First of all, this has nothing to do with simple labels like 'conservative' and 'liberal' which carnival hawkers on all sides have been using to divide us. I don't have the slightest idea what those things mean since a person who appeals to the Declaration of Independence or the Constitution is called a 'liberal' while one who cites the practices of the late 19th and early 20th century is called a 'consevative.' They are meaningless and empty words which refer to nothing at all except what we might decide to agree upon in a given discussion.
Also, examples from other countries are pretty meaningless because our health care, like our education, our economic policies, and all other functions of private and public sectors are based on the U. S. Constitution--not that of Canada, Iceland, France, Russian, or any other nation.
Jefferson told us in our founding document that 'all men (sic) are created equal, that they are endowed by their Creator (not a government) with certain inalieanable rights, that among these rights are life, liberty, and the pursuit of happiness.' It seems important to understand what Jefferson meant by those words when he wrote them or when they were revised in the Continental Congress.
Clearly the right to 'life' has been argued for over 200 years and the Supreme Court has made no final decisions on what that means in our form of government--which is different from what some religious or theological system might mean by the same thing. [The non-establishment clause of the first amendment to our Constitution addressed this and it has been implemented with varying success.] One thing Jefferson and those following him did insist upon was that life could not be denied a person without due cause--that grounds our fifth amendment. Is the inability to get the health care that can assure life to a reasonable degree compatible with this statement of our very mission and purpose as a nation?
'Liberty' is a tricky thing since those incapable of free choice and those who have shown their choices to be harmful to the community can have that freedom removed by the rest of the community. Children, the mentally or emotionally incompetent, and criminals forego their liberty for innate reason or for free choices harmful to the community. For those who can exercise it, this liberty or freedom means having the means to lead the fullest human life available, to have freedom of opportunity. Avoidable disability from disease or from lack of access unavailable instruments for recuperation from accidents or other events which stand in the way of this liberty viciate the freedom stated as part of our very vision of ourselves as a nation.
'The pursuit of happiness' is, for Jefferson, a technical term based on Aristotle. It means fulfilling the potentials each has for a full human life--becoming the person each of us was meant to be in and for ourselves as well as for the community to which we make contributions which profit the whole commonwealth; it means developing the talents and abilities with which we are born. Things that impare that ability to live a fully human life can be circumstances of two kinds, unavoidable and avoidable. Unavoidable circumstances are outside what a community can address or alleviate. Avoidable obstacles are the responsibility of the rest of us to help remove for those encumberered with them. Not doing so weakens the whole social fabric. A farm worker in Dearborn Co. who is not able to contribute to the economy of the community because he or she cannot afford the treatment, which would bring him back to the condition in which he or she can contribute to the rest of us, creates a situation in which all of us lose both from the loss of service and from the burden such a person places on family, friends, and the resources of the community itself.
So the problems with health care are complex, but they are based on a further understanding of the nation that our founders envisioned. They gave us a mission statement which we have not fulfilled and which is large enough that could never fulfill it--it acts like a guide beyond our reach which shapes our decisions. None of these people expected 2009 to be like 1776 or 1788; they expected us to use the principle, which make us the nation we are, and to apply those to the present circumstances. They also realized that we would discover things that they did not know and that this new knowledge would change our way of acting--for instance, the custom taxes were sufficient to the running of government untile the second decade of the 20th century, when earnings taxes became necessary.
So this disussion about heath care reform is not about factions in society or about special interests who profit from any one system; it is not about parties, which have pretty much become clones of each other--it's why I have left both of them; it's not about handouts or some special treatment by government--it is about govenment working the way it should. One of the functions of government which all can agree upon is the defense of our nation, but we too often think of that in terms of limiting or hostile pressures from outside instead of those which exist within our own nation. No nation based on the power of money has ever survived for long--see 18th century France, 20th century Britain, and actually the Soviet Union--commerce without principle is destructive both to the Earth and to the human and non-human parts of the Earth. Also, since 9/11 we have been obsessed with terrorists from outside, not realizing that, until that date, none of us had much reason to fear foreign terrorists while the threat of forces of violence within our own nation threatened us as they still do. Many more causualties than the 3000+ of September 11 are recorded from acts of Americans against Americans--we don't seem to care much about that.
Health care is not the political issue it's being portrayed as but a test on whether we are going to be the growing and developing nation our founders gave us the tools to become or merely a backwater from which the corrupt and manipulative can make their petty fortune and leave the rest of the community to fend for itself. We are no longer the leader of this world in democacy or freedom; no one looks to us as a model of what democracy can be. That's not all bad since each people have to find thier own way of governing. The real issue has nothing to do with what others are doing but with what kind of a nation we want to be. Do we want our grandchildren to curse us for not having the courage to make hard choices in many areas beyond health care or will they admire us for doing what was right when the forces that would profit from the miserable status quo were battering the nation with lies, false information, silly inuendoes, and fear tactics creating paranoia?
That's the choice. It's not easy, but it has to be made with wisdom and with some faith in our own national vision and in the system we call the United States of America--we'd like to make it one that God could truly bless, so the words of the song are not a meaningless whistling in the dark.