CycloWizard: The US was founded on the idea that government should treat every person equally by protecting his fundamental rights to life, liberty, and property.
M: How so? We the People of the United States ( a collective, not I the person), in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense (The community again) , promote the general Welfare (Crap, the collective again), and secure the Blessings of Liberty to ourselves and our Posterity(We not I me me mine), do ordain and establish this Constitution for the United States of America. So what is life and liberty and property will be collectively decided.
CW: We have strayed so far from that path at this point that we can barely recall ever having followed it. Rather than treating people with the blind eyes of justice, we treat them according to arbitrary principles of fairness and leveraged inequality.
M: This, of course, is simply your opinion and it is obviously wrong because all our laws are legal or they wouldn't exist. There has been no straying from anything but rather the application of the collective will which you just seem not to agree with.
CW: There are plenty of ways in which taxation can be made to fulfill the fundamental principles of justice and equality under the law, so I'll leave that for another thread.
M: OK
CW: This thread is about addressing the method by which the US has enacted its social programs. For these programs to treat all citizens equally under the law, they must be available to everyone without regard for race, color, creed, wealth, income, marital status, or anything else.
M: Were this factual you can challenge them successfully in court.
CW: It is contrary to justice to charge someone for a service that they cannot access because of their income level, rendering the program nothing more than wealth redistribution.
M: Then your idea of justice is different than justice in law. You have only to convince the court by challenging what you call unjust.
CW: For example, I paid taxes for Medicaid while I was a grad student living below the poverty line, but I did not have access to Medicaid because of my status as a student.
M: But you chose a status that was exempt because you are free.
CW: I was paying for a service for someone else, period. The little money I had was taken from me and used to pay for someone else to receive a service. That is nothing more than wealth redistribution. The same argument holds for wealthy individuals paying for Medicaid or any other social program.
M: You don't have to be a student and the wealthy can give away their money. You are free. You chose to take on a burden for even greater gains.
CW: There are two just solutions to this problem. One is to scrap all of the social programs outright. The other is to offer the programs to everyone equally.
M: There is a third choice, the one we actually chose and which has passed Constitutional muster.
CW: Which solution is correct depends on whether the fundamental "right" the program supposedly protects is deemed a protected right by society. Is health care a right?
M: What is right in law is what has been enacted in law and not successfully challenged. And health is a right. Doctors are sworn to treat.
CW: If so, government is obliged to cover it for all its citizens to an equal degree, whatever that degree might be.
M: The government should strive for equality. Equality, itself, is an impossibility.
CW: Is "peace of mind" a right? If so, government can only treat its citizens equally by offering all citizens the same degree of protection of that right.
The government can do nothing to insure peace of mind. What it must not do is do something unconstitutional to inflict mental hardship. We are all responsible for our own mental health because mental health is our natural state and a mind is only disturbed by illusions. A healthy mind is a rational mind that can tell the difference between what must be and what one wishes were factual. Sadly we will all die. The government has no obligation to make us live forever. If we lack piece of mind as a result, so it goes.
CW: Individuals would still be free to go over and above the level of protection government provides.
M: Why? That is inequality by your notions. Equally valid would be to ban any medical treatment not affordable to all. This would insure better funding of medical research.
CW: Perhaps by framing elections in terms of rights rather than positions is a better way to approach the whole idea of political compromise. It is well known that position-based negotiation leads to the type of shenanigans we just witnessed regarding the debt ceiling bill. However, if negotiations instead focus on the underlying issues of each party, real compromise can be achieved without either party losing face. For example, if one party can cede that "peace of mind" is not really a right, then the other might be willing to cede that health care is, even if only to an extent.
M: Piece of mind isn't a government requirement, health care is.
CW: In any case, it should be clear to everyone that we cannot absolutely protect every right that people think they ought to have simply due to financial constraints.
M: Greed propels medical research. The most expensive and money intensive treatments are developed at the expense of vaccines that could cheaply save millions. Socialize medicine and remove the greed factor. Offer free medical education and secure employment a living wage and good retirement benefits to medical professionals and let those with a real calling to help others and not get rich fill the medical ranks. Create socialized medical research facilities with the same features. Remove worldly concerns from research and let those who have an interest in solving problem rather than make money do full time focused research.
CW: As the financial constraint is lessened due to continuing economic growth, the list of rights society chooses to protect, as well as the degree of that protection, may grow accordingly. A corollary of this approach is that, when the economic constraint contracts for whatever reason, the protections must similarly contract unless the protections are not currently financially constrained (when has this happened?).
M: Let expansion and contraction happen with the numbers who need medical attention.
CW: Anyway, just some thoughts I had that might frame a path for debate with common ground between libertarians and progressives.
M: There's some of my take.