We've gone over how expanding access to healthcare can save costs.
We've gone over countless plans at making access to healthcare universal, with minimal impact on those who already have health insurance.
We've gone over countless plans at making access to healthcare universal that would actually benefit most of those who already have health insurance.
And for many Americans, the answer is still, no. We don't want that. It's too expensive, it's "too much government," it's too big, it's too fast; those are the arguments that generally rise to the surface in the news. You hear polls indicating that people continue to believe that the uninsured still have reasonable access to healthcare even though this is clearly not true. People seem to be willing themselves into denial.
But if you listen closer to ordinary Americans who oppose healthcare reform, you hear things like "healthcare should be a privilege, not a right," and "I don't think everyone deserves healthcare."
It's time to admit what's really at play here.
The opponents of healthcare reform, or anything that expands access, are not really concerned with compassion, cost, with the role of government or even with taxes.
It's about protecting their privilege. "What good is my health plan," they ask, "if people without my health plan can actually see a doctor too?" You don't want to win a coupon to pay $2 for a sandwich and get to the stand and find out that the sandwiches are free anyway. If another country were to come in to the United States offering "foreign aid," saying "we will pay for your uninsured to have healthcare at absolutely no cost to you," I believe that many Americans who oppose healthcare reform would see even this as a negative.
The history of humanity is full of undeniable cruelty, and undeniable persecution based on constructs of class, race, or other identifiers. Think about American segregation, where white southerners overtly perpetrated their cruelty towards Black Americans for decades, to no benefit of their own. Think about the American Civil War, where poor white Southerners who did not own slaves or personally benefit from slavery still fought and died to protect slavery as an institution.
Look at Roman society, where people of all kinds derived immense pleasure from watching poorer people be tortured and killed in the arena. Look at Greek and Roman slavery, look at South African oppression of blacks, and look at the American genocide of the Native Americans, where white Americans actually overtly stated that extermination of another group of people was the goal. Look at the Holocaust, the irrational hatred so many Germans had for Jewish people, and the cruelties enacted that were of no tangible benefit to their perpetrators.
Look at every school yard where bullies taunt and persecute the outcasts, and you'll see that even in Suburban America humans continue to exhibit a natural enjoyment of cruelty before they reach the self-criticism and maturity of adulthood.
It seems to be quite an audacious accusation to say that class cruelty is at play today; it is a thought that has been more or less banished from the general rhetoric. But if humanity is so wrought with unnecessary suffering, and even our own history is wrought with it, why do we think that we, modern America, are exempt, uniquely enlightened, and suddenly the only motivation of American Conservatism is economic pragmatism?
It's not that rich or middle-class Americans don't want to pay for universal healthcare, it's that they think that limiting access is a good thing, that privilege is something to be enjoyed when you have it, and that one's wealth or advantages are discernibly less enjoyable when they are given to others. Classism still exists. Americans feel good thinking the United States is the richest country in the world. Americans feel good thinking that their neighborhood is wealthier than another neighborhood, and that their home is bigger than another home. Americans, in a tendency that all human beings are prone to, feel good knowing how bad others have it. In other words, when you are not suffering, you see others' suffering as deserved or even good.
The idea that this is what motivates American politics is cringeworthy. It suggests that the views of some on the Right come damned near being definable as hatred; it paints Tea Partiers or other status-quo groups clearly unethical, while we all like to see ourselves as moral and kind. That is why we come up with all kinds of rationalizations to explain the causes we support or oppose: Americans will argue that the uninsured don't suffer that much, they'll say fixing the problem would be nice but is too expensive, or they'll say that they don't believe it is a realistic goal. Most of these arguments are tacitly false, as demonstrated by many successful programs in other countries that make access to healthcare universal, but it is impossible to win the debate over healthcare by pointing out the falsehood of those arguments when those arguments are not what is actually motivating their proponents.
If you listen closely to Right-wing rhetoric, to the Tea Party protesters and to Conservatives who are not in public office who explain their views on healthcare, you will catch this - many people see universal access to medicine as a NEGATIVE thing. In other words, they'd pay extra to maintain their privilege and others' suffering. They derive joy from a stratified world in which others are disadvantaged.
If you open up the New Testament, you see Jesus talking quite a bit about the Kingdom of God, and Heaven and Hell. When he talks about who is going where, the conversation is not about "sin." It's about how you view the structure of society. The rich and powerful are condemned. The poor and destitute are lifted up. Jesus forgives countless sinners, be they sexual deviants or tax collectors or adulterers. He does not forgive authorities who neglect the poor.
In the many parables in which Jesus discusses someone who is not forgiven, there stories of people literally entering Hell. The Rich Man from the parable of Lazarus and the Rich Man is an example. They are people who hoard their wealth and enjoy their privilege so that others may suffer; they are people who refuse to share their table scraps with a beggar. Jesus says that your treatment in the hereafter will be determined on how you treated "the least of these," the poorest and most reviled in your society.
I am not a Christian, and am not advocating the view that rich or conservative Americans are going to Hell. I don't believe that the Bible is literally true nor do I think it is free of countless distortions favored by the early Church. But of the reasons I will likely never be a Christian again (aside from lack of evidence and some absurdities in Christian theology) is that the modern church continues to be so self-damningly silent on the issue of privilege, which Jesus opposed more than anything else. The Church condemns homosexuals and birth control, to the extent that it advocates against the election of pro-choice Democrats, yet it allows the persecution of immigrants and uninsured people? The hypocrisy is palpable, and so is the hypocrisy of those who think our current stratification is a good thing.
But that is, ultimately, why people opposing universal healthcare are so careful to couch their sentiments in other arguments, to claim their opposition to reform is simply selfishness and not overt hate, or to claim it is pragmatism and that the bleeding-hearts are the ones who are irrational. Conservative Americans overwhelmingly identify as Christian, and don't want to position themselves as the one group the Bible condemns more vehemently than any other. What intellectual acrobatics they'll go through to claim other motives for supporting the same general consequence, of concentrating human suffering on one class of people: look to the last 18 months of healthcare reform to find the answer.