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Health-Care: Commodity or Right?

I've just come back from Europe, where citizens in most countries (on the left, right and center) would revolt if their leaders dared to privatize their health-care systems. That's because they've grown accustomed to getting shoddy care rationed out by bureaucrats, opponents of health-care reform in the United States insist. In fact, it's because citizens in countries such as France, Germany, Finland and the United Kingdom – all of which boast lower infant-mortality and higher life-expectancy rates than the United States – don't think of health-care as a commodity. They think of it as a public good and a basic right.

Might Americans come to think of it this way? Not a chance, skeptics watching the fury unleashed at town hall meetings in recent weeks might contend. Americans think owning guns, not having access to medical care, is a basic right. But this conclusion isn't warranted. President Obama actually said it plainly enough during the presidential campaign, telling Tom Brokaw in an exchange on health-care with John McCain, "I think it should be a right, for every American. In a country as wealthy as ours, for us to have people who are going bankrupt because they can't pay their medical bills… there's something fundamentally wrong about that."

Fundamentally wrong. A right for every American. If Obama intends to pass meaningful health-care reform, he needs to remember these words and begin reminding Americans that reforming health-care isn't important simply because it will cut waste and improve the quality of care, points he emphasizes in an op-ed in today's Times. It's important because denying medical care to citizens who can't afford it in one of the world's wealthiest countries is unfair and unconscionable: because health-care is not simply a commodity but a right.

Eyal Press

August 16, 2009

I’ve just come back from Europe, where citizens in most countries (on the left, right and center) would revolt if their leaders dared to privatize their health-care systems. That’s because they’ve grown accustomed to getting shoddy care rationed out by bureaucrats, opponents of health-care reform in the United States insist. In fact, it’s because citizens in countries such as France, Germany, Finland and the United Kingdom – all of which boast lower infant-mortality and higher life-expectancy rates than the United States – don’t think of health-care as a commodity. They think of it as a public good and a basic right.

Might Americans come to think of it this way? Not a chance, skeptics watching the fury unleashed at town hall meetings in recent weeks might contend. Americans think owning guns, not having access to medical care, is a basic right. But this conclusion isn’t warranted. President Obama actually said it plainly enough during the presidential campaign, telling Tom Brokaw in an exchange on health-care with John McCain, "I think it should be a right, for every American. In a country as wealthy as ours, for us to have people who are going bankrupt because they can’t pay their medical bills… there’s something fundamentally wrong about that."

Fundamentally wrong. A right for every American. If Obama intends to pass meaningful health-care reform, he needs to remember these words and begin reminding Americans that reforming health-care isn’t important simply because it will cut waste and improve the quality of care, points he emphasizes in an op-ed in today’s Times. It’s important because denying medical care to citizens who can’t afford it in one of the world’s wealthiest countries is unfair and unconscionable: because health-care is not simply a commodity but a right.

Eyal PressTwitterEyal Press is a Nation contributing editor and the author of Beautiful Souls: The Courage and Conscience of Ordinary People in Extraordinary Times and Absolute Convictions: My Father, a City, and the Conflict That Divided America. He is also a Puffin Foundation Writing Fellow at The Type Media Center.


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