Universal Health Care Would be Beneficial to the U.S.
I thank Legit for this debate! I will first present my case, and then address Pro's
case. CON's CASE Observation: I do not need to offer an alternative to UHC; as the
topic is phrased, I need only show that UHC would not be beneficial to the U.S. Contention
One: The U.S. Economy Sub-point A: Fragility The U.S. economy is currently in a fragile
position. Even as the economy begins to grow, low growth rates of about 2-3% are jeopardized
by dangers in the global market, relatively low consumer spending and confidence,
and a widening trade gap. [1, 2] Fears surrounding Ukraine and Russia, as well as
concerns about possible deflation in the EU and a slow-down in China have intensified
the risks posed to the U.S.'s globalized, interdependent, consumerist economy. Simply
put, if the world economy slows down, so too will America's. Furthermore, much of
the U.S. economic growth has been caused by the Fed's quantitative easing program,
and not by real economic growth, which has inflated the growth numbers in the current
economic reports. [3] Sub-point B: UHC Costs “US public debt exceeds 70% of the economy,
nearing the danger point of 90%. With national debt projected to reach 16.6 trillion
dollars this year, that ominous percentage looms.” The Congressional Budget Office
reported that 15 trillion dollars in spending reductions are needed simply to maintain
current debt-to-GDP levels. Even more is needed to reduce the overall debt. It warns
that U.S. debt may exceed 100% by 2020 and 190% by 2035. Included in its recommendations
was a reduction of subsidies, many of which would be necessary for universal health care. To survive economically, we must pursue a policy of fiscal consolidation.
[4] Sub-point C: Foreign Influence Currently, more than 30% of U.S. debt is owned
by foreign entities. [5] Much of the America's expenditures would not be possible
without borrowing from foreign lenders, which, in effect, makes us dependent upon
them to carry out our own governmental functions. The U.S. government best serves
its citizens by remaining autonomous and free from possible external coercion. Our
reliance on foreign funding diminishes our freedom to act, and in turn reduces the
latitude we have to pursue objective that are at odds with the interests of our creditors.
Conclusion: The U.S. simply cannot afford UHC at this time. Not only would it require
additional loans--and thus additional foreign dependency--but would place further
strain on U.S. financial reserves and the U.S. economy that could jeopardize our fragile
recovery. Contention Two: Coercion A universal “provision of healthcare would necessarily involve the coercive imposition of some
persons’ values upon the citizens as a whole…It would also have to address (and hence
decide upon) such moral questions as whether to allow or prohibit certain healthcare-related
practices (such as euthanasia) within those facilities…and, if these are to be allowed,
whether or not they should be provided under its auspices. It would also have to set standards of professional
behavior for the healthcare providers…(would, for example, healthcare professionals
be allowed to conscientiously object to the provision of certain forms of treatment,
or not), and impose these in the name of its citizens as a whole.” [6] In other words,
the government would necessarily force the uninsured or those covered to conform to
its coverage options, which is inherently coercive. PRO's CASE C1: Social Benefits
First, let's examine Pro's Harvard study. The study says that people died "because
they lack health insurance and cannot get good care." Therefore, an unspecified portion of that 45,000 statistic may have health insurance,
but simply lacked access to good medical facilities. UHC is only about providing insurance; it is not about improving the quality of existing
services. Therefore, even if everyone were insured, many people could still be dying
due to underfunded or understaffed hospitals, clinics, etc. Moreover, how do we assess
if someone died because of "lack of insurance." How was this data collected? It seems
to me that illness causes death--not the absence of insurance. Does someone without
insurance, but who arrived at a hospital too late to matter die from "lack of insurance?"
The metrics here just seem vague. Next, correlation is not causation. People in nations
with UHC live longer because they live in countries that are developed. The average
Swede earns more money and eats better than the average Somali--naturally the Swede
will live longer even without UHC. Pro has not shown that UHC is the cause of the
observed longevity. C2: Satisfaction European countries have a more pro-government
mindset than the U.S., and they also have economies structured to make government
entitlement programs easier and more integral. [7] Notice that 3 of the top 10 countries
did not have UHC, implying that it is possible to have a highly efficient, well-run
non-UHC healthcare program, if we accept that satisfaction should be our metric/standard for what is beneficial. However, this seems ill-advised. Consider
that Social Security is highly popular, but yet lacks solvency and is sapping huge
amounts of resources that the U.S. simply cannot afford. [8] Ultimately, popular is
not the same as beneficial, and so I would question the relevance of this whole contention
to the debate. C3: Economics Pro cites statistics showing how corporations save money
when the government pays instead. This is assuming that the government has the money
to take on the burden of those costs; frankly, America just doesn't have the funds.
The corporations, which earn hundred of billions of dollars in profit do have the
funds to contribute towards insurance, and so are better equipped to provide coverage.
Pro is also assuming that these companies would put any money they saved back into
the U.S. economy, which is oftentimes untrue. [9, 10] While the U.S. system may be
expensive, there are ways to cope with that issue other than UHC, including minimum
wage increases, increased regulation, government intervention in price negotiations,
etc. C4: Misconceptions "Some countries with universal health care struggle to sustain efficiency. Canada and Australia ranked lowest, according
to the Commonwealth Wealth Fund study, in accessibility of physician appointments
and wait times for basic medical services, as well as specialist care, tests, and elective surgery. Other
efficiency issues noted by the study included Canada's propensity for misplacing medical
records and tests...In Canada, for example, the lionshare of provincial budgets consistently
goes to health care. Some provinces spend 40 percent of the total annual budget on
health care alone. Funding for other programs like education and infrastructure are
continually gobbled up by ballooning health care costs." [11] So, not only are there
high wait times in Canada, but its system is riddled with inefficiencies. Moreover,
wait times in the U.S. are fantastic, while still providing some of the highest quality
care for illnesses like cancer. [12] Moreover, UHC system tend to pay physicians less
than free market models, resulting in many physicians not operating under the UHC
or NHS system. "A national shortage of general practitioners means that 1.7 million
Canadians don't have access to a regular doctor to go to for routine care. In England,
shortages of dentists have caused hundreds of people to wait in line just for an appointment…One
British hospital even tried to save money by not changing bed sheets. Instead of washing
them, a British newspaper reported that the staff was encouraged to simply turn the
sheets over. At any given time in Great Britain, there are over half a million people
waiting to get into a hospital for treatments.” [13] Clearly, wait times are not just
interminable, but quality of care was adversely impacted. OFF-CASE HARMS 1. Exploiting
the System "Often, citizens of countries with universal health care will 'milk' the system. The most common example of this phenomenon occurs
when citizens don't live in their country of origin, don't pay taxes in their country
of origin, yet still return home whenever they need to go to the doctor." [11] 2.
Biased against the Healthy "Smokers, for example, receive the same treatment under
universal health care, even though their conditions are self-induced...In [UHC], people do
not have to take responsibility for the health consequences of bad lifestyle choices.
Everyone gets covered, and everyone shares the cost." SOURCES 1 - http://www.nytimes.com...
2 - http://online.wsj.com... 3 - http://www.huffingtonpost.com... 4 - Buchanan, Gjerstad,
and Smith, and R. Merry Foreign Policy, 2012 5 - http://www.factcheck.org... 6 - James
Taylor [Associate Professor, College of New Jersey], “Market-Based Reforms in Health
Care Are Both Practical and Morally Sound,” Journal of Law, Medicine, and Ethics,
Special Issue: SYMPOSIUM 1: Conflicts of Interest in the Practice of Medicine, Volume
40, Issue 3, (Fall 2012), pp. 537–546 7 - http://www.cato.org... 8 - http://www.economicpolicyjournal.com... 9 - http://money.msn.com... 10 - http://www.theatlantic.com... 11 - http://www.livestrong.com...
12 - http://www.theatlantic.com... 13 - http://abcnews.go.com... Thanks!