Tag Archives: National Health Service

Morning Ethics Warm-Up, 10/29/17: What’s Really Wrong With Single Payer, Incompletely Remembering Charles Kuralt, And Dana Milbank Boards The Ethics Train Wreck

(This is my favorite Arthur Sullivan hymn, even more than “Onward Christian Soldiers”…)

GOOD MORNING!

1 CBS’s “Sunday Morning” had a feature today on the late Charles Kuralt, the original host of the show, famous for his feature “On the Road” in which Kuralt visited “the real America,” meeting locals and revealing regional lore to the rest of the country. At the end of today’s segment, CBS bemoaned the fact that Kuralt, who died 20 years ago, was virtually forgotten, even among journalists if they had no grey in their hair.

This is an example of a larger crisis, cultural illiteracy, that often occupies my thoughts. The blame lies with our inadequate schools and its under-educated teachers, as well as popular culture. Barely knowing anything about George Washington, the root of the previous post, is an existential problem, but only slightly more dangerous are the multiple generations whose member can’t name ten U.S. Presidents, don’t know the dates of the Civil War or who the US defeated in World War II, and who have never heard of Jackie Robinson, Clarence Darrow, Brown v. Board of Education, Eugene McCarthy, Ingrid Bergman, or Lucille Ball.

CBS, however, was indulging its own special breed of disinformation by lionizing Kuralt. Yes, I remember well his plummy voice and avuncular style. I also remember, as CBS would have us forget, the fact that after his death it was revealed that being “on the road” allowed Kuralt to maintain one family in Montana and another, his official one, in New York City. His innovative proposal to CBS to fund his trek back and forth over the contiinent facilitated his betrayal of his family. Kuralt was a sociopath.

2. The most significant ethics story of recent weeks that I have thus far neglected was the announcement that Great Britain’s National Health Service will ban patients from surgery indefinitely if they are obese or smoke. Non life-or death operations, like joint replacements, will be put on hold  until such patients conform to the governement’s life style requirements

Obese patients “will not get non-urgent surgery until they reduce their weight” unless the circumstances are exceptional. Smokers will only be referred for operations if they have stopped smoking for at least eight weeks, with such patients breathalyzed before referral.

When the newly radicalized and Bernie-ized Democratic Prty going all-in for single-payer next year, this cautionary tale needs thorough debate. When the government controls health care, it has the power to constrict personal liberty. The British were horrified by this latest development, which can only be described as the other shoe dropping. What did they expect?

Of course, a party that controls a government that can withhold surgery until citizens conform to mandated life choices would never use that same power to demand other behavior from citizens. Or  assign priorities for surgical procedures to favored groups and constituencies.

Keep telling yourself that. You’ll feel better. Continue reading

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