America’s Moral Economy and the Issue of Health Care

I read a story in The New York Times (http://www.nytimes.com/2012/06/23/health/oregon-study-reveals-benefits-and-costs-of-insuring-the-uninsured.html?smid=fb-share) about a woman who “shattered” her ankle. Because she did not have health insurance, the emergency room put the ankle in an air cast, but doctors would not perform the surgery she needed. As a result, she “hobbled around in pain” for four years, causing her to gain weight, miss work and suffer other health challenges.

This woman did not live in a Third World country. She lives in the United States.

As the country awaits the United States Supreme Court‘s ruling on the constitutionality of the Affordable Care Act (aka “Obamacare), I find myself shuddering because I am worried that the Court will rule against the bill and if it does, so many people will again be out of luck.

The health care bill, though unpopular because opponents say it’s government-controlled, really does do some helpful things, like allow children with pre-existing conditions to get health care, children to stay on their parents’ plans until they reach age 26, and will eventually allow anyone with a pre-existing condition to get health care.

If the bill is shot down by the Court, however, all of those really positive gains will be lost.

What gets me is how this nation, which calls itself “the greatest nation in the world,” can live with itself when people like the woman mentioned at the beginning of this piece are walking around in pain in spite of our “greatest health-care-system-in-the-world” claim. How can any system be that great when the very people who need it most are shut out?

By now, people have heard of tragedies like children, primarily poor children, dying from such fixable ailments as an impacted tooth. Without health care, these children cannot afford the most basic of care, which also for them happens, many times, to be life-saving. Children and adults have been cut off from receiving necessary chemo-therapy or other treatments when Medicaid has refused to cover such treatment. Can this really be the reality of the so-called “greatest” nation?

Not having health insurance keeps some people from even seeking the care and treatment they need. In the same New York Times article, a woman, 24 years old, was said to be suffering from depression and C

English: President Barack Obama's signature on...
English: President Barack Obama’s signature on the health insurance reform bill at the White House, March 23, 2010. The President signed the bill with 22 different pens. (Photo credit: Wikipedia)

rohn’s disease, but also for stage 2 cervical cancer – for which she cannot afford treatment.

In Oregon, there has been created a lottery where people can “win” health care through the lottery system. Because of that, some people now have health care.  The article is lifting up alternatives to the present health care system, where so many people are left out and is also presenting the benefits and cost of insuring previously uninsured people. The lottery, by allowing people to “win” health care, is apparently a win-win situation for the state and for the “newly insured,” who are getting better care and are cutting health costs in other areas.

That some states are looking for alternatives to our present system is a comfort, but that the federal government is not so supportive of a health care system that takes care of more Americans is troubling. We as a nation seem to have little time or patience for those who are poor and who depend on the government for help. There is a moral economy here that is not working, but the federal government and too many state governments seem unable and unwilling to look at that issue.

In effect, not providing the poor, the unemployed and underemployed with viable health care seems to be immoral, in a country which touts itself as a moral leader in and of the world. I don’t think a nation can be “moral” and not only blame “the least of these” for their predicaments, but also ignore them as much as possible.

I would bet that the nation’s highest court would not agree with me, but we will see, sooner rather than later.

For the sake of people like the 24-year-old woman who is walking around without getting treatment for serious illnesses and diseases, I hope I am wrong.  No nation can afford to ignore its masses, our nation included.

A candid observation …

A Broader Understanding of “Pro-Life”

I have often found myself cringing as “pro-life” advocates have stood outside abortion clinics, pleading for the rights of an unborn fetus, not because I like it that there are so many abortions, but because those who are “pro-life” seem, for the most part, to have such a narrow understanding of  what life is.

In fact, although pro-life advocates have put billboards up in urban neighborhoods, urging people in those neighborhoods to refrain from having abortions, it seems that these same advocates, once the babies in these neighborhoods are born into poverty and despair, pretty much ignore them.

Children who live in poverty, who are born in poverty, depend on the government for basic services, like food and health care. Children born into poverty have a higher chance of ending up in prison, because the schools in their neighborhoods are so bad and they end up giving up and dropping out of school.

According to the Children’s Defense Fund, a “cradle to prison” pipeline exists because children born into poverty – yet very much alive – suffer from abject poverty, inadequate health care, gaps in childhood development, disparate educational opportunities, “intolerable abuse and neglect,”  “unmet mental and emotional problems, rampant substance abuse,” and involvement in an overburdened , ineffective juvenile justice system, a system which looks at these children as a drain on society.

These children, very much alive, are despised once they come out of the womb. As a fetus, a poor child is cherished; the heartbeat of the fetus is used in commercial and religious attempts to get people to oppose abortion. Yet, there is no such drumbeat for these children, and for the things they need once they are born in order to have valuable and viable lives, once they are born.

There is something very wrong with this reality.

Martin Buber, a Jewish theologian and Zionist, wrote a powerful book, I and Thou, where he described how we as human beings objectify other human beings, presumably to protect ourselves, our thoughts, and our beliefs.

He believed that part of the problem in Israel was the inability and unwillingness of Jewish people to treat Arabs as fellow human beings, “it” as opposed to “thou.” An “it” has no feelings; it is an object, devoid of even the need for another human being to invest caring and compassion into. A “thou,” on the other hand, is a “fellow human being,” one with which one can develop an empathic relationship, based on the understanding that this “thou” has needs and feelings equal to that of the person doing the evaluating.

“I-it” relationships have made it possible for sexism, racism, homophobia, discrimination against the aged …to flourish. When we as humans do not see another human as human, we feel nothing about what we may or may not do to affirm that person’s worth and need to meet their needs.

That’s the feeling I get that the pro-life proponents carry with them. The poor are precious so long as they are in the womb. Once out, they are a bane to society, unworthy of anyone’s time or concern.

If the pro-life people would advocate as hard for quality education for poor children as they do for more affluent children, or push for legislation or some other source to provide for quality health care for these children, I wouldn’t care about their concern and love for the unborn fetus. Poor children do not ask to be born, and they are not responsible for their conditions. It is so hypocritical and sad for a civilized society to have such a narrow definition and appreciation for life.

A candid observation …