Health care is not a right
February 26, 2010 – 10:34 pm by JohnHealth care is not a right. No one has a right to health care. This has been said before and explained in better, more detailed terms than I’m going to here, but it bears repeating and needs explaining plainly and frequently.
As difficult as it is to define abstract ideas like rights, this much is certain: for anything to be a human “right,” it must apply fully and equally to all people in all possible times, places, and situations. Rights are universal and eternal and can never change. For rights to apply equally to everyone, and for one person’s “right” not to imply an entitlement or an aggression or an asymmetric demand of any kind with respect to another person, all rights are negative. Positive rights are not, in fact, rights, but desires or privileges. This means, for instance, that we don’t have a right to property, but rather we have a right for no one to take our rightfully owned property; when we say we have a right to free speech, this simply means no one can stop us from saying what we want on our own time and our own place, not that society must provide us with a microphone and a podium and pay any attention to us. We don’t have a right to certain things; we have a right for no one to forcibly prevent us from doing the things that everyone else may also do. Rights have an awfully strict definition, especially when you consider they must be identical from the days of the earliest cavemen to the distant, unimaginable future of the human race. That’s why there are so few of them.
Implicit in the idea that everyone has a right to health care is a deeply insidious morality. If it were true that health care were a right, then when an airline passenger had a heart attack mid-flight, or one member of a group of hikers or mountain climbers got injured, or a group of vacationers got stranded on an island and one fell ill, then despite the absence of any medical knowledge among the other people nearby, the person in need of medical care could demand that others treat him. He has a right, after all, to receive medical care from other people, free of charge, and their failure to provide it would be a violation of his rights.
“Health care” consists of expertise, labor, and products supplied to patients from medical professionals and manufacturers. It takes several years of advanced schooling and hard work, facing stiff competition, to even become a doctor, nurse, PA, etc. Turns out treating patients is a full-time job and for most doctors is, in fact, much more stressful and grueling than what most of us consider a “full-time” job. As we all know, you don’t just put on a ring, say, “Wonder Twin powers, activate! Form of: health care,” and receive treatment. Labor is required not only to treat you but also to train for years. With our economy becoming more integrated and the worldwide division of labor increasing all the time, millions of people’s labor goes into treating every patient in developed countries.
To claim health care as a right is to claim ownership not only of other people’s property but of the time and effort spent examining you, treating you, and training to become competent to treat you. To claim health care as a right is to claim jurisdiction over the actions, decisions, knowledge, time, and the very bodies of the people whom you are demanding treatment from. To claim health care as a right means the health care professionals and companies forfeit all of their rights to set their own prices for their goods and services—in fact, abrogates their right to charge any price for anything they give you, because you have a right to health care, and society must therefore provide it. No principled ethic of human relationships could permit such wholesale subjugation of one group of citizens by another. Medical care, like all goods and services, can only be provided via mutual agreement, an exchange or contract. Anything beyond that is either charity or slavery.
So now we see that most people do not, in fact, mean health care is a “right” at all, but rather something that they wish everyone could get for a low price. Most people who claim that health care is a right also wish no evil private companies would ever make money off of something needed so badly by so many people, or off of anything else, for that matter. Yeah, and it’d be nice if we could fly around on unicorns and Firefly had never been canceled, but we libertarians live in the real world, despite tiresome claims to the contrary. The next time you start to think anyone has a right to health care, or you hear someone else say health care is a right, remember what monstrous violations of actual human rights this entails and remind yourself or others that health care is only something you wish everyone had easy access to and weren’t overburdened with government inefficiency and regulations.
