- Joined
- Apr 14, 2008
- Messages
- 12,295
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- Location
- Huntsville, AL (USA)
- Gender
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- Moderate
After paying close attention to the health care debate since before the new health care law was passed, I have endeavored to concentrate on those issues related to health services and the fairness thereof, medical care treatment, prevention and health care coverage. In doing so, I believe the President is correct in calling for a health insurance mandate. To understand why, I believe we must first explore provisions in two of our nation's most prominent documents in forming this great nation: The Declaration of Independence and the U.S. Constitution.
The Preambleto the Declaration of Independence reads:
Life...
The Preamble to the Constitution reads, in-part:
Welfare...
To most, “life” is viewed only within the context of social disorder, i.e., protectionism from certain acts of violence as in the most heinous crimes. But in the context of the Declaration of Independence, it means preserving the very essence of the sentient being in every facet, i.e., providing for basic survival needs such as food, water, shelter, health and security. (See footnotes 1 and 2.)
The issue of “welfare” stems from the fact that our Founding Fathers realized that the only way a nation were to survive the generations was to ensure its overall health. Hence, the reason for the phrase, “promote the general welfare”, i.e., doing all things possible to prevent the spread of disease and to treat and/or curse illnesses. If you look up the word, “welfare”, it is defined as:
“Health, happiness and general well-being.”
If you look at the secondary definition, you will also find the word “prosperity” taken from the root word, “prosper”. In the context of the Constitution, this means to provide the opportunity for all citizens to survive and to pass on to the next generation better overall living conditions than are presently afforded to our own. Part of that prosperity includes doing all that can reasonably be done to promote a healthy society. It was this basic idea that We, the People, have a responsibility one to the other, and as a representative government, we elect public official to Congress to not only represent or protect the sovereignty of the State, but also to protect and preserve the well-being of a nation. To that, we must provide an avenue whereby our nation's citizens can not only sustain life, but lead healthy lives. This is the primary reason why nations make strong efforts to halt pandemics and keep them from morphing into epidemics. In this regard, physicians over the centuries have taken the Hippocratic Oath as a pledge to do everything within their God-given talents to save lives and prevent the spread of infectious diseases. Part of the Hippocratic Oath reads as follows:
Therefore, physicians, at the very core of their profession, knowingly take on this awesome responsibility to do everything within their power to preserve life. But notice also that portion of the Oath where physicians acknowledge the economic impact injury and illness have on individual and/or the family.
Much has been said concerning the cost of health care in this country. Long since before President Obama took office, our government has cautioned the nation of the rising cost of health care, specifically where Medicare and Medicaid are concerned (See footnotes 3, 4 and 5), but also within the private sector. Moreover, State budgets are also feeling the pinch of increased Medicaid expenditures. Still further, individuals and families alike are discovering that they are but one catastrophic illness or injury away from going bankrupt over the ever increasing cost of health care.
We've heard the stories of patients being denied medical care coverage due to a pre-existing condition or because a patient's health plan did not cover a specific medical condition. Therefore, patients have been denied life-altering medical treatment human decency dictates they deserve. Our own founding documents mandate such. It is for this reason that I believe health care should be a right. However, in ensuring this right, I do not believe it necessary nor practical for the government to provide that care to its citizens, not without imperiling an entire commercial industry or imposing a new or higher tax on its citizens.
In a capitalistic society, I do not believe that a universal health care (UHC) system would work. Not only do I believe that such a system would infringe on the free-market system this nation employes, but such a system would limit, if not remove, a health care professional's ability to “pursue happiness”; that is to say health care professionals including health insurers would very likely be unable to establish a private enterprise within the health care industry as we know it today. Mind you, however, it is also this very same American health care system that although it has provided great wealth and prestige to many and has provided clinical care towards the “general welfare” of the nation as a whole, it also has been a limiting factor in the ability of many of this nation's citizens to gain access to even the most basic health care at a reasonable cost or to acquire routine health care treatment without infringing on the State, the government via social programs such as Medicaid, or to an extend a large portion of this nation's citizens. As such, many of our nation's poorest citizen have turned to using hospital emergency rooms to obtain needed medical care. This practice – a point of contention among many – has led to imposing an “emergency room fee” in the health insurance policies on those who can afford to acquire health insurance. This fee is used by hospitals to offset the cost of “free” emergency room care to those who either cannot afford health care coverage or who for reasons of their own either refuse to obtain health care, or to those who “fall between the cracks” and don't qualify for any state or federal social service program to help meet their health care needs. Conversely, a small portion of our nation's citizens who can afford health care have for reasons of their refused to obtain needed health care coverage except when they become too sick to meet the out-of-pocket expenses associated with treating their illness or injury. This practice of suspending obtaining health care coverage often inflates the cost of health care coverage within the private sector. But I digress...
Under a UHC system, it wouldn't be too difficult to extrapolated that were the U.S. government to provide health care to its citizens, it would be necessary to either implement a new federal tax similar to the FICA tax or increase payroll taxes in order to ensure such a system is adequately financed. Initially, the government would likely use private health insurance companies to acquire a range of health care plans; however, these plans would have to be “standardized” in order to promote fairness among the populous. Eventually, the government would chip away at the private insurance industry in its attempt to bring down the cost of health care. Over time, the government would begin to underwrite health care policies akin to Medicare or as it now provides under the VA or to our nation's military. From there health care standards would be written exclusively by a single government bureaucracy. It isn't difficult to conceive that eventually, private hospitals would come under direct government control, as well as, teaching institutions such as colleges, university and “teaching hospitals” where many doctors generally undertake residency training.
I don't believe that a private industry need be destroyed in order to provide health care to a nation. However, as most politicians do agree, our nation's health care system is broken and needed to be fixed. How to fix it without destroying an industry, placing health care completely under government control, standardizing health care policies, assessing the uniformity of medical treatment throughout the health care system or denying the states their sovereignty where the governance of its residence or infringing on inner-state commerce is an extraordinary challenge. I believe that the health care reform legislation that was signed into law was the best compromise that could be reached in order to address all these concerns while also providing a means to finance the cost of health care offered by the States, supplemented by the government.
In an attempt to bring down the cost of health care, particularly with Medicare and Medicaid but also within the private sector, a variety of measures needed to be implemented. Among them were: 1) mandate that all the nation's citizens obtain (at a minimum) a basic health care plan; 2) standardize insurance benefits so that all health care plans provide the same level of health benefits; 3) monitor health care practices and procedures to ensure that all citizens receive the highest standard in medical treatment modern medical research can provide; and, 4) impose “penalties” to the non-compliant in an effort to limit taxation upon its citizens. Moreover, the “commerce clause” in the Constitution provides an avenue whereby the government can regulate the health care industry without removing the ability of the sovereign states to maintain control of the free markets within their respective boarders. Remove any of these elements from health care legislation and not only would attempts to standardize health care practices, procedures and treatments across the entire health care industry be in jeopardy, but all efforts to reduce health care costs would likely be lost.
Footnote 1: Summary on the phrase, "Life, liberty and pursuit of happiness”.
Footnote 2: Locke's Influence on the French Constitutions
Footnote 3: Heritage Foundation “Future of Medicare Cost”
Footnote 4: "Healthcare Cost and the Looming U.S. Budget Crisis"
Footnote 5: "How Democrats and Republicans united behind Unsustainable Medicare Cost Growth"
The Preambleto the Declaration of Independence reads:
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.
Life...
The Preamble to the Constitution reads, in-part:
We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare...
Welfare...
To most, “life” is viewed only within the context of social disorder, i.e., protectionism from certain acts of violence as in the most heinous crimes. But in the context of the Declaration of Independence, it means preserving the very essence of the sentient being in every facet, i.e., providing for basic survival needs such as food, water, shelter, health and security. (See footnotes 1 and 2.)
The issue of “welfare” stems from the fact that our Founding Fathers realized that the only way a nation were to survive the generations was to ensure its overall health. Hence, the reason for the phrase, “promote the general welfare”, i.e., doing all things possible to prevent the spread of disease and to treat and/or curse illnesses. If you look up the word, “welfare”, it is defined as:
“Health, happiness and general well-being.”
If you look at the secondary definition, you will also find the word “prosperity” taken from the root word, “prosper”. In the context of the Constitution, this means to provide the opportunity for all citizens to survive and to pass on to the next generation better overall living conditions than are presently afforded to our own. Part of that prosperity includes doing all that can reasonably be done to promote a healthy society. It was this basic idea that We, the People, have a responsibility one to the other, and as a representative government, we elect public official to Congress to not only represent or protect the sovereignty of the State, but also to protect and preserve the well-being of a nation. To that, we must provide an avenue whereby our nation's citizens can not only sustain life, but lead healthy lives. This is the primary reason why nations make strong efforts to halt pandemics and keep them from morphing into epidemics. In this regard, physicians over the centuries have taken the Hippocratic Oath as a pledge to do everything within their God-given talents to save lives and prevent the spread of infectious diseases. Part of the Hippocratic Oath reads as follows:
I tread with care in matters of life and death. If it is given to me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.
I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.
I will prevent disease whenever I can, for prevention is preferable to cure.
I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.
Therefore, physicians, at the very core of their profession, knowingly take on this awesome responsibility to do everything within their power to preserve life. But notice also that portion of the Oath where physicians acknowledge the economic impact injury and illness have on individual and/or the family.
Much has been said concerning the cost of health care in this country. Long since before President Obama took office, our government has cautioned the nation of the rising cost of health care, specifically where Medicare and Medicaid are concerned (See footnotes 3, 4 and 5), but also within the private sector. Moreover, State budgets are also feeling the pinch of increased Medicaid expenditures. Still further, individuals and families alike are discovering that they are but one catastrophic illness or injury away from going bankrupt over the ever increasing cost of health care.
We've heard the stories of patients being denied medical care coverage due to a pre-existing condition or because a patient's health plan did not cover a specific medical condition. Therefore, patients have been denied life-altering medical treatment human decency dictates they deserve. Our own founding documents mandate such. It is for this reason that I believe health care should be a right. However, in ensuring this right, I do not believe it necessary nor practical for the government to provide that care to its citizens, not without imperiling an entire commercial industry or imposing a new or higher tax on its citizens.
In a capitalistic society, I do not believe that a universal health care (UHC) system would work. Not only do I believe that such a system would infringe on the free-market system this nation employes, but such a system would limit, if not remove, a health care professional's ability to “pursue happiness”; that is to say health care professionals including health insurers would very likely be unable to establish a private enterprise within the health care industry as we know it today. Mind you, however, it is also this very same American health care system that although it has provided great wealth and prestige to many and has provided clinical care towards the “general welfare” of the nation as a whole, it also has been a limiting factor in the ability of many of this nation's citizens to gain access to even the most basic health care at a reasonable cost or to acquire routine health care treatment without infringing on the State, the government via social programs such as Medicaid, or to an extend a large portion of this nation's citizens. As such, many of our nation's poorest citizen have turned to using hospital emergency rooms to obtain needed medical care. This practice – a point of contention among many – has led to imposing an “emergency room fee” in the health insurance policies on those who can afford to acquire health insurance. This fee is used by hospitals to offset the cost of “free” emergency room care to those who either cannot afford health care coverage or who for reasons of their own either refuse to obtain health care, or to those who “fall between the cracks” and don't qualify for any state or federal social service program to help meet their health care needs. Conversely, a small portion of our nation's citizens who can afford health care have for reasons of their refused to obtain needed health care coverage except when they become too sick to meet the out-of-pocket expenses associated with treating their illness or injury. This practice of suspending obtaining health care coverage often inflates the cost of health care coverage within the private sector. But I digress...
Under a UHC system, it wouldn't be too difficult to extrapolated that were the U.S. government to provide health care to its citizens, it would be necessary to either implement a new federal tax similar to the FICA tax or increase payroll taxes in order to ensure such a system is adequately financed. Initially, the government would likely use private health insurance companies to acquire a range of health care plans; however, these plans would have to be “standardized” in order to promote fairness among the populous. Eventually, the government would chip away at the private insurance industry in its attempt to bring down the cost of health care. Over time, the government would begin to underwrite health care policies akin to Medicare or as it now provides under the VA or to our nation's military. From there health care standards would be written exclusively by a single government bureaucracy. It isn't difficult to conceive that eventually, private hospitals would come under direct government control, as well as, teaching institutions such as colleges, university and “teaching hospitals” where many doctors generally undertake residency training.
I don't believe that a private industry need be destroyed in order to provide health care to a nation. However, as most politicians do agree, our nation's health care system is broken and needed to be fixed. How to fix it without destroying an industry, placing health care completely under government control, standardizing health care policies, assessing the uniformity of medical treatment throughout the health care system or denying the states their sovereignty where the governance of its residence or infringing on inner-state commerce is an extraordinary challenge. I believe that the health care reform legislation that was signed into law was the best compromise that could be reached in order to address all these concerns while also providing a means to finance the cost of health care offered by the States, supplemented by the government.
In an attempt to bring down the cost of health care, particularly with Medicare and Medicaid but also within the private sector, a variety of measures needed to be implemented. Among them were: 1) mandate that all the nation's citizens obtain (at a minimum) a basic health care plan; 2) standardize insurance benefits so that all health care plans provide the same level of health benefits; 3) monitor health care practices and procedures to ensure that all citizens receive the highest standard in medical treatment modern medical research can provide; and, 4) impose “penalties” to the non-compliant in an effort to limit taxation upon its citizens. Moreover, the “commerce clause” in the Constitution provides an avenue whereby the government can regulate the health care industry without removing the ability of the sovereign states to maintain control of the free markets within their respective boarders. Remove any of these elements from health care legislation and not only would attempts to standardize health care practices, procedures and treatments across the entire health care industry be in jeopardy, but all efforts to reduce health care costs would likely be lost.
Footnote 1: Summary on the phrase, "Life, liberty and pursuit of happiness”.
Footnote 2: Locke's Influence on the French Constitutions
Footnote 3: Heritage Foundation “Future of Medicare Cost”
Footnote 4: "Healthcare Cost and the Looming U.S. Budget Crisis"
Footnote 5: "How Democrats and Republicans united behind Unsustainable Medicare Cost Growth"
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