Contrary to the way it has been couched in the media and elsewhere, the debate going on in Congress tonight is not between ‘pro-health care’ and ‘anti-health care.’ There are a number of accurate and semi-accurate ways of presenting the argument, but that isn’t one of them. People like me who vehemently oppose the plan that will likely pass the House tonight don’t do so because we are ghouls who want children to die, or any of the other things that we are accused of. We do so because we think this plan is horrible and goes about reform in entirely the wrong way.
I concede without significant disagreement that access to health care is a human right. For many years, health care has been one of the few issues where I agree more with the ‘liberals’ than I do with the ‘conservatives.’ But the bill that will probably be heading to the President’s desk tonight is so fundamentally flawed that it will likely do more harm than good, and should be wholly rejected.
There are many reasons for this. First and foremost, I believe in the United States Constitution. Without a Constitutional amendment, health care is not and cannot be a federal issue. If we truly want to make health care available to everybody, it must be done through fifty state-based systems—the same way we have provided public schools to our nation through fifty state-based systems in the absence of an amendment to federalize it. There are a few elements of health care that rightfully fall in the federal purview, but they are things this bill doesn’t even cover! For example, the federal government (under the Interstate Commerce clause) may permit the sale of insurance plans across state lines, which would increase competition and decrease costs.
What else might a real reform plan include?

