How will it be paid
for, we ask. Can the government run this, or will they mess it up like
everything else they touch? Can we cover everybody without government
involvement? Won't cost reduction lead to rationing? Could we make
smaller reforms for less money? Will the Public Option shove out
private insurance, employer health benefits, and the
"health plan you
like"?
All good questions.
But that the debate is focused on them shows our media and politicians
have missed the major point, in health care and today's other
government expansion proposals.
Fortunately, the
people haven't missed the point. Americans don't turn out in such
numbers and challenge their representatives so passionately over
funding calculations, management approaches, or euphemisms like
"single payer"--knowing we've had one in Medicare since they were kids.
A much deeper
principle is under negotiation here, one the people cherish much more
than our journalists and lawyer leaders appreciate.
Of the three
"unalienable rights" Mr. Jefferson listed in the Declaration of
Independence, the one that stirs our hearts most is
Liberty.
Life is vital, but we don't worry, as the Founders did, about
government taking it from law-abiding citizens. The Pursuit of
Happiness is important to us all, but it's a natural result of
Liberty. At least since Aristotle, we've known that all people pursue
happiness naturally, unless some power prevents it.
Liberty is
different. It's not a consequence of the other two, or of anything
else. Liberty is an intrinsic value, truly "unalienable." The
most radical idea in the Declaration and the Bill of Rights was that
the individual's liberty supersedes the necessary authority of rulers,
judges, and parliaments. And with a few exceptions, that idea still
sets America apart from other nations. It is truly the foundation of
"American exceptionalism."
Webster says an
intrinsic value is "good in itself...desired for its own sake without
regard to anything else." In society and governmental systems,
liberty is a prime intrinsic value. It doesn't have to be justified by
its results, nor be subjected to cost-benefit analysis--as in this
health care debate. It's more important than better health care, or
diversity, or suspected climate protection, good social programs, or
any other "solution."
I, for one, am not
prepared to give it up for someone's theoretically better healthcare
system--even if it were better. That's the test. Do we value
liberty above other benefits, or not? Our founders would be shocked
that we're actually debating whether to give up fundamental liberties
to generate health care financing for another--what?--5% of the
population. We're behaving like Esau, wondering whether a bowl of stew
is worth his birthright.
What liberties
might we trade for better health care finance? Here's a short list:
Freedom to create groups to share health care risks, thereby paying
for treatment, and making a profit doing so--freedom for care providers
to offer services in a free market, forming groups if they choose--for
employer/employee contracts to include health coverage or not, as the
parties see fit--for a person to choose not to have coverage--for
employers and individuals to choose from competitive offerings in a
free market. (Part of our cost problem is that governments have
constrained insurers' freedom to form risk pools that cross state
lines.) And Town Hall speakers are clearly worried about their
freedom to choose doctors, clinics, and hospitals for themselves--even
to have expensive treatment when others think their longevity or
quality of life doesn't justify it.
A few years in the
UK (I had six) will show anyone what it means to trade liberty for a
benefit imagined by idealists in government. Only the wealthy can
escape the National Health Service there, which has taken the liberty
but delivered a drastically inferior benefit.
We must not make
this fool's bargain. The liberty our Founders gave us has proved its
value in results: the most prosperous, just, benevolent, secure, and
yes, happy society the world has ever known. But even if our idealists
could create a better health care system or other benefit, we
must turn the deal down. We have to love our liberty more than any
improvement to our lives we're offered in exchange for it. The
twentieth century was littered with the ruins of societies who took
the other course. America is dangerously close to following their
lead. The millions of us who see the danger have to rise up now with a
resounding no!