Tag Archives: healthcare

A Peculiar Concept of Freedom – Real Clear Politics – TIME.com

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In criticizing Christopher Dodd as having a “peculiar concept of Freedom,” Real Clear Politics exposes a shallow understanding of freedom, not to mention the current system of health care.

Here is what Tom Bevan writes: “It’s troubling to watch Dodd celebrate a massive nanny-state solution to health care by suggesting it somehow expands the American public’s freedoms and liberties when in fact many of the provisions of the legislation do just the opposite. What about freeing people from the fear that medical care will have to be rationed under this plan? Or freeing them from the fear that they may not be able to visit the doctor of their choice? Or freeing them from the fear the government will levy a fine against them and possibly throw them in jail if they do not go out and buy health insurance they may neither want nor need? via A Peculiar Concept of Freedom – Real Clear Politics – TIME.com.”

Here is my responses to his questions.

1. Medical care is currently rationed according to how much you can pay. If your belief in freedom is that your amount of freedom is proportional to the amount of cash money you possess, then you agree with Bevan’s notion of freedom.

2. As with the current rationing of medical care, access to physicians–for adults–is determined by their access to wealth. Access to physicians–for children–is determined by their parents’ access to wealth. If one is unfortunate or has limited access to wealth, then you are limited in your choice of physicians. Again, freedom in this version is tied to wealth. That’s a shallow vision of freedom. The rich are free to find a physician, and the poor are free to go without health care.

3. The health care legislation demands that citizens buy health care so that the cost is reduced, because costs go down if the risk pool is larger. The state is asking citizens to participate, to take responsibility for the privilege of being born in the United States. The state does this in other contexts–car insurance (autos are, apparently, more important than people), jury duty, and military service. We on the left believe that health care is a right–the United States signed the Universal Declaration of Human Rights more than 50 years ago asserting that health care was a right–and a responsibility. The legal system is based on just such reasoning–of rights and responsibilities. To imagine that freedom does not come with responsibilities is the shallow version of freedom being articulated by the right wing. And, indeed, it threatens democracy itself, replacing it with a Hobbesian nightmare of every individual acting only for themselves–free to wage war on anyone or anything–which expands the rights of the wealthy and powerful and gives the rest of us the rights to be servants.

More egregious, and ahistorical, is Bevan’s vacuous invocations of the “Founders” horrors at “the size and breadth of the federal government.” The “Founders” were neither perfect figures of rationality nor were they a unified group whose ideals could be distilled into simple political slogans, for the right-wing to trot out when criticizing the nation’s political development. The “Founders” were complex socially and politically. They created a framework that future generations of Americans have used to shape and reshape our nation over time. Some might indeed be opposed to the “size and breadth of our federal government,” some might be appalled at the freedoms accorded to women and African Americans, some might be appalled at the expansionist military, and still others might be appalled at the horrible effects that unfettered capitalism has had on the landscape and values of community. I don’t presume to speak for these complex people, nor do I think Bevan should.

However, I would be the founders would be impressed by the vitality of a continuing democracy in which rights and responsibilities continue to be debated. After all, that is the fundamental character of the system that they left.

I ask that you not allow yourself to be fooled by the rhetoric of right-wing demogogues just because its wrapped in ahistorical psuedo patriotism.

Extreme Makeover, Heath Care Edition

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Absolutely fascinating reading about healthcare and President Obama, Extreme Makeover, Heath Care Edition | The American Prospect. I am reminded about my class today, as we are leading up to the American Revolution. I foreshadowed with a discussion about the notion of taxation without representation. Basically, we got the silliness of the taxation issue/non-issue out of the way right away, and cut right to representation.

Colonists wanted representation not dissimilar to what they’d experienced in their colonial legislative bodies, a sort of direct representation; the English countered with the notion of “virtual” representation. Pushed by financial, social, and cultural conflict, not to mention an overly pushy English King and Parliament interested in exerting its authority, the colonists found political representation to be increasingly problematic…

Interestingly, I noted to the students, the newly minted American republic would not really achieve a fully representative democracy for many, many years, and even then imperfectly: full free (white) male suffrage by the early 19th century; African American slaves received emancipation, but limited political rights, following the Civil War; Senators were not directly elected until something like 1913; Women did not get the vote until 1920 or so; the franchise was lowered to include 18 year olds in the 1970s; and we still don’t elect Presidents by popular vote. Of course, we don’t have a single national election either, but 50 different state elections, each with different rules, enforcements and procedures, which could effectively lead to mass disenfranchisement at any time. Of course, California has referendums on many issues, including spending issues, which has the effect of paralyzing the state government.

All of which is to say that Democracy is imperfect. So, too are our leaders and so too is our civil society. The only real disappointment, at least to me, are those folks who seek to actively undermine it.