I'm continuing this series on integral values - even though this is a rumination of one.
One of the most urgent issues in the United States, is the issue of health care. At one last count, there exists 46.6 million, or 15.9 percent, of citizens who do not have access to health care.
The article I point to above, shows that even of those who attempt to access private health, 9 out of 10 do not choose to - because of course, expense, not getting full coverage, all the exceptions for previous conditions, etc.
How would lack of health care, in such a rich nation, be viewed through the lens of integral values?
When a nation becomes wealthy enough, every nationa - EXCEPT the United States - has chosen universal health care.
And you can see why -
a. Practicality - health care is either crisis, or is fairly unnecessry. At any one time, 90% of people don't need health care. They just need to be taken care of when accidents happen, when they fall sick, and as old age approaches.
Given this, a shared pool of risk, is always the smartest way to go. And of course, a nation is a very large pool.
There are also a lot of savings in billing, dual coverage, fights with care provider, etc, that make private insurance simply impractical and expensive. This is borne out also, in the fact that the United States pays more per person than any other country, but in terms of overall health, is less healthy than the average person in other countries.
Ths particular analysis, looks at INTEGRAL cities - in some sense incorporating "green" values, into looking at how to build "resilient" cities, and then creates an "Urban Bill of Rights", that attempts to stand in for integral values.
Here is the Urban Bill of Rights:
The Urban Bill of Rights
1. The right to see significant greenery, the sky, and the sun from within one’s home.
2. The right to natural cross ventilation in one’s home.
3. The right to enjoy peace and quiet within one’s home with windows open.
4. The right to sleep at night without excessive artificial ambient light.
5. The right to be free in one’s neighborhood from pollution of air, water, soil, and plant life.
6. The right to be free from undesirable local environmental change caused by poor urban design, such as wind, shadow and noise canyons, excess heat caused by overpaving, etc.
7. The right to adequate space for storage, hobbies, and other personal activities in and around each dwelling unit, including play space for children in family housing.
8. The right to mobility, regardless of income. If automobile use is discouraged by prohibitive pricing, public transit must be adequate and low cost.
9. The right to parking space for each household.
10. The right of convenient access, on foot if possible, to basic daily needs, such as good quality food at reasonable prices, daily household and medical supplies, laundry facilities, etc.
11. The right of convenient access, by foot, private vehicle, or transit, to places of employment.
12. The right of equal access to the commons and to taxpayer-funded and other public facilities, such as government buildings, libraries, museums, bridges, and roadways.
13. The right of access within walking distance to nature, recreation, outdoor exercise, and discovery, including parks, open space, and areas inhabited by wildlife.
14. The right to equal and adequate police, fire, and emergency services, which shall not be infringed on the basis of income or neighborhood character.
15. The right to participate in and guide, through equitable, representative, democratic processes, land use decisions that affect oneself, one’s neighborhood, and one’s community."
So this is one communities attempt to be integral, which takes in a whole host of individual, environmental, social concerns, while keeping the eye on longterm practical survivability of a community.
Too pie in the sky?
Also posted at zaadz
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Health Care! An actual policy debate, resilient communities and integral values
Comments
Re: Health Care! An actual policy debate, resilient communities and integral values
by
Marty
on Sun 17 Sep 2006 01:06 PM PDT | Profile | Permanent Link
Too much government to implement all that. Socialism is not integral, imo. Nationalized healthcare would (and is) a disaster. I work in healthcare and if you think Halliburton is bad you have not seen anything to the fraud of corruption of Medicare and Medicaid. It is sad.
Having tax funded payer system then becomes an excuse for the government to begin to regulate our lifestyle and behaviors because unhealthy or risky behaviors come out of all of our wallets. Thus they start banning cheese fries and mountain climbing because heart surgery and broken limbs cost us all money. I know this is an extreme example but I do not trust the government and do not want to give more power and money to Bush, Cheney, Rumsfeld, et al. If other people’s choices affect my wallet then why force it all on us? (At gun point too because I would choose not to pay for a nationalized system but would have no choice because Agent Smith would come to my door, thus it would be done with the threat of force) None of this is integral. I like the Zaadz way with conscious capitalism. The recent interview on IN with Mackey and Brian Johnson is the way to go, imho. Re: Re: Health Care! An actual policy debate, resilient communities and integral values
by
ebuddha
on Mon 18 Sep 2006 05:36 PM PDT | Profile | Permanent Link
Thanks for responding! My thoughts below:
"too much government. Socialism is not integral..." Well, a couple of distinctions. Socialized medicine - or universal healthcare - is not, in and of itself, "socialism". That would be to much equating with a vast generalization. ationalized healthcare would (and is) a disaster". I hear you - and especially your experience of Medicare and Medicaid - however, all other Western countries - and then other countries such as Japan, Costa Rica, South Korea - have implemented universal health care without "disaster". Perhaps another phrase would be more descriptive. (One thing - in terms of satisfaction with say the VA hospital versus private care, there are studies that suggest the opposite._ and I would point out again - nearly 50 million of the poorest americans, living without healthcare, is a major crisis in and of itself. There may be a different way to implement universal healthcare. There are different methods utilized in the countries that offer universal healthcare, so as a "latecomer", we can hopefully take the best, and leave the rest. "then becomes an excuse for the government to begin to regulate our lifestyle and behaviors because unhealthy or risky behaviors come out of all of our wallets" I think this is actually already an issue with HMO's. And because the HMO's are "private", they have more of a right to "refuse service" to those with existing conditions, eating habits, etc. So that danger is not changed whether healthcare is a universally or privately provided. "None of this is integral. I like the Zaadz way with conscious capitalism" Well, I love the thought of conscious capitalism as well. However, not EVERYTHING functions best under this rubric. Apples are apples, oranges are oranges. Fire departments, police, etc, these types of institutions function better under public control - while of course, providing of computer services function better under PRIVATE control. There is a case to be made that adequate regulation, often bridges the gap. California's use of energy, as an example, has, per individual, gone down, over the last 30 years, and stayed the SAME in aggregate, despite the larger population size. And this was a function of the genius of capitalism, finding methods to provide energy under tighter regulations (even though protesting prior to these regulations it would "ruin business", of course.) But some core fact remains: a. Nearly 50 million uninsured. b. Highest per capita, per person for cost of health care, in the world. c. In the teens and twenties, comparing regarding the MEASURES of health in different countries, on various scales, from infant death, to various diseases to age at death. That IS a crisis, and does show an incredible inefficiency in allocation of funds and resources. And this needs to be addressed in some way. Again, I appreciate you taking the time to respond! All the best! Trackbacks
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