The federal government does a whole lot of things that aren't covered in the Constitution.
Yup, they sure do, which is why 36 States either have, or are in the process of, passing 10th Amendment legislation, to compel the fed to abide by the Constitution, and have already put the Congress on notice that if they continue the way that they have been, that they will call a Con-con, and amend the Constitution specifically binding Congress to the 17 specifically listed areas of Article 1 Section 8 (or elsewhere as specifically listed) and nothing more.
You do have a good point, of course, that health care is not specifically covered. We might be better off to have the states provide a catastrophic care insurance, so we don't have to step over bodies as you suggest below. That way, we'd have not just one, but fifty different plans, and have a chance to compare them and see which ones work the best. Not only that, but the Constitution would not have to be amended.
Of course, if we were to do that, then I'd like to see the feds give up all of the extra Constitutional programs they have undertaken, wouldn't you?
You do realize that all of the above is an impossible dream anyway, don't you?
I agree that this is an issue that falls within the purview of the States, and not the federal government, and being able to shop from among many different plans would be a vast improvement over what we have now, competition in the marketplace and all that, but at the same time I'm not convinced that the various State governments can do any better than where we are now. I really do feel that tort reform, kicking illegals to the curb, and going after hospitals and doctors that engage in "price gouging" is the best way to handle it. There are entirely too many doctors who only charge what they do because of the incredibly high malpractice policies that they're required to carry. Another area that I think would help is for all of the States to adopt "loser pays" laws when it comes to lawsuits.
As far as it being an "impossible dream", all I'll say to that is, we'll see what happens with the 10th Amendment legislation that's being worked on. If it passes, Congress will have no choice but to limit themselves once and for all.
As I said, it may not be the government's responsibility, but it is the most efficient way to deal with the problem of indigent medical care, as well as medical bankruptcies.
There aren't enough people willing to step over bodies to allow us to simply let people die because they weren't provident enough to have planned for medical emergencies, nor are charitable institutions going to be able to solve the problem
Currently, we are spending in the neighborhood of 17% of our GDP on medical care. That is nearly as much as the entire federal bureaucracy costs.
What we need to do is streamline the system and make it more efficient. What we have now is simply not affordable in the long term.
I really have a serious problem believing that the government can run anything efficiently. In fact, I can't name a single government agency that is the paragon of efficiency, can you? While I agree that there is a lot of work to be done, I keep coming back to a very old addage "if government is the answer, it's got to be a REALLY stupid question"!
As far as our spending 17% of our GDP on healthcare, a major chunk of that is due to the baby boomers and geriatric care, which will be on the decline in another 10 or 15 years, so do we really want to throw our hands in the air and give up when we're so close to being done with it? Another area is illegals, and I think we all know how to handle that. Then there's the sickly, weak-willed, mamma's boys (and girls) who run to the doctor every time they get the sniffles. Frankly, if you're not running a 101' fever and you go to the doctor, they ought to charge you quadruple for wasting their time and making everyone else wait for your silly a$$!
If gall bladder surgery, which is relatively minor, cost $25 grand fourteen years ago, it would probably be double that now. Open heart surgery could easily cost a half of a million, and a major accident could run the same. Are you sure you are really ready for a medical catastrophe?
From what you have told me, I'm afraid you might be faced with the choice of simply dying, or allowing your wife to die, or leaning on the taxpayers to pay your bills.
I'm pretty sure that most of us would swallow our pride and lean on the government in such a situation. Maybe you're different.
I am different. First of all, if I really had to, I could put my hands on just over a million. I'd have to collateralize all of my investments, land, and everything else I own and have spent a lifetime working for, but it can be done. I know that most people aren't in that situation, which is why I've made it clear from the beginning that I'm NOT the "average guy", but I'm in the situation that I am because I sacrificed, lived modestly, worked my butt off, and saved instead of trying to "keep up with the Jones's", just like my parents and grandparents taught me to do because of what they learned living through the REAL depression. The fact of the matter is that most people today fall into two catagories, they either fell into the trap that FDR set up for them, or they've spent their lives avoiding it like the plague, and trying to warn everyone they know about the pitfalls that await them when they become dependent on the government.
Oh, and one other thing, if, God forbid, I was to come down with some catastrophic disease, I would rather die than to leave my wife bankrupt and destitute. I saw a cousin of mine go through that, and he literally bankrupted his family, and left them in debt for more than a decade after he died, all because he wasn't man enough to have the clarity of thought to realize that there was no chance in Hell that he was going to make it, so he kept grasping at every straw that the doctors threw out there at him, and the only thing that happened was that his doctor got to buy a bigger house, a nicer car, and a boat, while my cousins wife wound up bankrupt, living in a trailer, and driving a 15 year old beater, and she STILL curses him almost every day.
I guess it all boils down to one simple concept with me, you're either a man (woman), or you're a child. If you're a man, you take responsibility for yourself and your family, and you do that without running around with your hand out looking for a "free ride". If you don't, and you do run around looking for a hand out, looking to the government to take care of things for you, looking for someone to bail you out every time you get in a scrape, then you're nothing but an overgrown child, and it's LONG past time that you grew up!