by Robert Wright
What more is there to say about Sarah Palin’s now-famous claim that President Obama’s health-care plan features “death panels” that will give patients the thumbs up or thumbs down? Just that, if this were Obama’s plan, it would have more in common with our current system than you might think.
In Palin’s fantasy, the death-panel “bureaucrats” were going to pick winners and losers based on a judgment about their “level of productivity in society.” Well, if you view income as a gauge of a person’s productivity in societyand God knows there are Republicans who dothen the quality of health care is already correlated with “productivity in society.” Obama’s plan, by making health care more affordable to lower income people, would make that less true.
This is just another way of making a point already made by Peter Singer in response to less delusional concerns about the possibility of rationing under Obama’s plan: we already ration health care; we just let the market do the rationing.
Any government health care plan will bring some new form of “rationing,” since no government can afford to guarantee everyone all possible medical treatment. But let’s be clear: the people who are trying to sabotage reform by telling mind-boggling lies about its hidden rationing agenda seem, in fact, pretty content with rationing; they seem happy with a system in which the least “productive” members of society get bad health care, including, occasionally, health care so bad that it leads to death.