Healthcare Reform & the Magisterium
In this spring’s debate over the healthcare bill, one of the disagreements that raised eyebrows most in Catholic circles was that between the US bishops conference and the Catholic Healthcare Association and other similar groups. The bishops claimed that the healthcare bill would lead to federal funding of abortions, while CHA et al. concluded that it would not.
In my opinion and that of numerous observers (including most of my fellow contributors here at TAC), the bishops were correct and CHA was horribly, terribly wrong.
There is another question, though… was CHA disobedient? That is, were they obliged as Catholics to accept the conclusions of the bishops conference? Was the activity of the bishops conference an act of their teaching charism which American Catholics were obliged to give their assent to?
U.S. Catholic Bishops' statement on the Health Care Bill: "Profoundly flawed"
USCCB Statement on the recently-passed health care legislation (March 23, 2010):
For nearly a century, the Catholic bishops of the United States have called for reform of our health care system so that all may have access to the care that recognizes and affirms their human dignity. Christian discipleship means, “working to ensure that all people have access to what makes them fully human and fosters their human dignity” (United States Catechism for Adults, page 454). Included among those elements is the provision of necessary and appropriate health care.
For too long, this question has gone unaddressed in our country. Often, while many had access to excellent medical treatment, millions of others including expectant mothers, struggling families or those with serious medical or physical problems were left unable to afford the care they needed. As Catholic bishops, we have expressed our support for efforts to address this national and societal shortcoming. We have spoken for the poorest and most defenseless among us. Many elements of the health care reform measure signed into law by the President address these concerns and so help to fulfill the duty that we have to each other for the common good. We are bishops, and therefore pastors and teachers. In that role, we applaud the effort to expand health care to all.
Nevertheless, for whatever good this law achieves or intends, we as Catholic bishops have opposed its passage because there is compelling evidence that it would expand the role of the federal government in funding and facilitating abortion and plans that cover abortion. The statute appropriates billions of dollars in new funding without explicitly prohibiting the use of these funds for abortion, and it provides federal subsidies for health plans covering elective abortions. Its failure to preserve the legal status quo that has regulated the government’s relation to abortion, as did the original bill adopted by the House of Representatives last November, could undermine what has been the law of our land for decades and threatens the consensus of the majority of Americans: that federal funds not be used for abortions or plans that cover abortions. Stranger still, the statute forces all those who choose federally subsidized plans that cover abortion to pay for other peoples’ abortions with their own funds. If this new law is intended to prevent people from being complicit in the abortions of others, it is at war with itself.
Health Care Predictions
In the debate over the now-passed health care reform bill, a great number of statistics were brought out as to why the US desperately needed a bill like this: Numbers of bankruptcies supposedly caused by high medical costs and lack of insurance. Numbers of people who supposedly died each year because of lacking health insurance. Infant mortality rates, etc. With the bill now passed, Megan McArdle is curious to see those who supported it make some firm commitments as to what the results will be over the next five years:
1) Ezra Klein is confidently predicting that it will save hundreds of thousands of lives.
2) Nick Kristoff expects miraculous improvement in our national life expectancy.
3) Michael Moore thinks this will stop people from getting thrown out of their homes in a Medical bankruptcy.
4) At least one of you must be willing to claim massive improvements in infant mortality, after you’ve cited those statistics to me over and over.
These sorts of things should all be pretty easy to measure, and McArdle goes on to make her won eight predictions in regards to the effectiveness of the bill: Continue reading
Health Care Reform and the Great Switch
Personally, I thinks it’s fairly likely at this point, that one of the current “health care reform” bills will become law. However, though I come to this with characteristic lateness (increasing busy-ness seems to make topical blogging near impossible) I think it’s worth spending a moment on one of the fascinating contradictions which has gone mainly unremarked in the whole debate.
One of the primary arguments put forward by advocates of health care reform over the last 2-3 years has been, essentially, that health insurance companies are evil. People froth at the industry term of “medical losses” for when insurance companies pay out for medical expenses. (Something which, in fact, happens with over 80% of the monies collected in the form of insurance premiums.) Others rail against how the profit motive has destroyed health care and driven costs to astronomical levels — apparently oblivious to the fact that there are several major not-for-profit insurers, and they don’t provide care any more cheaply than for-profit ones. And yet, despite these and many other rhetorical assaults on the whole idea of health insurance as a commercial product, the centerpiece of the proposed health care reform bills was to legally require everyone in the US to purchase health care insurance, and then provide government subsidies for those who couldn’t afford the premiums. (Thus “shoveling” government money into the insurance industry in the same way in which Medicare Part-D, which all good progressives are now against, did with the pharmaceutical industry.)
Why in the world did a movement which had so long railed against private insurance suddenly decide to require and subsidize it, rather than pushing for the government or non-profit approaches to health provision which had so long appealed to it?
Continue reading
Poll Shows Americans Would Like to Have Their Cake and Eat It Too
The Washington Post has a new poll out which will please both political parties, since the American people in the main agree with both of them. A majority of people want Congress to scrap the current Health Care Reform bills, and a majority also think Obama has done a bad job of handling the health care issue. Yet a majority also want Health Care Reform passed this year and blame Republicans for lack of progress.
Solid majorities think that the current HCR bills are too complex and too expensive, but majorities also approve of the main components: require employers to provide insurance, require people without insurance to buy it, subsidize people who can’t afford insurance, and require insurance companies to give everyone insurance regardless of their medical histories or problems. So basically, people would love the bill as is, so long as it didn’t cost anything and wasn’t complex.
And in the results most likely to give legislators pause: People say they’re looking for new candidates of incumbents in the next congressional election by a 56 to 36 majority. 71% of people disapprove of how congress is doing its job. And of the 62% of the population that has private insurance (15% have MediCare, 3% have Medicaid and 17% have no insurance) 74% trust their insurance companies to do a “good” or “great” job of processing their claims fairly.
If people like the idea of health care reform, but don’t want it to cost anything or be complex, while distrusting congress and trusting their insurance companies, it sounds to me like nothing is likely to happen on the health care front this year.



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