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

The problem with burning health insurance down

Margalit Gur-Arie
Policy
May 16, 2019
Share
Tweet
Share

Let’s burn health insurance down. Greedy corporate bastards should burn. Big Pharma and big hospitals should probably burn too. You know who else is really, really, bad? Wall Street. Let’s burn the banks. And let’s burn Big Tech and the entire Silicon Valley cartel. Let’s also burn Big Agribusiness that’s making us fat and sick. And let’s burn the Oil companies that are destroying the planet, and let’s burn the automakers too. Heck, let’s burn all the globalist billionaires and while at it, let’s burn the White House. Let’s have a cathartic bonfire of all things we passionately hate.

The “scorched earth” military strategy was tried and found true time after time throughout recorded history. Unfortunately, the Geneva Convention banned this useful practice a few decades ago. Not to worry though, the aficionados of all burning things discovered a modern version of the same: the “scorched economy.” Like General Sherman marching resolutely to the sea, the warriors against all things evil are marching from election to election on what will hopefully soon be the ashes of the Great American Economy, and from those ashes the brotherly, egalitarian and perfect in every way, Phoenix shall rise. We simply cannot allow democracy to die in darkness. Hence, we will light the most magnificent bonfire the world has ever seen, and democracy will die in a glorious blaze second only to the Sun itself.

Health care is one-fifth of the American economy, and it is a highly combustible mixture of money, disease, pain, suffering, death, greed, lust, inequality, exploitation, theft, and even murder, along with every other sin known to mankind. It is a good place to start our illuminating destruction of evil. Health insurance companies cannot be allowed to exist. Pharmaceutical corporations must all die, and yes, hospitals should all be shuttered down. Heck, even doctors should be wiped off the face of the earth.

Our government, where we all come together to do good, should provide care to the sick, and preferably health to the healthy. Our government, by the people for the people, should invent new ways to prevent and cure disease. Health care should be given in the comfort of one’s home by artificially intelligent machines. Doctors and hospitals, like walls, are immoral 14th-century implements, that can be easily replaced by moral technology, such as drones, sensors and other electronic “things.” Once nobody gets paid to do health care, because government, and because, you know, “technology”, health care will obviously be free. Problem solved. Move on.

To paraphrase Susan Sontag (mostly because one cannot write anything today without some reference to the Third Reich), 10 percent of any population is irrational, no matter what, and 10 percent is rational, no matter what, and the remaining 80 percent can be moved in either direction. In our case, the irrational 10 percent is alternately running for some elected office or serving on expert TV panels on everything, from fighting ISIS to fighting cancer, largely based on ability to quickly skim through Wikipedia articles. And when Medicare for all is deemed necessary to avert climate change, according to a recently introduced House resolution, one is forced to wonder if a Dodo Bird in Every Pot will be the winning electioneering slogan of our times.

Health care according to many well-intentioned people should be a “right.” Americans have many such rights enshrined in our Constitution, and the Right to health care seems to fit the bill. We have the Right to free speech for example. Is my right to free speech exercised the same as, say, Jeff Bezos’s right to free speech? We all have the right to assistance of counsel if accused of a crime. Is an assignment to a public defender, the same as being able to hire Alan Dershovitz? We have a right to not be assessed excessive bail. Do you have any idea how many people languish in jails for lack of $50 to post bail? Declaring health care to be a right is a cheap and very cruel form of demagoguery.

What if health care is not a Constitutional right, but just a right to a free public service, like say K-12 education? American public education has the largest cost per capita, middling outcomes, rampant systemic inequality, underqualified and underpaid teachers, and a constant stream of flailing Federal initiatives to have no child left behind. Lots of “tech” though, in every failing, illiterate classroom, and more added every day, except in the posh schools of the rich. That’s what a free public service looks like when the foundation is broken. There is little reason to believe that free public health care will be different, once the evil private sector goes up in flames.

Here’s an interesting thought. Would you be surprised to learn that employer-sponsored commercial health insurance is the most egalitarian health insurance system around? Do you know why? Because the “decision makers” are required to live within the decisions they make. Unlike salaries and taxation, when it comes to health insurance, the big powerful CEO gets the same exact plan that his secretary gets. Their interests are perfectly aligned in this case. Compare that to free public services, like health care and education, where decision-makers are in no way obligated to live inside the “comprehensive” solutions inflicted on everybody else. Think about that. There may be a clue here on how to go about fixing many things in this country.

Once you are safely in orbit around the Washington, DC swamp, you will never again have to send your children and grandchildren to a public school, never again have to shop for health insurance, never have to use public transportation, never have to worry about rent, utilities or anything else the “American people” worry about day and night. All the problems you pretend to solve are theoretical. Other people’s problems. Sure, you may be a very good person, genuinely wanting to bestow medical care on all Americans, but it’s not like your little kid is at risk of dying because you can’t afford an asthma inhaler. Theoretical problems tend to generate theoretical solutions. Theoretical solutions seldom work in practice.

Setting everything and everyone on fire and watching it all burn in a semi-religious exorcism of all that is and has been evil in America, is not the same as having your own plump derrière baptized by the flames. We who are about to be sacrificed in your self-aggrandizing arsonist rituals, categorically refuse to fuel the bonfires of your fake revolution.

Margalit Gur-Arie is founder, BizMed. She blogs at On Health Care Tech & Policy.  

Image credit: Shutterstock.com

Prev

What's wrong with health care, and do we have the will to change?

May 16, 2019 Kevin 0
…
Next

The simplest and most important question to ask in the exam room

May 16, 2019 Kevin 0
…

ADVERTISEMENT

Tagged as: Public Health & Policy, Washington Watch

Post navigation

< Previous Post
What's wrong with health care, and do we have the will to change?
Next Post >
The simplest and most important question to ask in the exam room

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Margalit Gur-Arie

  • Why Medicare for all is not going to happen in America

    Margalit Gur-Arie
  • The insanely brazen effort to remake medicine into a consumer industry

    Margalit Gur-Arie
  • No politician has a realistic solution for health care

    Margalit Gur-Arie

Related Posts

  • Here’s why health insurance is different from other insurance

    Joseph Crisp
  • Why is health insurance so unaffordable?

    Emily O'Rourke, MD
  • Think you have health insurance? Think again.

    Asser Shahin, MD
  • High deductible health insurance is bankrupting Americans

    Ben Aiken, MD
  • The skinny on skinny health insurance

    Mark Kelley, MD
  • COVID-19 shows why we need health insurance

    Jingyi Liu, MD

More in Policy

  • The silent toll of ICE raids on U.S. patient care

    Carlin Lockwood
  • What Adam Smith would say about America’s for-profit health care

    M. Bennet Broner, PhD
  • The lab behind the lens: Equity begins with diagnosis

    Michael Misialek, MD
  • Conflicts of interest are eroding trust in U.S. health agencies

    Martha Rosenberg
  • When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

    Koketso Masenya
  • A surgeon’s late-night crisis reveals the cost confusion in health care

    Christine Ward, MD
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • The hidden chains holding doctors back

      Neil Baum, MD | Physician
    • Hope is the lifeline: a deeper look into transplant care

      Judith Eguzoikpe, MD, MPH | Conditions
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • From hospital bed to harsh truths: a writer’s unexpected journey

      Raymond Abbott | Conditions
    • Reclaiming trust in online health advice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The business lesson new doctors must unlearn

      Stanley Liu, MD | Finance

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 3 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

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • The hidden chains holding doctors back

      Neil Baum, MD | Physician
    • Hope is the lifeline: a deeper look into transplant care

      Judith Eguzoikpe, MD, MPH | Conditions
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • From hospital bed to harsh truths: a writer’s unexpected journey

      Raymond Abbott | Conditions
    • Reclaiming trust in online health advice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The business lesson new doctors must unlearn

      Stanley Liu, MD | Finance

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

The problem with burning health insurance down
3 comments

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

Loading Comments...