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Health Care is Not a Right, par Julie Borowski

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Okay lol I'll bite. Hope this doesn't sound too harsh, any exasperation is aimed only at the author.

My major critique is that there's so much ideology and so little attention to actual consequences.

Let's break it down to a simple dichotomy - you have the choice of one.
1. Idealistic notions about a worker "keeping the fruit of one's labour".
2. Actual people dying from preventable causes.

Alternatively:
1. People pay less tax. and they have more disposable income to eg. buy that new handbag they want (however, note that this is overly simplistic insofar as countries with robust healthcare systems do not even necessarily pay more tax).
2. People needlessly dying.

On a larger scale, not relevant to just healthcare:
1. There's no right to food, shelter or life, just as the author advocates. You pay less tax, but you also live in a broken, uncivilised society where many people don't around you don't have a basic standard of living and violent crime is rife. It's not like this doesn't affect you, because you don't live in an isolated closed-system - your society's wellbeing impacts your own.
2. You pay more tax, but it's not a one-sided transaction: in exchange, you live in a healthier society, with better infrastructure, an educated populace, less crime.
If the author prefers to the first, there are a number of third-world countries in which she could choose to make her residence.

Her only worthwhile argument is positive vs negative rights. But again, entirely ideological. See above.
posted il y a plus d’un an.
 
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Cinders said:
posted il y a plus d’un an.
 
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Also, RE positive and negative rights: many rights can be made to appear either positive or negative depending depending on how you define it. Also, there's this sweet quote by Prof Jeremy Waldron, addressing people's chagrin that government is addressing 'positive rights' as well as 'negative rights':

"If one is really concerned to secure civil or political liberty for a person, that commitment should be accompanied by a further concern about the conditions of the person's life that make it possible for him to enjoy and exercise that liberty. Why on earth would it be worth fighting for this person's liberty (say, his liberty to choose between A and B) if he were left in a situation in which the choice between A and B meant nothing to him, or in which his choosing one rather than the other would have no impact on his life?"

On a similar note, you can't just pursue liberty as the be-all-and-end-all, and let society go to hell in the process. An exchange I saw yesterday on Twitter:
User 1: What is liberty without a job?
User 2: Liberty is the ability to decide I want or if I don't want a job. It's my decision and my liberty.
User 1: In order to decide which jobs you want or to choose not to work, there have to be jobs available.



A few other thoughts I had while reading the article:
"Health care is a good just like food, clothing, and shelter"
In the context of her other arguments, she is literally saying that people don't have a right to food (ie. to not die), clothing or shelter.

Where’s the compassion for taxpayers—who are forced to foot the bill?
Forced to pay a few dollars (that you'd otherwise probably spend on material goods) so that other people don't die from preventable causes? Sorry if I don't weep for you.

"Health care is too important to be left to the incompetent federal government. Due to a lack of proper incentives, government generally destroys everything they touch"
Woah.

"The government has never been able to run anything more efficiently than the for-profit private sector."
WOAH. Holy shit, hold up there. You can't just drop that all blasé into a sentence. British public transport? Australian electricity? Privatised training colleges that have a course completion rate of 20% while taking millions of dollars in subsidies? For-profit prisons that actually have a financial interest in recidivism??

"Theft is seen as immoral in practically every society on earth... Why then do some people demand that the government do it for them?"
OH DEAR GOD IT'S ONE OF THESE PEOPLE. Whenever I say the "taxation is theft" argument, I rage, then despair. How exactly do these people expect to have roads, bridges, fire departments, cops, a national defence and so on without taxes? Voluntary donations, only performed by a few? Total anarchy? Whenever I bring this up with a libertarian friend of mine, he maintains that the "the community" will take care of them. Like there will be some magical utopia where people come together to repair damaged roads out of the goodness of their hearts with all the money the evil government doesn't get from them. He also maintains there shouldn't be any government standards for drinking water, because if people get sick, "the market" will take care of it and people will stop buying it - never mind that some people have to die first. So basically I've given up because it's total lunacy.

"Private charities that run on voluntary donations are the best way of helping the poor obtain health care, not government welfare that relies on force and coercion."
Apparently she actually does believe that healthcare could be taken covered by private donations. In no world is this actually possible, considering the cost of healthcare and the limited amount of donations it would receive.

"But the fact is that health care will always be a scarce good."
A "scarce good"?? What a horrible thing to say. I spluttered.
posted il y a plus d’un an.
last edited il y a plus d’un an