Ok, now I'm probably going to piss everyone off that hasn't already put me on /ignore in this thread.
I'm going to give an example of the disease that corrupts all of our public discussion of issues like health care.
Let me preface the example with a detail that I think virtually everyone here and in the larger American electorate agrees with.....Everyone agrees that there are millions of people in the current system don't have health care, right?
No, not right.
That "detail" that everyone agrees on is not just wrong. It is profoundly wrong. What all those people lack is not health care. It's access to the medical system.
Oh, to be sure, that medical system offers lots of really valuable stuff and I'm really, really glad that I'm one of those that has access to it because of my income level and my employer and my insurance company.
But that "medical system" of prescription drugs, doctors, hospitals, and all the other people we now call "providers" -- that is but a fraction of the health care system.
What else is there? Well, lets start a list:
1. Vitamins and supplement. Okay. How many people in America can't afford a basic "one a day" vitamin or over-the-counter calcium pills.
2. Aspirin, acetominaphen, ibuprofen. How many work days would we lose without these?
3. Zinc, cough drops, patent medicines of a dozen sorts. Again, what would our productivity look like in cold or H1N1 season without these?
4. Childhood diagnosis of vision problems, speech, hearing problems. How many kids in this country "without health insurance" can't go to school because they lack the eyeglasses that allow them to read.
5. Diet and nutrition. Okay, we complain about obesity and all that. I'm a poster child). But if our diet is so profoundly bad, how come the average population height (which is a function of childhood nutrition) is so much taller than it was even two generations ago.)
6. Life expectancy. How does that great "uninsured" population of ours manage to life half again as long as their ancestors did even a century ago if our average "health care" is so damn bad?
7. Education. The Victorians thought being obese was a sign of health. We know better. While some of us fail in our choices, we strive toward healthy practices in dozens of ways that we didn't use to.
8. Indoor plumbing. One of my favorite coffee mugs is one I inherited from my late father; it reads "The plumber protects the health of the nation." I'm guessing, but I'm pretty sure the great majority of uninsured Americans enjoy flush toilets and urban sewage disposal and storm sewers.
9. Cooking and refrigeration thermostats. Amazing how much one's health increases when one can not only boil water, but enjoy the benefits of consistent heat or cooling.
10. Air conditioning and heating. Yes, there are people in south Texas without AC. Yes, there are people in Chicago right now without heating. But by virtually any historical standard I can think of, a damn small percentage of our population of 300 million go without basic heat and cooling.
11. The utter obsolescence of the Hobbesian vision. We don't live more solitary lives (though we do hang out with people we would never have been able to hang out with 25 or 50 or 100 years ago). We don't live more brutish lives (though we have our share of brutes, video game brutishness has nothing on the real brutishness of serfdom). We don't live nasty lives (no matter how fucked up our jobs, we get to go home to a television and sex for pleasure instead of just procreation). And it surely isnt short. We live a lot longer than people did even 50-75 years ago.
Look, I was damn glad a few years ago that when my potassium and magnesium got out of whack that I was fortunate enough to have insurance that covered the several thousand dollars that my eight hours in ER/ ICU cost. And that my income is high enough that had my asshole insurance company not paid the bills, I would have been able to cover them. And I'll be seriously pissed personally, if I don't get the same quality care if such a thing happens again under the "new" system.
But the fact of the matter is that even if I lost all access to my local hospital, even if my GP and his nurses were all swallowed up by some escaping horror movie character, even if all our local pharmacists were kidnapped by aliens or the CIA, I would still enjoy a health care system that has been enjoyed by a only for a generation or so, and even then, by a relatively small fraction of the human population.
Because all of those things those things we're whining about the high cost of? Those things that we complain about our insurance not covering? Those things we think the government now ought to be guaranteeing? Those things are the icing of our health care system. They're not the cake.
And with apologies to Bill Murray, there's no more of a basic human right to cake icing than there is to cable TV.
And do not be conformed to this world, but be transformed by the renewing of your mind, that you may prove what is that good and acceptable and perfect will of God.
Romans 12:2 (NKJV)