Texas is in the lead!
...of people without health insurance.
"About 24.6 percent of Texans, in a three-year average ending last year, were uninsured, according to 2003 data on health insurance, income and poverty released Thursday by the U.S. Census Bureau."
- Dallas Morning News
This fall the
Texas Lyceum Association is having a public conference on the topic:
Health Care: A Right or a Privilege?
I would absolutely love to attend this conference, but I don't know that I'll be able to come up with the $125 registration fee.
Whether or not health care is a right or a privilege, though, is an interesting, if academic question. That people do not have a right to health care is an arguable position (albeit, in my humble opinion, very wrong). But I think that what are, perhaps, more pressing are the practical policy questions.
Regardless of how some might like to characterize it, we currently have free health care for the all. Most of us choose to have access to a higher quality health care by purchasing private health care insurance (or receiving it from our employer). Everyone, though, still has access to health care at no cost - regardless of ability to pay. Unfortunately, this health care is only reactive (we wait until people are sick), and it is implemented in, quite possibly, the most inefficient and costliest manner.
If a poor or indigent person needs health care, all he must do is show up at an emergency room for treatment. Of course, this means that he has probably waited until his condition is critical and will thus require more expensive and complicated treatment. Furthermore, that these people must show up at an emergency room means that they are overcrowding our already overworked ER staff, and creating longer waits for everyone.
But let's, for a minute, posit that health care is only a privilege and some people - we'll say those who can't afford it, since that's who we're really talking about - will simply be denied all health care. What are the public health ramifications of such a policy? People with communicable diseases are allowed to just get sicker and infect others? How are we to tell who is sick and who is not? Who has health care and who does not? That is, how do we - the privileged and well - know who to avoid in order to prevent ourselves from coming into contact with the great unwashed?
All questions of morality and civilization aside, it seems to me that the question of health care availability is one of public health. The options are limited and, while there may not be a perfect solution, something must be done to provide health care for all - if not out of a basic sense of decency, then out of a base concern for self-preservation.