Tag Archives: affordable care act

And Jesus Showed God’s Love by Guiding Sick, Injured, Poor People to Purchase “Free Market” Care

Portion of terra cotta panel at a former hospital in Liverpool. HistoricEngland.org.

Now, I hope you, dear reader, know that the title to this essay is absurd.i  The current state of affairs of our nation’s “health care” is problematic, and may soon get much worse in terms of how we (so-called Christians) treat people and in comparison to how other “westernized” countries of means, who seem to be less “Christian” than the U.S., treat theirs. I’m not just talking socialized medicine necessarily, but costs relative to care generally; they obviously consider what is going on with health care deliverers and regulate things appropriately to keep costs far lower than what you find in the states (while maintaining better health outcomes, too).ii  Why are these other countries more astute and caring than us in this “great and smart nation”? Who or what we serve is the difference. Our country serves Money (behind the guise of Freedom).iii

Of course our current system is broken, and virtually everyone agrees that it needs at least some fixes. But those who justify repealing “Obamacare” (the Affordable Care Act) are not dealing with the core issues that are driving costs, while also ignoring a not-so-distant past when a great many persons didn’t have insurance. Ignoring all the heartache, deaths, bankruptcies, and suicides from that time, and the pre-ACA steep rises in premiums as well. Repealing Obamacare and throwing money at the states—much less money over the course of years—will not at all solve the basis for the wildly high costs of health care in America (which are still rapidly rising). The ACA contributed to this problem, but it’s not at all the single cause. The GOP talked of draining the swamp, but they are mired as deep into it as ever, as far as I can see; they couldn’t even include in their proposed legislation one of their long-term pet ideas, to open up insurance competition across state lines.iv

As it stands right now, the very very poor will still be eligible for Medicaid in the near future.  A number of poor that are in expanded Medicaid states will lose out relatively quickly (and I am going to say that it was cruel to leave people uncovered simply because they lived in a geography of no such expanded coverage), including the elderly in assisted living environments. I know that there’re plenty of people out there who don’t want to pay for much medicaid because they think people receiving it are lazy and taking advantage of the system. I’ve seen hearts-of-stone arguments regarding this, and it is not up to Christians to worry and judge so much about deceivers (and a lot of fraud is perpetuated by doctors, not patients). Deceivers will be found out and God will deal with them in His own way; our role is to lead people to Christ, even deceivers, if possible. We’re supposed to be the lights in a dark place here, not the judge.

The fact that there may be deceivers has nothing to do with helping the sick, who are often very poor because of their illness. It makes zero sense to push people who are very ill to work harder or at all in order to pay for health insurance: how can they work, and who would hire them? A lot of people get fired when they become sick—are you going to make their employer hire them back?  To even suggest this requirement is a hypocrisy and promoting a deception.  I bet a lot of these same people would nurse a sick or injured dog and not think anything of it. The dog would be getting all that care and attention for free, yet they insult and kick around those beings made in God’s image.  “With the tongue we praise our Lord and Father, and with it we curse human beings, who have been made in God’s likeness” (James 3:9, NIV).

But What Did Christ Do and Teach about Sickness and health?

Whatever it was He did and taught, that’s what we’re to do (or at least try!). The very first hospitals that freely treated poor patients were Christian, because the followers that started them received Christ’s teaching and tried to follow His example.  What was Christ’s example?  Well, get this.  It is estimated that He spent 80% of His time healing people.v  He met people where they were at in their need in order to show that God was a God who was there for them, not some aloof diety.  If you haven’t gotten this from reading the New Testament, read it again more carefully.  There’s a difference between how we perceive what is written regarding what was said and what was done. Seeing as the disciples didn’t have computers and cheap paper, you have to think about what was going on based on the few words chosen.vi  “Jesus did many other things as well. If every one of them were written down, I suppose that even the whole world would not have room for the books that would be written” (John 21:25, NIV). (I love John. Just think what a bold statement that was for his time period.) So, I think I could write a book on Jesus’ and his disciples’ works of healing, but I’m going to limit the examples to two very brief ones here; two that I think provide much insight into God’s will for our thinking in this matter (and the author of both, Luke, was a physician).

The Good Samaritan

(The full and short story of the Good Samaritan, Luke 10:25-37.) In this story, a “faithful” person wanted to justify himself, we’re told (that is, justify his actions or lack thereof), asking Jesus to define “neighbor” (the person who he had to love as himself).  So, Jesus told the little story commonly known as The Good Samaritan.  In it, two spiritually high-level Jews purposefully ignored a half-dead man lying in the road.  The man was there after suffering violence. But a man who the Jews would have despised (if not really hated), a Samaritan, stopped and helped the stricken stranger.  (Samaritans were considered idolatrous half-breeds who accepted only Moses’ scriptures and ignored the rest).  He not only treated the man’s wounds as best he could right there in the road, but took him to an inn and paid for his expenses, including whatever additional treatment the inn keeper could provide.  So Jesus’ (offensive) answer to the question was that the stranger in need who you happen to come across is your “neighbor” and worthy of your assistance/love. Perhaps God puts such situations in front of us, expecting us to provide His blessings–to be His hands.

The Rich Man and Lazarus

(The full and short story of the Rich Man and Lazarus, Luke 16:19-31.)  Another story Jesus told was that of an unnamed “rich man” and a poor diseased beggar named Lazarus.  Lazarus suffered greatly, and his situation hadn’t changed after someone laid him at the rich man’s gate. The rich man lived in luxury his whole life, never lifted a finger to help Lazarus (even with him at his gate!), and ends up in hell upon death.  Sometime later, Lazarus himself died and was carried to Abraham’s bosom (without getting into a big theological discussion, just say heaven).  Lazarus, although he suffered on earth and might have seemed cursed to some, was in fact blessed by God; God knew his name and in the end Lazarus found rest and peace. The story continues with Abraham telling the rich man, who tries to intercede on behalf of his still living brothers, that his brothers (like himself) have not listened to Moses and the prophets. Therefore, neither will they listen to someone who was raised from the dead. They have no faith in anything or anyone else.  All in life is for self, and they are so focused on that that they can’t see anything else.

The poor and diseased are at our gate, the gate of the wealthy and powerful United States, and we only hear of ways to cut back funds for them in order to help those better off.  We don’t hear talk about greed, the high value of medical industry stocks that benefit government employee pensions, the extreme amount of money the medical industry puts into lobbying, advertising, and other types of influence, etc.  Costs do need to come down for everyone, but not at the expense of the poor, disabled, diseased, and elderly.  Price reductions need to come down by appropriate and humane means that deal with greed, corruption, and catering to the wealthy.  And our church leaders need to say so out loud, to let those in need see that God is there, and loving, and not an aloof diety.  God isn’t dead, but what of the visible church?

Notes

i  Setting aside for a moment the fantasy of a truly “free market” economy, such a market would be for choosing which potato chip brand you want to buy, not whether or not you or your child lives or dies. Markets have nothing at all do with the human need to get life sustaining help from one’s fellow man. It’s too weird that this kind of thing even needs to be said . . . that there’s this context in America where the idea of needing to say it had been formed. I don’t see how we can move further away from God than we are now.
ii  See 2015 International Profile on Health Care Systems (at the time of this writing, the most up-to-date report) and The U.S. Health Care System: An International Perspective (2016).
iii  And why don’t we have preachers out there preaching on greed and the root of evil, money (1 Timothy 6:10, but many more verses are needed for the understanding of greed and its consequences)? Jesus was radical. When He walked the earth, people knew of Him. It is really no wonder the church in America is so weak, as it just doesn’t seem to even exist.  Jesus knew what people’s needs and concerns were, he was anti-establishment (anti-world system) and the book of James is very much so as well.  I think people know this inherently; they know if God is speaking to them and their needs, and they’re not seeing it come out of today’s Christian institutions. Preachers aren’t publicly denouncing financial scandals or a living wage being denied to laborers.
iv  Besides the sources found in note ii regarding costs, here are bipartisan recommendations from persons well-experienced in the system: JAMA Forum: Reforming Medicaid
v  Healing is a Major Aspect of the Gospel of Jesus Christ!
vi  You have to use your imagination, as the common expression goes, but some Christians fear this type of mental exercise. Many only use the scriptures as a moral rule book, and they like to throw that rule book at people. Right living comes after receiving God’s spirit, not before. In any case, a dashed reading through the scriptures will not yield the insights into God’s will that we need for living His way.