/but not welfare debate. While conservatives (the religious ones) claim to care about people, they only care about them until they are born. Otherwise, how can you not support young mothers better than you do, and create a system that rewards inaction. If you want, I will go into the "welfare" system if you disagree.
I will admit that I oppose universal healthcare for purely selfish reasons. Quite frankly, I am tired of paying so many taxes, and I happen to have excellent healthcare coverage. Now as I student I got a little SOL with my healthcare, but fortunately I got a great summer job that paid about 30K and I was able to put that bill in the dust (it was over a thousand dollars with ambulance fees and the like). However, because of my realization that my opposition to universal healthcare is selfish, I will go along with it, for those who aren't as fortunate as me, because I really am a Christian.
I also support global warming initiatives. While I believe in the Christian teachings about the end of the world, I also believe in Genesis. And I honestly can't understand why far more liberals who claim religon don't also come to this conclusion.

@Beth- with you 100 percent.
I'm honestly disappointed that the debate here is more about the healthcare issue and not the environment. That's partially to blame on the title that was chosen for the post, but still.
Climate change is the single most important issue facing us as a nation and a planet today. Why aren't we up in arms about this, rather than healthcare, the war, gay marriage, abortion, Mccain's teeth, or Obama's flag pin? Even if you disagree with the science, you have to admit that a greater discussion is needed.

@Tim - yeah, Brazen really got it wrong with the title, it implies something different than intended.

"Climate change is the single most important issue facing us as a nation and a planet today. Why aren’t we up in arms about this, rather than healthcare, the war, gay marriage, abortion, Mccain’s teeth, or Obama’s flag pin? Even if you disagree with the science, you have to admit that a greater discussion is needed."
For me, it's a little hard to have climate change in the front of my mind as the number one thing to be concerned about, when I'm running a fever, my wife is in serious pain from untreated injuries and we have no healthcare. If you are disappointed that there isn't more debate on climate change, remember some of us need to deal with problems that immediately impact us on a personal level. It's not that climate change isn't important, it's that our health and the things that touch us on a daily basis tend to require more immediate attention.
It's kind of like churches have found out over the centuries. You can preach the good word of God to everyone, but who's going to listen if they are more concerned about if they're going to have anything to eat today?

Beth- YOU ARE BEING RIDICULOUS! Once again, why the F*** is it that liberals consistently ONLY HEAR what they want to freakin hear!? i have read back through the comments and NO WHERE did a conservative say anything about not caring for the environment or "abusing" it. Grow the hell up and stop putting words in our mouths, matter of fact I believe I made it a point to say, wait let me quote myself here (how bad is it when you have to quote yourself for an argument..asses) "When it comes to global warming, you can’t find me one skeptic of global warming, including myself, that does NOT feel that we shouldn’t take care of the earth God gave us. I don’t litter, smoke or drive too many places. I recycle, reuse and conserve as much as possible. Those have nothing to do with global warming if you are a skeptic."
Jesus people, that was the first damn comment! As to your religious "bible thumping" comment, I am christian but not even a hardcore one. The mistake that people like, Obama for instance, make when they say that "they cling to their guns and religion..." is so outrageously out in left field that it makes you wonder if his church going is for political poster ethics ONLY. NO, I cling to my religion through the good times just as much through the bad, those that only cling during the bad are falsely using their "God" I thank him for everything I have.
I cling to my guns because that is a 2nd Amendment right and if someone breaks into my house I will put a hole in their head and SHOULDN'T fear that if I even present any arms will I get sued by the would-be crook, this country needs to wake the hell up!

Back when "acid rain" was a really big issue, more like the 80's and 90's, the US led and did really well in a cap-and-trade system:
http://www.edf.org/page.cfm?tagID=1085
Markets provide greater environmental effectiveness than command-and-control regulation because they turn pollution reductions into marketable assets. In doing so, this system creates tangible financial rewards for environmental performance.
...apparently the costs and long-term benefits really paid off.

WOW!!!! I get trying to be edgy and controversial in blogs, but this is pretty harsh.
Let me give you a different perspective. My family owns an engineering firm and has always offered a great healthcare plan. Guess what 50% of people do? They CHOOSE not to enroll in it!!! They'd rather use the money to buy cigarettes/beer/fast food, etc. So, no, I don't want to use MY money to pay for the abundance of people that CHOOSE not to get healthcare insurance.
These people who opt out of getting available insurance are included in the numbers touted by the left wing.
On the other hand, YES, I believe we should help the less fortunate, but we also have to correct our current system. Out current welfare system is a joke and is abused constantly. I fear a national healthcare mandate because it will likely be as poorly run as the current welfare system is.
And as for climate change...I'll think about that for a while while I sip my coffee out of my styrofoam cup.

I think that the problem is trying to make this a black and white issue (liberal/conservative, Christian/Athesist, etc.)- one extreme or the other and damn the middle. Obviously, the current system isn't working super well- otherwise there wouldn't be complaints and attempts to reform it. Should we go to the other side and say we should all pay for everyone's healthcare through taxes- well, we already do. Insurance makes money because most people don't get sick, and they pay for the people who do. Anyway you look at it, we're paying.
The one thing that people haven't mentioned is that our current healthcare which is for the most part employer-based- is paid for in many ways- including higher costs on cars and other goods. Companies are going bankrupt because of the high cost of health care. How is this beneficial to our society? People are losing their jobs because their employers can't afford the insurance.
Someone mentioned above that the ER won't refuse you health care, which is true. But who pays? You and I do, with higher costs from hospitals, that translate to higher insurance premiums.
As far as health care not being a right- this seems rather judgmental to me. Certainly some people make poor health choices- so don't help them when they need it? I have to agree with Tim- this seems like Social Darwinism. And anyway, as mentioned above, we're still paying for them, even without universal health care.

@Tim & Kyle - I think using the term "social darwin" is meant to shut people up and make them feel small. Emotional tactics are fun and make this blog interesting, but they are unkind and don't get anyone closer to understanding. I don't appreciate the labels.
Also, for the record: I don't worship money. I don't want poor people to suffer without access to care. I'm not sure how many more times I have to say that for it to be clear. No matter how many times I am accused of it, does not make it true.
Did I call you names for wanting universal healthcare? No, I just oppose your ideas, which I should be allowed to do without name-calling.
And Tim - I do appreciate you agreeing, "if you don’t want to pay and not get coverage, that’s your decision, and that is moral."
Universal healthcare, at least from how I understand it, doesn't offer such a choice. Are you revising your opinion?

Tim,
My problem with your argument, other than the fact that I'm still scratching my head to figure out where it's coming from, is that it's basically as step towards all out socialism. Maybe that's what you want, but it's not what I want because it's already been shown that that doesn't work nearly as effectively as the operations of a free (or semi-free market).
The government isn't here to provide for me. I'm capable of doing that for myself, and when I can't that's what family and friends are for, to step up and help out. I'd do the same for them. Why should the government provide us with "free" health care? They should probably provide us all with free food, free housing and free jobs. Oh wait, that's socialism. Throughout history people have been striving to achieve that perfect state where there are never any emergencies, shortages, or lack of anything anyone could possibly want or need. I personally don't think we'll ever get there, even though most of us in the west are a lot better off than anyone has ever been before. Utopia is still (and maybe always will be) out of reach.
I don't want free health care. I'd prefer lower taxes while I take care of my own. You're free to argue for free health care if you want, of course. But don't make statements like "free health care is essential to personal liberty". Liberty is freedom from persecution, the ability to make your own choices, participate in government, etc. I don't see how having the government buy you health care constitutes liberty. I also don't remember any of the founding fathers mentioning free health care as a central part of their plan for America. That's not their vision, that's your vision, so just admit that and don't get them involved.
And by the way, this is all without animosity. After all, you said you were open to exploring the shortcomings of your reasoning. :)

Tim--
Honest question: why did you (evidently) let your insurance lapse? Even part-time students have myriad choices for health insurance. I see parttime students in IL can get basic insurance for under $50 a month.
I believe you wrote before that you wouldn't mind spending $1,200 a year in increased taxes for socialized health coverage. Wouldn't private insurance been far cheaper for you in your situation?

@Milena- when I used the term Social Darwinism, it wasn't intended to call you a name- it was to point out that I felt people are saying "sorry about your plight, but, eh... fend for yourself". To me, that says, I can survive, too bad you can't. Perhaps there's a better term...
Charity is great- and its your choice to give. However, given the choice, many people don't give. So, people are left to fend for themselves.
As an aside, the way "liberal" and "conservative" are spewed as epithets is quite annoying. When did these become the ultimate insults?

@ Jonathan E- my insurance lapsed because my coverage was dependent on my being a full-time student. I dropped a few classes because I was coping with a medical issue that (surprise) my insurance didn't cover: anxiety attacks. Once I became a part-time student, I was completely dropped from coverage. The timing was sensational, because 2 weeks later my appendix nearly burst.
I would be more than happy to pay 1200 more in taxes because my current insurance plan (in addition of costing 85 dollars a month) has a 5,000 dollar deductible. So no, private insurance really isn't a cheaper alternative.
@ Michael- do you see little Stalin ghosts under your bed at night? Not every social program is a nightmare. The last I checked, our military is also a social enterprise, paid for entirely by tax dollars.
If you want to take care of yourself, that's fine. But the millions of American's who can't afford to shouldn't suffer for it.
What is so scary about socialism? Are we afraid of becoming a distopian, 1984esque society like Sweden?
I am not advocating socialism. I don't like social security. I think it's perfectly fine to have a capitolist society, but healthcare should be something that is considered above the realms and the whims of the "free" market.

Tim, you look creepy in that picture.

Bill- my girlfriend said the same thing. You two should get together, maybe. HA

I like to view universal healthcare as something like infrastructure. Interstate highways, state-funded primary and secondary education, land-use plans, and military protection all result from government-level planning and execution. These are societal instutions that benefit all members. For example, I don't drive, but I need the highways to move goods around efficiently so that I can have frozen blueberries on my morning cereal.
I think universal healthcare is just this 'societal' kind of thing that may not benefit me immediately, but will benefit me in other, more nuanced ways. It might reduce the ER burden, so that when I stroke out in 20 years, I'll be attended to quickly. It might cover colon-cancer screenings for everyone so that patients are treated at early disease states, when it's often cheaper, than at later stages when it's very expensive, reducing my premium (tax). With a single-payer system, it might actually be more efficient than our 3-party system, again reducing my premium (tax).
Furthermore, besides providing coverage for ~50 million un-insured Americans (google it) and more under-insured Americans, universal healthcare seems a good way to relieve our manufacturing sector of legacy and retiree costs associated with poorly planned pensions. It seems like a good way to free small businesses from the burden of healthcare costs and enable them to properly compete for talent with the larger corporations. It seems like a good way to spur entrepenuership and innovation by giving someone with a great idea the health-based security she needs to finally start that new business. Universal Healthcare might actually be good for the economy.
I think it's hard to argue that the 3-payer system between patient, provider, and insurer, is any good. The stakeholders' interests are mis-aligned.
I think universal healthcare is a once-in-a-century opportunity to bring a unique, innovative, American solution to what is a very real, and growing, social and economic problem that affects everyone in some way or another.

@Kyle - I understand. I think the term is more often used as a put-down, so that's why I reacted.
@Tim - again did you revise your opinion? From above comment, I'm dying to know.
I'm also doubtful Michael sees images of Stalin. Why are you bent on diminishing people when they disagree with you?
What he probably sees is mounting evidence that small steps towards socialist policies are compounding, pushing our fine country further and further towards a welfare state. Moody's (an investment grading firm) is planning to downgrade US credit if we don't fix our dismal fiscal policies. Implementing things like universal healthcare will only inch us closer to stretching an already bloated system. I know you'll mention the war again. I've already covered my feelings on that in myriad other places on this website. Let's stick with universal health care. It's not good for this country.
My fear is that the solution you propose, which I completely understand comes from you wanting to help those in need, would not work. I don’t believe care would be better. I don’t believe care would be accessible to everyone in a timely manner. I believe the ability for people to choose how and when they are treated would be severely limited.
If you do a search on Google, “Canadian Health Crisis” you will find a plethora of tales of how the Canadian system (70% public, 30% private) is still failing its constituents. You will read about them being subjected to lower quality care and much longer wait times for critical or complex procedures. You will read about complete lack of incentive to improve health care processes and technology without a sufficient market mechanism. Innovation will dry up.

Tim, thanks for taking on a controversial topic head-on. Each person has their own unique perspective on universal health care and reason to support or oppose it. I look at the reasoning for supporting universal health care from a public health perspective.
1. An ounce of prevention is worth a pound of cure. (the money argument)
That is to say, prevention is significantly cheaper than cure and better in terms of patient outcomes. Those backing the cost argument assume that consumers of health care will continue to use the system reactively rather than proactively. A universal health care system facilitates preventive check ups and screenings and other preventive measures that save both lives and money. Emergency rooms are in the community as a common good for unexpected, life-threatening situations. Forcing them to assume the costs of what should be preventive health care causes hospitals to close their emergency wards, leaving many indigent communities without access to professional health care. Which leads me to the next reason....
2. Access to safe and competent health care is a human right. (the moral argument)
Why should someone be deprived of health care because they can't pay? Like it or not, telling people to pay insurance premiums and co-payments effectively places a price on their lives. This is often a price that people are unable to pay, and they suffer for it. This is especially important to note in cases of infectious diseases. Which leads me to my next point...
3. Preserving the health of citizens' is in the states' best interest (the national security/economic argument)
Healthy people are productive people. Productive people generate profit, which in turn drives the economy. Obviously, it is in the country's best interest to maintain prosperity and maintaining health is directly tied to this goal. The national security risk comes in when you consider how epidemics are started. Lack of healthcare contributes to people being sicker longer which means more time being contagious. In the case of the common cold, this is no big deal. But think of the national panic that ensued in 2007 when Andrew Speaker (http://en.wikipedia.org/wiki/2007_tuberculosis_scare) flew to Europe and back with what turned out to be drug-resistant tuberculosis. Germs don't recognize borders. A universal health care system can see epidemics before they complete wreak havoc on the population at large. They prevent the resurgence of vaccine-preventable diseases such as the measles because all citizens receive vaccines regardless of socioeconomic status.
So you can pick your reasoning. I think no matter what, universal health care is a necessary good.

@Tim
Lol, not Stalin ghosts, because he wasn't just socialist but he was a nasty dictator as well, and I don't think America has to worry about that yet. No matter what people think about Bush, he certainly hasn't killed millions of his own citizens.
What does disturb me is that people are falling back into the same system of socialist thinking without considering the dangers. I can't think of any reason a government bureaucracy in charge of universal health care which would not be motivated to be responsible with money (which would be coming from our pockets) or efficient in dealing with the problems of those who are sick (which would obviously affect all of us personally at some point or another). Look at DMV's, another government bureau, which deals with large quantities of people who can't go anywhere else. I've never heard anyone say anything positive about the quality or speed of the service. Insurance companies and hospitals may not be perfect, but at least they do have the motivation to be better than the competition, and that's something that no government bureau I've ever had experience with has been motivated to do.
For me it's all about efficiency and having options. Universal health care is unlikely to be different than any other government bureau. It would be very inefficient with money, inefficient with customer service. That's just the way it is when you're talking about government operations that have no incentive to be profitable because they're just going to be funded with as much money as they need no matter what. A reformed private health care system would be a much better use of resources than a government system. That's my opinion anyway.

Michael- I love when people compare Bush to Stalin or Hitler. I generally tell them to go read a book before they hurt themselves.
I have nothing good to say about the DMV or any government agency, either. We have to choose between getting screwed by a corporation or the fed in most cases. I'm not saying it would be perfect, but I'd be willing to put up with some federal SNAFUs if it means that the source treatment is free.

Wow,no one curses at me. On a blog, that is craziness!
I am not a liberal, so Chris Ford you can save your liberal smashing for some other time. I was making general observations about the behavivor of Christians, the same people who cling to conservatism, and how I believe that they miss the mark on the religious message. I happen to be an uber-conservative Christian and a fiscal conservative. But this is a debate that needs to be had, especially after my liberal friend who is not Christian sent me a link to the movie about a Jesus/Bible camp. We as a religous voting block have got to do better and be more engaged in the issues.
And, I can be honest, like Tim, and admit that I have personal bias. Do I like his generalized approach? I find it a bit of a flame. But hey, he is trying to generate interest, so go hard or go home!
I think a better attack on government healthcare is that it should not be government run because the government, at least for sure the federal one, is inefficient. And Massachusetts is having a really hard time. This is a much more honest debate. Then, the other side: But then, look at the health care systems current available, and as the federal government doesn't run them either, and probably won't run it under Obama, because despite the scandal, the VA for example has some of the best doctors in the nation and generally very good outcomes. So maybe there won't be a FEMA repeat.

Milena- trying to answer 18 things at once- meant to answer you sooner.
I was not changing my opinion, what I meant was that if you don't want to pay for health insurance, you don't have to, and you have the moral right to do so, but you will be shut out of the system. We can't just pick and choose what we want our taxes going towards.
@ Beth- I am one of the 14 or so progressive Christians in this country, and I understand what you mean. I am embarassed on a regular basis by Christians who support the war, want to reduce welfare, and spout a great deal of hate and intolerance for anyone who doesn't think like they do.

By ROBERT M. GOLDBERG
IRONICALLY enough, the dangers of the liberal health-care agenda are being made clear by the care that a liberal icon, Sen. Ted Kennedy, has received since his brain seizure last month.
One day after an MRI detected a tumor, Kennedy was quickly diagnosed with a malignant glioma - a rare and often-fatal form of brain cancer. Less than two weeks later, his tumor was being removed by one of the world's experts in brain cancer at Duke University Medical Center. He'll follow up with chemo and radiation therapy tailored to the genetic makeup of his cancer to keep the cancer from spreading.
He'll likely take Avastin, a drug that in experiments with brain cancer has extended survival by months. A new cancer vaccine being developed in partnership with Pfizer could extend his life by six years.
Of course, with his wealth and power, Kennedy would get good treatment anywhere. But the same care is available to every American.
Not so - if we make the health "reforms" called for by Kennedy and other liberals.
Filmmaker Michael Moore gives their standard line when he says: "There are problems in all health-care systems, but at least Europeans and Canadians have a health-care system that covers everyone."
The Problem is, governments that promise to "cover everyone" always wind up cutting corners simply to save money. People with Kennedy's condition are dying or dead as a result.
Consider Jennifer Bell of Norwich, England. In 2006, the 22-year-old complained of headaches for months - but Britain's National Health Service made her wait a year to see a neurologist.
Then she had to wait more than three months before should could get what the NHS decided was only a "relatively urgent" MRI scan. Three days before the MRI appointment, she died.
Consider, too, the chemo drug Kennedy is receiving: Temodar, the first oral medicine for brain tumors in 25 years.
Temodar has been widely used in this country since the FDA approved it in 2000. But a British health-care rationing agency, the National Institute for Comparative Effectiveness, ruled that, while the drug helps people live longer, it wasn't worth the money - and denied coverage for it.
Barack Obama - and other Democrats - have been pushing a Senate bill to set up a similar US "review board" for Medicare and any future government health-care plan.
After denying this treatment completely for seven years, the NICE (did whoever named it intend the irony?) relented - partly. Even today, only a handful of Brits with brain tumors can get Temodar.
And if you want to pay for Temodar out of your own pocket, the British system forces you to pay for all of your cancer care - about $30,000 a month.
Things are no different in Canada, where the wait for an MRI (once you finally get a referral) has grown to 10 weeks. For Canadians relying on their government health care, the average wait time from diagnosis of cancer to surgery is beyond the guideline set by both the US and European societies for surgical oncology.
And HealthCanada, the government system, similar refuses to pay for treatments that are often covered in America.
Chad Curley, a 37-year-old auto worker from Windsor, Ontario, had a brain tumor like Kennedy's but can't have surgery because his is too large to be operable.
His tumor didn't respond to Temodar and the same doctors now treating Sen. Kennedy told him and his wife that the Avastin combination could stop his tumor from growing and add months to his life. But HealthCanada wouldn't pay to use Avastin to treat his tumor.
Chad's family and friends scraped together the $5,000 for the first round of treatment in mid-November; they later saw Chad's left-side paralysis start to subside. But the money ran out - and he died on Feb. 21.
In pushing for government-run health care, liberals are pushing for a system where only the Ted Kennedys of the world can get cutting-edge - and life-saving - care.
Robert M. Goldberg is vice president of the Center for Medicine in the Public Interest. bobgoldberg@yahoo.com
Health and Life Insurance for Texans

@Tim - right, but isn't that quite a bit different than what you originally said? The opt-out isn't currently part of a universal healthcare proposal is it? If it were, it would completely revise my opinion, of any socialized plan to be honest.
If you said, "Implement a socialized program where anyone who wants to opt out, can, but doesn't receive the benefits of said plan."
Sounds fantastic!
You can take everything I paid into social security and I won't ask for a dime back, where do I sign!?
As for healthcare, I'll find a group of private citizens (maybe even like-minded and relatively healthy ones!) who freely and willingly choose an insurance company to cover them at a discounted group rate. Hurrah!
I didn't think that is what you initially were proposing.

OK, well, I'm quite surprised no one here has mentioned PT's own Wisconsin and its proposed so-called "single payer" universal health care plan.
An estimated cost (estimated by the Democratic legislature itself!) of $15.2 billion per year. Payable by a new 15.4% increase in payroll taxes, it would increase the average Badger State citizens' taxes by $510 per month.
Maybe this is the model for Obamacare. That's change you can believe in!

Sorry, I meant to write: 14.5% payroll tax.

Beth- I cursed out of frustration and not directly at you, sorry if you took it that way but obviously didn't read through and find people saying those things about abusing the environment on purpose or not taking care of the earth.
I think what people here are failing to realize is the fact that the Universal Healthcare plans that are being proposed are NOT opt-out in any way. There is no way that the taxes that would be affected would only have an effect on those WITH UHC. Are you going to walk into a store and say "Oh no, that's not the price I will be paying on that, I have my own health insurance so you can take off that extra 11% please...hehe" A tax is a tax and is enforced on the public as a whole, there is no getting around this.

@Chris - Couldn't those who opt-out receive some type of tax credit (similar to people who adopt) as an incentive? Not that I like further complicating the ridiculous quagmire of the tax system.
I see your point, that ancillary costs would also rise, which is a problem. Dunno.
Basically, using the opt-out as an example, I'm trying to fight for the accurate definition of individual rights: that which doesn't infringe on an individual at any time. In opt-out, each person could choose, therefore, not be infringed upon, vs. UHC which would mandate the same action by everyone, thereby removing free will. Free will is the definition of liberty. Free will is also a tenet of the Christian faith.
So that if in theory, an opt-out system is also moral, then calling people immoral who don't make Tim's choice is false.

How dare you claim that your beliefs are in line with what America's founder fathers had in mind when the ideas are in fact diametrically OPPOSED to what they felt was for the best?!
FYI, America was founded on the prospects of LOW TAXES, SMALL GOVERNMENT, and PERSONAL RESPONSIBILITY, qualities that socialist health care contradicts.
By the way; you're absolutely correct that I care more about money than other people and you know what, that's my RIGHT; I am not nor should I be responsible for anyone other than myself.

@Milena Thomas I am not quite clear on the reasoning behind your opposition to UHC. You have said,
"I don’t believe care would be accessible to everyone in a timely manner. I believe the ability for people to choose how and when they are treated would be severely limited."
However, the current system already prevents people from choosing how and when they are treated. It's very possible that your doctor could prescribe an operation or procedure that is not covered by your HMO or other health care plan. This prevents you from deciding HOW and WHEN you are treated. If a procedure is cost-prohibitive, how exactly are you enjoying the freedom choice that you want to preserve.
I think that you will find it difficult to find a system of individual rights when does not at all infringe upon the rights of anyone. You have the free speech but you don't have the right to yell fire in a crowded theater because it incites a dangerous and unnecessary panic.
Free will is essential to liberty and a key Christian tenet. But free will without limits would allow and even possibly encourage people to only follow their self-interest which would be rather detrimental in society.

@Vanessa - I'm guessing you didn't Google "Canadian Health(care) Crisis."
Here's a link to start with.
http://www.city-journal.org/html/17_3_canadian_healthcare.html
If you did, you might have come across a story about man who became addicted to painkillers waiting over a year to have a hip replacement surgery performed and the Canadian government wouldn't allow him to pay more to have it done privately!. That is cruel and unusual punishment by anyone's definition. There are a lot more problems, in my estimation, that are far worse than the current, and as you accurately point out, flawed system.
Who is yelling fire in a crowded theater? That isn’t at all analogous to what I'm doing. I'm having a rational discussion about what constitutes individual rights. Furthermore, there is no trouble finding a system, it is outlined in the above comment. Just because no one happens to be following it is not my concern.
I understand your concern about “free will without limits.” I didn’t mean lawlessness, which I’m guessing is how you perceived it? With that in mind, can you explain how following your own self interests is detrimental to society? So long as others respect individual rights (protected by law and the proper limitation of free will), there shouldn’t be any problem. For example, free will doesn’t mean I now have a right to harm someone or steal their money - that is infringing upon them. I don’t get to do that.
Similarly, you cannot take my money for universal health care, spending it on a program that I might deem ineffective. This is the free will I’m talking about.
I believe helping your fellow man is the right thing to do. I don’t believe UHC is the best way to do it.
I hope you understand I’m sincerely trying to add to the conversation, not yell “fire.” I feel that is a put down which detracts from understanding each other.

Fart- did your HMO cover the operation when they took out your soul?

Oh I decided to forgo getting my soul removed, but I did decide to have a bleedingheartectomy. Fifteen years later and I'm calmer, wiser, and my wallet has never been fuller!

Did you see the Bunk study stating 2/3 of doctors in America want National Health Care. The doctors who did this study also conducted one in 2002 and found that the majority of doctors did not want national health care, the problem with this is that the 2 question surveys drastically differ in there 2nd question. I found this article, 60% of Physicians Surveyed Oppose Switching to a National Health Care Plan, It's worth a read.

@Milena Thomas I did read the story about the Canadian Health Crisis. But abuses like the ones found in that story happen everyday under our current system; they just aren't covered in the news.
My example of fire in a crowded theater is not a put down. It's a well-known example used in a Supreme Court case that showed that the right to free speech isn't infinite. Liberty needs some limitations if it is to operate in society.
My version of UHC would compel everyone to contribute because it's the only way to drive down costs enough. I think that you would have to stipulate that people could pay for additional coverage to expedite processes. I also think that everyone cites the Canada example when it has very fatal flaws. There are several other countries in the world with universal health care that works better than Canada's system.
When I said free will without limits, I didn't mean lawlessness. What I read from your comment was that you seem to believe that there is a way to have complete liberty in society save for obvious restrictions on not physically harming someone and taking your property.
As for your comment about taking your money and spending it on a program that you deem ineffective, I think that this is already occurring. I don't know for sure, but I imagine you don't approve of everything that the government spends your tax dollars on.
I hope that you understand that I am genuinely trying to add to the conversation as well. For me, UHC is not about helping my fellow man. I think that it is a genuinely necessary public good like infrastructure as Jason stated above. For more details about why I think UHC is necessary, see my first comment on this post.
Thanks.

Just to clarify what I mean about additional services is that if you would like, you pay a premium to have that exclusive choice. This is same way that you would pay a premium if you sent your kids to private school. Your property taxes still go to the public school system but you have the choice to "opt-out."

@Vanessa -
For the second time, your example of fire in a crowded theater is not what I'm doing, so whether or not it's from a famous case is irrelevant.
In my comment I already agreed with you that the current system is ineffective. I feel UHC would be even more ineffective.
Thanks for offering your point of view. I've read all your comments and have visited your blog. You clearly are intelligent, experienced, and have well thought-out reasons for your positions.
I respectfully reserve the right to disagree with you.

The fire in a crowded room is not a good example for UHC. A persons individual rights ends at another persons nose. That is, I can flail my arms as much as I want, as soon as I hit the person next to me in the nose, I have invaded his freedom. I no longer have a right to flail my arms. Just like in the movie theater me screaming fire impedes other peoples rights (stampede).
As for UHC, me owning personal insurance and paying for health care on my own does not impede on anyones rights or freedoms. however, enacting UHC to take from my wallet and hand to someone else is impeding on my rights.
We all have the right to life, liberty and pursuit of happiness however we may choose. I choose to pay for really good insurance. Others don't. As for the argument about the unexpected tragedy, well a Dr. cannot refuse treatment, so they will receive it, yeah sure they will be bankrupt, but they will be alive. No where in the constitution is the right to financial security.

I'm neither immoral nor in support of universal healthcare. I agree that the healthcare system in the US is messed up, and you're completely correct in saying that no one can afford to get sick nowadays.
I think this calls for a complete reform of the healthcare system, though. Big government is always inefficient (look at social security!!) and will likely make even more of a mess with our healthcare system if allowed. Personally, I think the solution is going to be to take health insurance off the table entirely and go back to the way it used to be before health insurance companies started making billions off the backs of the ill.

Simply saying that people have health insurance is meaningless. Many countries provide universal insurance but deny critical procedures to patients who need them. Britain's Department of Health reported in 2006 that at any given time, nearly 900,000 Britons are waiting for admission to National Health Service hospitals, and shortages force the cancellation of more than 50,000 operations each year. In Sweden, the wait for heart surgery can be as long as 25 weeks, and the average wait for hip replacement surgery is more than a year. Many of these individuals suffer chronic pain, and judging by the numbers, some will probably die awaiting treatment. In a 2005 ruling of the Canadian Supreme Court, Chief Justice Beverly McLachlin wrote that "access to a waiting list is not access to healthcare."

@Vanessa -
While we're talking court cases, let's see what Canada has done to improve it's socialized program. Privatize. Offer choice. Who knew.
"Ironically, as the U.S. government has restricted the ability of patients to spend their own money on medical care, Canada's socialized health care system is moving in the opposite direction. In a landmark case handed down in 2005, the Supreme Court of Canada ruled that the province of Quebec could not prohibit its citizens from purchasing covered services through private health insurance. That ruling recognized that imposing limits on a patient's freedom to spend his own money can result in his being denied crucial and even life-saving medical services."
The freedom to choose had been severely limited in Canada. We should not move towards such a system. I am not yelling fire, but attempting to reveal in a calm and rational manner the errors of UHC, and what the proper meaning of individual rights are.
@Erika - You are right. And healthcare reform starts with tax reform. Some great reading material can be found here:

Lol my quote was also from Cato. I love those guys.
"For every problem, there is a solution that is simple, elegant, and wrong."
H. L. Mencken

I'm actually quite happy to see here that not all GenY'ers support socialized healthcare.
BTW, here's a nifty look at our "universal health" future: In France, an organ donor wasn't quite dead yet:
http://www.lemonde.fr/archives/article/2008/06/10/le-donneur-d-organes-n...

@Milena - I think you misunderstood Vanessa's use of the yelling fire comment. As I read it, she was not suggesting that you personally were yelling fire, but was rather using it to illustrate the limits of personal freedoms (in this case free speech).

When my pops needed medical care for cancer, twice, he went to the US to get private care, twice. Seattle and Boston respectively. Not Canada - as much as I do praise our health system here.
I would probably do the same, in theory.

If it’s free, it gets used, A lot.
Countries with socialized medicine are familiar with the “Take as much as you want so long that it’s free” mentality. Americans took on the same attitude in the 1990’s when they were given something new. These were the “Unlimited co-pay days”. Insurance companies were hit hard by there overuse and reacted by limiting or raising co-pays while preserving preventative care benefits. Why is this great? Because, the fact that private insurers can make the changes to balance things out. They can re-act to current circumstances, but best of all, they bear all the risk, not the public, and what’s even better? If rates increase or there are unfavorable changes in coverage, the consumer is free to leave and purchase coverage from a long line of competitors.
Socialized medicine has approached the problem of overuse by rationing care and raising taxes. Rationing care does not mean that some people will go without treatment, except in the cases where one dies while on a list or when one is discriminated because of his or her old age. Rationing care also means that the amounts of procedures to be preformed in a certain area are pre-determined. It is a system of action not re-action. Simply put, a person might be placed on a waiting list if they aren’t first in line for an unanticipated need for a certain type of care or procedure. You may be placed on a list for something as simple as MRI, mammogram, or in many cases, surgery. (It is important to note that most emergencies, i.e. car accidents, are treated immediately)
However, what’s most worrisome about rationing out health care, are the treatments withheld because of poor foresight or lack of resources. There are countless examples of Canadians paying out of pocket for their surgery in the U.S., rather than wait several months at home. I met a Canadian couple whose relative was placed on a six month waiting list for his bypass operation. He spent $30,000 for his surgery in Seattle. Not all Canadians are as fortunate.
The U.K. has a mature socialized medical system. It’s sometimes referred to as a “Two Tier” system. The first tier includes everybody. The second tier is reserved for those who can afford private insurance. (Mexico’s system is similar.) The second tier are the fortunate and do not want to deal with the shortcomings of their public system. (Last I heard was, approximately 15% of the population in the U.K. held private insurance and this number was expected to increase.) Ask yourself, why anyone who has free health care purchase additional coverage.
www.insuremedfw.com Health Insurance for Texans

@Imon and @Tim
Imon raises a point about basic insurance theory. Tim, you appear to think that a $5,000 deductible for your private insurance would make socialized health a better deal for you.
Deductibles exist for a reason: they reduce the effects of both "moral hazard" and "morale hazard", or the ability of insureds to take extra advantage of insurance, or perhaps even bilk insurers, since they have no money on the line themselves.
Deductibles also decrease the number of unneeded or frivolous claims, keeping rates low for all.
If you are a fat bastard killing the restaurant at the all-you-can-eat-bar, that restaurant's not gonna last. Ask Sizzler.

@Imom, thank you for the spam.
@Jonathan DEAR GOD NO! Somebody has to protect those insurance companies! Somebody PLEASE think of the insurance companies!
Give me a fucking break.
I'm going to stop with this thread before my head explodes.

OK, Tim, since you won't pull your own head out of your ass, stop with the ad hominem attacks and deal with a rational debate, I'm done, too.
You'll get the health care plan you deserve.

I can't have a rational debate with someone who is more concerned with insurance companies getting bilked by unscrupulous consumers.
You'll have the same healthcare plan too and pray that you never experience anything like I have in this "system."

@Vanessa and Milena - Your dialogue was what inspired this post, so thanks for helping me clarify some of my thoughts.
Reading some of the comments on this thread, I was struck by the fact that we were really just discussing two different models of resource allocation, in the context of health-care. I wasn't comfortable with either model as an efficient and equitable distributor of resources, and wanted to understand why I was having these misgivings. The following is what I came up with.
Free markets fail to distribute resources in an equitable manner (i.e. those who don't have enough value to offer, receive nothing), government fails to distribute resources efficiently (due to a lack of appropriate feedback).
The problem with the first failure is that values change, and someone who has little to offer today may have something of great value next week. Maybe it's a skill set that is currently unneeded but then becomes required, or someone whose thought process will create a spectacular idea, but who hasn't had that idea yet, or maybe it's just the child they produce, or some small inspiration they give someone else. (There's also the morality issue of not taking care of the less fortunate.)
The problem with the second failure is that often resources do not reach people when the resources are needed. Also, use of the resource is not optimized, limiting growth and quality of life, and in the case of resource scarcity, exacerbating shortages.
So both free market and government have flaws which are currently deal breakers in trusting either with equitable resource distribution. How do we correct these flaws? How do we ensure that people are credited with their contributions to society, including future contributions? How do we provide the incentives and feedback for government to act in an efficient manner? These are the questions at the core of the UHC debate.

As I was re-reading my last post along with some of the comments that helped to frame it, I noticed a few other things:
A possible solution to the free-market's inequitable distribution of resources if the government offering to cover those who currently don't have enough value to participate directly. Food stamps, medicare, and medicaid are all examples of such a system (all of which have problems associated with them, but there's still potential there.)
Price acts as a disincentive for use, thus limiting demand. UHC suffers from a lack of that disincentive. imon suggests the british two-tiered system, in which rationing and wait-lists cause people to decide to pay for private care, but what other disincentives could take the place of money? My first thought is time, in the form of paperwork. Although the lines in the DMV are also a pretty good disincentive. Perhaps a sliding scale fee system, which encompasses both the money and time in one go. The service isn't completely free unless you truly can't afford to pay, and you would need to do some paperwork in order to ascertain the fee. The paperwork can be done after the fact as well, so there wouldn't be any withholding of care, but you would still have to spend time. What problems do people see with that solution?
I'm sure there are other issues that I haven't noticed regarding the whole problem of keeping a populace healthy, so help me out and point out what I've missed.

Malcolm Gladwell wrote a landmark article on the health care issue a few years ago, including a major counterintuitive argument: a national health care system is in the interests of corporate America!

Gladwell is silent, @Student, as to the ultimate effects of moral and morale hazards to states with universal healthcare. Surely there must be downsides to socialized health in these other western societies. Hmm, I wonder what they'd be...?
Then again, I'm much like Cleese here at about 9:20:

@Will I like the way that you framed your argument regarding the two key failures of both the free market and the government. I think that an ideal system of UHC would have to find a way of blending the two in a better manner than they are now. I think that they work against each other currently rather than complement each other. I don't know if there is some way to have government administration but use business principles of supply chain distribution and allocation of resources within a government structure. I don't know enough about business to say what that would look like. Any ideas?

Jonathan,
This reply is coming from someone who's not voting Obama and is pro-entrepreneurship and pro-small business.
My worldview on this subject was cemented after I saw what happened to several corporate employees after age fifty. Many who devoted their best years to their companies got booted during middle age. Not only do they usually have kids to support, but have a hard time getting hired because of age discrimination.
This is a quadruple-whammy since:
1. Good coverage is dependent upon a quality employer.
2. The 50s are the age where the serious and expensive health problems tend to emerge (diabetes, heart disease, cancer, etc.).
3. What about private insurance? Well, then the pre-existing condition clauses come into play, further screwing over the entire family.
4. How about an affordable private plan for the newly unemployed 50-year old? I don't know what the prices are now, but back in the early 1990s the premiums were outrageous for a family of five, especially on the east coast.
Overall, I'm not saying that we need a socialized plan, but reform is terribly overdue. Maybe even a hybrid system of basic care for everyone, and premium care for those who can afford it. At the very least, the federal gov't should have a catastrophic insurance fund. It makes no sense to work and save for decades and then have all the money go down the toilet before one qualifies for Medicaid.
Darn it, even the Republicans with Nixon wanted to reform the system and offer federal care for those who couldn't get it through their employer:

has it ever occurred to people that
insurance fraud (often with the help of the doctor), pharmaceuticuls pushing unneeded drugs, and predatory trial lawyers
contribute to the high cost of medical care?

Luckily for my argument, Malcom Gladwell is a better writer than I am and he covered it pretty well:

Did you know that Denmark is rated #1 in terms of how happy/content its population is? Yup, those socialists, with universal health care, just aren't complaining about it.
Is healthcare a right in the U.S.? No, it is not and has not been an official right. But neither were most basic human rights until people stood up and demanded it.
COULD healthcare be a right in the U.S.? Sure, if we asked for it.
Ever thought about how maybe the upper classes might not need to be so predatory if they weren't so frightened of falling into a lower class? And why is it so frightening? Because having a poor or lower middle class income in the U.S. means that the stakes against you are so high that you have no chance. And who pays for that? WE DO.
So why not even the playing field a bit? It would be good for labor, good for employers, require less government public assistance that goes into the black hole of nowhere. Why not keep people healthy and productive instead of perpetuating Medicaid/Medicare to barely keep people going, much less improve?
Wake up! Universal health care is good for all of us.

Affordable health care is already available to most people, but just like most things in life, one has to be responsible enough to choose to pay for it.
Socializing health care is a facile solution to the root cause, with the root cause being those that elect not to purchase health care for their families have to accept there will be consequences to that choice, with the consequences being that they will then have to pay out of pocket when they need a physician.
Everything in life is a trade-off, and in order to afford the essentials in life you have to make responsible decisions so you or your family are taken care of.

Finance girl- "Socializing health care is a facile solution to the root cause, with the root cause being those that elect not to purchase health care for their families have to accept there will be consequences to that choice"
Did it ever occur to you that some families "choose" not to purchase health care because they can't afford to?
They are well aware of the consequences of being uninsured in this country, as am I. Socialization of health care could save millions of jobs and lives by providing a safety net for those who can't afford to provide it for employees, or can't buy it on their own.