Do We Really Want a Right to Health Care? | The Freeman | Ideas On Liberty
Do We Really Want a Right to Health Care? | The Freeman | Ideas On Liberty
Just because something is a right doesn’t mean in practice it can’t
be restricted. The “right” to K-12 education doesn’t include home
tutoring or guarantees of tasty lunch choices in the cafeteria. Even if
health care is viewed as a right, it may not include the coverage you
hope to have.
Rights Don’t Guarantee Access
The Supreme Court clarified, in the 2008 District of Columbia vs. Heller
case, that the right to have a gun to protect your own home is an
individual right. The Supreme Court was interpreting the Second
Amendment, but the amendment had been operative for over 200 years. A
right doesn’t guarantee easy access.
The bottom line: Expensive medical therapies are typically available
in the United States years before they are available in countries with
universal health care. Politicizing health care by making it a “right”
simply pushes health care decisions into the political process,
routinely leading to delays.
The Right to iPods?
People don’t have a right to iPods. They just have iPods. People who
want them buy them. They were once expensive, but have come down
dramatically in price in a remarkably short time; now much better
units–more memory, more functions, smaller–cost less than half what the
original units did. Some claim health care is special, that similar
price drops can’t happen there. But when the market is allowed to
work–in Lasik eye surgery or cosmetic surgery or when patients with
health savings accounts shop around–similar price drops are seen. It’s
only when third parties, like the government or large, highly regulated
insurance companies, pay for health care that prices go up every year.
Is health care a right? Do we even want it to be a right? People
fight about rights. Abortion has been recognized as a right since the
1973 Roe decision, but most Americans want restrictions on that
right and many want it taken away. That is a risk of making things
rights; rights can be modified, restricted, curtailed, or eliminated,
depending on the political climate. Do we want people to be fearful that
their right to liver transplants–or hair transplants–might also be
someday taken away? Do we really want people feeling they must man
picket lines on a regular basis to protect their “right to health care”?
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