SCOTUS Thoughts
Jun. 27th, 2012 09:50 amWith tomorrow’s ruling expected on the Affordable Health Care Act, all forms of media including the Internets are a buzz with what will or won’t happen, pre-defending a decision, and praising and/or deriding the court as stalwart defenders of the Constitution/activist evil-doers.
I heard an analyst opine that the choice before the court is basically a philosophical battle between “conservatives” who believe in libertarian ideals and “liberals” who see a fundamentally broken healthcare system that cannot be fixed by the private market.
If the conservatives prevail, then the only funding mechanism to try to actually cover the costs of uninsured free-riders on the medical system in America that the Congress has managed to come up with in 40+ years goes out the window. I’m frustrated with the court spending so much airtime talking about broccoli and Chevys in the oral arguments. The scenario is pretty simple. If the libertarian ideal is to work and nobody—especially the rich—are required to buy medical insurance or contribute to a single payer system, then we must follow through and remove requirements to treat people without regards to their ability to pay. That means when you are bleeding to death on the highway in an accident, they can check your insurance status or verify you have say a $30,000 bond that proves the bills get paid, and if you don’t they let you die. If you show up at an ER with a gunshot wound or your child is unable to breath due to an asthma attack, they again can refuse to treat you if you can’t prove the bills will get paid. That may be exactly what the Atlas Shrugged crowd would want to happen--they seem to be quite happy asserting "being poor or unlucky" as a terminal condition. Then again they aren’t the nurse or doctor watching someone die in front of them when they have the means to help either. They are also assuming that they won't be the one watching their own child suffering despite the clear evidence from Wall Street that even the rich can be laid low overnight. Maybe the court should have spent more time talking about that than trying to pretend they were arguing the fate of vegetables.
It doesn’t really seem to matter if the rest of the bill is upheld or not. If the mandate is thrown out, then we are right back to the problem of no way to pay the country’s medical bills. Hoping that the next Congress will come up with something better in a timely manner is at best naïve. At this point they can’t seem to agree to tie their shoes. Leaving it to the states has proven impossible as state after state has attempted to do something about the mess and it has failed because it’s not something that can be resolved at that level.
The conservative movement in America and elsewhere is unfortunately disinclined to make decisions based on evidence. They want to believe that individual choice will resolve the crisis, when all evidence shows it can’t—in fact the rational choice for individuals under the current system is exactly how we got in this mess. Personally I find it strange that they have full and complete faith that individual banded together as corporate entities will always do what’s best for the country, but individuals banded together through government will always fail.
Then again, it seems you have to have a very high tolerance for cognitive dissonance to be agreeing with these views in the first place. The whole premise of the "Tea Party" movement seems to be that doing nothing is what they should be doing, and frankly they are doing an excellent job of doing nothing at all.
I heard an analyst opine that the choice before the court is basically a philosophical battle between “conservatives” who believe in libertarian ideals and “liberals” who see a fundamentally broken healthcare system that cannot be fixed by the private market.
If the conservatives prevail, then the only funding mechanism to try to actually cover the costs of uninsured free-riders on the medical system in America that the Congress has managed to come up with in 40+ years goes out the window. I’m frustrated with the court spending so much airtime talking about broccoli and Chevys in the oral arguments. The scenario is pretty simple. If the libertarian ideal is to work and nobody—especially the rich—are required to buy medical insurance or contribute to a single payer system, then we must follow through and remove requirements to treat people without regards to their ability to pay. That means when you are bleeding to death on the highway in an accident, they can check your insurance status or verify you have say a $30,000 bond that proves the bills get paid, and if you don’t they let you die. If you show up at an ER with a gunshot wound or your child is unable to breath due to an asthma attack, they again can refuse to treat you if you can’t prove the bills will get paid. That may be exactly what the Atlas Shrugged crowd would want to happen--they seem to be quite happy asserting "being poor or unlucky" as a terminal condition. Then again they aren’t the nurse or doctor watching someone die in front of them when they have the means to help either. They are also assuming that they won't be the one watching their own child suffering despite the clear evidence from Wall Street that even the rich can be laid low overnight. Maybe the court should have spent more time talking about that than trying to pretend they were arguing the fate of vegetables.
It doesn’t really seem to matter if the rest of the bill is upheld or not. If the mandate is thrown out, then we are right back to the problem of no way to pay the country’s medical bills. Hoping that the next Congress will come up with something better in a timely manner is at best naïve. At this point they can’t seem to agree to tie their shoes. Leaving it to the states has proven impossible as state after state has attempted to do something about the mess and it has failed because it’s not something that can be resolved at that level.
The conservative movement in America and elsewhere is unfortunately disinclined to make decisions based on evidence. They want to believe that individual choice will resolve the crisis, when all evidence shows it can’t—in fact the rational choice for individuals under the current system is exactly how we got in this mess. Personally I find it strange that they have full and complete faith that individual banded together as corporate entities will always do what’s best for the country, but individuals banded together through government will always fail.
Then again, it seems you have to have a very high tolerance for cognitive dissonance to be agreeing with these views in the first place. The whole premise of the "Tea Party" movement seems to be that doing nothing is what they should be doing, and frankly they are doing an excellent job of doing nothing at all.