As GOP leaders continue marching the American Health Care Act through the legislative process, we are left with bickering pros and cons of affordability and coverage. As one who’s earned a livelihood from the healthcare industry, I view legislative gladiators from the cheap seats and ponder, “If you can’t afford health care, should the state let you die?“
The current House plan relies on government tax credits, regulation of the insurance industry, and continued government funding to keep the low-income population insured. Yet in-between weeds, down in the fine print no one ever reads, one can find insurance reforms are positioned so carriers can offer a wider array of policies that pick up less of the tab for getting care. Additionally, Insurance companies can charge the oldest enrollees as much as they want, roll back the Medicaid expansion thereby eliminating approximately 11 million of the nation’s poorest from health care and eliminating healthcare services of poorer via planned parenthood.
In February 2017, Cardinal Burke noted, “Catholic health care, by its constant and careful attention to the perennial moral teaching of the Church, safeguards and promotes the respect for all human life from the moment of conception to the moment of natural death ...”
Sounds wonderful, but there are little safeguards that promote the respect for all human life from the moment of conception to the moment of natural death. Our faith-based nation spends a hell of a lot time upending/defending Roe vs. Wade, but the notion we protect all human life from conception to natural death is bullshit. The back hallways of healthcare facilities are littered with the strewn, discarded and neglected. These hallways are filled with the “let them die” arrogance. We simply do not care about the respect of human life.
Both Bernie Sanders and the Pope have stated similar positions, “…access to health care regardless of income” is a right. Technically speaking, even one without health care can get health care coverage via a hospital emergency room. And in truth, both the Affordable Care Act and the GOP’s American Health Care Act provides opportunities for health care access. Now whether one can afford that access is an entirely different matter.
Health care is not mentioned in our Constitution or the Bill of Rights. Yet our Founding Fathers rightfully focused on life, liberty and justice. Conservatives continue to believe in personal responsibility, limited government, free markets, individual liberty, traditional American values and a strong national defense.
Several years ago, a 17-year-old senior at T.C. Williams High School wrote:
“… it must be noted that the key word in said act is “affordable.” The American people struggle on a daily basis to make ends meet, worrying about groceries, bills, and car payments. For better or for worse, that is capitalism, and as a country the United States has stayed true to its ideals. Nevertheless, the competition of the game of life should never have to be a game of life and death.”
Health care coverage is extremely complex. By nature, medical clinicians, Buddhists, Christians and many others of faith are concerned in their own way in the alleviation, control and ultimately the removal of human suffering. The American psychiatrist M. Scott Peck began his bestselling book The Road Less Travelled with the statement “Life is difficult.” He added, “This is a great truth, one of the greatest truths.”
Borrowing from Peck, the current health care debate is difficult. The disparity between health care and American values is crudely displayed as political views, politicians, managers, and administrators impact who receives what level of proportioned health care. While hospitals are forced to meet sometimes arbitrary measurements of performance, financial incentives are dolled-out on the backside. Lost in all this is what matters. For instance, what may matter more to a patient is the intangible and unquantifiable aspects of care experience. On what measurable performance scale can it be recorded that a dying patient is helped through denial, anger, and resentment to peace and serenity?
Of course, we can mimic Rep. Roger Marshall’s (R-KS) holy view to wash our hands. Marshall used Jesus to justify his opposition to Obamacare by explaining that poor people will reject health care.
“Just like Jesus said, ‘The poor will always be with us.’ There is a group of people that just don’t want health care and aren’t going to take care of themselves. Just, like, homeless people … I think just morally, spiritually, socially, [some people] just don’t want health care. The Medicaid population, which is [on] a free credit card, as a group, do probably the least preventive medicine and taking care of themselves and eating healthy and exercising. And I’m not judging, I’m just saying socially that’s where they are.”
Can we afford to be spiritually ignorant as some politicians? Should society claim that if one can’t afford health care, they die? No. At this point, both societal value and the American Health Care Act are morally unaffordable.