Start at the beginning. How much health care do human beings need? The human race has been around for a long time. Exactly how long is a debatable issue, but that's not the point. The point is, we got to here with virtually no health care. It's mostly an unnecessary luxury. Mankind can survive well without it. So what is it for?
Obviously, no health care and no medical knowledge at all still results in sufficient numbers of humans reaching sufficient ages for the species as a whole to prosper. So, just as obviously, the species needs no health care. Unless we've now messed up the system so badly that we would not survive without it. (This is possibly true, if we have indeed raised enough "defectives" that they cannot survive without it, but that would be the subject of a different essay.)
With no health care, the "average" lifespan, as reported by our most famous history book, is 70 years. Bible, Psalms 90:10. ~1000B.C.? I presume that must be after one subtracts all those which die before that point, from "premature" causes like accident, war, etc.
In the modern world, things should be better, since much common healthcare knowledge has escaped from the medical establishment into common knowledge. (wash your hands). I know, the moslem world uses "eat with your right, wipe your ass with your left" instead, but I prefer the western method.
Now we have the "benefit" of modern medicine, an ever increasing amount of knowledge, technology, skill, and drugs. This serves two basic purposes. First, to enable individuals who would die or be disabled "prematurely" to reach their allotted 70. Second, to "stretch" that 70 number a few more years. An additional benefit is a better quality of life for both groups. False teeth for those with none, eyeglasses for the vision impaired, etc.
But modern medicine requires a service that someone pays for. Filtering any cost through government doubles it, or more. And, as knowledge, technology, skill, and drugs expand, the cost goes up. We have already started down the road to Communism with the idea that someone else will pay, and that road has already caused costs to go beyond what an individual could pay in many cases. As the cost of health care goes up, and the number of people with "extra" money to put in the pot goes down, the inevitable result will be reached.
I don't really want to go down the road to where health care "fails" totally. The adjustments which have to be made, and some have been made already, are that health care can only be available for a smaller and smaller number. (or a younger and younger age group, or some similar formula).
We have already tried some of these "adjustments". 1)Medical "insurance" for those who have "jobs", omitting those who don't earn their living by having "jobs". Combined with 2) Welfare for children and their mothers. Kids are so cute, and they need mothers. Both of these strategies have wildly increased medical costs for the rest, who have to pay for it. Distortions are created in that few new or independent businesses can exist. Now we are going to "increase" medical care for those over 65, the richest group in our country. Both of our present "parties" are for that, as these people vote, even though their "value" to our society is diminishing.
Government (communism) raises costs. Once we have reached the point where health care is used strictly to buy votes, the cost to all others is driven upward, and those who are not the "chosen" have only one option. Get sick, you die. No modern medicine benefit for you, sucker, you're not one of the chosen. What kind of a world are we creating? One where children are raised by their grandparents?
This is a complex issue, with many interrelated parts. But most "fit in" with the above.
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