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First things first, the fact that you were as equally sarcastic in responding (and a smartass) as I was just made you the coolest person on Let's Run. Honestly, I laughed. Good work. I wish everyone was like that.
Second, I don't really think it's realistic to pin the blaim for all health related issues on people like Michael Moore and the un-healthy. Certainly, some people are largely responsible for their health problems but a large number of Americans aren't. Accidents do happen. Health problems pop up. The human body is something we, despite all our progress in learning about it, are forced to explain by trends and generalizations. There are reasons risk factors are what the insurance agencies use to calculate premiums.
Take Alberto Salizar for example: the man was a former world class runner and if he can have a heart attack then anyone can. This is the type of thing I'm really concerned about. There is no way he showed up on his insurance as being pre-disposed to having a heart attack but you know he is now. These type of things, at a minimum, are what we need to take care of. Not everyone who can't afford health care did something to warrent them getting sick or injured.
The deal is if we rely on calculated risk factors to decide if people deserve health care to be paid for or not we are ignoring their actual needs for the insurance itself and basing a moral issue on something other than "lies," or "damn lies;" just pure and plain statistics.
Do you really want to go the route of saying people are just statistics in regards to their health? Health is something that is very hard to quantify, extremely morally charged, and yet to make health care fit with the market it has to be treated this way. There just aren't many other models out there get away from universal health care v.s. privitized care... although it would be interesting to see if a hybrid system could be created.
Finally, I'm not so unrealistic to believe that universal health care won't be costly. It will be. But if Americans, despite whatever bone-headed stuff they do can't be given at least a basic oppurtunity to live, then every medical dollar spent on someone who has the money as oppopsed to someone else is a blood dollar.
It's a heavy cross to bear, I know, and socalized health care isin't something that fixes everything. But I don't see any reason why statistical cost considerations ought to be the first and foremost consern in dictating if or not someone gets morphine while having surgery. Maybe a secondary issue. But, based on the fact that the health care industry is so care oriented it's awfully unrealistic to expect them to work with strings attached.
And governmental waste? I see your concerns there, but seeing this as a moral issue first, and a financial one second, it seems infinately more practical to make this what it should be: an underpinning to a system that is care oriented. Not the other way around.
The unfortionate thing is this area is where it starts getting difficult to work out the nitty gritty, and admittedly most liberals aren't good at this part. I'd like to see what would happen if a universal health care system (not privitized) was created by conservatives. I'm sure it would be much better than any one sided system would.