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Healthcare debate needs Atticus Finch

The hot and miserable August weather has moved indoors in cities and towns across our land. Moved indoors and taken the form of recriminating rhetoric as neighbors square off in shout fests billed as informational town hall meetings about health care.

Senate Majority Leader Harry Reid (D-Nev.) enjoys using the term “evil mongers’ to describe American citizens expressing their anxieties and frustrations, many times with verbal vigor and abuse, over healthcare proposals they fear will adversely affect their lives and the lives of their children and of their parents.

Reid, along with many supporters of the various healthcare bills floating around Capitol Hill, says Republican special interest groups have organized the protests. That is the case to some degree. But to say individual Americans who cut across generational, social, and economic lines cannot think for themselves and cannot decide on their own to attend these meetings is simply absurd and borders on the disingenuous.

These town hall demonstrators, many of them children of the Summer of Love, have taken a page out of the liberal playbook to create our current Summer of Dissonance. Obstructive behavior to silence opposing views is not uncommon, particularly on college campuses, and the targets are usually conservative speakers.

In October 2006, someone pulled a fire alarm at Georgetown University to stop a speech by Minuteman co-founder Chris Simcox. A few weeks later, Columbia University students stormed a stage where Jim Gilchrist, the other Minuteman co-founder, was speaking.

In October 2007, members of Amnesty International, Veterans for Peace, and Students for Justice in Palestine, among others, disrupted a lecture by David Horowitz at Emory University, a common occurrence for Horowitz.

In April 2008, dozens of lesbians at Smith College climbed through windows and stormed the podium to stop a speech by Ryan Sorba, author of The Born Gay Hoax.

And last April, University of North Carolina police arrested six people who disrupted a speech by Virgil Goode, a former congressman from Virginia, who was speaking against affirmative action and illegal immigration. A week earlier, UNC police used pepper spray on students who disrupted a speech by Tom Tancredo, a former congressman from Colorado, who was talking about his opposition to in-state tuition benefits for illegal immigrants.

Back when I handled communications for a university president, I crafted the school’s position regarding controversial speech on campus. The result was a statement that said universities, by their very nature, are forums for the free expression, discussion, and debate of all views, including those that may be unpopular or even repugnant to some members of the university community or to the public. I went on to point out that we should encourage these exchanges as long as they remain within the boundaries of the law, which is an idea essential to a thriving and open democracy and, if followed, would temper today’s tempestuous town hall meetings.

I have come to believe over the years that some people on the left of the political spectrum interpret the First Amendment to mean this: “You can say what you like as long as I like what you say.” This is why they meet challenges to their political agenda with hateful words and ham-handed techniques. These attempts to stifle questions and concerns end up frustrating citizens not used to civil disobedience and unruly demonstrations.

They learn fast, however, these so-called special-interest puppets and evil mongers. They learn fast and respond to attempted censorship with shouts and jeers, chants and slogans. They quickly become that which they do not like and do not respect.

And this why we need Atticus Finch, the quiet and reasoning father in Harper Lee’s Pulitzer Prize winning novel To Kill A Mockingbird. We need to sit on the porch and listen to Atticus explain how we confuse issues and drown discourse with raised voices and angry fists.

He would begin by telling us to hold our heads high and keep our fists down. “No matter what anyone says to you, don't let 'em get your goat,” he would say, adding, “Try fighting with your head for a change.”

Atticus would then raise his chin and look out over those assembled around his porch, the very ones who had been hurling invectives at each other and getting no closer to resolving the issues. “You never really understand a person until you consider things from his point of view,” he would say, “until you climb into his skin and walk around in it.”

Finally, he would place his hands on his knees, slowly stand, then look down upon the upturned faces. He would watch the thoughtful in the crowd nod their heads and walk away into the night. Then he would imperceptibly shake his head as he looked at the remaining angry faces, and, in a quiet voice, almost as if speaking to himself, he would say, “I think I'm beginning to understand something. I think I'm beginning to understand why Boo Radley’s stayed shut up in the house all this time.”
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Seduction of fear, reduction of reason

You know it is time to take a closer look at a deal when the smarmy pitchman warns you to act now before it is too late. Unless a safe is falling on your head, it is usually a good idea to step back, take a deep breath, and review what is on the table.
We frequently use fear as a motivator, sometimes with good intentions. The fear of blindness temporarily stayed many a boy from personal exploration. On the other hand, some people play into deep-seated fears of social exclusion, racism, or terrorism to gain some level of control over individuals, whole classes of people, or nations.

One can make an argument that the United States government overreacted in some of its anti-terrorism laws and measures following the Sept. 11 attacks. We and our leaders responded in good faith to the fear that additional terrorists were poised to kill more Americans using airplanes and other weapons. The seduction of fear led to National Guardsmen patrolling airport terminals, armed with weapons that had no bullets. We continue debating the necessity of the past administration’s efforts to protect our nation, which included water boarding, wire tapping, and the Department of Homeland Security.

Homeland Security Secretary Janet Napolitano this week said she disagrees with Bush Administration measures that fed into fears and did not include the participation of the American people in improving the country’s resilience against attacks. “The consequences of living in a state of fear, rather than a state of preparedness, are enormous,” she said.

Frank Furedi, a professor of sociology at the University of Kent, contends the seduction of fear feeds into the Precautionary Principle, which is designed to eliminate the risk of harm. Furedi says people no longer believe in acts of God or naturally occurring events. For example, accidents are preventable injuries, and we need to fix the causes. If a teenager dies in a car wreck, the family blames missing guardrails or poor road maintenance, and demands laws that keep teenagers from driving at night.

He also believes society no longer expects individuals to rise above adversity. Society, instead, treats people as victims scarred for life. Enter the poverty pimps and community organizers who convince people that racists, bigots, and the wealthy will never let them succeed because of their race, their gender, or their economic status. Only they, the poverty pimps and community organizers, can affect justice for the oppressed.

Individual responsibility does not exist in a precautionary culture, according to Furedi. Thoughtless people, greedy corporations, and incompetent government watchdogs cause a plethora of societal woes. So, we divide the citizenry into vulnerable or at-risk groups that need government protection from a government we do not trust, and we roll over to the seduction of fear by allowing that government to throw money and regulations at circumstances within our control.

If we believe the national news media and Washington fear mongers, each one of us is in danger of losing our home to foreclosure or seeing our home’s value plummet unless Uncle Sam steps in with mountains of cash. People across the country bought into that fear, causing the value of homes in unaffected areas to fall. The government, meantime, pumped billions of dollars into the system to save troubled mortgages given to individuals who could not and cannot afford them.

Buried in a wire-service story this week was a statement from the chief economist of the Federal Deposit Insurance Corporation who estimates the number of home foreclosures could reach 5 million by 2011. That’s a big number, especially if you are one of the 5 million, but it represents just over 6 percent of all homes in the country. In other words, 94 percent of home mortgages are safe and have been.

Another example is the current healthcare debate. Eighty-nine percent of respondents to the latest Time magazine poll said they have some form of healthcare coverage, and 86 percent of that group said they are very satisfied or somewhat satisfied with their plans. A Gallup poll last November found that 83 percent of Americans said the quality of their health care is excellent or good.

Proponents of sweeping changes in healthcare coverage and healthcare delivery use the seduction of fear to make their case rather than rely on reasonable examinations of the underlying causes and effective cures.

The seduction of fear only leads to the reduction of reason, which comes with a price tag no one can afford.

Mundus vult decipi
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Healthcare debate must include costs for treating illegals

The civil case against a Florida hospital draws to a close this week. A relative of an illegal alien sued Martin Memorial Medical Center when it repatriated the man after treating him for nearly three years at an un-reimbursed cost of $1.5 million. The relative/legal guardian wants an unspecified six-figure judgment for alleged false imprisonment and nearly $1 million in economic damages for the medical care he has not received since 2003. That’s when Martin Memorial paid $30,000 to charter a jet to take Luis Jimenez to a medical facility in Guatemala. Jimenez now lives with his mother.

Carol Plato, the director of corporate business services for Martin Memorial in Stuart, says Jimenez is an example of what happens when hospitals treat illegal immigrants. Martin Memorial also is treating an illegal Mexican immigrant for severe brain damage. The man has no family in this country. He’s cost Martin Memorial about $1.5 million over the past two years. Plato says Martin Memorial has contacted the Mexican consulate and the U.S. government about returning the man to Mexico, but no one’s helping.

In addition to this patient, Plato says six illegal immigrants use Martin Memorial three days a week for dialysis with no reimbursement because of their status.

Listen closely, but you’ll be hard-pressed to hear anyone in Washington, from the White House to Capitol Hill, placing medical coverage for illegal immigrants as a priority in the healthcare debate. They don’t want to address it seriously, because then they’d have to find a solution to the overall problem of illegal immigration.

Uncompensated costs to hospitals and other healthcare providers run into the billions of dollars annually. The Florida Hospital Association estimates that in 2007, treatment for illegal immigrant patients cost $100 million. A 2004 study by the Federation for American Immigration Reform put California’s annual cost at $1.4 billion.

States bordering Mexico take the biggest hits. A study by the United States/Mexico Border Counties Coalition found that hospitals serving the 24 U.S. counties along the border ate $190 million in the year 2000.

The Emergency Medical Treatment and Active Labor Act requires all emergency departments to treat all persons coming in seeking medical care, regardless of residency status or ability to pay. Hospitals cannot legally ask residency status of patients, which thwarts attempts to determine accurately the scope of the situation.

A few years ago, the U.S. Government Accountability Office looked for available federal funding to help hospitals offset the costs of treating illegal immigrants. GAO surveyed 503 hospitals and interviewed Medicaid and Medicare officials in ten states, only to determine that an accurate assessment of these uncompensated costs “remains elusive.”

Conservative estimates place the number of illegal immigrants in the U.S. as high as 10 million. Nearly 60 percent of the illegals do not have health insurance, according to the Pew Hispanic Center. That means 40 percent have health insurance, mostly provided by their employers. If that’s the case, then around 4 million illegal immigrants receive health coverage because they’ve supplied their employers with false or stolen Social Security numbers.

Here in Texas, the state and local hospital districts spent about $677 million on uncompensated health care for illegals in FY 05, according to the Texas Health and Human Services Commission. The Harris County Hospital District provided $203.5 million in uncompensated care, according to the study, which hospital district administrators say is twice what they really lost. The study, however, did not include figures from the University of Texas Medical Branch in Galveston, which lost $140 million a year, according to published reports.

“Last year, 6,540 visits from undocumented immigrants cost Parkland Hospital System in Dallas $7 million, and Memorial Hermann in Houston incurred over $4 million in cost for their care,” says Kay Bailey Hutchison (R-Texas). “Hospitals in Connecticut, Delaware, Florida, Louisiana, Nevada, and other states have drawn 100 percent of the available federal aid to help defray the costs associated with providing care for illegal immigrants.”

Unless Congress comes up with a way to fix the illegal immigration problem, the continued strain on the healthcare system by undocumented individuals will cut into any cost savings of a universal healthcare plan.
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