Horseshit!
Providing healthcare is widely considered a legitimate and essential government function, though the extent and method vary; governments ensure access, regulate markets, protect vulnerable populations (like through Medicare/Medicaid in the U.S.), and fund services, balancing public well-being with market-based approaches, reflecting a global view that health is a human right and a public good.
Arguments for Government Role
- Public Health & General Welfare: Governments have a broad mandate to ensure "general welfare" and protect citizens, which extends to public health, seeing healthcare as a necessity, like clean water, rather than a luxury.
- Human Rights: Many view healthcare as a fundamental human right, obligating governments to ensure universal access, even if services are privately delivered.
- Market Failures: Markets alone often fail to provide equitable or affordable care for everyone, necessitating government intervention to expand coverage and control costs, as seen with the ACA.
- Ensuring Access: Governments fund programs (Medicare, Medicaid) and enact laws (EMTALA) to guarantee care for vulnerable groups, the elderly, and those in emergencies.
Roles of Government in Healthcare
- Purchasing & Providing: Funding and delivering care (e.g., VA, military, Medicaid).
- Regulating: Overseeing quality, safety, and markets for pharmaceuticals, insurance, and providers.
- Supporting: Investing in research, workforce development, and public health infrastructure.