I got a little cranky earlier during a facebook discussion, then heard the voice of a friend in the back of my head saying, “Blog it! Blog that shit!”
And I was about to, when the hospital called with a minor crisis, and then I realized it was the probably one of the last nice days of they year, so I went to the pool with the family, then my wife made a yummy dinner…you get the idea. Anyway, here’s the deal. I was reading this piece in the Times about a woman with a complex disease who died at least in part because of our Byzantine health care system. It was a familiar story.
And it’s not just a compelling anecdote—this is every day. I’m just one physician and I regularly see horrors like this. The conservative/libertarian philosophy that encourages this sort of system is sick—immoral, unjust, and sick. It’s hard for me to understand how otherwise moral-appearing people cannot see that medical care, like air, food, water, roads, and schools is not “just another commodity”. I admit I just don’t get it. This ultra-libertarian view of health care is a form of social insanity.
There is no justification for failing to create a just system–none. The cost is trivial compared to the cost of doing nothing. Ours current system is rife with irrational rationing and wasteful spending on profit-driven middle-men.
Health care is not just another industry where unfettered competition and “red in tooth and claw” capitalism benefits all. The profit motive kills. It kills trust, it kills people.
Ultimately, all the bluster and hot air expended defending the status quo because of cost, ideology, or whatever is immoral bullshit.