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A recent CNBC segment posed the question of whether healthcare is a right. They brought on commentators to argue in favor and against, one from the Cato Institute and one from the National Physicians Alliance. (The segment is posted on this page below...thanks Anjali!)
The host started by posing the question to the conservative commentator, Michael Cannon. "I think it should be a right," he replied. "And therefore I think physicians should work for nothing." Sarcasm notwithstanding, his point was clear: healthcare cannot be a right because it involves payment. The exchange of goods and services for money equals capitalism, which puts healthcare squarely in the category of commodity.
Mr. Cannon backed up his point by contrasting healthcare with other things we commonly think of as human rights, like freedom of speech and religion. No one has to be paid in order to let us speak freely and worship freely, he implied, which is why they are rights and healthcare is not.
This argument is persuasive. We like to think that a human right is something you are born with, not something that has to be given. The very phrase 'freedom of speech' suggests its simplicity: just let people speak! It's not that hard! Healthcare, on the other hand, is not accomplished by standing aside and letting citizens exercise their freedoms. For healthcare to be your human right, something has to actively be done to you.
But is it true that freedom of speech requires no involvement by the government? Let's imagine taking a trip to place where there is very little government, for example Somalia. You might have the basic human right to freedom of speech there, but it's not worth much. If you stand on a milk crate (assuming you can find one) and give a speech that others find disagreeable, those people may choose to gag you, stuff you in the trunk of a car, drive you 20 miles out of town, and perhaps kill you. The government has done nothing to take away your freedom of speech, but they haven't done anything to protect it either.
We often ignore the role of infrastructure, such as our police force and civil and criminal court system, in allowing rights like freedom of speech and religion to flourish. The U.S. legal system is a highly complex bureaucracy, and it plays an important role in keeping the right to free speech alive.
The same principles apply in healthcare. We have a complex bureaucracy in place --- doctors, nurses, hospitals --- to protect our right to health. There's no difference, in principle, between free speech and healthcare, so why is one an unquestioned human right while the other is relegated to a commodity?
In fact, no matter what human right you can name, there is an infrastructure in place to protect and defend it. And the professionals who manage that infrastructure need to get paid. So it's foolish logic to argue that since doctors are paid a salary, healthcare cannot be a right.
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