Why Should Health Care Be Treated as an Essential Service Like Police, Fire Departments, and Public Schools

Introduction

The question of whether health care should be treated as an essential service, akin to police, fire departments, and public schools, has long been a topic of discussion and debate. In my interactions with healthcare policy and analytics professionals, such as Mr. Gory Stasko, I have gained valuable insights and perspectives that have enriched my understanding of this complex issue. This article synthesizes these viewpoints, providing a comprehensive exploration of why health care should indeed be considered an essential service.

Cost Considerations

One of the primary arguments against treating health care as a public service is cost. Healthcare systems, particularly those in countries like the United States, are often seen as prohibitively expensive. However, it is crucial to recognize that the cost of other essential services, such as police and fire departments, and public schools, can also be significant. In fact, the United States spends more per capita on health care than any other country, with residents paying out-of-pocket for a large portion of medical expenses.

Interestingly, health care systems like those in Canada and the United Kingdom provide valuable examples of how health care can be managed as a public service. In these countries, the majority of health care costs are covered by taxation. Even the premiums paid by individuals are used to cover the medical needs of the broader population, including younger and healthier individuals who will eventually age and require medical assistance.

Accessibility and Equity

The accessibility and equity of health care services are paramount in ensuring a healthy and prosperous society. Unlike other essential services, health care has a direct impact on an individual's quality of life and longevity. In the United States, it is not uncommon for individuals to mortgage their homes to cover medical expenses, a stark reality for those who cannot afford health insurance. This financial burden disproportionately affects low-income and middle-class Americans, leading to significant health disparities.

In contrast, in countries with public health care systems, the financial burden is distributed more equitably. For example, in the UK, the cost of even major surgeries is covered by the government. This ensures that everyone, regardless of their socio-economic status, has access to necessary medical treatments and interventions. The idea that health care in these countries is less efficient is a myth perpetuated by the health insurance industry, which stands to gain from this misconception.

Ethical Considerations

The ethical considerations surrounding health care are significant. As Mr. Stasko pointed out, the public subsidization of health care is a contentious issue, often driven by selfish attitudes. The question of whether one should pay taxes or insurance premiums to support someone else's medical care is a complex one. However, the answer is often found in the recognition that health care is not a personal or private affair, but a public good that benefits all members of society.

Rich, middle-class, and poor individuals should be treated the same within the health care system, not because of financial contribution, but because of the inherent human value and the importance of preserving life and health. The idea that a wealthy individual’s medical needs are more important than those of a lower-income person is deeply problematic and counterproductive. The medical attention that matters most is determined by the severity of the condition, not by the ability to pay.

Conclusion

In conclusion, health care should be treated as an essential service, similar to police, fire departments, and public schools. It is not a money-making business venture but a fundamental public good. Ensuring equitable and accessible health care is crucial for the well-being of society as a whole. While there are valid arguments to be made against this approach, the benefits of a publicly funded health care system far outweigh the costs. Hopefully, future policies and discussions will aim to recognize and address the importance of health care in our society.

Thank you for your time and any supporting or critical comments you may have.