{"id":125,"date":"2009-08-12T12:18:04","date_gmt":"2009-08-12T12:18:04","guid":{"rendered":"http:\/\/blog.beliefnet.com\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html"},"modified":"2009-08-12T12:18:04","modified_gmt":"2009-08-12T12:18:04","slug":"health-care-reform-an-ethical-issue","status":"publish","type":"post","link":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html","title":{"rendered":"Health Care Reform: An Ethical Issue?"},"content":{"rendered":"<p><!--StartFragment--><\/p>\n<p class=\"MsoNormal\"><span class=\"Apple-style-span\" style=\"font-family: Arial, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif\">I&#8217;ve been hesitant to wade into any discussion of health care<br \/>\nreform because, frankly, it feels too big for me. For a lot of Americans, I<br \/>\nsuspect. And besides, what exactly are the ethical angles to examine?<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">Too many to enumerate, I think. My mind kind of boggles just<br \/>\nthinking about them all. But there are two that jumped out at me this past week<br \/>\nthat I feel it behooves me to tackle, in my own tiny way.&nbsp;<\/span><\/p>\n<p class=\"MsoListParagraphCxSpFirst\" style=\"text-indent:-.25in\">\n<ol>\n<ol>\n<li><span style=\"font-size:10.0pt;font-family:Arial\"><span><span>&nbsp;<\/span><\/span><\/span><span style=\"font-size:10.0pt;font-family:Arial\">The ABC<br \/>\nNews story I saw earlier this week about an Oregon woman with terminal lung<br \/>\ncancer whose insurer <a href=\"http:\/\/abcnews.go.com\/Health\/Story?id=5517492&amp;page=1\">denied her request<\/a><span>&nbsp;<\/span>for an experimental<br \/>\nlife-prolonging drug but did &#8211; tactlessly &#8211; offer to cover a $50 &#8216;death drug&#8217;<br \/>\noffered under Oregon&#8217;s &#8220;Death With Dignity&#8221; law.<\/span><\/li>\n<li><span style=\"font-size:10.0pt;font-family:Arial\"><span><span>&nbsp;<\/span><\/span><\/span><span style=\"font-size:10.0pt;font-family:Arial\">Another<br \/>\nnews story, this one on <a href=\"http:\/\/nightly.newsvine.com\/_video\/2009\/08\/11\/3143626-crowds-overflow-la-forums-free-clinic\">NBC&#8217;s Nightly News last night<\/a>,&nbsp;about a group of volunteer doctors and dentists called<br \/>\n<a href=\"http:\/\/www.ramusa.org\/\">Remote Area Medical<\/a><span>&nbsp;<\/span>who set up shop in sports arenas and<br \/>\nfairgrounds across the country &#8211; OUR COUNTRY &#8211; offering thousands of uninsured<br \/>\nand underinsured Americans free medical care, for which they wait hours, even<br \/>\ndays, patiently in line.&nbsp;<\/span><\/li>\n<\/ol>\n<\/ol>\n<p><!--EndFragment--><\/p>\n<p><!--more--><br \/>\n<!--StartFragment--><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">The ethical issues inherent in the first story are myriad. In the<br \/>\narticle, some suggest the problem lies with the state even having an assisted<br \/>\nsuicide law on the books &#8211; that of course, if there&#8217;s a cheaper option (ie,<br \/>\nassisted suicide) out there, insurers will push for it, even if it&#8217;s heinously<br \/>\nimmoral and hideously callous to suggest it in place of life-prolonging treatments. It&#8217;s just practical, money-saving, and human nature. Sadly, there aren&#8217;t<br \/>\nenough advocates for the &#8216;little guy&#8217; (or little gal, in this case) to help her<br \/>\nfight it. We simply shake our heads in outrage &#8211; helpless outrage.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">I don&#8217;t think it&#8217;s the fault of the physician-assisted<br \/>\nsuicide law &#8211; which was intended to be a mercy, not some efficiency measure to<br \/>\nsweep the &#8216;useless&#8217; members of society aside. I&#8217;m sure if that law wasn&#8217;t on<br \/>\nthe books, the insurer would still deny her request for the experimental drug,<br \/>\njust not offer her the option of the so-called &#8216;death drug&#8217; in its place.<br \/>\nThey&#8217;d simply twiddle their thumbs while she wasted away. To me, the fault<br \/>\nlies with a medical care system obsessed with cost-cutting and remuneration.<br \/>\nBecause costs are out of control, costs must be the primary consideration.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">In theory, I like the idea of the additional government-run<br \/>\nhealth care option Obama is talking about. Of course, govt. insurance could be<br \/>\nequally as lousy as one&#8217;s private insurance, I grant you &#8211; or worse. But having <i>two<\/i> options, instead of having to settle<br \/>\nfor whatever one&#8217;s default option is&#8230; doesn&#8217;t that improve the odds? Wouldn&#8217;t<br \/>\nthat drive costs down? And yet, I can see where those who oppose Obama&#8217;s health<br \/>\nplan are freaking out &#8211; <i>the<br \/>\ngovernment-run &#8216;<\/i><i><a href=\"http:\/\/www.facebook.com\/sarahpalin?v=app_2347471856&amp;viewas=1620497386&amp;ref=nf\">death-panel<\/a><\/i><i>&#8216;&nbsp;&nbsp;doing the determining as to who would live or die in this Oregon woman&#8217;s case<br \/>\nwas, in fact, the state-run Oregon Health Plan<\/i>. Not auspicious.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">Again, I don&#8217;t know. These are big questions, and with so<br \/>\nmuch heated rhetoric and misinformation flying around, it&#8217;s scary to even<br \/>\nventure an opinion. I suspect not even the Congress knows exactly<br \/>\nwhat it&#8217;s selling to the American people in <a href=\"http:\/\/www.opencongress.org\/bill\/111-h3200\/text\">House bill 3200<\/a>.<span>&nbsp;<\/span>I understand that the idea is to<br \/>\nget enough people covered that there shouldn&#8217;t need to be such a hodgepodge of<br \/>\ncoverage, nor sub-par plans for people who fall under the poverty line, like<br \/>\nthese catch-all state-run insurers. But will it work? It&#8217;s anybody&#8217;s guess, and<br \/>\neverybody&#8217;s panicking.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">In the second story I mentioned &#8211; the one about Remote Area Medical &#8211; well, I just have to tell<br \/>\nyou, whenever I <a href=\"http:\/\/www.ramusa.org\/learn\/media.html\">watch coverage<\/a>&nbsp;of this organization&#8217;s work, I feel simultaneous<br \/>\npride, admiration, and deep, deep humiliation. Why the humiliation? Because I just keep<br \/>\nthinking, &#8220;This is happening in <i>America<\/i>?<br \/>\nWe&#8217;re forced to send doctors &#8211; unfunded and unaided by any government agency &#8211;<br \/>\nto what amount to refugee camps to tend our poor and ailing citizens?&#8221; The<br \/>\nshame chokes me.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">Remote Area Medical was founded by a colorful character<br \/>\nnamed <a href=\"http:\/\/www.ramusa.org\/about\/stanbrock.htm\">Stan Brock<\/a>&nbsp;to help folks in third-world countries, yet RAM discovered the need<br \/>\ndomestically was great enough to keep it plenty busy here at home &#8211; and not just in<br \/>\nremote rural areas anymore, but in cities like L.A. as well. I am proud of our<br \/>\nvolunteer doctors, dentists, nurses, pilots, etc, and endlessly admire their<br \/>\ntireless efforts. What appalls me is that, in our great nation, their efforts<br \/>\nare necessary. How is it that we look after our own so poorly that we need the<br \/>\nhelp of volunteer organizations?<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-size:10.0pt;font-family:Arial\">Something&#8217;s got to change. I really, truly believe it. And I<br \/>\ndo have hope that change will be for the better, because I can&#8217;t see how it<br \/>\ncould get much worse.<\/span><\/p>\n<p class=\"MsoNormal\"><b><i><span style=\"font-size:10.0pt;font-family:Arial\">What do you think of this great debate? Are we headed for better days,<br \/>\nor is America flatlining on the table?<\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\"><b><i><br \/><\/i><\/b><\/p>\n<p class=\"MsoNormal\"><b><i><span class=\"Apple-style-span\" style=\"font-style: normal;font-weight: normal\"><strong>Subscribe to receive updates from Everyday Ethics or&nbsp;<a href=\"https:\/\/twitter.com\/EverydayEthics\">follow us on&nbsp;Twitter<\/a>!<\/strong>&nbsp;<\/span><\/i><\/b><\/p>\n<p class=\"MsoNormal\"><\/p>\n<p><!--EndFragment--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;ve been hesitant to wade into any discussion of health care reform because, frankly, it feels too big for me. For a lot of Americans, I suspect. And besides, what exactly are the ethical angles to examine? Too many to enumerate, I think. My mind kind of boggles just thinking about them all. But there&hellip;<\/p>\n","protected":false},"author":197,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,6,17,25,5],"tags":[],"class_list":["post-125","post","type-post","status-publish","format-standard","hentry","category-by-hillary-fields","category-current-events","category-medical-ethics","category-political-ethics","category-social-ethics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Care Reform: An Ethical Issue? - Everyday Ethics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health Care Reform: An Ethical Issue? - Everyday Ethics\" \/>\n<meta property=\"og:description\" content=\"I&#8217;ve been hesitant to wade into any discussion of health care reform because, frankly, it feels too big for me. For a lot of Americans, I suspect. And besides, what exactly are the ethical angles to examine? Too many to enumerate, I think. My mind kind of boggles just thinking about them all. But there&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html\" \/>\n<meta property=\"og:site_name\" content=\"Everyday Ethics\" \/>\n<meta property=\"article:published_time\" content=\"2009-08-12T12:18:04+00:00\" \/>\n<meta name=\"author\" content=\"hfields\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Health Care Reform: An Ethical Issue? - Everyday Ethics","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html","og_locale":"en_US","og_type":"article","og_title":"Health Care Reform: An Ethical Issue? - Everyday Ethics","og_description":"I&#8217;ve been hesitant to wade into any discussion of health care reform because, frankly, it feels too big for me. 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But there&hellip;","og_url":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html","og_site_name":"Everyday Ethics","article_published_time":"2009-08-12T12:18:04+00:00","author":"hfields","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html","url":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html","name":"Health Care Reform: An Ethical Issue? - Everyday Ethics","isPartOf":{"@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/#website"},"datePublished":"2009-08-12T12:18:04+00:00","dateModified":"2009-08-12T12:18:04+00:00","author":{"@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/#\/schema\/person\/0c57c1fc9d645425d6205fa4f058146f"},"breadcrumb":{"@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/2009\/08\/health-care-reform-an-ethical-issue.html#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.beliefnet.com\/columnists\/everydayethics"},{"@type":"ListItem","position":2,"name":"Health Care Reform: An Ethical Issue?"}]},{"@type":"WebSite","@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/#website","url":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/","name":"Everyday Ethics","description":"Moral Ethics Blog","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/#\/schema\/person\/0c57c1fc9d645425d6205fa4f058146f","name":"hfields","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/#\/schema\/person\/image\/","url":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-content\/wphb-cache\/gravatar\/77b\/77bd98aa35acd21a3a7a209185ad8b6cx96.jpg","contentUrl":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-content\/wphb-cache\/gravatar\/77b\/77bd98aa35acd21a3a7a209185ad8b6cx96.jpg","caption":"hfields"},"description":"Hillary Fields is a born-and-bred New Yorker, brought up on the not-so-mean streets of Manhattan's Upper East Side. She attended St. John's College in Santa Fe, New Mexico, where she studied classics and philosophy, and then respectfully declined to spend the rest of her life in an ivory tower. Instead, she turned to the life of a writer and editor, penning three romance novels published by St. Martin's Press and contributing features to such periodicals as Cosmopolitan magazine. Her fascination with the moral dilemmas that crop up in everyday life--and the many intriguing ways people handle them--has always colored her writings. Now, that interest is leading her to take the discussion online; where, hopefully, the addition of reader feedback will bring these quotidian quandaries--and their potential solutions--vibrantly to life. When she's not plumbing the ethical mysteries of humanity, her passions include cooking (especially baking), origami, kittens, reading, watching really bad television and playing online scrabble. (And no, she doesn't cheat... much.)","url":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/author\/hfields"}]}},"_links":{"self":[{"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/posts\/125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/users\/197"}],"replies":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/comments?post=125"}],"version-history":[{"count":0,"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/posts\/125\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/media?parent=125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/categories?post=125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/everydayethics\/wp-json\/wp\/v2\/tags?post=125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}