aquitaine said:
My cousin didnt have healthcare. So he ended up with a stage 4 cancer diagnosis. There were many warning signs before that as the cancer developed, but because he was poor he didn't have them investigated. It was a testicular cancer, the same type that has a +90% survival rate. His death was almost certainly preventable. The result was he was dead and buried at the age of 22. He never had a chance to make something of himself, are you really telling me that he deserved this? You're wrong, you do lose something by not getting serious conditions treated: Your life.
You're making a reductio ad absurdum by comparing healthcare with cars. You can live without a car, but with serious medical conditions, like cancer, you literally cannot live without it. I somehow don't think treating cancer is going to cause the downfall of western civilization.
1. "Deserve" is a completely irrelevant question. There are lots and lots of things in life that are an utter crapshoot. Yeah, it sucks that he died from cancer. A close friend of mine died from a rare form of cancer when he was in 2nd grade and he had the best available care. Definitely unlucky. My sister got and beat breast cancer last year at the relatively young age of 37. Was she lucky or unlucky? Neither of them "deserved" to get cancer, but that's life. Sometimes it is unfair. Sometimes you get cancer. Sometimes (well -- ultimately, always) you die.
2. It was
you who used 100 years ago as a baseline, so please don't switch back and forth. Any treatment beyond the virtually nothing that existed back then is
extra. Not getting to take advantage of all of the extras is not a negative, it is just a lack of a positve. And no, that's not the same thing.
Try it this way: I have $20. I give that $20 to the person standing next to you. Did you
lose $20 or did you just
gain nothing? Again, this mindset that people have that they are entitled to everything possible just because it exists is dangerous.
Regarding the car, you're missing the point of the analogy. Yes, you can live without a car, but that's not the point. The point is that
if you have a car, spending more money can result in more safety. The same exists for planes, not to mention stairs. If two people are in an accident -- and yes, both could have possibly found an alternative to driving -- and the rich one has a modern car with a dozen airbags while the poor one is driving a beat-up 20 year old car without modern safety features, the rich one may live while the poor one dies. Does the poor guy deserve to die? No. Does that mean the rich guy should have bought him a better car? IMO, no. Both as a matter of morality and practicality.
At the same time, you are trying to create a false dichotomy by saying "you can't live without it" with healthcare because implies that you can live with it. Sometimes you can and sometimes you can't -- both live with it and live without it.
I don't know if you're purposely belittling the point by focusing just on cancer alone vs the downfall of Western civilization or if you just don't see it, but you
are aware that we have a serious debt crisis, in part because of paying for things like cancer treatments (not to mention paying people to get rid of old cars...), right? You are posting in this thread, which is partly about that problem. The current economic downturn and related debt crisis, which is worse in Europe, exists largely because of overindulgence in entitlements. And you are aware that the problem is currently getting worse and not better, right? I'm not suggesting that we're going to collapse back to a hunter-gatherer society, but I think there is a significant non-zero risk of a long-term, significant decline in average standard of living. The healthcare cost problem is going to keep getting worse because the economic model we've chosen is flawed. Do you have a suggestion for how to fix it?
The spiral can't continue forever, of course. Either we'll fix it or it will fix itself:
1. It will fix itself by consuming (as mhselp said) a larger and larger fraction of our tax dollars until we simply can't afford to pay for more healthcare and as a result, drug compaines will stop doing research and healthcare quality will stop improving. Or:
2. (also as mhselp said) The reductions in other areas that have to be made to compensate for the "mandatory" spending on healthcare become too great to bear. You want free cancer treatment for everyone, regardless of the cost? Fine: then you can't have your roads maintained and you can't a have a police force and you can't have decent schools for your kids. Those things are not "entitlements". They aren't "mandatory spending". So they'll have to go. When our standard of living drops enough that we can't stand it anymore, we'll start to make the hard choices on "entitlements". Think that's far fetched? The consistently worst city in the US - Camden, NJ - slashed its police force by half in 2011, which significantly increased crime even more. Why would anyone do anything so idiotic? Police forces cost money and if you don't have it, you cut it. It is time we face-up to the economic and moral realities that healthcare is not a more important government function than such basics as police and that if the economy isn't doing well, everything has to take a hit.
You cannot pay for things you don't have the money to pay for. So you tell me: would you trade a lower chance of dying of cancer for a lower chance of being murdered? That's the type of choice we're already making.