May 7th, 2008
Why Do Americans “Deserve” the Best Health Care?
A few weeks back, I saw on TV a Republican Congressman, giving a speech on the House floor, who said something to the effect of “Americans deserve the best health care in the world.” I wish I had written down the guy’s name because I can’t find a transcript now. But I did find a lot of similar comments on the web. Dan Kalmick is a young man running for Congress in southern California, and he thinks that “Americans deserve the best healthcare possible.” A researcher quoted in a PARADE article last year says that “All Americans deserve the best health care in the world.” And according to this Senate press release, Finance Committee Chairman Max Baucus (D-MT) pronounces that “Americans deserve the highest quality health care available.”
So much talk about what Americans “deserve”! And how good we must be to deserve “the best,” “the highest quality” … IN THE WORLD!
I’m interested in this language of deserts. The way I understand the word “deserve,” a person only deserves something based on his performance within a legal, contractual, or covenantal agreement, or perhaps for exceptional service. A worker deserves his wages come payday; he’s entitled to them, his employer owes them, and if the employer doesn’t pay up, the worker can ask a judge to compel him. This is desert in the strict sense.
To give an example of the loose sense, when Nobel Prizes are awarded, we might say that all of the people who were under consideration deserved a prize, even though only one could win it. The nominees weren’t entitled to a prize, and the committee didn’t owe them one. Since the prize is an honor given voluntarily, not by entitlement, when someone says that each one deserved the prize, that is just another way to honor their work.
A quick check of the Oxford English Dictionary confirms my understanding of the word: “To have acquired, and thus to have, a rightful claim to; to be entitled to, in return for services or meritorious actions, or sometimes for ill deeds and qualities; to be worthy to have.”
In what sense, then, do Americans deserve the best health care in the world? Who owes this to us Americans? To whom have we provided services so that we are now, in return, entitled to receive the best health care in the world? Or if we’re talking about desert in the sense of worthiness, what great deeds have we done to be worthy of the highest quality care in the world? How presumptuous for an American to extol the worthiness of himself and other Americans to receive the best health care!
Why is it that Americans — as Americans — deserve the best health care in the world? Why don’t Guatemalans or Laotians or Hungarians deserve the best health care in the world? Does everyone deserve the best health care in the world? Does everyone deserve the best food in the world, or the best drink, or the best TV programming, or the best mattresses? Why don’t we all deserve the best of everything, if it’s just up to us to declare this about ourselves?
“Americans deserve” talk is political pandering. Desert has nothing to do with anything. What Americans do have is just what we produce, buy, or borrow, exactly like every other state, household, or individual in the world. I wish Americans would produce more intelligent, wise, and honest politicians, but Lord knows we don’t deserve them!
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