I have not spoken to Bob Spehalski since he graduated from college in 1981. Bob is a few years older than me and back then was one of the most responsible, thoughtful and selfless guys you could ever hope to meet. I, on the other hand, was arrogant, selfish and immature. Recently Bob and I became reconnected on Facebook. We had an interesting exchange with regards to health care that I believe warrants being formally memorialized.
It started when several friends posted this message as their status: No one should die because they cannot afford health care, and no one should go broke because they get sick. If you agree, please post this as your status for the rest of the day.
I posted it as my status and this is what transpired.
Bob:
I'm glad to hear you don't support ObamaCareDan:
The only death tribunals that I see are run by the for profit insurance companies. Medicare seems to work efficiently and effectively. And no dies, suffers or goes broke being humane. Now that is settled, don't get me started on the cost vs. Value of college!Dan:
IMO, as humans we have a collective and individual responsibility to look after each other. Not that gvt or especially big gvt is correct, efficient or most importantly compassionate, it just happens to be in place and with applied activism can be harnessed to help protect those who are not able to protect themselves. The responsibility of a democracy is to protect the rights of the minority while carrying out the will of the majority.Bob:
The United States is not a democracy Dan. If you want to know how the a government run healthcare system treats its people, check out Oregon. If you have a terminal illness and it is too expensive to keep you alive, they send you a letter denying to pay for care, but are compassionate enough to offer at drug to let you go out painlessly. Like you might do to your dog.Dan:
Bob, I understand that the US operates as republic but our country, culture and society are inextricably tied to the philosophies and principles of democracy. I can not talk to the Oregon point as I simply don't have the facts. I do know that no one covered by Medicare has been euthanized. I also know that for profit insurance companies are primarily focused on operating health as opposed to patient health.
What I am intrigued about is your strong emotional reaction. I'd like to better understand where you are coming from as a step toward broadening my perspective and engaging in meaningful dialogue. Bob: Dan, I agree with your original principles, who wouldn't. But my reaction is coming from my strong opinion that government run healthcare has the very real potential of severely limiting personal freedoms and choices in all areas of our lives. In addition, I think it will ultimately come down to a choice of either rationing healthcare or bankrupting the country. This is pretty much what has happened whenever and wherever it has been tried or currently exists. Maybe Medicare works for the relatively few that are currently on it, but I don't feel it would be sustainable for all.Dan: OK, from an economic perspective the health care system is just broken and consequently it costs all of us too much. The insurance companies exist to maximize profit, pitting providers against subscribers. Take a look at the current and immediate past complaints brought against them by the attorney generals in all 50 states.re: uncovered citizens, they currently get service via charity care at public hospitals, which you pay for indirectly. By incorporating them into a system, care costs will be reduced purely by the nature of how treatment is delivered. Couple that with well care and an economic impact can be made. Add tort reform and enforcement of pharmaceutical cos with regard to marketing and patent abuse and you have a new game.
Of course the moral obligation is still the primary one but there are sound economic advantages.
re: limiting choice, if you have money, you can choose what, when and where. Reform or reconstruction is not going to change that.From the above you can tell that Bob is still a thoughtful, selfless and really nice guy. He is just earning more money, paying a mortgage, putting kids through college, saving for retirement and concerned about the state of our economy. Bob is responsible and obviously expects a degree of responsibility from our elected leaders. And that is the real issue. Are our elected officials acting responsibly? Are they putting their own personal and partisan issues aside and working for the citizenry? Are they too invested in what is and as a consequence ignoring what can be? Are we, the people, holding them accountable? Unfortunately at this juncture, I think Bob and I both agree that the answers are all no.
Labels: Bob Spehalski, compassion, death tribunals, health care, reform