Health Care for All: A Moral Obligation
Mr. Ponnuru’s argument against universal health insurance coverage oversimplifies the moral issue involved. Having health insurance in our modern economy is not just desirable but absolutely essential, as matters of both individual survival and collective well-being.
It is morally perverse to favor a system where a bad diagnosis can be a financial death sentence. Given that risks of being uninsured are shared with family members and costs of treating uninsured patients are foisted on society, it is ethically myopic to frame a decision to be uninsured as an acceptable choice “in a free country.” And Mr. Ponnuru overlooks the financial bloat of administrative costs in our market-based insurance system compared with single-payer alternatives that would finance universal coverage.
Health insurance in a civilized society is a collective moral obligation, not a discretionary consumer good. It’s somewhat analogous to national defense: We strive to safeguard everyone from the unpredictable consequences of an unforeseen tragedy, not just those who can find room in their household budgets to pony up for defense spending.
Bruce Barry
Nashville, April 9, 2009
The writer is a professor of management and sociology at Vanderbilt University.
http://www.nytimes.com/2009/04/15/opinion/l15health.html?ref=opinion