Twenty years ago, I learned of the importance of health insurance and the role of the government in health insurance the hard way.
In November 1996, I caught the flu. At the time, I was 27 and working at a major coffee chain making $6/hour. Health care was available, but when you make only $6/hour and have to pay for various things like food and rent, health care becomes out of reach.
So, I spent a few days in bed until I felt good enough to go back to work. I felt okay for a few days after that, but then the illness came back with a vengeance. I couldn’t keep anything down. I started having trouble breathing. I should have gone to the clinic I frequented which offered care to the low income on a sliding fee scale. But I went to the county hospital in downtown Minneapolis. A young doctor examined me and said it was penumonia. He gave me a five day supply of antibiotics (the usual course is ten days for something as routine as sinus infection). I didn’t get better. I got worse. I had a high fever and I was getting a case of thrush on my tongue turning it white. In the meantime my parents drove from Michigan to take care of me. I was able to see the nurse practitioner at the clinic and she took a blood test and an xray. She came back into the examination room and told me that I needed to be admitted into the hospital. My white blood cell count was 70,000, which meant my body was fighting off a massive infection. I wondered aloud how in the hell was I going to pay for this. The nurse practitioner told me not to worry.
I was in the hospital for two long weeks. My lungs had filled up with fluid so the doctors made some incisions to drain the lungs. If that didn’t work, the next route would have been a risky surgery. But that wasn’t needed. After a ton of antibiotics, I got better.
But how was this paid for? I didn’t have to face a big medical bill (or at least not so much) because the wise nurse practioner was able to get me on to General Assistance health care, which is Minnesota’s version of Medicaid, the national program that offers health care for the poor.
It’s funny; around that time, I was moving from a liberal to a conservative, but I still believed government had a role in providing health care, because it took care of me at a point in my life when I needed it.
Conservatives believe in a limited government. It’s not because we hate the government, but because big government can easily crowd out other spheres of society. Conservatives believe government has a role in our lives, but we don’t think it should be running the show. We believe in the role of civil society and the church as institutions that can also offer help to the least of these in our society.
So, I understand that conservatives get a little nervous when talk of health care insurance comes up. Liberals fail to understand that conservatives don’t see government as a wholly good. Government’s main power is usually to compel you to do something. Knowing that power, there is always a fear of the power of government among conservatives. When you are thinking of having the feds have expanded power over 1/6 of the economy it will make a conservative feel uncomfortable. More government can seem like less freedom. This is why conservatives railed against the Affordable Care Act, especially because it mandated that people have health insurance. It’s why the American Health Care Act passed the House of Representatives: it seems to give more freedom and choice to Americans. Listen to conservatives talk, and you will hear that people should be free to not have health care, that government should not impose themselves on an issue like our health.
Conservative writer and thinker John Podhoretz sums up some of modern conservative thinking on health insurance. Here is what he says about the American Health Care Act when it went through the House the first time and the Congressional Budget Office said the new plan would cover 24 million less people:
The consensus headline: “24 Million Will Lose Coverage.”
As a simple matter of fact, that isn’t right. The verb “lose” suggests these 24 million will unwillingly be booted out of the system. No: The CBO says that most of those people will not be covered because they will not buy an insurance policy when it’s no longer the law of the land that they must do so.
In other words, they’ll be exercising their freedom of choice as adults to opt out of the system — and should they try to get back in only when they get sick, they will have to pay a 30 percent penalty for their effort to game the system.
Maybe there are people who decide to opt out of health care insurance and then only purchase it when they are ill. But looking at my own experience and the experience of others, it’s more likely that health care will become unaffordable and that people will forego insurance. I know of very few if any people who just opt out of insurance for the heck of it and purchase it when they become ill (which means buying more expensive insurance since you’re sick).
The AHCA which passed the House assumes universal access, that people have the opportunity to buy insurance. But this plan doesn’t even give many opportunities to get access to insurance. I had the chance to buy insurance, but on my salary I couldn’t do that. Having access is not the same as having some peace of mind. Which is why conservatives should be supporting universal health care.
In the same way that we have Social Security that gives Americans peace of mind that even if they didn’t get a pension or a 401K, they will have at least a basic stipend in their old age, we need to have a health care system where people know that there is at least some basic coverage; a safety net when things get bad. The United States needs universal health care. Now, note I said universal health care, not single-payer.That is one form of coverage, but there are other ways of getting there. We could push for a system like the Swiss Healthcare System or the Singaporean model. We don’t need to have something like Canada’s single payer we just need some system that, as conservative Pascal Emmanuel Gobry says, protects people from the “expenditures of catastrophic health problems.”
Freedom is a cherished conservative value, but there is another value among conservatives that has been ignored: solidarity. That concept, which stems from Catholic social teaching, means that all of us are connected. Pope John Paul II describes solidarity as follows:
“Solidarity is not a feeling of vague compassion or shallow distress at the misfortunes of so many people, both near and far. On the contrary, it is a firm and persevering determination to commit oneself to the common good; that is to say to the good of all and of each individual, because we are all really responsible for all.”
We should have universal health care because we believe in the dignity of each person. We want universal health care because we believe in the words of Abraham Lincoln who said:
The legitimate object of government is to do for a community of people whatever they need to have done, but can not do at all, or can not so well do, for themselves — in their separate, and individual capacities.
All of us at one point or another will hit a point where we can’t do health care on our own. It could be the cost of treating cancer. Or it’s the cost of a new drug to control your diabetes. Or, it could be a premature birth leaving a baby in intensive care for months. The thing is, you don’t know when something could happen that could wipe out your savings in an instant. I didn’t think that at 27 I could get a life-threatening illness, but I did.
It’s past time for conservatives to ensure that no American has to worry about health care coverage because in the end we are our brother’s (and sister’s) keeper.
Crossposted at Dennis’ Medium blog.