Life, Liberty, and the Pursuit of Happiness
Free Stuff, via Other People's Money
Should medical care be free? The most direct way to achieve that is to nationalize medical professionals. Once they are indentured to We The People, we can dictate what (if anything) we are willing to pay them and they will accept it - or else.
An immediate question becomes, what if they don't like it and decide to go into other lines of work? Currently there is a system that screens applicants to med school so that only the brightest, best, and most committed get in and those who can't carry the load don't finish. Why in the name of all that's holy would we want to take people who have crossed that threshold and put them into competition with ordinary mortals like you and me for the jobs that we think we need to feed our families?
The assumption of altruism in the medical profession is one of the underpinnings of the rationale that its practitioners can be stripped of all other incentives and will continue to serve us. What if this were not true? What recourse would be open to those who opt out? My best guess is that they would become legal professionals and politicians. Any pretense of altruism among the legal profession became laughable several generations ago, Perry Mason notwithstanding. The past couple of presidencies have put a fork into the notion of politicians as public servants, which has been moribund for a much longer time. Consider the response from lawyers and politicians every time tort reform comes up: "These are not the droids you are looking for."
Heinlein codified the notion that TANSTASFL (There Ain't No Such Thing As A Free Lunch) based on the notion that somebody pays. I cynically submit that those who don't have to pay have no remorse or sense of obligation to those who do.
Who is more of a parasite - the recipient of public aid, or the enforcers who live high on the hog off their fee for taxing the producers of goods and services? Is it not likely that at some point the ROI for the producers who pay these fees to keep the parasites from impeding progress will fall to a level where they are no longer willing to pay? What then?