national physicians alliance

Is Healthcare a Right...Yet?

by: cameronpage

Mon Apr 27, 2009 at 12:08:34 PM PDT

A recent CNBC segment posed the question of whether healthcare is a right.  They brought on commentators to argue in favor and against, one from the Cato Institute and one from the National Physicians Alliance. (The segment is posted on this page below...thanks Anjali!)

The host started by posing the question to the conservative commentator, Michael Cannon. "I think it should be a right," he replied. "And therefore I think physicians should work for nothing."  Sarcasm notwithstanding, his point was clear: healthcare cannot be a right because it involves payment. The exchange of goods and services for money equals capitalism, which puts healthcare squarely in the category of commodity.

Mr. Cannon backed up his point by contrasting healthcare with other things we commonly think of as human rights, like freedom of speech and religion.  No one has to be paid in order to let us speak freely and worship freely, he implied, which is why they are rights and healthcare is not.

This argument is persuasive. We like to think that a human right is something you are born with, not something that has to be given. The very phrase 'freedom of speech' suggests its simplicity: just let people speak!  It's not that hard!  Healthcare, on the other hand, is not accomplished by standing aside and letting citizens exercise their freedoms. For healthcare to be your human right, something has to actively be done to you.

But is it true that freedom of speech requires no involvement by the government? Let's imagine taking a trip to place where there is very little government, for example Somalia. You might have the basic human right to freedom of speech there, but it's not worth much. If you stand on a milk crate (assuming you can find one) and give a speech that others find disagreeable, those people may choose to gag you, stuff you in the trunk of a car, drive you 20 miles out of town, and perhaps kill you. The government has done nothing to take away your freedom of speech, but they haven't done anything to protect it either.

We often ignore the role of infrastructure, such as our police force and civil and criminal court system, in allowing rights like freedom of speech and religion to flourish. The U.S. legal system is a highly complex bureaucracy, and it plays an important role in keeping the right to free speech alive.

The same principles apply in healthcare.  We have a complex bureaucracy in place --- doctors, nurses, hospitals --- to protect our right to health.  There's no difference, in principle, between free speech and healthcare, so why is one an unquestioned human right while the other is relegated to a commodity?

In fact, no matter what human right you can name, there is an infrastructure in place to protect and defend it.  And the professionals who manage that infrastructure need to get paid.  So it's foolish logic to argue that since doctors are paid a salary, healthcare cannot be a right.

There's More... :: (1 Comments, 447 words in story)

reprise: is health care a right or a privilege? (CNBC)

by: los anjalis

Fri Apr 17, 2009 at 16:08:17 PM PDT

Last night, CNBC featured a segment on "Is Health care a right or a privilege?" and invited two speakers to debate the question.  

One of the speakers was Dr Mai Pham, senior policy advisor at the National Physicians Alliance (NPA).  The NPA fimly believes that health care is a human right and its campaigns and mission speak directly to that.  The other speaker was Michael Cannon, director of health policy at the CATO Institute, a free-market, libertarian organization.

Make your own conclusions about some incendiary statements made in this debate, but I must highlight one here.

"Saying health care is a fundamental human right is one of those simplistic nonsense slogans" -- Michael Cannon, CATO.

Unbelievable. No it's not. Saying health care is a fundamental human right is an important statement that we must embrace fully as a society (and to an extent have already embraced).

As guerillamamamedicine recently blogged:

i do not deserve a good job, or a beautiful home, or health care because i went to school and got my degree.  i deserve them because i am a human being.  if i were to say that i deserve them because of how many years i spent in school, or how much money i paid to go to school, or the number of letters behind my name, then i am saying that i deserve basic human dignity because of my educational privilege.

- - - - -

I applaud Dr. Pham's calm and composure in the debate. I think we could learn some tips on how to stay on point and how to debate an issue, from her.

In any case, it was a pleasant surprise to see this issue covered by CNBC; perhaps the station will cover such issues in the future.

Discuss :: (0 Comments)

Liveblogging from Washington, DC...

by: los anjalis

Sat Oct 06, 2007 at 12:28:18 PM PDT

...where I'm surrounded by 30 amazing progressive and passionate doctors, at the National Physicians Alliance board and committees meeting!

We're having some serious discussions and strategizing together on health care issues, advocating for our patients and the public's health, and building a more robust organization in the process.

The NPA does not accept ANY money from pharmaceutical companies, AND advocates strongly against physicians and physicians' organizations having an unhealthy relationship with the pharmaceutical industry.

In addition, we're discussing our access to health initiatives, building our global health workforce initiative, responding to the SCHIP insurance cuts crisis, and developing our race/medicine and institutional racism (undoing racism) analyses.

It's nothing less than a party.  Of ideas.  Of energy.  Of a positive future of integrity in medicine.  And the coffee is being drunk like the wine it is at meetings like this.

Discuss :: (0 Comments)
About
What is health justice? How are health & human rights fiercely connected to the wellness of our neighborhoods? How do we reframe policy debates? How do we continue dreaming and building instead of just reacting & surviving? And how do we support each other in our healing?

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