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Edited on Wed Nov-11-09 01:32 PM by Kurt_and_Hunter
(This is a 'think piece' not advocacy. I am not arguing against passage of HCR. Just noting that our political system and electorate lack the maturity or sophistication to do a good job of it.)
When the national government is heavily involved in national health the government must think and behave like doctors.
In professional practice doctors are, in general, scientifically oriented and not motivated to practice medicine in the way that will get them the most votes.
Unfortunately, in America we politicize medicine. It's not just abortion. Think of the HPV vaccine... Hell, think of vaccines in general. Think of fake medicine. (Why are fake medicines with no clinical efficacy whatsoever mixed into every section at the drug-store now? Why are there penis-enlarging pills and headache remedies applied 'directly to the forehead' advertised on TV? Because some Republican cranks in the 1990s thought the FDA was big government and thus must be hobbled.) Will people's health decisions be limited by whatever a bare majority of American Idol viewers thinks causes autism?
In practice, the more government involvement in health care the more Orin Hatch involvement in health care.
The grotesque political-football status the poor have long enjoyed will soon be extended to the working and middle classes as well.
Something has got to give. Our current political class and/or political system is, in fact, incapable of crafting rational healthcare policy.
When a lowly pharmacist plays politics, refusing to issue a morning-after pill, we are shocked. When a United States Senator seeks to outlaw the same pill altogether we shrug. Dog bites man... nothing to see here. (Granted, the Senator has no professional obligations as a healthcare provider, but with a national system a Senator is something like a provider, which is the point.)
"This is a sensitive, private decision that should be between a woman and Ralph Reed."
I will support passage of crippled, semi-rational policy that treats patients as characters in a medieval passion-play... but why should we have to?
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