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June 01, 2008
Government-run Healthcare Is a KillerOne of the problems with government-run healthcare is that faceless, bureaucratic rulemakers prescribe courses of treatment instead of doctors in consultation with patients. If the bureaucracy decides that a drug isn't cost-effective, it simply will not be provided, no matter what the doctors or patients want. It's not about saving lives or easing suffering. It's about plotting life-expectancy graphs and rationing finite taxpayer-provided resources. Losing medical autonomy is bad enough, but government-run healthcare programs are also bound to public perceptions of fairness and equality. Which means that they usually end up doing things like forbidding a person to pay for treatment outside of the government-provided program. That's just what the UK did last year when the Health Secretary ordered the NHS not to permit patients to pay for unfunded treatments themselves. He said that these "co-payment schemes" would create "a two-tier NHS" with preferential treatment for people who could afford their own medical care. We now know that the policy claimed its first life in March. A grandmother died from cancer after her free NHS treatment was withdrawn because she had paid privately for a drug that could extend her life. Let's be clear about what happened here. Mrs. O'Boyle was diagnosed with cancer and had NHS-provided operations, chemo, and other care. Then she found out about a cancer-treatment drug that could prolong her life. Since NHS wouldn't pay for it, she bought it herself. At that point, NHS started charging her for her care that had previously been provided free-of-charge. This type of policy isn't an unintentional side-effect of government-run healthcare. In fact, the whole point of "universal" healthcare is that it is provided to everyone regardless of their ability to pay. The guiding principle is equality of treatment, which means that any treatments which are too expensive to give to everyone must be denied to everyone. For fairness' sake. | Recent Comments
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