The Morality of a Single Payer Health Care System

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You make no mention of the extent of the immoral component. Does it matter? Does a system spends 99% of its money on good things and 1% of its money on immoral things have to be considered an immoral system? That’s what it would be if health care also provided abortion services.

Remember, this is just a side-debate, since the main question of whether any single-payer system must cover abortion services I have not conceded.
Is that 1% okay even though it takes human life? I know you think abortion is immoral, so I am asking in a general sense. Is it a fair trade off?
But it isn’t the only aspect. Should sex"change" surgery be covered? How about vasectomy?

Thinking, one could come up with others.
 
Medical bankruptcy is huge in this country.
Because the government is involved.
With 1-in-5 Americans on Medicaid and 1-in-6 Americans on Medicare, a single-payer system is already the reality for a third of this country. Easily the most expensive third, btw.
It’s subsidized by the other 2/3 you talk about later in your comments. There is no such thing as a free lunch, no matter how badly you want it or FEEL for it.
 
Is that 1% okay even though it takes human life?
I don’t know. It’s not “okay”, but does it make the whole system immoral?

Consider another system: The US military. It mostly does good things. But every once in a while it does things like the Mỹ Lai Massacre. Does that make the whole system immoral? Or does that just highlight a component of the system we should work to eliminate?

An argument could be made that it might be moral to support a health care system that also facilitated some immoral components, but then work to eliminate those components without holding the whole system hostage.

Unlike the Mỹ Lai Massacre, the immoral components of a health care system are only facilitated by the system. They are not forced by the system. (Unless you are talking about the Chinese health system where forced sterilization is, or was, a component.) All the immoral components you mentioned would not exist if it were not for the desire of the beneficiaries of this hypothetical health care system to have those procedures. I think this fact also mitigates the moral responsibility of the system providing these services somewhat. At least they have to share the blame with those beneficiaries.
 
Should dental and vision be covered under single payer?
Good nutrition is critical to health. Should food be single payer?
How about fitness center membership?

Should relinquishing firearms be a prerequisite to accessing single payer healthcare, particularly if children are in the home?
 
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Vonsalza:
Medical bankruptcy is huge in this country.
Because the government is involved.
Respectfully, that’s so vague as to be almost unanswerable, I’m afraid. How is the government involved in a situation where the cost of treating chronic illness or serious acute injury simply costs more than many can afford? As such, they go into arrears on their payments towards an impossible debt and bankruptcy becomes the only real solution.

I guess government gets involved here because the courts have to authorize it… Is that what you meant? Or are you saying chemo or treating a broken arm is expensive because…gubmint?
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Vonsalza:
With 1-in-5 Americans on Medicaid and 1-in-6 Americans on Medicare, a single-payer system is already the reality for a third of this country. Easily the most expensive third, btw.
It’s subsidized by the other 2/3 you talk about later in your comments. There is no such thing as a free lunch, no matter how badly you want it or FEEL for it.
Oh I’m well aware. As a working man that’s easily in the top 10% of American household incomes, I do a good portion of the subsidizing. Just like I subsidize the benefits of national defense, public roads and public schools for the poor people that are are financially unable to pay “their fair share”.

And I’m happy to do it.
 
… we can also discuss whether a program overall is moral to support even if it includes an immoral component, which is where I think you are leading. In that case I would say it depends on the extent of the immoral component.
I agree. The right to life is a greater good than the right to health insurance. Life saving health care is already guaranteed through EMTALA.

Single payer without abortion exclusion fails the proportionality test as the USCCB affirms.

This improvement [ensuring that no federal funds are used for abortion or go to plans that cover it] is praiseworthy, and it is essential that any improved final bill retain these key provisions which would finally address grave moral problems in our current health care system.

_
 
Oh I’m well aware. As a working man that’s easily in the top 10% of American household incomes, I do a good portion of the subsidizing. Just like I subsidize the benefits of national defense, public roads and public schools for the poor people that are are financially unable to pay “their fair share”.

And I’m happy to do it.
Here’s the thing…you can overpay your taxes at any time. So instead of using the force of government to make people do something they don’t want to do or have the government run something it isn’t capable of running, just make more of a sacrifice on your end. If you’re happy to do it, then it should be automatic.

Oh, and national defense is stated in the constitution as a proper role of government, and public schools everywhere are failing and fading fast. On the question of roads the demand for them is high and they are not that difficult to construct, but private enterprise could do a better job on the whole.

If you love the VA clinic, you’ll love universal health care.
 
Respectfully, that’s so vague as to be almost unanswerable, I’m afraid. How is the government involved in a situation where the cost of treating chronic illness or serious acute injury simply costs more than many can afford? As such, they go into arrears on their payments towards an impossible debt and bankruptcy becomes the only real solution.

I guess government gets involved here because the courts have to authorize it… Is that what you meant? Or are you saying chemo or treating a broken arm is expensive because…gubmint?
Tort law and mandates.
 
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Vonsalza:
Oh I’m well aware. As a working man that’s easily in the top 10% of American household incomes, I do a good portion of the subsidizing. Just like I subsidize the benefits of national defense, public roads and public schools for the poor people that are are financially unable to pay “their fair share”.

And I’m happy to do it.
national defense is stated in the constitution as a proper role of government…
Heathcare seems like it fits quite nicely under the commerce clause of the US constitution. Incredible that those guys were smart enough for foresee the need to address natural monopolies that wouldn’t arise until centuries after they were dead.
…and public schools everywhere are failing and fading fast.
Some might be… The local highschool in my rural area beats out most of the private schools in my state in test scores (my wife works for the school system). But you’d agree, I’m sure, that if the public school was eliminated, you’d still fund the vouchers for these poor students to attend quasi-private schools. As such, your objection here is null.
On the question of roads the demand for them is high and they are not that difficult to construct, but private enterprise could do a better job on the whole.
The only way you could fully privatize roads would be to toll literally every road. So a monopoly will amass that will charge you $10 every time you drive to work or you’d have the leave for your 20-minute commute roughly 40 minutes early so you could stop at every single toll along the way.

No. Private enterprise would not do a better job of administering a road system. Natural monopolies do exist and they are best left to government, as any freshman econ student can attest.
If you love the VA clinic, you’ll love universal health care.
The VA system is a state-owed and state-run system. Single-payer systems like the Canadian model are not. Your comparison here is wrong. But I’m sure you’re not particularly willing to see the difference; like many here (lookin’ at you, Jon).
 
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I don’t know. It’s [ takes a human life] not “okay”, but does it make the whole system immoral?
Yes. From the CCC:
2258 … God alone is the Lord of life from its beginning until its end: no one can under any circumstance claim for himself the right directly to destroy an innocent human being
 
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LeafByNiggle:
I don’t know. It’s [ takes a human life] not “okay”, but does it make the whole system immoral?
Yes. From the CCC:
2258 … God alone is the Lord of life from its beginning until its end: no one can under any circumstance claim for himself the right directly to destroy an innocent human being
Would you then conclude that the US Military is an immoral system because a component of it has, on occasion, deliberately destroyed an innocent human being, as in the Mỹ Lai Massacre?
 
Would you then conclude that the US Military is an immoral system because a component of it has, on occasion, deliberately destroyed an innocent human being, as in the Mỹ Lai Massacre?
The military found Calley guilty of the premeditated murder of more than 20 Vietnamese civilians. Would the abortionist under a single payer health plan that covered abortions be tried and convicted of murder?
 
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LeafByNiggle:
Would you then conclude that the US Military is an immoral system because a component of it has, on occasion, deliberately destroyed an innocent human being, as in the Mỹ Lai Massacre?
The military found Calley guilty of the premeditated murder of more than 20 Vietnamese civilians. Would the abortionist under a single payer health plan that covered abortions be tried and convicted of murder?
You didn’t answer my question. Does the fact that a system has an immoral component make that an immoral system?
 
Would you then conclude that the US Military is an immoral system …
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LeafByNiggle:
You didn’t answer my question.
I believe I did. The US Military is not an immoral institution because outlaw members commit immoral acts.

Now, answer my question: Would the abortionist under a single payer health plan that covered abortions be tried and convicted of murder?
 
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LeafByNiggle:
Would you then conclude that the US Military is an immoral system …
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LeafByNiggle:
You didn’t answer my question.
I believe I did. The US Military is not an immoral institution because outlaw members commit immoral acts.
Yet the US Military enabled these outlaw members to commit immoral acts, just like some health care system might enable abortion doctors to get reimbursed. Some of those, like Calley, were convicted. I’m sure some were not. But regardless of whether they were convicted, the system enabled these men to do what they could not have done without that system. It enabled evil acts. Whether it punished the guilty afterwords does not change the fact that it enabled these acts. Now of course these acts are very much the exception. Most of what the US Military enables are good deeds. And so we keep the overall systems while trying to improve it by prosecuting those who do evil by means of that system. Might it also be moral to provide health care while at the same time work to eliminate abortion funding?
Now, answer my question: Would the abortionist under a single payer health plan that covered abortions be tried and convicted of murder?
Probably not.
 
Heathcare seems like it fits quite nicely under the commerce clause of the US constitution. Incredible that those guys were smart enough for foresee the need to address natural monopolies that wouldn’t arise until centuries after they were dead.
Only in a perversion of the original intent of the commerce clause, which was to give the congress power to regulate commerce with foreign nations, between states, and with Indian tribes, not between individual citizens There is no mention of confiscation of tax dollars for the purpose of exercising government power over an individual’s liberty to access healthcare.
 
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The VA system is a state-owed and state-run system. Single-payer systems like the Canadian model are not. Your comparison here is wrong. But I’m sure you’re not particularly willing to see the difference; like many here (lookin’ at you, Jon).
Just plane false. Single payer is authoritarian government control over healthcare. If you take my money and tell me what healthcare I am permitted and prohibited access to, when I may access it, that is government control. The very term single payer" means I am no longer the doctor’s customer. The government is the customer. The patient has no say. The doctor WILL BE coerced into serving at the whim of government dictate, at a fee set by government.

You can try to sugar coat this all you want, but single payer is authoritarian. It has the potential to approach fascistic
 
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… the system enabled these men to do what they could not have done without that system. It enabled evil acts.
The logic above is faulty. Using the same reasoning, would conclude that God is immoral for we could do no evil act without His enabling gift of free will.

The critical difference which the logic above ignores is that the US military did not, does not, nor ever will endorse murder. Single payer that does not exclude abortion does.

The OP’s asks what does the Catholic church teach about the morality (not the Constitutionality, legality or practicality) of single payer system. I posted an excerpt from the USCCB’s letter (http://www.usccb.org/issues-and-act...raham-Letter-multiple-chairman-2017-09-21.pdf) to the senate affirming that the bishops teach it is “essential” that any revision to our health care legislation insure “that no federal funds are used for abortion or go to plans that cover it.” Do you have a statement from a bishop(s) of the Catholic church that supports your contradicting opinion?
 
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LeafByNiggle:
… the system enabled these men to do what they could not have done without that system. It enabled evil acts.
The logic above is faulty. Using the same reasoning, would conclude that God is immoral for we could do no evil act without His enabling gift of free will.

The critical difference which the logic above ignores is that the US military did not, does not, nor ever will endorse murder. Single payer that does not exclude abortion does.

The OP’s asks what does the Catholic church teach about the morality (not the Constitutionality, legality or practicality) of single payer system. I posted an excerpt from the USCCB’s letter (http://www.usccb.org/issues-and-act...raham-Letter-multiple-chairman-2017-09-21.pdf) to the senate affirming that the bishops teach it is “essential” that any revision to our health care legislation insure “that no federal funds are used for abortion or go to plans that cover it.” Do you have a statement from a bishop(s) of the Catholic church that supports your contradicting opinion?
OK, given that a health care plan that did abortions is immoral, the OP asks about single-payer in general. Specifically, the question addressed whether any single-payer system was necessarily Socialism, and immoral for that reason. Depending on how it is structured, I would say not necessarily.
 
With single payer, the patient has no recourse.

Patients have the right to look around for doctors, and not be restricted to the care they are given.

Doctors have the right to develop new and innovative cures.
 
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