I must admit that my heart has been heavy the last few days. I spent the two days before the House vote on the health care bill reading the reconcilliation and amendments package. I spent the two days after the vote continuing to read and gaining as much clarity as I could to what has now been voted into law. Yesterday and today I have been reading through my favorite blogs and listening to a variety of talk shows and reading the local paper for how people are reacting to the legislation and I find myself torn on how to respond. I see that both sides of the argument have some legitimate concerns (where the people expressing their views on the legislation are legitimate in their arguments).
On the one side, people are concerned about how difficult it is for individuals to purchase health insurance for themselves or their families; how it is difficult for small businesses to offer company-wide health plans for their employees because they cannot buy into the larger market plans; how pre-existing conditions and the current state of rising health care costs are a major area of concern for the general public.
On the other side, people are concerned about how liberty is being usurped by the legal requirement that individuals must purchase a product from a private entity; how small businesses are being required to provide company health plans under threat of fine or penalty; how the experience of history shows wide ranging social plans administered by the government have all ended up bankrupt and the economic factors suggest the plan is doomed to failure before it begins.
As one who has done his best to read and understand the bill as it currently stands, I believe in many areas there is not enough information to adequately argue one way or the other. A few examples:
1) The contention has been made that if individuals like their current coverage they can keep it. Opponents say the bill will make it impossible for individuals to afford to keep their current coverage whether they like it or not. In the text of the bill, all health care coverage carried by individuals and offered by employers must be Qualified Health Benefit Plans (QHBP)s. Specific coverage offered by a QHBP is to be stipulated by the Secretary who is appointed by the President upon passage. So, really at this moment no one knows what even constitutes a QHBP. Until that is determined, making any kind of determination about current plans must be held in abeyance.
2) The contention has been made that health care costs will decrease as a result of the enactment of the legislation, while opponents charge the bill will drive health care costs up and bankrupt the nation. In the text of the bill, the rates and methods of determining the rates for health care plans, like the make-up of a QHBP is to be determined by the Secretary upon passage of the legislation. So, again at this moment no one really knows whether nationwide health care costs will go up or down.
I realize that everyone can make an assumption as to what these unknowns might be and then project outcomes, but at this point it is simply unknown. More important to me is the emotion that is present on both sides and what the Christian response should be (where responses will be honoring and glorifying to God).
I'm going to throw out some questions that have crossed my mind in the last few days and maybe some of you others who have read the legislation or are also seeking to give some really good answers can help me out. I already know how i've answered these questions, but i'd like some additional input.
1) Is this whole health care and insurance topic a bi-product of the affluence of our society?
2) Is there a point at which a man can tell another man he must help his neighbor? Does loving one's neighbor as oneself apply just to the follower of Christ or to everyone? Does the United States' embrace of a secularized mindset have any bearing on this question, i.e. is the Church the only group who ought to love their neighbor as themselves?
3) Where do personal responsibility and accountability to God cross with the ideas of "general welfare"? What I mean by this, is the founders of the nation continually used the phrase "by the dictates of his own conscience" for the governance of an individual's behavior, does that concept still stand today?
4) When we speak of insurance, at what point are we beginning to point people to the government or an agent instead of to Almighty God? Put another way, when do we as a nation begin to see our days here on earth and those can provide temporally for our needs as those in whom we put our faith?
5) Is there a way for believers in Christ to be set apart as unique in this environment so that we will be seen as different and be curious as to how they can change to be more like us (which is to say more like Christ)? In other words, what opportunities for witness and evangelism are available in this tumultuous time?
I appreciate any thoughts as I believe the issues are deeper than just the 90 seconds they are typically given on news and talk shows. Thanks in advance for Godly wisdom and input.