This issue has long been bothering me. Those who claim that they are so concerned about their fellow man and his welfare that they believe it is right to use government force to manage scarce medical services resources to provide for the poor or for those who simply do not choose to buy their own health insurance, have taken it upon themselves to make the decisions of who will live and who will die. In the not too distant past, this decision in the United States was made by a combination of the following filters:
- A lifetime of hard work and savings by an individual provided sufficient money or a substantial part of the money needed for either adequate health insurance or savings for medical care.
- Family members volunteered to help financially or with direct care services.
- Friends did the same.
- Many physicians volunteered their services to those in medical need who could not afford to pay, as my own grandfather did for thousands of patients, especially during the Great Roosevelt Depression.
- Charities provided financial aid and medical services.
In a nationalized health care system, all those who either love the patient or who are voluntarily disposed to help the patient are removed from the decision-making process. A "scientific" decision of how to spend the limited funds of the government medical program takes the place of all these people who may actually know the patient or who may evaluate the patient as an individual to determine if he or she is worthy of their voluntary help. The government must make some kind of pretense of providing medical aid equally, so it must do so with no regard to individual character. One of the easiest ways to do this is with the now inevitable rule of the form: You are older than 70 years old and you have cancer which is expensive to treat, so you will not be treated. Is this a more moral system for determining who gets medical treatment and who does not? To me, it is clear that this system is designed in Hell. The people who choose this system have no heart and are disloyal to every person of good character that they know. They are betrayers of those they claim to love. They are supporters of government-run death panels.