A Fling with the Welfare State
From the best of intentions to bankruptcy and recriminations
Jul 25, 2011, Vol. 16, No. 42 • By NOEMIE EMERY
The intentions of Democrats are only the best. They want all of the old to have lavish retirements, all of the young to have scholarships, verse-penning cowboys to have festivals funded by government, and everyone to have access to all the best health care, at no cost to himself. In the face of a huge wave of debt swamping all western nations, this is the core of their argument: They want a fair society, and their critics do not; they want to help, and their opponents like to see people suffer; they want a world filled with love and caring, and their opponents want one of callous indifference, in which the helpless must fend for themselves. (“We must reject both extremes, those who say we shouldn’t help the old and the sick and those who say that we should,” quips the New Yorker’s Hendrik Hertzberg.) But in fact, everyone thinks that we “should” do this; the problem, in the face of the debt crisis, is finding a way that we can. It is about the “can” part that the left is now in denial: daintily picking its way through canaries six deep on the floor of the coal mine, and conflating a “good” with a “right.”
Ever since Franklin D. Roosevelt linked “freedom from want” to “freedom of speech” and “freedom of worship,” the left has been talking of everything that it thinks would be nice to have in terms of an utter and absolute right: a right to a job and a right to an income, a right to retire in comfort in Florida, a right to the most advanced health care without paying much for it, and a right to have your children taken care of while you work all day at your job. The problem is that these are all goods and services, though of varying importance, and goods and rights are not the same things. People tend to concur upon rights (except for the speech rights of those who oppose them), and they do not depend upon others to supply and pay for their rights. With goods, there is always a political argument: about the value of the good, who is to get it and who is to pay. And all this comes down to the question of “fairness,” about which there is no end of disputation and grief.
And on nothing does the rights/goods division loom larger than on the issue of health care. Rights come from nature, and cost no one money, but good health in nature is rare. It is only thanks to human ingenuity over centuries and billions of dollars of effort that we have been able to conquer illnesses not long ago fatal, rebuild bodies broken in war or by accidents, postpone or ameliorate the problems of aging, and bring people back from the dead. The roll call of miracles that surrounds us today—the vaccines and the pills that have vanquished infections, the devices that let amputees run marathons, the organ transplants and the open heart surgeries, the techniques that replace hips, knees, and heart valves, not to mention the treatments that make so many public men cancer survivors, that saved Bob Dole years ago, are saving Dick Cheney, and once kept John Kennedy able to function—all of these are the result of the time, sweat, and strain of doctors and nurses, technicians and scientists, inventors and makers of drugs and devices, administrators of hospitals and large corporations, whose time is expensive, and who need to be paid.
Paid by whom, one may ask? Not by the patient alone, as the cost of a serious illness or accident overwhelms the resources of all but a few. They are paid by the state, or a private insurer, which in turn are funded by citizens, through taxes, or premiums paid.
But when costly new drugs and treatments appear on the scene (and are demanded by patients) they are paid for by hikes in the taxes and premiums, which reduce the money people have to spend elsewhere. This is true for governments, too. They either end up rationing care, cutting back other programs, or simply printing money. The people who insisted that goods had to be treated as rights, (which is to say, as universal and limitless), refused to seek cuts, and went on printing money. Even as the whole western world seemed to run out of money, the Obama administration decided it was high time for a massive expansion of government benefits. Then, in early May 2010, just after the American left passed its huge and hugely unpopular health care reform bill, the republic of Greece hit a wall.
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