Questioning at a recent Republican debate in Texas:
Under current health care law (instituted under Reagan), emergency rooms have to treat anyone who comes through their doors, regardless of whether they have insurance or not. If they don’t pay, the cost is passed on to those who do pay. Under the new health care law passed in 2010, everyone has to buy insurance (subsidized for those who can’t afford it) or pay a fine, thereby ensuring that everyone is fiscally responsible for their own medical care to the degree they are able, while still making sure that everyone can be treated.
In recent debates, it has become apparent that many Republicans and Libertarians, especially some of those failing under the “Tea Party” umbrella, would prefer a third option: that no one has to get any insurance ahead of time, and that anyone who doesn’t have insurance or cash when they need medical care is out of luck. In the moderator’s example from the debate, if such a person faces unpayable costs, some such participants think we should just “let him die”.
The way I understood this issue developed dramatically for me when I realized that the man in the moderator’s example isn’t the person we would “let die”. This man in the example has a high-paying job, which makes it likely that he has wealthy coworkers and wealthy friends. He likely has a network of family support and the same access to resources that the majority of privileged Americans have. If a life-or-death situation occurs, no one is going to “let him die” – someone is going to step up to help him get the care that he needs. Chances are that a change in the law will not drastically affect him.
So who will it affect?
The alien, the orphan, and the widow. The immigrant, the foster child, the single mother, and all others like them. The ones who are not only most likely to be poor, but least likely to have the social network to support them when unpayable expenses rear their head. When we say that we want everyone to pull their own weight, when we say that the government system for health care costs should be eliminated in favor of social and church networks, it is the widow, the orphan, and the alien who are going to be the hardest hit.
We need to think really, really seriously about what God has to say to us about that.
Under current health care law (instituted under Reagan), emergency rooms have to treat anyone who comes through their doors, regardless of whether they have insurance or not. If they don’t pay, the cost is passed on to those who do pay. Under the new health care law passed in 2010, everyone has to buy insurance (subsidized for those who can’t afford it) or pay a fine, thereby ensuring that everyone is fiscally responsible for their own medical care to the degree they are able, while still making sure that everyone can be treated.
In recent debates, it has become apparent that many Republicans and Libertarians, especially some of those failing under the “Tea Party” umbrella, would prefer a third option: that no one has to get any insurance ahead of time, and that anyone who doesn’t have insurance or cash when they need medical care is out of luck. In the moderator’s example from the debate, if such a person faces unpayable costs, some such participants think we should just “let him die”.
The way I understood this issue developed dramatically for me when I realized that the man in the moderator’s example isn’t the person we would “let die”. This man in the example has a high-paying job, which makes it likely that he has wealthy coworkers and wealthy friends. He likely has a network of family support and the same access to resources that the majority of privileged Americans have. If a life-or-death situation occurs, no one is going to “let him die” – someone is going to step up to help him get the care that he needs. Chances are that a change in the law will not drastically affect him.
So who will it affect?
The alien, the orphan, and the widow. The immigrant, the foster child, the single mother, and all others like them. The ones who are not only most likely to be poor, but least likely to have the social network to support them when unpayable expenses rear their head. When we say that we want everyone to pull their own weight, when we say that the government system for health care costs should be eliminated in favor of social and church networks, it is the widow, the orphan, and the alien who are going to be the hardest hit.
We need to think really, really seriously about what God has to say to us about that.
