No Republicans backed the bill and it passed with just 219 votes to 212.

The fact that these reforms have faced so much opposition astounds my sensibilities and judging from the online reactions of others greatly astounds them too. We are lucky to be living through Nye Bevan’s dream of ‘cradle to grave’ health care and therefore the prospect of having to pay for basic healthcare seems fairly shocking to many of us. I remember my astonishment when I lived in Ireland for a short period and listened to my housemates discussing how much it cost to see a GP and how they avoided it if possible. I think my reaction was, “What, you have to PAY?!” It seemed unthinkable to me at the time that in a civilized society you would pay for something so basic as seeing a GP, a luxury I had taken for granted all my life.

What, after all, is so wrong about extending free healthcare to more citizens? It is the right thing to do. It is the civilized, socially responsible thing to do. Many disagree, both in the US and on our own shores – there are still those who object to the NHS. The Republicans are convinced that the majority of Americans do not want healthcare reform and see this as a rallying point for election support come the mid-terms in November. The arguments against this reform are that it is unaffordable and represents a government takeover of the health industry. The latter point shows just how some people view healthcare in the US – as an industry, a business, not as a public service as it should be. As for the unaffordable argument, well the UK, Germany, Brazil, Greenland, Peru, Trinidad and Tobago, India and many more countries – some much poorer than the US – manage their universal healthcare systems. It is also an interesting point that 62 per cent of personal bankruptcy in the US is a direct consequence of medical debt and current US spending on healthcare is at a higher rate of GDP than countries such as the UK and Japan who have public healthcare, surely these facts would suggest that reform is definitely needed. I highly suspect the majority of objection comes from the simple, selfish fact that US healthcare reform means higher taxation and the fact that most Americans with conservative viewpoints do not see healthcare as a ‘right’ – which means they must see it as a privilege, a privilege only afforded to those who can pay – like themselves.

It is saddening that these attitudes still exist, especially in such large numbers, and I fear that unless these attitudes can be dramatically changed we will never see the great changes in healthcare that the people of America really need. This passing of the reform bill is a historic step, but it is a baby-step with watered-down measures to enable its passing. For real progress to take place in US healthcare in future attitudes need to change, both public and political. Healthcare should be a right, afforded to all, not a privilege and I hope Obama will continue his crusade and that others will follow him until Americans have a real cradle to grave, universal healthcare service.

“The collective principle asserts that… no society can legitimately call itself civilised if a sick person is denied medical aid because of lack of means.”
-Aneurin Bevan, In Place of Fear

Photo: Tahitianlime 2007