Obi_Kwiet
It's Stuart, Martha Stuart
Posts: 7,943
I don't think anyone grudges taking care of poor people who are poor due to some disability or illness that they did not bring upon themselves. The trouble lies in taking care of everyone belonging to the group defined by poor people, if a very large percentage of those people are poor due to their laziness.
(Alright, bear with me here, I go through a lot of careful and involved reasoning. All of this stuff in the below text isn't just the expression of my thoughts on this, but also their formation.)
The real issue with health care these days, is that the methods we have with which to take care of people are often very expensive in terms of R&D, equipment and the education of personnel. All of this consumes a substantial part of our nation's productive power; sometimes the cost of a procedure may take from the total productive pool of society more than a person could possibly return. For example, an operation could cost more money than a person could ever hope to repay.
We as a nation, no longer expect a distribution of health care equal to the amount we are able to pay for it. In other markets we consider it fair that a poor person might only be able to buy a canoe, while a rich person could buy a yacht. Everyone wants a yacht, but we as a nation do not have the productive capability to make a yacht for everyone in America, all other things remaining the same, so they have to be rationed by way of money. Health care is a different animal. If everyone is to be able to have a yacht worth of health care regardless of the amount of money they have, we must reallocate ourselves in order to make this happen. Since our productive output is limited and because distribution of this product is no longer to be rationed by money, the government must step in to effect this reallocation. If the free market cannot decide who gets health care, and we want to drive its production beyond that which the free market can provide, our only option is the government, which would accomplish this by levying heavy taxes and spending them on health care which we would all have unrestricted access to.
So the bottom line is, if we want everyone to have access to every sort of health service, no matter how expensive, health care must be socialized, there is no way around it.
This, though, is not necessarily the best choice for several reasons. Because our national productivity is a limited resource, we must divert productive resources from other parts of the economy in order to increase the production of health care services. This would be evident in the *drastically* increased taxes we *must* face if this is to happen.
Another problem to consider is the quality of the medicine itself. The free market is by far the most efficient method of harnessing the productive power of humans. As medicine becomes regulated by the government, the quality of health care we can provide and the rate at which we can advance medicinal science, *must* drop some amount, depending on how much less efficient the socialized system is than the free market system. The effects of this drop will be felt world wide because of the size of United State's contribution to medical research. It is impossible to say exactly how large this drop will be, but only that it will happen.
A third problem to consider is that, depending on how our nations economy does, and the direction that medicine advances take, it may, and likely will, be impossible to sustain this level of availability. For example, if we found a way to extend the lives of 50% of the population by ten years, and it costs us the equivalent of three times the average persons productive output (3x a person's GDP per capita over their entire lives) we would not be able to provide that care even if the entire United States gave up everything else, including the production of food.
The most efficient option would be to let the free market do it's thing, and allow the less productive members of society to suffer what they will, all the while allowing natural selection to strengthen the human species while medicinal science increases at the fastest possible rate. However, we are more than machines, so the answer is not nearly as easy as that. All of our options lie somewhere between these two routes.