Tuesday, August 18, 2009

Health Care is not deserved, a right, or an entitlement

I am very sympathetic with the desire of Democrats to bring health care to everyone. It seems to me there are enough smart people around that these things could be figured out without destroying the fundamental soundness of capitalism.

But...

That's not what inspired me to post something. It is the language I'm hearing by people like Jesse Jackson Jr. and Howard Dean of everyone deserving health care or everyone being entitled to health care. Wrong. America is a social contract. Even if Jefferson used language of inalienable rights, he didn't mean anything like this. And it simply isn't true. America will be a better place for everyone if we can work these sorts of things out. But health care is not a right. It's a great privilege.

We have a contract to live together freely as long as we all follow some basic rules. We don't steal each other's stuff. We don't hurt each other. We pay taxes so that we can pay police to keep the peace and so that the government can provide some basic services.

The idea is that everyone is free to thrive. It is in everyone's best interest that mechanisms be put in place to help those who get down on their luck as well as to set rules to protect us from our own stupidity. It does no one any good to let those in a cycle of poverty and despair languish. It is a smart system that helps these sorts back on track to being self-sufficient. That diminishes crime and ultimately benefits everyone.

But we are only "entitled" to what we have agreed as part of the contract, and then conditionally on keeping our end of the deal. "He who does not work, shall not eat" is the default. We might very well make it part of our contract to say that if you are incapacitated, society will help. After all, wouldn't we want help too if we came down on our luck?

But the goal is to get back on track. It's not a free lunch--that's not the contract. People should have to do something to get welfare. I appreciate Obama's pragmatism. But I don't appreciate the extreme elements of the Democratic party who are why I am still registered as a Republican.