I have what is called the "good insurance" and it has never let me down.
I got no help with my cholesterol until it became an illness. Now I take pills for it. The same thing for my kids' ADHD and whatever it is my wife has -- she's never been diagnosed with anything.
There is a big difference between health care and health insurance.
- Health care involves regular coaching, either from a doctor or someone like her. It's wellness management, and referrals to whoever may be needed to keep you well. It's exercise, it's diet, it's mental health.
- Health insurance, like car insurance, waits for something to go horribly wrong and then pays a portion of the repair bills.
Health care is also cheaper than health insurance. A lot cheaper. Think about the cost of managing your diet from the time you stop seeing a pediatrician until the diagnosis comes of diabetes. Or heart disease. Or alcoholism. Or
morbid obesity. Now imagine we know from your family history that Type II diabetes, or cholesterol problems, or obesity, are very likely heading for you. Health care can prevent disease, not just manage it.
Compare that to what health insurance will do for, or to, diabetics when they're suddenly diagnosed, seemingly out of the blue, in mid-life. Constant monitoring, forced diets that can cause other problems, no attention to the mental aspects of this wrenching change. Small wonder patients become impatient, getting worse and worse, costing society more and more.
Yes, it's simpler if they wait and wait and wait until they get the diagnosis they're about to die, and are just waved bye-bye. That's called Social Darwinism. And it goes against every precept of a civilized society, everything that is truly American, as well as all the norms of medicine.
If you're for that, please state so clearly, but while you're at it pay back all that government aid you've been collecting -- the state-funded education, the government-backed home loans, the aid your business got to get going, the VA care, the Medicare. (Need I add the military and police protection you have gotten all these years?) At least be honest with yourself, if you're not going to be honest with the rest of us.
That's what I think, but here's the real secret of our time. You won't. You will stand there as a naked hypocrite, unashamed, and pretend that you, the naked Emperor, are wearing the finest of suits, which you made with your own two hands.
There is an important political lesson in all this.
While proponents of health reform have to act like Democrats, their opponents are free to lie.
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