In short, it’s time to put the patient in charge. Heritage experts Robert Moffit, Jennifer Marshall and Grace Smith demonstrate how the current, employer-based model of health care is ill-equipped to give Americans the freedom they need to make ethical health-care choices in a world of troubling biomedical advances, from cloning embryos to genetic engineering.
Why? Because many of the decisions made about our health care remain out of our hands, made by individuals whose top priority is saving money, not lives. Not that this should surprise anyone: It’s how the system works. The government gives each American a tax break for health insurance -- but only if you get it through your job. Change jobs? Better hope your new employer has a good plan. And if you get any choice at all (many workers don’t), it’s probably between just two or three plans -- none of which may be right for you, and all of which may violate your ethical beliefs.
As the Heritage experts note, “Many Americans do not realize that their insurance premiums are financing medical procedures that violate their moral convictions. These could include abortion, in vitro fertilization, sterilization, and contraception, all of which are practices and procedures that many Americans, in varying numbers, consider unethical or incompatible with their religious convictions.”
This is crazy. Americans have long debated issues such as abortion and physician-assisted suicide. Yet do we debate, or even question, the rules that prevent us from choosing health-care plans that reflect our moral values? We demand freedom of choice in almost every area of life, from the cars we drive to the food we eat. Then we passively accept whatever we get on something as fundamental as health care. Something is seriously wrong here.
You may recall the “four freedoms” that FDR used to inspire the World War II generation: freedom from want; freedom from fear; freedom of speech and freedom of worship. Well, Americans deserve the following four freedoms in healthcare: