Monday, June 15, 2020

Putting the Public in Public Health

Acquiring some things in life does, and probably should, depend on how much money I have at my disposal.  A new television, for instance.  Or a fancy car.  Or dinner at a classy restaurant.  While all of these things are nice--maybe even more than nice--none of them are essential to life.  The old television still works.  My car can still get me around.  And dinner at home is a real option.  But healthcare is another matter.  Getting the care I need to keep body and soul together shouldn't depend on how much money I have. But in this country it does.  As we have seen in the current pandemic, where those with low-paying jobs, often without health insurance, have the highest risk of contracting the disease.

So what are we to do about it?  How can we assure that all Americans have access to healthcare that they can afford?  Clearly the answer rests in changing how it is paid for--which means addressing the issue of insurance.  There can be little question this is a complex issue.  Fraught with problems.  But is it insoluble?  I don't think so.  Will it require a willingness on the part of all of us to see to it that the health of all persons is tended to with care and compassion?  Of course.  Will it require courage and insight on the part of political leaders?  Of course.

I don't pretend to have the answers in terms of specifics.  But I do know that the health of all of us depends on the health--of all of us.  How often we forget that.  How often we forget when it comes to public health we are all part of the public.  And what's good for one, should be good for all.  And all people, regardless of race, gender identity, sexual orientation, ethnicity, religion, or class, should have full access to the healthcare they need to be able to contribute to public health and the public good.




 

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