Is universal health care a fundamental right? For the Christians among
us, what would Jesus say?
This article is based on a recent Theological Reflection by Kevin
Hughes in our Education for Ministry theology class. Kevin and I are
both in the fourth and last year of this program. We are not in
training to be ministers but rather to better understand
Judeo-Christian theology and our on ministries. I prefer the term
"medicine work" as opposed to ministry.
This is a critical question in the ongoing debates (and hysteria) about health care reform.
How Kevin put the reflection together
He
started with health care horror stories he gathered from Google, three
stories of personal experiences of his own and two friends. He then
followed this with a fact sheet on the subject.
Health Care Horror Stories
A
Goggle search on health care insurance horror stories yields a plethora
of examples that highlight one of the problems we are facing today in
health care. To paraphrase Ronald Regan who once said government
was not the solution but the problem: today as it relates to health
care reform, insurance is not the solution, it is the problem. In
fact it is one of many problems but probably the most serious.
Personal
Kevin's
wife has a prescription denied once every year for a medication at a
dose higher than normal by Merck Medco (she had her most recent denial
this week). She has tried the generic, and it did not work.
The hassle and grief caused by the denial every year for her, her
doctor and her doctor’s nurse to correct the problem is
ridiculous. After one cycle you would hope the insurance company
would get it. It is as if they are hoping the customer will just
give up or the doctor will get tired of the trouble and expense of
fighting this over and over.
Two personal friends
One with
depression and alcohol abuse and the other with depression and bulimia.
Both were very ill and doing poorly seeking routine therapy through
conventional avenues. Both were thinking of suicide. Their
insurance companies were contacted and both were denied coverage at
Sierra Tuscon because they had not attempted suicide recently.
The costs for treatment at Sierra Tucson were around $50,000. each
(with no insurance coverage) with additional follow-up costs at roughly
another $25, 000. each of which a small part was covered by
insurance. This is an example of how dealing with mental illness
with one of the best facilities in the world often goes only to the
wealthy or the very lucky.
Background
The US ranks
number 1 in per capita cost for health care and ranks between 32 and 39
in terms of results. We do not provide the best in the world with
our high costs, although we do have pockets of excellence.
We
are in dire need of reform but much is being lost as a result of
extremely biased outrage on the part of all political parties.
The
three greatest threats to real and beneficial reform are the insurance
companies and their lobbies, the AMA and its lobby and the
pharmaceutical companies and their lobbies.
The next two
significant threats to real progress in reform are the malpractice
suits with enormous rewards for the attorneys successful in pursuing
cases and finally the fear that government could not be successful in
managing the program.
Thousands of people everyday are denied
prescription drugs and necessary procedures by insurance
companies. Thousands more don’t even try because of their bad
experiences. Thousands more give up because they believe they
will not get any help without insurance. Insurance companies are
incented to deny coverage and increase profits
Medicare administrative costs are around 3% while private insurance companies net around 20% of total costs
Care for mental illness in the US is an abomination. Only the very wealthy and the very lucky get needed quality care.
There
are pockets of excellence in the US. The Mayo clinic is
consistently rated as one of the top hospitals in the US and the world,
while operating at a fraction of the cost we see on the average across
the US
Would that Washington would be responsive to the need and seek to find real paths for reform.
One
way to achieve reform would be to charter a group to use benchmarking
as a tool for progress. Benchmarking is a process that would have
us find examples of the best procedures in the US and the rest of the
world and incorporate them into our health care system. A further
improvement on the benchmarking process would cause us to find the best
practices in the world and see how we could improve them where
practical as we install them in our health care system.
Picture
the Democrats, Republicans and independents agreeing to work
together and charter groups, perhaps consulting firms without ties to
the participants, to do the benchmarking study and develop a plan for
implementation. If three firms were involved in the studies, the
one with the best plan might be contracted to work with and guide the
country into implementation of a health care system that would be the
best in the world.
The Reflection Statement
We can attain universal health care, a fundamental right, that is the best in the world and at a reduced or modest cost.
Is universal health care a right or a privilege?
In the discussion in the class that followed, we talked about what our culture, position, and tradition say about this subject.
Culture
Of
course what we are getting now is mixed messages from our culture. But
these messages only indirectly address the question of universal health
care as a right. There are numerous nay-sayers, screamers, and
"againers" that are opposed to health care reform, not the least of
which are the health care insurance companies. We are trying to kill
the insurance industry's goose that has been laying their golden eggs.
Their indirect message is a "no" to our question. health care is not a
right. It is only for those that can afford it. To be fair, many of
these are not against health care reforms per se, but rather the public
option or anything that might raise their taxes, or affect their own
health care programs.
Then there are the "pros", which are sensitive to the plight of the 45,000,000 plus without health care,
all those who have inadequate health care coverage, or have their own
experiences with having to deal with the health care insurance
companies. They do see universal health care as a right.
Position
While
most of us had a position, that is a personal opinion, on the question
that was in the affirmative, it was interesting to note that a couple
of our members didn't know what all the fuss was about. They weren't
sure, or hadn't been sure before Kevin's background and personal
stories, followed by several of the class members' own experiences or
stories. Both of these, as it turned out, had had long term health
insurance with which they were happy. They were unaware of all the
suffering of others in this drama. With their awareness level raised by
our discussions, they too thought universal health care should be a
right.
Tradition
Clearly, Jesus was a healer. He did not ask
for insurance cards or payment. He sent his disciples out with a
commandment to heal. The Christian tradition is pretty clear about
this. So we felt and thought.
The consensus of the class was that universal health care was a right, not a privilege.