The battle is getting brutally fierce now at the town meetings. Congress folks are seeing the righteous anger of the people. Why, one might ask, is this happening? Don't we have a "broken health care system" and doesn't everyone want health care reform NOW!? Why are people acting so vociferously against this proposed legislation?
I believe that health care reform threatens the indispensable fundamental principles that have formed the foundation of the social structure of the United States: individualism, freedom, and most of all our basic distrust of government. In addition, there is charity. Americans are generous and they resent government stealing from one group of citizens to give to another group, especially when government acts like it deserves all the credit. All of the money that our government possesses has been taken(by force) from us citizens. I think most of us are tirelessly laboring daily to possess a little property, and watching our government throw it around ad lib (without reading the bills) is infuriating to us all.
Individualism runs through America's collective soul. Individualism also represents a quality of what is means to be an American. We are supposed to be FREE. Free to do what we wish, make decisions on your own, and free to face the consequences. Our freedoms define America, and give it the social energy for economic expansion and individual opportunity for success.
The problem with health care reform (and with the dreaded "public option" in particular) is that it threatens everything that represents FREEDOM. Will the government control what kind of medical care we can have? Will it control medical decisions so that we can't trust our doctors? Will it attempt to hasten our demise to lessen the entitlement debt it owes us- and that we were forced to pay for- as we get old? Doesn't our government have a fundamental conflict of interest in this debate anyway? After all, government is looking for ways to control costs, and our death would save the government money? These are genuinely frightening ideas because if they come to pass, and we can imagine they might, our freedoms will be taken away.
What it finally comes down to is our instinctive distrust of government. If this health care reform occurs, we are going to give our government a lot more control over our lives and our personal choices. As that woman in Philadelphia said the other day,"medicaid is broke, Medicare is going broke, Social Security is going broke, and the cash for clunkers program is failing. How can we give you (to Arlen Specter) control over another one-sixth of the economy? No way Senator, no way!"
I think we need to remember that the statue in the New York harbor is called "The Statue of Liberty." It is not the statue of safety through government handouts. The fundamental problem with this movement (appropriate term) is that it threatens the essence of what America is supposed to mean as a country of personal freedom. Somewhere in this demagogic attack on the previous promise of our God given freedoms is the source of the unrest with this Democratic health care push. Yes, we do need change in health care, but not because we have the worst system in the world, but because it needs some changes. What we do not want is the undoing of the essence of our social structure by allowing our government to make all of these personal decisions for us. We can't trust them now, can we?
What we need is tort reform first, but politics is preventing that, and that "prevention" adds to the distrust of this whole movement. Next, we need controls on the insurance companies to make the vast majority of the health care dollars flow into the "care" system, and not into the pockets of the insurance bureaucrats. Finally we need a futile care law that basically says that when three doctors determine that a situation is "futile" that the family has one week to understand or the care is withdrawn in spite of objections. At that point only comfort measures are given.
Oh, there are other things we could do like tamper with the "preexisting condition" problem, or waste and fraud in the system itself. Yes, we do need change but a government takeover is not the way to proceed. I do not believe that, justifiably, there is enough trust in our government to allow sort of change that the liberals are proposing. It threatens too many of our guaranteed freedoms. Remember, life, liberty and the pursuit of happiness?
James P. Weaver, M.D.,FACS
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