The Health Care Debate Isn’t Really a Debate

by Britt on August 20, 2009

Whoever defined the current noise surrounding the question of reforming health care as a debate needs their heads examined. A debate implies an exchange of ideas. All I’ve heard is a bunch of whining from both sides.

While real arguments exist that support both mindsets, they’ve been drowned out of the conversation. Instead we see news stories about “death panels,” the “morality” of passing health care reform, and boycotting Whole Foods. The Whole Foods story leaves me shaking my head. More than 17,000 people have joined the Facebook group, “Boycott Whole Foods.” Why? Here’s the official description:

John Mackey, CEO and co-founder of Whole Foods wrote an op-ed in the Wall Street Journal on August 12, 2009 quoting Margaret Thatcher and suggesting that healthcare is a commodity that only the rich, like him, deserve. Whole Foods has built its brand with the dollars of deceived progressives. Let them know your money will no longer go to support Whole Foods’ anti-union, anti-health insurance reform, right-wing activities.

Here’s the link to the full editorial. I’ll leave you to decide whether you agree or disagree with Mackey. The fact remains that instead of talking about the merits of Mackey’s arguments, the focus became boycotting Whole Foods. Then, as borne out by comments on the Facebook page, the discussion veers into people’s other issues with Whole Foods.

After scrolling through a few of first pages, it became clear that the majority of commenters weren’t discussing the actual points raised in Mackey’s editorial.  For me, the first line of Mackey’s editorial raises the biggest question in this debate, regardless of what your position is on health care:

With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money.

Why aren’t we having a discussion about the cost of health care reform?

Why aren’t we having a discussion about our current financial obligations?

Why are we not honest enough to admit that sacrifice will be a part of any “solution,” regardless of the source?

If we maintain the status quo, many people will go without health insurance.

If we adopt a plan where more people have health insurance, costs will go up.

Utopia is not an option.

And yet, we can’t have that conversation. We can talk about everything else, but our country seems bent on refusing to behave like the adults I know we can be and face some hard truths:

  • Our current financial obligation is $56.4 trillion; that’s money the government (we the people) owe. (source)
  • Spreading coverage to more people will, more than likely, lead to cuts in Medicare and Medicaid
  • Taxes, at some point, will have to go up to cover the costs
  • We can’t continue to raid Social Security to cover additional expenses

I want a real debate. I want a real opportunity to measure both sides, but I doubt the reality will even come close. Who are we as a nation if we can’t talk about the hard truths?

Are you really so comfortable in your recliner that you can’t be bothered to invest the time needed to understand the basics? I’m more than happy to point the finger and politicians. There’s little I like about what our political process has become. However, I can’t abdicate my responsibility as a citizen.

Yes, there’s corporate money, lobbyists, and nefarious networks that protect incumbents. But at some point, you elected those individuals, and only you can remove them. The reaction at the recent town hall meetings, both good and bad, indicates that some people still care enough to voice their opinion. Keep in mind what you’re opinion is worth if you haven’t taken the time to educate yourself about what’s at stake.

If you’re against health care reform, why? Don’t spout the tired line of “government taking over the world.” Instead, ask the question why we haven’t reformed the current programs we have (e.g., Medicaid, Medicare, etc.) to help redress the issue.

If you’re for health care reform, why? Don’t talk to me about a right to health care. Instead, ask the question why are health care spending is almost double the the amount (based on GDP) of other industrialized countries.

Facts give us a framework to help the decision making process. Hate mongering and stirring up fear to achieve a cause should be beneath us, and yet it takes center stage time and again.

  • Wow this has been on my mind the last few weeks. I have been putting off making a comment here, but finally gave in after a somewhat lengthy conversation over on Facebook. I want reform, but I want reform to happen continuously. I don't want to "fix" this issue, then assume that we have created the final solution. I think we need to go out and reform it tomorrow and then reform it again the next day, and keep reforming it. I don't want to see government's role eliminated, but I want the root of reform to happen here, in my town, and there, in your town. I want it to be me and you and my friends and your friends talking about what is lacking, what is needed, how to get it, and then going out and doing something after all the talking. I want five or ten new and innovative ideas for each problem we face in this issue and I want them to come from people who are good at something - it doesn't have to be health care professionals and in fact they might be somewhat counter productive, just find someone who is successful at what they do and ask them. If they have great ideas, I'd like to see them come forward and share.

    I want health care to be what it was when my grandparents and my parents were young, and even when I was growing up. You had a doctor, who you selected based on what you knew about his/her qualifications and maybe based a little on how well you liked the doctor, too. The doctor provided the care you needed and recommended trusted specialists when necessary. You paid the doctor. That was it. No need for national ID cards, no real need for insurance because the litigator swamp hadn't filled up yet, no real need for insurance because the doctor was running his/her practice as a store, per se, and competing with other doctors for your business.

    Everyone is so focused on trying to pit the insurance companies against the government - for heaven's sake, these groups are in bed with one another! There is no other, more genteel way to put it. They team up to suck the lifeblood out of the poor hapless customers/citizens (us).

    That was it - all I had - just a lot of rambling, but I will end with a happy health care story: The doctor who brought me into the world just did a minor procedure on my grandmother about a year ago. She will be 90 in May, I think he is nearly as old, and both are still going strong!
  • cnewlin
    Britt! Christian here. Thought this was gonna be a comment on FB but this works too. I absolutely agree that intelligent discourse on both sides has gone out the window. And what we have managed to 'accomplish' is a watered down and worthless version of anything that will cost money but do nothing. I don't think we, as a culture, have the courage to truly look deep and see what the real issues are. Like you said, sacrifice is a given at this point. Ours is a culture dedicated to the idea of entitlement. What got lost in the American message was that yes, this is the land of the free and you're welcome to pursue your dream. However, it's not going to be handed to you. We lost the 'earn it' mentality. I, too, would love to see some real cogent points on both sides of the issue. Unfortunately, I know better than that at this point.
  • @Christian: We're a culture dedicated not only to entitlement, but to entitlement without understanding the cost and reality. It's like the guy who's been quoted as saying at one of the health care town halls, "Keep your government hands off my my Medicare."
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