Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Government is already involved with the majority of health care

ER Stories, MD
Policy
January 26, 2011
Share
Tweet
Share

US District Judge George Steeh of Michigan ruled last year that the constitution permits the federal government to require individuals to obtain health insurance coverage.

This lawsuit was filed by a Christian legal organization called the Thomas More Law Center, as well as others.   Other lawsuits are in the works in numerous other states.   These suits are filed primarily by Libertarian-types who don’t want to be forced to buy health insurance if they don’t want to.  Republican leaders are jumping on this “overreaching federal government” bandwagon and playing into fears that tomorrow we will wake up and be all forced to sing the praises of Lenin, Marx, and Engels.

The funny thing is that the government already is heavily involved with the vast majority of health care delivered in this country via Medicare and Medicaid.  So this whole “government hands off my health care” crap is ridiculous.  The government is already monumentally involved and always will be.  What it needs to do it work to control costs, increase coverage, and of equal importance, increase access.  To do this people, it has to be “involved” sorry to say.  One way to do this (at least to increase coverage and control costs – increasing access is another issue), many experts agree is to mandate that all people who are financially able, to purchase insurance.  Many young otherwise health people elect not to spend money on insurance, thus leaving those with chronic diseases as the main individual purchasers.  It does not take a degree in economics to see the problem here. Anyway, these young healthies can buy plans that cover catastrophic things (like ruptured appys, and fractured limbs, etc) that would be cheap and affordable – thus spreading the risk.

Anyway, to the Libertarian/Tea Party/Everymanforhimselfers: you are part of this society and we have to work on big problems as a society, not as individuals.  If  you refuse to buy insurance, your sick countrymen (and probably sooner or later you will be in this boat – sick and screwed with no insurance) will suffer.   Now, I am not saying the health reform act was perfect – far from it, but this part, the mandate to buy insurance is probably the most important part of it  – it is the only thing that will allow those with pre-existing conditions to ever be able to buy an affordable plan.  If they can’t, guess what happens? They get sicker and sicker and eventually become disabled and get onto Medicare!  They continue to incur larger and larger costs as they deteriorate over time.   Guess who’s paying now?  All of us via our taxes!    Of course we have to work on other major social problems that feed into this (obesity, inactivity, smoking, drug abuse, poverty, etc) – but the mandate is essential.

It will be interesting to see how these other suits play out. I am sure some judges will decide the opposite of this judge, but in the end I think the mandate will stick – and we will get used to it and move on – just like we did with ending slavery, allowing women to vote, Medicare, and Social Security.

“ER Stories” is an emergency physician who blogs at his self-titled site, ER Stories.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Palliative care can lead to higher quality of live and longer survival

January 25, 2011 Kevin 4
…
Next

Malpractice attorneys shouldn't rely on clinical guidelines

January 26, 2011 Kevin 8
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Palliative care can lead to higher quality of live and longer survival
Next Post >
Malpractice attorneys shouldn't rely on clinical guidelines

ADVERTISEMENT

More by ER Stories, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Patients often think doctors do nothing, but they’re wrong

    ER Stories, MD
  • a desk with keyboard and ipad with the kevinmd logo

    What to say if you suspect child abuse in the ER

    ER Stories, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The futility of prolonging life and the benefit to patients

    ER Stories, MD

More in Policy

  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • The hidden health risks in the One Big Beautiful Bill Act

    Trevor Lyford, MPH
  • The CDC’s restructuring: Where is the voice of health care in the room?

    Tarek Khrisat, MD
  • Choosing between care and country: a dual citizen’s Independence Day reflection

    Kathleen Muldoon, PhD
  • How fragmented records and poor tracking degrade patient outcomes

    Michael R. McGuire
  • U.S. health care leadership must prepare for policy-driven change

    Lee Scheinbart, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • A world without vaccines: What history teaches us about public health

      Drew Remignanti, MD, MPH | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 31 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • A world without vaccines: What history teaches us about public health

      Drew Remignanti, MD, MPH | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Government is already involved with the majority of health care
31 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...