Healthcare: Choice and Conscience

by: Natasha Chart

Thu May 21, 2009 at 09:45


I got an email yesterday, maybe you did too, asking me to support Obama's healthcare reform and its three "bedrock requirements":

Reduce Costs - Rising health care costs are crushing the budgets of governments, businesses, individuals and families and they must be brought under control

Guarantee Choice - Americans must have the freedom to keep whatever doctor and health care plan they have, or to select a new doctor or health care plan if they choose

Ensure Quality Care for All - All Americans must have quality and affordable health care

I didn't see a public option mentioned in there and I've only heard one particularly good idea about how to light that fire under Congress' backside so that it makes it to Obama's desk in the form of legislation: take away their publicly-funded healthcare until they're willing to share with everyone else.

Granted, they seem recalcitrant enough that it might only make me feel better and accomplish nothing. (And considering that my healthcare choices right now are restricted to deciding who to pray to in case of illness, if schadenfreude is the only medicine on offer, I'll take it.)

Natasha Chart :: Healthcare: Choice and Conscience
Though speaking of choice, Obama talked about it in his Notre Dame speech:

... Let's honor the conscience of those who disagree with abortion, and draft a sensible conscience clause, and make sure that all of our health care policies are grounded not only in sound science, but also in clear ethics, as well as respect for the equality of women. ...

Obama does plan to repeal the Bush rule about the conscience clause, but this statement indicates that it won't necessarily be gone. And what is a conscience clause, anyway, but granting people who feel squeamish about women's sexuality the right to deny them medical care.

Here's a conscience clause for you ... If you, as a medical professional, don't want to provide women with such reproductive healthcare as they may require, go into podiatry. Study pediatrics. Be a dermatologist.

Do something with your life besides training for a job you then refuse to perform. It's almost as masochistic as training for a profession no one will hire you for, at which point you might as well have been an English or journalism major.

Everyone would be outraged if people started showing up for hip replacements or liver transplants, only to be told by Christian Scientist surgeons that they needed to pray harder instead. If someone ended up losing too much blood because a Jehovah's Witness heading up the ER insisted that no one could give transfusions, there would be lawsuits.

Yet if women are denied medical care because of the shrinking minority of people who want to enshrine their religious beliefs into law, well, that's someone's conscience acting up and we have to respect that.

And when the poor, or those with pre-existing conditions are denied care, that's just a business decision. We have to preserve the insurance guilds companies' right to exercise their belief in mercantilism government protection of their monopoly hold on an expensive commodity.

Elizabeth Edwards was on The Daily Show last night, and she said that "a few years ago, I think, the president of United Health Care made so much money, one in every $700 spent in this country on healthcare went to pay him." The people whose consciences and worldviews are troubled by that state of affairs don't get a say in any of this.

Instead, the same conservatives who spend so much time trying to make women's medical decisions on their behalf are the ones who speak up in favor of individual choice when it really means fat profits for corporations:

... "A government takeover of health care will put bureaucrats in charge of health care decisions that should be made by families and doctors," Rep. Charles Boustany of Louisiana said in the Republican radio and Internet message.

"It will limit treatment options and lead to rationed care. And to pay for government health care your taxes will be raised," said Boustany, a cardiovascular surgeon and member of the House Republican Health Care Solutions Group. ...

Right now if you're poor, or if you have an actual illness, or if you're a woman that society suspects of being a slut, your access to healthcare is already rationed. You're so rationed out of the system, you might not make it to a doctor for that conversation about your options.

Women get the worst of both these medical choice gaps, being more likely to be poor and ending up with the majority of responsibility for reproductive health decisions.

Healthcare reform and the final conscience clause policy haven't been finalized yet. I hope when they are, that Congress and the Executive will consider the burdens of those who can't afford to pay more for anything and didn't have the luxury of going to medical or pharmacy school.

We'd like some freedom of choice, too.


Tags: , , , , (All Tags)
Print Friendly View Send As Email
The Organizing for America campaign (4.00 / 1)
on this issue has also put out a call for 'house meetings' to discuss their 'program'.  A little background:

You may remember that the Obama campaign organization called for such meetings to elicit the policy priority opinions of the 'roots'.  That was in December.  Then that group was disbanded, and most of the staff was laid-off.  Organizing for America was created by Obama's main staff, and they called for similar meetings in February.  Since then, there were no other requests until now, regarding health-care.

I dutifully set up house meetings in my county for all three calls.  As a result of our first two meetings, our group sent our opinions back to 'HQ' with such priorities as get-the-hell-out-of-Iraq, Fair Trade, and universal-single-payer-health-care-insurance.  The small amount of feedback given to us by 'HQ' indicated that most such groups sent back similar sentiments.

This meeting will very likely show strong support for - you guessed it - a single-payer system.  When it comes to the administration, I don't know what else to do for now, except continue to shove this kind of information in their faces.

On the other hand, out here in the hinterlands, I don't spend much time trying to contact or influence the administration.  Our work, as usual, is concentrated on the Congressional delegation.

Meantime, when OfA asks, they shall receive.

By the way - did I mention that I'm running for president?


It troubles me (4.00 / 2)
That our Congress is tiptoeing around the public option, and Obama won't push them either.  

Public was mentioned straight away (4.00 / 1)
Though the word wasn't used.  "Guarantee choice".. was used in its place.

******
Michael --

The chance to finally reform our nation's health care system is here. While Congress moves rapidly to produce a detailed plan, I have made it clear that real reform must uphold three core principles -- it must reduce costs, guarantee choice, and ensure quality care for every American.
**********

Public is being used as dishonestly by Dems as Karl Rove would have them use it were he in charge.

"Public" or "Choice" in this case means private profiteers are protected first, foremost, dare I say, exclusively. The rest of us will be forced to participate in the same old system.. now expanded.

I really think we in the progressive arena owe it to ourselves and others to be very clear on this point/distinction.


1 in 700 (0.00 / 0)
Just to let you know that the "1 in $700" figure Mrs. Edwards gave during the interview is discredited. Here are a couple of links detailing the math:

http://consultingbyrpm.com/blo...

http://wonkroom.thinkprogress....

In short, she is off by a factor of 10 (the truth is closer to "1 in $7,000").

I know it is not your main point, I just thought it should be brought up since passing along sloppy statistics is a pet peeve of mine.


Donate to Open Left








Friends of the Earth thanks the OpenLeft community for the ideas you generate and your contributions to the progressive movement.

As an anti-spam measure, there is a 24-hour waiting period after registering before new users can comment.
blog advertising is good for you
blog advertising is good for you
SEARCH

   

Advanced Search