{"id":3355,"date":"2010-12-07T11:37:32","date_gmt":"2010-12-07T16:37:32","guid":{"rendered":"http:\/\/blogs.northcountrypublicradio.org\/inbox\/?p=3355"},"modified":"2010-12-08T12:00:45","modified_gmt":"2010-12-08T17:00:45","slug":"this-is-what-a-free-market-death-panel-looks-like","status":"publish","type":"post","link":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/2010\/12\/07\/this-is-what-a-free-market-death-panel-looks-like\/","title":{"rendered":"This is what a free-market death panel looks like"},"content":{"rendered":"<p>During the debate over health care reform, Sarah Palin and others successfully convinced a lot of Americans that the bill included sneaky &#8220;death panel&#8221; provisions that allow government bureaucrats to make life-and-death decisions.<\/p>\n<p>It was, in a word, baloney.<\/p>\n<p>But as we&#8217;ve learned in the last two weeks, death panels really do exist..\u00a0 It&#8217;s called the marketplace.<\/p>\n<p>When the state of Arizona stopped subsidizing organ transplants for poor patients, some very sick people were thrown back on the free market.<\/p>\n<p>In future, those Arizonans who can pay will live.\u00a0 Many of those who can&#8217;t pay will die. <a href=\"http:\/\/www.nytimes.com\/2010\/12\/03\/us\/03transplant.html?_r=1&amp;hp=&amp;pagewanted=all\">This from the New York Times<\/a>.<\/p>\n<blockquote><p>\u201cThe most difficult discussions are those that involve patients who had been on the donor list for a year or more and now we have to tell them they\u2019re not on the list anymore,\u201d said Dr. Rainer Gruessner, a transplant specialist at the University of Arizona College of Medicine.<\/p>\n<p>\u201cThe frustration is tremendous. It\u2019s more than frustration.\u201d<\/p><\/blockquote>\n<p>The Times stories recounts how one donated liver &#8212; which had been intended for a 32-year-0ld father named Francisco Felix &#8212; went instead to a patient who could fork over $200,000.<\/p>\n<blockquote><p>\u201cI know times are tight and cuts are needed, but you can\u2019t cut human lives,\u201d said Mr. Felix\u2019s wife, Flor. \u201cYou just can\u2019t do that.\u201d<\/p><\/blockquote>\n<p>As <a href=\"http:\/\/www.slate.com\/id\/2276898\/\">Slate&#8217;s reporting makes clear<\/a>, this kind of cash-for-life reality plays out over and over again in American society, not just in Arizona.<\/p>\n<blockquote><p>Economic rationing of transplants occurs in other ways, too. Hospitals routinely reject candidates for new organs or bone marrow if they have no insurance or if their coverage will not guarantee payment for the anti-rejection medications that a patient must take for the rest of his life.<\/p><\/blockquote>\n<p>The crucial point here is that this isn&#8217;t an abstract, ideological debate.\u00a0 Without some kind of intervention in the marketplace, people will die.<\/p>\n<p>So what do we do about it?\u00a0 Does laissez-faire libertarianism mean that people of lesser economic means should be allowed to (literally) drop off the bottom of the ladder?<\/p>\n<p>Should some other institution or entity foot the bill?\u00a0 Or does this cross a moral line that we&#8217;re uncomfortable with?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>During the debate over health care reform, Sarah Palin and others successfully convinced a lot [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[10,4803,20],"_links":{"self":[{"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/posts\/3355"}],"collection":[{"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/comments?post=3355"}],"version-history":[{"count":0,"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/posts\/3355\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/media?parent=3355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/categories?post=3355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.northcountrypublicradio.org\/inbox\/wp-json\/wp\/v2\/tags?post=3355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}