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Five Christian Considerations for Health-Care Reform

I approach the discussion about health-care reform from the perspective of an urban minister. I've worked with urban core neighbors, neighborhoods, congregations, and community groups for more than 20 years. I've watched people struggle to access basic health services in the shadow of world-class hospitals. I know hardworking people caught in the "catch-22" level of income: They make too much to access Medicaid but too little to afford health insurance premiums. They work for companies that either don't offer health insurance or offer it partially at a level these employees can't afford. Workers are forced to use a patchwork of health fairs, free clinics, and doctors who will see them occasionally without cost (God bless these). They put off illness or pain until it becomes chronic or unbearable and then make a dash to an emergency room. The health costs they incur are a greater portion of their household income than most Americans. The cost to their dignity is inestimable. But the cost to America's integrity is even higher.

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At the same time, I know that health-care costs are spiraling upward for higher-wage neighbors. The monthly cost for my family's health insurance is higher than our mortgage payment. Our benefits are stripped down and our co-pays and deductibles are higher than ever. I know people whose prescriptions are no longer covered, whose important procedures are denied, and whose insurance has been dropped. Many people have filed bankruptcy due in large part to unpayable medical bills. In short, while the health-care system has not been working for the working poor for a long time, it is not working for more and more middle-income neighbors. None of this begins to factor in the significant levels of abuse of the system by those who game it -- professional health-care providers, the insurance industry, and consumers of health-care services. The current system is not sustainable, it is not reasonable, it is not just. It does not reflect what we know is best about or for America.

So, I am completely on board with the call for quality, accessible, affordable health care for all citizens. I'm advocating for this from the perspective of an urban Christian minister on the one hand, and as an American citizen on the other. As a Christian minister, I am convinced that quality, accessible, affordable health care for all is a moral imperative. As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract. But it is as a Christian minister that I offer the following considerations on health-care reform to the church I love:

1. The Samaritan principle sets the tone for the Christian church regarding care for the poor, uninsured, and desperate in our land. Simply put, in the care a Samaritan extends to a wounded, helpless victim, Jesus declares what it means to be an authentic neighbor. If we have the resources to help and heal, we should. Not because we'll get reimbursed. Not because there's profit involved. Not because we'll get recognized or rewarded. But because it reflects the caring, healing intention of God for God's people in relationship to one another and in witness to the world. We cannot pass by because we presume somebody else will take care of uninsured people. We cannot ignore what's happening because it's just bigger than us or beyond us. Jesus calls us to see, respond, help, comfort, and restore -- as if those left out and wounded were our very own.

2. Jesus' ministry of healing was conducted in the face of structures and regulations designed to control, limit, and exclude. I've been reading the gospels again during this time of national concern about health care. Health and healing was front and center for Jesus. Undoubtedly, Jesus' healings were a sign that he was the anticipated Messiah and that a new era was beginning. However, Jesus' healings also confronted, exposed, and undermined age-old systems that, in the name of health care, prevented healing from occurring. Jesus cut through the red tape, system-serving regulations, and control-oriented rituals to actually offer what God desired for people -- healing, restoration, and a future of dignity and hope. Instead of defending the current status quo practices that place ordinary folks in similar binds, the people who follow and claim to reflect Jesus should consider how he judged and exposed the ineffectiveness and meanness of structures that served themselves at others' expense.

3. The context of community, inclusion, and sharing resources to assist the neediest -- central in the early church witness -- is a pattern and principle to renew. Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another. The apostle Paul affirmed this principle with his counsel that we are members of one another, that no part can say to another, "I don't need you." To what extent are there such awarenesses or practices in the church today? And to what extent is our sense of community -- over against asserting individual privilege and private right-bearing witness to the larger community and nation of what is good, possible, and godly?

4. Christian leaders should be leading the health-care dialog by seeking the truth and speaking the truth. To this point, it doesn't seem to me that there has been a debate or dialog about health-care reform. Much of the so-called debate to this point has focused on myths, distortions, and outright lies about proposed health reform legislation. The news media focus has been on misinformed people shouting down congressional leaders, calling them Nazis, and burning them in effigy. I'm convinced Christians should not only not be a part of those scenarios, but that we should make a contribution to the dialogue that is fact-based, truth-seeking, civil, and that moves all to find the common ground necessary to ensure that quality, accessible, affordable health care is available to all American citizens. If the news media or partisan groups play to distortions and extremes, then people of Christian faith have a significant role to get the facts, convey them in understandable ways, and create conversations that deal in what's real. We are the people whose scriptures declare, "you will know the Truth and the Truth will set you free." We are the people who are reminded that "God has given us, not a spirit of fear, but of power, of love, and of self-discipline."

5. Let us embody and advocate for the principles, practices, and norms of the beloved community toward which Jesus pointed. Christians have no stake in propping up old-order systems, or aligning ourselves with self-serving institutions, or playing to sub-Christian social stratifications. At personal, community, and systemic levels, Christians are challenged to practice now the norms and promises of the future described in the scriptures. I love the way Bible scholar Walter Brueggemann puts it: "God's future is enacted as present neighborliness." Is not quality, accessible, affordable health care for all one such act of "present neighborliness" that is a signal of the direction God intends the future to move? I think so. And I invite Christians and people of other faiths to join me and others in this kairos moment -- this period of unique opportunity to witness something magnanimous and restorative in our generation.

John Hay Jr., a longtime urban pastor and advocate in Indianapolis, Indiana, recently began working with international child sponsorship opportunities through the Free Methodist Church.

To learn more about health-care reform, click here to visit Sojourners' Health-Care Resources Web page.

Sojourners relies on the support of readers like you to sustain our message and ministry.

by: Jeffrey J. Rodman

02-15-2010 @ 7:30pm

The government interference in healthcare will not solve problems long term. Just like Social Security and Medicare this programs will suffer from not having enough financial resources, funded through tax dollars, to support the program and the inevitable cuts will come. A better solution is to allow faith-based and community-based health clinics to care for their own citizens within the community. Government grant funding could help these ministries and non-profits but these clinics are most effective when they are supported with local funds by individual contributors and local foundation grants.

In my work with Here-4-You Christian Grant Consulting I meet ministries striving to provide healthcare services, healthcare sharing programs, free clinics, pregnancy centers, and other health related organizations. It is predicted that these programs will be harmed or even shut down by "healthcare reform." The Christian and faith-based organizations are most concerned as to how new regulations may interfere with their missions.

by: boatkitten

08-27-2009 @ 11:32pm

Oh, you mean the Constitution suggests we provide all citizens with police protection, fire protection, judicial service, military service, but not general welfare items such as access to a doctor? Somehow, I highly doubt that.

by: stratdad

08-28-2009 @ 9:30pm

Actually, when the constitution was ratified, we gave over to the government the responsibility to protect our -existing- inalienable rights, and gave over the authority to use force in order to provide these protections. An individual didn't have a right to community resources before the ratification, and he didn't have them after. Rather, afterward, his private property and personal liberty were more secure. The governments role, as envisioned by the founding fathers, is as a protector of rights, not a provider of services. (Governments are instituted among men to preserve these inalienable rights to life, liberty, and pursuit of happiness) The constitution is not difficult reading - way easier than researching the truth about the health bill. We all need to know what it says, and what it means. The constitution was never intended to address or fix the painful and real injustices of capitalism.

by: prk

08-25-2009 @ 2:48pm

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."

Sorry, you are wrong my rights end where yours begin. I have no right to your property because you are a medical professional.

"The current system is not sustainable, it is not reasonable, it is not just."

You are right Medicare and Medicaid are broke. And you want us to add to it?

"Our benefits are stripped down and our co-pays and deductibles are higher than ever"

Really a look at the numbers tell us that out of pocket expenses half of what are parents were as more and more people have switched to PPO's and HMO. Ask your parents and grand parents what their deductibles were.

I like my insurance plan and I want to keep it. I believe I, as well as my family and everyone I know will be worse off with all the plans in congress now.

I do not accept that the moral high ground is a government take over of health care. I trust my self and my friends, I do not trust Washington!

by: Minnesotan

08-25-2009 @ 2:53pm

Everyone that I know wants to help those in need with their medical needs. Others have helped me with my medical bills in the past. However, they did so willingly, without the government forcing them to do so. That is why I think the analogy to Acts 2 does not work in the health care debate. It is a non-sequitur to say, "because early Christians willingly shared with one another and those in need, the government can force everyone into a program to pay medical costs."

Also, we must not allow good intentions to justify an economically-flawed program. For example, those who support raising the minimum wage to $100 an hour might have compassionate motives to help the poor, but their plan would not help them in reality and many low-wage workers would lose their jobs under such a "compassionate" law. Pres. Obama's health care proposals, although well-intentioned, do not make sense economically. His plan will drive up costs, increase demand and reduce medical care for all, including the poor. Those who have enough money will fly to the Cayman Islands or Costa Rica or drive to Tijuana for car from the American doctors who flee the ineffective, bureaucratic system we might get from Congress. There are ways to set up an effective system, but it would mean that the Democrats in Congress would have to admit the massive flaws in their government-run proposals.

An Acts 2 model encourages private people to meet the needs of others, but not government coercion of everyone into one, ineffective system. If there is a need for government intervention, it needs to be done skillfully with cost incentives (like health savings accounts) and in a way that will effectively help others. The present proposal doesn't do that.

by: PastorGreg

08-25-2009 @ 3:18pm

Great post. Thanks John.

by: ando

08-25-2009 @ 3:20pm

"Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another. "

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good? They would say that it's up to a person's free will, aka conscience, to be a Good Samaritan, but nobody should force them to do it. That's a great big hurdle in the debate.

by: boatkitten

08-29-2009 @ 10:22am

The health care proposals are not hard to read either. Kaiser Family listed a synopsis of all the proposals on thier website. There is not a plan that says eveyyone will get free health care. The public plan is one that you will PAY FOR. The people without health care are either: 1. Not making enough to pay for the ourtrageous individual policy premiums 2. Self employed with a condition deemed uninsurable 3. Employer never provided/had to drop health care.

Even non-Christian hospitals aren't so cold-hearted to push an accident victim into the alley just because he has no ability to pay. Hospitals will give service to those who need care.

Across the globe, countries have found that to deny health care, your entire nation suffers. That's why health care is a 'right', from Austria to Columbia to New Zealand to Japan to Switzerland and 30 more of the most modern nations on this earth. It is just embarrassing to me that the USA ranks with Bangladesh in terms of offering universal health care.
Switzerland was in our shoes 10 years ago, a crisis in health care, but changed their system so that everyone is now covered. The plan gaining most ground is very much like the plan they adopted - and staunch opponents are now quite happy with it.
http://www.pbs.org/wgbh/pages/frontline/sickaro...

by: Ngchen

08-25-2009 @ 4:53pm

I agree that Acts 2 does not necessarily mandate a government-run system of welfare, since the generosity and such was voluntary. It's been said before, but I'll repeat it. If the church won't step up with regard to helping the vulnerable and weak, then the state will end up doing it, and the results may well be less than pleasing.

That being said, yes it is true that we are all connected in some way. No reasonable person can argue that the current system isn't dysfunctional. One where the average cost per person is $8000/yr is not reasonable. The runner-up (IIRC Japan) has a cost that is half that. Yes, I believe everyone who works and/or is willing to work has a right to needed health care, and the current system is failing to deliver. Ultimately, insurance reform, no matter how it's set up, cannot end up reducing the overall costs by itself, but only spreads the cost among more/different people. Any reform that would work in the long run must address net costs, and I'm frankly scared that no current proposal seriously does that, dooming any "reform" to one more failure.

by: PastorVernon

08-25-2009 @ 5:14pm

Pastor Hay is clearly misinformed as to the problem with the heated debates. It was a congressman who advocates a public option who called protestors Nazi's. It was Nancy Pelosi and her cohorts on the left who called anyone opposed to their plan as un-American, mobsters, and thugs. It is clearly the one's on the side of Pastor Hay, who obviously supports a public option, who are the one's intolerant of the views of other people. He seems to imply that anyone with a different plan for health care reform (those opposed to a public option), are somewhat less than Christian.
I don't know of anyone who doesn't think we need some kind of reform. But there are many of us who don't advocate the socialist ideas of this writer.

by: stratdad

08-28-2009 @ 9:30pm

Actually, when the constitution was ratified, we gave over to the government the responsibility to protect our -existing- inalienable rights, and gave over the authority to use force in order to provide these protections. An individual didn't have a right to community resources before the ratification, and he didn't have them after. Rather, afterward, his private property and personal liberty were more secure. The governments role, as envisioned by the founding fathers, is as a protector of rights, not a provider of services. (Governments are instituted among men to preserve these inalienable rights to life, liberty, and pursuit of happiness) The constitution is not difficult reading - way easier than researching the truth about the health bill. We all need to know what it says, and what it means. The constitution was never intended to address or fix the painful and real injustices of capitalism.

by: bikehiker

08-25-2009 @ 5:33pm

It seems to me that Jesus' telling of the story of the good Samaritan was not to point out that as one of Jesus' followers I can choose to help or choose to ignore those who are suffering. It also seems to me that Jesus' point was not to prove, as some here have, that it is not the government's responsibility to help people in physical need. What was the point of Jesus telling this story? That we are to be like the Samaritan (and, specifically, not like the others who did not respond for whatever reason), to see our neighbor's needs as our own and respond as graciously as God has seen us in our need and responded to us as the Samaritan. This story was not told to individuals, but to the believers and would-be believers together, so what is called for is not merely an individualistic response, but a community-wide response.

As to the role of government: Americans decided more than a generation ago that our individualistic and charitable responses to our fellow American neighbors in desperate need, though gracious, were being overwhelmed. As a people, we decided and contributed together to hold our government accountable for helping us help our neighbors in crises in specific situations. Social security, Medicare, Medicaid, and other life-critical initiatives have helped millions of our neighbors and family members in preventative, life-sustaining and restorative ways. Collectively, we have been able to express our compassion and care at levels and in ways we could not have individually or as communities of faith alone. In some ways, we have held our government accountable to act more compassionately, more Christianly, than it would have or as some would have it do again. It seems to me that we have collectively asked that the Samaritan principle be enacted as an expression of who we are at our best as a nation. To not act in this spirit and on this principle in regard to the millions who are medically uninsured--and more becoming uninsured every day--would be to backslide from a basic underpinning of the Christian and compassion ethic that has contributed to our nation's integrity to this point.

by: smilinmoo

08-25-2009 @ 5:41pm

No, it was the anti-reform screechers at the town hall meetings who called President Obama a Nazi. It was the talking heads like Rush Limbaugh who called President Obama a Nazi. It was one of the anti-reform people who called health reform a Nazi plan when addressing pro-reform, Jewish Barney Frank. The screaming and yelling and name calling has been much, MUCH heavier on the right, no matter how you try to spin it.
The public option is just that, an OPTION. Why people continue to call it a government takeover of health care is beyond me.

by: conradsteinhoff

08-25-2009 @ 5:47pm

It is astounding to read the initial reacions to Pastor Hay's essay. At no point (I reread his essay to be sure) does he advocate a government-run plan, or a "government takeover" of health care. Yet these commentators attack him for doing so. This demonstrates, I think, the seemingly insurmountable problem in trying to have honest dialog about this issue. Some folks have preconceived notions about what others are saying and therefore cannot hear what they are really saying.
Speaking for myself: Government is not by definition evil. Medicare is not evil. I am a recipient and can testify it is a good, well-run program. It is also unsustainable in the long run, as is our entire system, including private insurance, unless escalating costs are brought under control and
reduced.
From my perspective as a Christian, Pastor Hay has it right. Everyone has a right to accessible and affordable health care. To leave anybody out is directoy oppositional to the Gospel message of full inclusion in the Kingdom of God. That's what we are about as Christians, isn't it? The Kingdom of God? The means by which that is achieved can be debated - if the shouters can be gotten to listen and participate - but not the goal - at least not as I understand Jesus' Good News for the poor.

by: jdquest

08-25-2009 @ 6:10pm

I am sixty one years old and the coverage I had in my early twenties was much better and cheaper than what is availabe now. It was not a group plan either. The insurance covered so much more then, also. I was in the hospital for three days for tests. I didn't have to get up at five am to drive across town to the hospital and be poked and prodded and then, already sick, have to drive home again at the end of the day.

by: prk

08-25-2009 @ 2:48pm

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."

Sorry, you are wrong my rights end where yours begin. I have no right to your property because you are a medical professional.

"The current system is not sustainable, it is not reasonable, it is not just."

You are right Medicare and Medicaid are broke. And you want us to add to it?

"Our benefits are stripped down and our co-pays and deductibles are higher than ever"

Really a look at the numbers tell us that out of pocket expenses half of what are parents were as more and more people have switched to PPO's and HMO. Ask your parents and grand parents what their deductibles were.

I like my insurance plan and I want to keep it. I believe I, as well as my family and everyone I know will be worse off with all the plans in congress now.

I do not accept that the moral high ground is a government take over of health care. I trust my self and my friends, I do not trust Washington!

by: Minnesotan

08-25-2009 @ 2:53pm

Everyone that I know wants to help those in need with their medical needs. Others have helped me with my medical bills in the past. However, they did so willingly, without the government forcing them to do so. That is why I think the analogy to Acts 2 does not work in the health care debate. It is a non-sequitur to say, "because early Christians willingly shared with one another and those in need, the government can force everyone into a program to pay medical costs."

Also, we must not allow good intentions to justify an economically-flawed program. For example, those who support raising the minimum wage to $100 an hour might have compassionate motives to help the poor, but their plan would not help them in reality and many low-wage workers would lose their jobs under such a "compassionate" law. Pres. Obama's health care proposals, although well-intentioned, do not make sense economically. His plan will drive up costs, increase demand and reduce medical care for all, including the poor. Those who have enough money will fly to the Cayman Islands or Costa Rica or drive to Tijuana for car from the American doctors who flee the ineffective, bureaucratic system we might get from Congress. There are ways to set up an effective system, but it would mean that the Democrats in Congress would have to admit the massive flaws in their government-run proposals.

An Acts 2 model encourages private people to meet the needs of others, but not government coercion of everyone into one, ineffective system. If there is a need for government intervention, it needs to be done skillfully with cost incentives (like health savings accounts) and in a way that will effectively help others. The present proposal doesn't do that.

by: PastorGreg

08-25-2009 @ 3:18pm

Great post. Thanks John.

by: ando

08-25-2009 @ 3:20pm

"Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another. "

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good? They would say that it's up to a person's free will, aka conscience, to be a Good Samaritan, but nobody should force them to do it. That's a great big hurdle in the debate.

by: boatkitten

08-29-2009 @ 10:22am

The health care proposals are not hard to read either. Kaiser Family listed a synopsis of all the proposals on thier website. There is not a plan that says eveyyone will get free health care. The public plan is one that you will PAY FOR. The people without health care are either: 1. Not making enough to pay for the ourtrageous individual policy premiums 2. Self employed with a condition deemed uninsurable 3. Employer never provided/had to drop health care.

Even non-Christian hospitals aren't so cold-hearted to push an accident victim into the alley just because he has no ability to pay. Hospitals will give service to those who need care.

Across the globe, countries have found that to deny health care, your entire nation suffers. That's why health care is a 'right', from Austria to Columbia to New Zealand to Japan to Switzerland and 30 more of the most modern nations on this earth. It is just embarrassing to me that the USA ranks with Bangladesh in terms of offering universal health care.
Switzerland was in our shoes 10 years ago, a crisis in health care, but changed their system so that everyone is now covered. The plan gaining most ground is very much like the plan they adopted - and staunch opponents are now quite happy with it.
http://www.pbs.org/wgbh/pages/frontline/sickaro...

by: Ngchen

08-25-2009 @ 4:53pm

I agree that Acts 2 does not necessarily mandate a government-run system of welfare, since the generosity and such was voluntary. It's been said before, but I'll repeat it. If the church won't step up with regard to helping the vulnerable and weak, then the state will end up doing it, and the results may well be less than pleasing.

That being said, yes it is true that we are all connected in some way. No reasonable person can argue that the current system isn't dysfunctional. One where the average cost per person is $8000/yr is not reasonable. The runner-up (IIRC Japan) has a cost that is half that. Yes, I believe everyone who works and/or is willing to work has a right to needed health care, and the current system is failing to deliver. Ultimately, insurance reform, no matter how it's set up, cannot end up reducing the overall costs by itself, but only spreads the cost among more/different people. Any reform that would work in the long run must address net costs, and I'm frankly scared that no current proposal seriously does that, dooming any "reform" to one more failure.

by: saaasbo

08-25-2009 @ 7:04pm

If you are a pastor you should be more measured in your tone. It's not about who called who a name first, it's about trying to do something about a real problem with real people suffering. It's interesting how quickly the word 'socialist' is thrown around to try to make someone that is compassionate toward the less fortunate sound evil.

by: PastorVernon

08-25-2009 @ 5:14pm

Pastor Hay is clearly misinformed as to the problem with the heated debates. It was a congressman who advocates a public option who called protestors Nazi's. It was Nancy Pelosi and her cohorts on the left who called anyone opposed to their plan as un-American, mobsters, and thugs. It is clearly the one's on the side of Pastor Hay, who obviously supports a public option, who are the one's intolerant of the views of other people. He seems to imply that anyone with a different plan for health care reform (those opposed to a public option), are somewhat less than Christian.
I don't know of anyone who doesn't think we need some kind of reform. But there are many of us who don't advocate the socialist ideas of this writer.

by: bikehiker

08-25-2009 @ 5:33pm

It seems to me that Jesus' telling of the story of the good Samaritan was not to point out that as one of Jesus' followers I can choose to help or choose to ignore those who are suffering. It also seems to me that Jesus' point was not to prove, as some here have, that it is not the government's responsibility to help people in physical need. What was the point of Jesus telling this story? That we are to be like the Samaritan (and, specifically, not like the others who did not respond for whatever reason), to see our neighbor's needs as our own and respond as graciously as God has seen us in our need and responded to us as the Samaritan. This story was not told to individuals, but to the believers and would-be believers together, so what is called for is not merely an individualistic response, but a community-wide response.

As to the role of government: Americans decided more than a generation ago that our individualistic and charitable responses to our fellow American neighbors in desperate need, though gracious, were being overwhelmed. As a people, we decided and contributed together to hold our government accountable for helping us help our neighbors in crises in specific situations. Social security, Medicare, Medicaid, and other life-critical initiatives have helped millions of our neighbors and family members in preventative, life-sustaining and restorative ways. Collectively, we have been able to express our compassion and care at levels and in ways we could not have individually or as communities of faith alone. In some ways, we have held our government accountable to act more compassionately, more Christianly, than it would have or as some would have it do again. It seems to me that we have collectively asked that the Samaritan principle be enacted as an expression of who we are at our best as a nation. To not act in this spirit and on this principle in regard to the millions who are medically uninsured--and more becoming uninsured every day--would be to backslide from a basic underpinning of the Christian and compassion ethic that has contributed to our nation's integrity to this point.

by: smilinmoo

08-25-2009 @ 5:41pm

No, it was the anti-reform screechers at the town hall meetings who called President Obama a Nazi. It was the talking heads like Rush Limbaugh who called President Obama a Nazi. It was one of the anti-reform people who called health reform a Nazi plan when addressing pro-reform, Jewish Barney Frank. The screaming and yelling and name calling has been much, MUCH heavier on the right, no matter how you try to spin it.
The public option is just that, an OPTION. Why people continue to call it a government takeover of health care is beyond me.

by: conradsteinhoff

08-25-2009 @ 5:47pm

It is astounding to read the initial reacions to Pastor Hay's essay. At no point (I reread his essay to be sure) does he advocate a government-run plan, or a "government takeover" of health care. Yet these commentators attack him for doing so. This demonstrates, I think, the seemingly insurmountable problem in trying to have honest dialog about this issue. Some folks have preconceived notions about what others are saying and therefore cannot hear what they are really saying.
Speaking for myself: Government is not by definition evil. Medicare is not evil. I am a recipient and can testify it is a good, well-run program. It is also unsustainable in the long run, as is our entire system, including private insurance, unless escalating costs are brought under control and
reduced.
From my perspective as a Christian, Pastor Hay has it right. Everyone has a right to accessible and affordable health care. To leave anybody out is directoy oppositional to the Gospel message of full inclusion in the Kingdom of God. That's what we are about as Christians, isn't it? The Kingdom of God? The means by which that is achieved can be debated - if the shouters can be gotten to listen and participate - but not the goal - at least not as I understand Jesus' Good News for the poor.

by: stratdad

08-25-2009 @ 10:20pm

Minnesotan, I'm on the same page as you. I would venture a bit further, and say that the health care debate is on because Christians have not meet the needs of our brothers. I agree with you, Mr. Hay, that this is a moral imperative, and this debate is a call to action, but I disagree that it involves political activism. Christians (myself included) need to step up and work thru the Body, not Caesar.

by: jdquest

08-25-2009 @ 6:10pm

I am sixty one years old and the coverage I had in my early twenties was much better and cheaper than what is availabe now. It was not a group plan either. The insurance covered so much more then, also. I was in the hospital for three days for tests. I didn't have to get up at five am to drive across town to the hospital and be poked and prodded and then, already sick, have to drive home again at the end of the day.

by: xfree9

08-26-2009 @ 1:56am

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good?

The problem here is the word "coerce." I'm for peaceful activity and mutual agreements. Individual property rights are very important in this debate because it is individuals who are made in God's image and deserve respect and due dignity. "Common good" is a great idea so long as it does not destroy dignity and ignore human value. Slavery could be justified as a "common good," but it devalued personal property-that is, the right of a slave to his own property: himself!

by: saaasbo

08-26-2009 @ 11:32am

Medicare and Medicaid may be broke as you put it, but Medicare got my father-in-law through 2 years of pancreatic cancer treatment without a problem and Medicaid help with the medical care for all our foster children and scores of people would be devastated without it.

by: saaasbo

08-26-2009 @ 11:34am

and how's that been working? not well for 40 some million people.

by: saaasbo

08-25-2009 @ 7:04pm

If you are a pastor you should be more measured in your tone. It's not about who called who a name first, it's about trying to do something about a real problem with real people suffering. It's interesting how quickly the word 'socialist' is thrown around to try to make someone that is compassionate toward the less fortunate sound evil.

by: stratdad

08-25-2009 @ 10:20pm

Minnesotan, I'm on the same page as you. I would venture a bit further, and say that the health care debate is on because Christians have not meet the needs of our brothers. I agree with you, Mr. Hay, that this is a moral imperative, and this debate is a call to action, but I disagree that it involves political activism. Christians (myself included) need to step up and work thru the Body, not Caesar.

by: xfree9

08-26-2009 @ 1:56am

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good?

The problem here is the word "coerce." I'm for peaceful activity and mutual agreements. Individual property rights are very important in this debate because it is individuals who are made in God's image and deserve respect and due dignity. "Common good" is a great idea so long as it does not destroy dignity and ignore human value. Slavery could be justified as a "common good," but it devalued personal property-that is, the right of a slave to his own property: himself!

by: saaasbo

08-26-2009 @ 11:32am

Medicare and Medicaid may be broke as you put it, but Medicare got my father-in-law through 2 years of pancreatic cancer treatment without a problem and Medicaid help with the medical care for all our foster children and scores of people would be devastated without it.

by: saaasbo

08-26-2009 @ 11:34am

and how's that been working? not well for 40 some million people.

by: boatkitten

08-26-2009 @ 6:32pm

Because we have more uninsured than ever before (employers dropping coverage, more "contract labor" excluded from benefits, more part timers, pre-existing conditions making insurance too expensive to buy, etc) those people will still need to go to a hospital eventually. That's why this situation is on a different scale than owning property. Health care is like education and police protection -- ESSENTIAL for "our welfare" -- and those words, my friend, are most definitely in our CONSTITUTION that our forefathers drew up for us.
Obesity is the #2 reason why Medicare isn't able to keep up with costs. In 1980, with a lower weight population, knee replacements were a rarity. Now they are the norm. That's just one of dozens of health issues. Our older populations are less healthy than they were in the 60's and 70s.
The people fighting this plan keep refering to things "we might get". Well, we might also get a plan that relieves the hospitals of having to worry about un-insured people causing them to raise rates by 70% each year. We might also get to a point where people don't have to file bancruptcy because of a bad heart.

But I know what WE WILLGET -- we will get out of a, for-profit entrapment that is currently dictating how many procedures we can have, what labs we can have run, how high our premiums will be - and worst of all --- they dictate EXACTLY which people will be - and won't be - allowed to have health insurance! Try that program out sometime --- that COULD be you one day! You have no guarantee that you can keep your current private health insurance. Lots of people who once thought that have discovered it's a myth.

by: binSchmidt

09-03-2009 @ 6:10am

"Christ drew a clear distinction between His Kingdom and man's institutions of government." Yes, but in the present day, Christ's Kingdom - the Church - has the opportunity to influence 'man's institutions of government'. The question then, is, how should a follower of Christ respond to an opportunity to provide for healthcare for all? His parable on the good Samaritan seems to a follower of Christ should provide that healthcare. In a perfect world, perhaps that could happen through private charity, rather than through government intervention. But until private charity finds the millions of dollars necessary to privately insure the millions of people unable to pay for their own medical care, a government plan seems to be the only method available.

Hardly anyone in the entire developed world, Christian or not, would question importance of a decent public healthcare system. Why do US conservatives see it any differently?

by: ozdoc

08-30-2009 @ 11:48pm

My copays and deductibles are both much higher than they were 30 years ago. Before that, my aunts/uncles/grandparents/etc. didn't need insurance because the costs were doable for a one-income family with 9 kids.

by: binSchmidt

09-03-2009 @ 6:17am

lol. You need to better than that. Churches should be applauded for the efforts they make to care for the worse off in the world. But given it seems they're too busy with Africa, who will take care of American citizens without healthcare?

Incidentally, world-renown development economist Jeffrey Sachs reports that the USA provides a smaller proportion of its income in aid, even including private donations, to developing nations, than most of the rest of the Western world. How about supporting some government initiatives to provide some real aid to the world's dying and starving, instead of the pitiful private aid which is currently provided?

by: Jeffrey J. Rodman

02-15-2010 @ 5:30pm

The government interference in healthcare will not solve problems long term. Just like Social Security and Medicare this programs will suffer from not having enough financial resources, funded through tax dollars, to support the program and the inevitable cuts will come. A better solution is to allow faith-based and community-based health clinics to care for their own citizens within the community. Government grant funding could help these ministries and non-profits but these clinics are most effective when they are supported with local funds by individual contributors and local foundation grants.

In my work with Here-4-You Christian Grant Consulting I meet ministries striving to provide healthcare services, healthcare sharing programs, free clinics, pregnancy centers, and other health related organizations. It is predicted that these programs will be harmed or even shut down by "healthcare reform." The Christian and faith-based organizations are most concerned as to how new regulations may interfere with their missions.

by: binSchmidt

09-03-2009 @ 6:22am

But a *national scale*? You'd need thousands of those Mission of Mercy clinics all around the country. How do you propose finding the money for that? You can't. You have too much faith in man - you seem to think people will happily fork over all the money needed to run healthcare for those who can't afford it. But people are far too self-centred for that, whether or not they're in the church. It's for this reason that the most effective way you can be a good Samaritan, with regard to healthcare, is to support an organisation who do have the funds to provide healthcare for all - the government. It works in all the other developed nations of the world - why not the USA?

by: Jeffrey J. Rodman

02-15-2010 @ 7:30pm

The government interference in healthcare will not solve problems long term. Just like Social Security and Medicare this programs will suffer from not having enough financial resources, funded through tax dollars, to support the program and the inevitable cuts will come. A better solution is to allow faith-based and community-based health clinics to care for their own citizens within the community. Government grant funding could help these ministries and non-profits but these clinics are most effective when they are supported with local funds by individual contributors and local foundation grants.

In my work with Here-4-You Christian Grant Consulting I meet ministries striving to provide healthcare services, healthcare sharing programs, free clinics, pregnancy centers, and other health related organizations. It is predicted that these programs will be harmed or even shut down by "healthcare reform." The Christian and faith-based organizations are most concerned as to how new regulations may interfere with their missions.

by: binSchmidt

09-03-2009 @ 6:10am

"Christ drew a clear distinction between His Kingdom and man's institutions of government." Yes, but in the present day, Christ's Kingdom - the Church - has the opportunity to influence 'man's institutions of government'. The question then, is, how should a follower of Christ respond to an opportunity to provide for healthcare for all? His parable on the good Samaritan seems to a follower of Christ should provide that healthcare. In a perfect world, perhaps that could happen through private charity, rather than through government intervention. But until private charity finds the millions of dollars necessary to privately insure the millions of people unable to pay for their own medical care, a government plan seems to be the only method available.

Hardly anyone in the entire developed world, Christian or not, would question importance of a decent public healthcare system. Why do US conservatives see it any differently?

by: boatkitten

08-26-2009 @ 6:32pm

Because we have more uninsured than ever before (employers dropping coverage, more "contract labor" excluded from benefits, more part timers, pre-existing conditions making insurance too expensive to buy, etc) those people will still need to go to a hospital eventually. That's why this situation is on a different scale than owning property. Health care is like education and police protection -- ESSENTIAL for "our welfare" -- and those words, my friend, are most definitely in our CONSTITUTION that our forefathers drew up for us.
Obesity is the #2 reason why Medicare isn't able to keep up with costs. In 1980, with a lower weight population, knee replacements were a rarity. Now they are the norm. That's just one of dozens of health issues. Our older populations are less healthy than they were in the 60's and 70s.
The people fighting this plan keep refering to things "we might get". Well, we might also get a plan that relieves the hospitals of having to worry about un-insured people causing them to raise rates by 70% each year. We might also get to a point where people don't have to file bancruptcy because of a bad heart.

But I know what WE WILLGET -- we will get out of a, for-profit entrapment that is currently dictating how many procedures we can have, what labs we can have run, how high our premiums will be - and worst of all --- they dictate EXACTLY which people will be - and won't be - allowed to have health insurance! Try that program out sometime --- that COULD be you one day! You have no guarantee that you can keep your current private health insurance. Lots of people who once thought that have discovered it's a myth.

by: ozdoc

08-30-2009 @ 11:48pm

My copays and deductibles are both much higher than they were 30 years ago. Before that, my aunts/uncles/grandparents/etc. didn't need insurance because the costs were doable for a one-income family with 9 kids.

by: binSchmidt

09-03-2009 @ 6:17am

lol. You need to better than that. Churches should be applauded for the efforts they make to care for the worse off in the world. But given it seems they're too busy with Africa, who will take care of American citizens without healthcare?

Incidentally, world-renown development economist Jeffrey Sachs reports that the USA provides a smaller proportion of its income in aid, even including private donations, to developing nations, than most of the rest of the Western world. How about supporting some government initiatives to provide some real aid to the world's dying and starving, instead of the pitiful private aid which is currently provided?

by: lmbjck

08-27-2009 @ 5:21pm

Sorry, government programs poke and prod too. They just do it less efficientely.

by: lmbjck

08-27-2009 @ 5:25pm

While I agree that an educated, healthy population is essential for prosperity, your reference to the Constitution is incorrect. It actually says "in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare." That does not promise individual rights to success or a standard of living, but rather to promote the pursuit as such.

by: lmbjck

08-27-2009 @ 5:36pm

I agree! To John I would say it is unfortunate that your rhetoric so closely resembles that of the Administration that I actually had to conduct a quick search to make sure you had not simply copy and pasted your comments from the White House web site. Here are a few thoughts your readers might enjoy to have a bit more balanced debate:

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."
I must have an out of date copy of our Constitution, for it only mentions 'promote the general welfare [of our country].' The only social contract here is providing an economic, regulatory, and political environment to foster innovation and success- two of poverty's greatest enemies.

1. "Simply put, in the care a Samaritan extends to a wounded, helpless victim, Jesus declares what it means to be an authentic neighbor. If we have the resources to help and heal, we should."
I believe He said "Give unto Caesar what is Caesar's." That's a far cry from endorsing the Roman Empire or man's pathetic attempts at social policy. The only possible connection I can make is what you refer to as the Samaritan principle, but that is more efficiently done without running charity through the government.

2. "Jesus' ministry of healing was conducted in the face of structures and regulations designed to control, limit, and exclude."
You have in this one line summed up every reason to avoid government-run healthcare at any cost.

3. The context of community, inclusion, and sharing resources to assist the neediest - central in the early church witness - is a pattern and principle to renew.
The more the government takes, the less I have to give in my community. I promise that I as a congregational member and any pastor in the U.S. is better positioned to realize the needs of their community than any bureaucrat in Washington.

4. "Christian leaders should be leading the health-care dialog by seeking the truth and speaking the truth

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by: prk

08-25-2009 @ 2:48pm

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."

Sorry, you are wrong my rights end where yours begin. I have no right to your property because you are a medical professional.

"The current system is not sustainable, it is not reasonable, it is not just."

You are right Medicare and Medicaid are broke. And you want us to add to it?

"Our benefits are stripped down and our co-pays and deductibles are higher than ever"

Really a look at the numbers tell us that out of pocket expenses half of what are parents were as more and more people have switched to PPO's and HMO. Ask your parents and grand parents what their deductibles were.

I like my insurance plan and I want to keep it. I believe I, as well as my family and everyone I know will be worse off with all the plans in congress now.

I do not accept that the moral high ground is a government take over of health care. I trust my self and my friends, I do not trust Washington!

by: prk

08-25-2009 @ 2:48pm

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."

Sorry, you are wrong my rights end where yours begin. I have no right to your property because you are a medical professional.

"The current system is not sustainable, it is not reasonable, it is not just."

You are right Medicare and Medicaid are broke. And you want us to add to it?

"Our benefits are stripped down and our co-pays and deductibles are higher than ever"

Really a look at the numbers tell us that out of pocket expenses half of what are parents were as more and more people have switched to PPO's and HMO. Ask your parents and grand parents what their deductibles were.

I like my insurance plan and I want to keep it. I believe I, as well as my family and everyone I know will be worse off with all the plans in congress now.

I do not accept that the moral high ground is a government take over of health care. I trust my self and my friends, I do not trust Washington!

by: Minnesotan

08-25-2009 @ 2:53pm

Everyone that I know wants to help those in need with their medical needs. Others have helped me with my medical bills in the past. However, they did so willingly, without the government forcing them to do so. That is why I think the analogy to Acts 2 does not work in the health care debate. It is a non-sequitur to say, "because early Christians willingly shared with one another and those in need, the government can force everyone into a program to pay medical costs."

Also, we must not allow good intentions to justify an economically-flawed program. For example, those who support raising the minimum wage to $100 an hour might have compassionate motives to help the poor, but their plan would not help them in reality and many low-wage workers would lose their jobs under such a "compassionate" law. Pres. Obama's health care proposals, although well-intentioned, do not make sense economically. His plan will drive up costs, increase demand and reduce medical care for all, including the poor. Those who have enough money will fly to the Cayman Islands or Costa Rica or drive to Tijuana for car from the American doctors who flee the ineffective, bureaucratic system we might get from Congress. There are ways to set up an effective system, but it would mean that the Democrats in Congress would have to admit the massive flaws in their government-run proposals.

An Acts 2 model encourages private people to meet the needs of others, but not government coercion of everyone into one, ineffective system. If there is a need for government intervention, it needs to be done skillfully with cost incentives (like health savings accounts) and in a way that will effectively help others. The present proposal doesn't do that.

by: Minnesotan

08-25-2009 @ 2:53pm

Everyone that I know wants to help those in need with their medical needs. Others have helped me with my medical bills in the past. However, they did so willingly, without the government forcing them to do so. That is why I think the analogy to Acts 2 does not work in the health care debate. It is a non-sequitur to say, "because early Christians willingly shared with one another and those in need, the government can force everyone into a program to pay medical costs."

Also, we must not allow good intentions to justify an economically-flawed program. For example, those who support raising the minimum wage to $100 an hour might have compassionate motives to help the poor, but their plan would not help them in reality and many low-wage workers would lose their jobs under such a "compassionate" law. Pres. Obama's health care proposals, although well-intentioned, do not make sense economically. His plan will drive up costs, increase demand and reduce medical care for all, including the poor. Those who have enough money will fly to the Cayman Islands or Costa Rica or drive to Tijuana for car from the American doctors who flee the ineffective, bureaucratic system we might get from Congress. There are ways to set up an effective system, but it would mean that the Democrats in Congress would have to admit the massive flaws in their government-run proposals.

An Acts 2 model encourages private people to meet the needs of others, but not government coercion of everyone into one, ineffective system. If there is a need for government intervention, it needs to be done skillfully with cost incentives (like health savings accounts) and in a way that will effectively help others. The present proposal doesn't do that.

by: PastorGreg

08-25-2009 @ 3:18pm

Great post. Thanks John.

by: PastorGreg

08-25-2009 @ 3:18pm

Great post. Thanks John.

by: ando

08-25-2009 @ 3:20pm

"Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another. "

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good? They would say that it's up to a person's free will, aka conscience, to be a Good Samaritan, but nobody should force them to do it. That's a great big hurdle in the debate.

by: ando

08-25-2009 @ 3:20pm

"Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another. "

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good? They would say that it's up to a person's free will, aka conscience, to be a Good Samaritan, but nobody should force them to do it. That's a great big hurdle in the debate.

by: Ngchen

08-25-2009 @ 4:53pm

I agree that Acts 2 does not necessarily mandate a government-run system of welfare, since the generosity and such was voluntary. It's been said before, but I'll repeat it. If the church won't step up with regard to helping the vulnerable and weak, then the state will end up doing it, and the results may well be less than pleasing.

That being said, yes it is true that we are all connected in some way. No reasonable person can argue that the current system isn't dysfunctional. One where the average cost per person is $8000/yr is not reasonable. The runner-up (IIRC Japan) has a cost that is half that. Yes, I believe everyone who works and/or is willing to work has a right to needed health care, and the current system is failing to deliver. Ultimately, insurance reform, no matter how it's set up, cannot end up reducing the overall costs by itself, but only spreads the cost among more/different people. Any reform that would work in the long run must address net costs, and I'm frankly scared that no current proposal seriously does that, dooming any "reform" to one more failure.

by: Ngchen

08-25-2009 @ 4:53pm

I agree that Acts 2 does not necessarily mandate a government-run system of welfare, since the generosity and such was voluntary. It's been said before, but I'll repeat it. If the church won't step up with regard to helping the vulnerable and weak, then the state will end up doing it, and the results may well be less than pleasing.

That being said, yes it is true that we are all connected in some way. No reasonable person can argue that the current system isn't dysfunctional. One where the average cost per person is $8000/yr is not reasonable. The runner-up (IIRC Japan) has a cost that is half that. Yes, I believe everyone who works and/or is willing to work has a right to needed health care, and the current system is failing to deliver. Ultimately, insurance reform, no matter how it's set up, cannot end up reducing the overall costs by itself, but only spreads the cost among more/different people. Any reform that would work in the long run must address net costs, and I'm frankly scared that no current proposal seriously does that, dooming any "reform" to one more failure.

by: PastorVernon

08-25-2009 @ 5:14pm

Pastor Hay is clearly misinformed as to the problem with the heated debates. It was a congressman who advocates a public option who called protestors Nazi's. It was Nancy Pelosi and her cohorts on the left who called anyone opposed to their plan as un-American, mobsters, and thugs. It is clearly the one's on the side of Pastor Hay, who obviously supports a public option, who are the one's intolerant of the views of other people. He seems to imply that anyone with a different plan for health care reform (those opposed to a public option), are somewhat less than Christian.
I don't know of anyone who doesn't think we need some kind of reform. But there are many of us who don't advocate the socialist ideas of this writer.

by: PastorVernon

08-25-2009 @ 5:14pm

Pastor Hay is clearly misinformed as to the problem with the heated debates. It was a congressman who advocates a public option who called protestors Nazi's. It was Nancy Pelosi and her cohorts on the left who called anyone opposed to their plan as un-American, mobsters, and thugs. It is clearly the one's on the side of Pastor Hay, who obviously supports a public option, who are the one's intolerant of the views of other people. He seems to imply that anyone with a different plan for health care reform (those opposed to a public option), are somewhat less than Christian.
I don't know of anyone who doesn't think we need some kind of reform. But there are many of us who don't advocate the socialist ideas of this writer.

by: bikehiker

08-25-2009 @ 5:33pm

It seems to me that Jesus' telling of the story of the good Samaritan was not to point out that as one of Jesus' followers I can choose to help or choose to ignore those who are suffering. It also seems to me that Jesus' point was not to prove, as some here have, that it is not the government's responsibility to help people in physical need. What was the point of Jesus telling this story? That we are to be like the Samaritan (and, specifically, not like the others who did not respond for whatever reason), to see our neighbor's needs as our own and respond as graciously as God has seen us in our need and responded to us as the Samaritan. This story was not told to individuals, but to the believers and would-be believers together, so what is called for is not merely an individualistic response, but a community-wide response.

As to the role of government: Americans decided more than a generation ago that our individualistic and charitable responses to our fellow American neighbors in desperate need, though gracious, were being overwhelmed. As a people, we decided and contributed together to hold our government accountable for helping us help our neighbors in crises in specific situations. Social security, Medicare, Medicaid, and other life-critical initiatives have helped millions of our neighbors and family members in preventative, life-sustaining and restorative ways. Collectively, we have been able to express our compassion and care at levels and in ways we could not have individually or as communities of faith alone. In some ways, we have held our government accountable to act more compassionately, more Christianly, than it would have or as some would have it do again. It seems to me that we have collectively asked that the Samaritan principle be enacted as an expression of who we are at our best as a nation. To not act in this spirit and on this principle in regard to the millions who are medically uninsured--and more becoming uninsured every day--would be to backslide from a basic underpinning of the Christian and compassion ethic that has contributed to our nation's integrity to this point.

by: bikehiker

08-25-2009 @ 5:33pm

It seems to me that Jesus' telling of the story of the good Samaritan was not to point out that as one of Jesus' followers I can choose to help or choose to ignore those who are suffering. It also seems to me that Jesus' point was not to prove, as some here have, that it is not the government's responsibility to help people in physical need. What was the point of Jesus telling this story? That we are to be like the Samaritan (and, specifically, not like the others who did not respond for whatever reason), to see our neighbor's needs as our own and respond as graciously as God has seen us in our need and responded to us as the Samaritan. This story was not told to individuals, but to the believers and would-be believers together, so what is called for is not merely an individualistic response, but a community-wide response.

As to the role of government: Americans decided more than a generation ago that our individualistic and charitable responses to our fellow American neighbors in desperate need, though gracious, were being overwhelmed. As a people, we decided and contributed together to hold our government accountable for helping us help our neighbors in crises in specific situations. Social security, Medicare, Medicaid, and other life-critical initiatives have helped millions of our neighbors and family members in preventative, life-sustaining and restorative ways. Collectively, we have been able to express our compassion and care at levels and in ways we could not have individually or as communities of faith alone. In some ways, we have held our government accountable to act more compassionately, more Christianly, than it would have or as some would have it do again. It seems to me that we have collectively asked that the Samaritan principle be enacted as an expression of who we are at our best as a nation. To not act in this spirit and on this principle in regard to the millions who are medically uninsured--and more becoming uninsured every day--would be to backslide from a basic underpinning of the Christian and compassion ethic that has contributed to our nation's integrity to this point.

by: smilinmoo

08-25-2009 @ 5:41pm

No, it was the anti-reform screechers at the town hall meetings who called President Obama a Nazi. It was the talking heads like Rush Limbaugh who called President Obama a Nazi. It was one of the anti-reform people who called health reform a Nazi plan when addressing pro-reform, Jewish Barney Frank. The screaming and yelling and name calling has been much, MUCH heavier on the right, no matter how you try to spin it.
The public option is just that, an OPTION. Why people continue to call it a government takeover of health care is beyond me.

by: smilinmoo

08-25-2009 @ 5:41pm

No, it was the anti-reform screechers at the town hall meetings who called President Obama a Nazi. It was the talking heads like Rush Limbaugh who called President Obama a Nazi. It was one of the anti-reform people who called health reform a Nazi plan when addressing pro-reform, Jewish Barney Frank. The screaming and yelling and name calling has been much, MUCH heavier on the right, no matter how you try to spin it.
The public option is just that, an OPTION. Why people continue to call it a government takeover of health care is beyond me.

by: conradsteinhoff

08-25-2009 @ 5:47pm

It is astounding to read the initial reacions to Pastor Hay's essay. At no point (I reread his essay to be sure) does he advocate a government-run plan, or a "government takeover" of health care. Yet these commentators attack him for doing so. This demonstrates, I think, the seemingly insurmountable problem in trying to have honest dialog about this issue. Some folks have preconceived notions about what others are saying and therefore cannot hear what they are really saying.
Speaking for myself: Government is not by definition evil. Medicare is not evil. I am a recipient and can testify it is a good, well-run program. It is also unsustainable in the long run, as is our entire system, including private insurance, unless escalating costs are brought under control and
reduced.
From my perspective as a Christian, Pastor Hay has it right. Everyone has a right to accessible and affordable health care. To leave anybody out is directoy oppositional to the Gospel message of full inclusion in the Kingdom of God. That's what we are about as Christians, isn't it? The Kingdom of God? The means by which that is achieved can be debated - if the shouters can be gotten to listen and participate - but not the goal - at least not as I understand Jesus' Good News for the poor.

by: conradsteinhoff

08-25-2009 @ 5:47pm

It is astounding to read the initial reacions to Pastor Hay's essay. At no point (I reread his essay to be sure) does he advocate a government-run plan, or a "government takeover" of health care. Yet these commentators attack him for doing so. This demonstrates, I think, the seemingly insurmountable problem in trying to have honest dialog about this issue. Some folks have preconceived notions about what others are saying and therefore cannot hear what they are really saying.
Speaking for myself: Government is not by definition evil. Medicare is not evil. I am a recipient and can testify it is a good, well-run program. It is also unsustainable in the long run, as is our entire system, including private insurance, unless escalating costs are brought under control and
reduced.
From my perspective as a Christian, Pastor Hay has it right. Everyone has a right to accessible and affordable health care. To leave anybody out is directoy oppositional to the Gospel message of full inclusion in the Kingdom of God. That's what we are about as Christians, isn't it? The Kingdom of God? The means by which that is achieved can be debated - if the shouters can be gotten to listen and participate - but not the goal - at least not as I understand Jesus' Good News for the poor.

by: jdquest

08-25-2009 @ 6:10pm

I am sixty one years old and the coverage I had in my early twenties was much better and cheaper than what is availabe now. It was not a group plan either. The insurance covered so much more then, also. I was in the hospital for three days for tests. I didn't have to get up at five am to drive across town to the hospital and be poked and prodded and then, already sick, have to drive home again at the end of the day.

by: jdquest

08-25-2009 @ 6:10pm

I am sixty one years old and the coverage I had in my early twenties was much better and cheaper than what is availabe now. It was not a group plan either. The insurance covered so much more then, also. I was in the hospital for three days for tests. I didn't have to get up at five am to drive across town to the hospital and be poked and prodded and then, already sick, have to drive home again at the end of the day.

by: saaasbo

08-25-2009 @ 7:04pm

If you are a pastor you should be more measured in your tone. It's not about who called who a name first, it's about trying to do something about a real problem with real people suffering. It's interesting how quickly the word 'socialist' is thrown around to try to make someone that is compassionate toward the less fortunate sound evil.

by: saaasbo

08-25-2009 @ 7:04pm

If you are a pastor you should be more measured in your tone. It's not about who called who a name first, it's about trying to do something about a real problem with real people suffering. It's interesting how quickly the word 'socialist' is thrown around to try to make someone that is compassionate toward the less fortunate sound evil.

by: stratdad

08-25-2009 @ 10:20pm

Minnesotan, I'm on the same page as you. I would venture a bit further, and say that the health care debate is on because Christians have not meet the needs of our brothers. I agree with you, Mr. Hay, that this is a moral imperative, and this debate is a call to action, but I disagree that it involves political activism. Christians (myself included) need to step up and work thru the Body, not Caesar.

by: stratdad

08-25-2009 @ 10:20pm

Minnesotan, I'm on the same page as you. I would venture a bit further, and say that the health care debate is on because Christians have not meet the needs of our brothers. I agree with you, Mr. Hay, that this is a moral imperative, and this debate is a call to action, but I disagree that it involves political activism. Christians (myself included) need to step up and work thru the Body, not Caesar.

by: xfree9

08-26-2009 @ 1:56am

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good?

The problem here is the word "coerce." I'm for peaceful activity and mutual agreements. Individual property rights are very important in this debate because it is individuals who are made in God's image and deserve respect and due dignity. "Common good" is a great idea so long as it does not destroy dignity and ignore human value. Slavery could be justified as a "common good," but it devalued personal property-that is, the right of a slave to his own property: himself!

by: xfree9

08-26-2009 @ 1:56am

The question is: how do we coerce people into believing in the common good, especially libertarians, who believe their individual rights to property trump any regard to the common good?

The problem here is the word "coerce." I'm for peaceful activity and mutual agreements. Individual property rights are very important in this debate because it is individuals who are made in God's image and deserve respect and due dignity. "Common good" is a great idea so long as it does not destroy dignity and ignore human value. Slavery could be justified as a "common good," but it devalued personal property-that is, the right of a slave to his own property: himself!

by: saaasbo

08-26-2009 @ 11:32am

Medicare and Medicaid may be broke as you put it, but Medicare got my father-in-law through 2 years of pancreatic cancer treatment without a problem and Medicaid help with the medical care for all our foster children and scores of people would be devastated without it.

by: saaasbo

08-26-2009 @ 11:32am

Medicare and Medicaid may be broke as you put it, but Medicare got my father-in-law through 2 years of pancreatic cancer treatment without a problem and Medicaid help with the medical care for all our foster children and scores of people would be devastated without it.

by: saaasbo

08-26-2009 @ 11:34am

and how's that been working? not well for 40 some million people.

by: saaasbo

08-26-2009 @ 11:34am

and how's that been working? not well for 40 some million people.

by: boatkitten

08-26-2009 @ 6:32pm

Because we have more uninsured than ever before (employers dropping coverage, more "contract labor" excluded from benefits, more part timers, pre-existing conditions making insurance too expensive to buy, etc) those people will still need to go to a hospital eventually. That's why this situation is on a different scale than owning property. Health care is like education and police protection -- ESSENTIAL for "our welfare" -- and those words, my friend, are most definitely in our CONSTITUTION that our forefathers drew up for us.
Obesity is the #2 reason why Medicare isn't able to keep up with costs. In 1980, with a lower weight population, knee replacements were a rarity. Now they are the norm. That's just one of dozens of health issues. Our older populations are less healthy than they were in the 60's and 70s.
The people fighting this plan keep refering to things "we might get". Well, we might also get a plan that relieves the hospitals of having to worry about un-insured people causing them to raise rates by 70% each year. We might also get to a point where people don't have to file bancruptcy because of a bad heart.

But I know what WE WILLGET -- we will get out of a, for-profit entrapment that is currently dictating how many procedures we can have, what labs we can have run, how high our premiums will be - and worst of all --- they dictate EXACTLY which people will be - and won't be - allowed to have health insurance! Try that program out sometime --- that COULD be you one day! You have no guarantee that you can keep your current private health insurance. Lots of people who once thought that have discovered it's a myth.

by: boatkitten

08-26-2009 @ 6:32pm

Because we have more uninsured than ever before (employers dropping coverage, more "contract labor" excluded from benefits, more part timers, pre-existing conditions making insurance too expensive to buy, etc) those people will still need to go to a hospital eventually. That's why this situation is on a different scale than owning property. Health care is like education and police protection -- ESSENTIAL for "our welfare" -- and those words, my friend, are most definitely in our CONSTITUTION that our forefathers drew up for us.
Obesity is the #2 reason why Medicare isn't able to keep up with costs. In 1980, with a lower weight population, knee replacements were a rarity. Now they are the norm. That's just one of dozens of health issues. Our older populations are less healthy than they were in the 60's and 70s.
The people fighting this plan keep refering to things "we might get". Well, we might also get a plan that relieves the hospitals of having to worry about un-insured people causing them to raise rates by 70% each year. We might also get to a point where people don't have to file bancruptcy because of a bad heart.

But I know what WE WILLGET -- we will get out of a, for-profit entrapment that is currently dictating how many procedures we can have, what labs we can have run, how high our premiums will be - and worst of all --- they dictate EXACTLY which people will be - and won't be - allowed to have health insurance! Try that program out sometime --- that COULD be you one day! You have no guarantee that you can keep your current private health insurance. Lots of people who once thought that have discovered it's a myth.

by: lmbjck

08-27-2009 @ 5:21pm

Sorry, government programs poke and prod too. They just do it less efficientely.

by: lmbjck

08-27-2009 @ 5:21pm

Sorry, government programs poke and prod too. They just do it less efficientely.

by: lmbjck

08-27-2009 @ 5:25pm

While I agree that an educated, healthy population is essential for prosperity, your reference to the Constitution is incorrect. It actually says "in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare." That does not promise individual rights to success or a standard of living, but rather to promote the pursuit as such.

by: lmbjck

08-27-2009 @ 5:25pm

While I agree that an educated, healthy population is essential for prosperity, your reference to the Constitution is incorrect. It actually says "in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare." That does not promise individual rights to success or a standard of living, but rather to promote the pursuit as such.

by: lmbjck

08-27-2009 @ 5:36pm

I agree! To John I would say it is unfortunate that your rhetoric so closely resembles that of the Administration that I actually had to conduct a quick search to make sure you had not simply copy and pasted your comments from the White House web site. Here are a few thoughts your readers might enjoy to have a bit more balanced debate:

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."
I must have an out of date copy of our Constitution, for it only mentions 'promote the general welfare [of our country].' The only social contract here is providing an economic, regulatory, and political environment to foster innovation and success- two of poverty's greatest enemies.

1. "Simply put, in the care a Samaritan extends to a wounded, helpless victim, Jesus declares what it means to be an authentic neighbor. If we have the resources to help and heal, we should."
I believe He said "Give unto Caesar what is Caesar's." That's a far cry from endorsing the Roman Empire or man's pathetic attempts at social policy. The only possible connection I can make is what you refer to as the Samaritan principle, but that is more efficiently done without running charity through the government.

2. "Jesus' ministry of healing was conducted in the face of structures and regulations designed to control, limit, and exclude."
You have in this one line summed up every reason to avoid government-run healthcare at any cost.

3. The context of community, inclusion, and sharing resources to assist the neediest - central in the early church witness - is a pattern and principle to renew.
The more the government takes, the less I have to give in my community. I promise that I as a congregational member and any pastor in the U.S. is better positioned to realize the needs of their community than any bureaucrat in Washington.

4. "Christian leaders should be leading the health-care dialog by seeking the truth and speaking the truth

by: lmbjck

08-27-2009 @ 5:36pm

I agree! To John I would say it is unfortunate that your rhetoric so closely resembles that of the Administration that I actually had to conduct a quick search to make sure you had not simply copy and pasted your comments from the White House web site. Here are a few thoughts your readers might enjoy to have a bit more balanced debate:

"As an American citizen, I am personally convinced it is a right that's implied in the very intent of our Constitution and historic social contract."
I must have an out of date copy of our Constitution, for it only mentions 'promote the general welfare [of our country].' The only social contract here is providing an economic, regulatory, and political environment to foster innovation and success- two of poverty's greatest enemies.

1. "Simply put, in the care a Samaritan extends to a wounded, helpless victim, Jesus declares what it means to be an authentic neighbor. If we have the resources to help and heal, we should."
I believe He said "Give unto Caesar what is Caesar's." That's a far cry from endorsing the Roman Empire or man's pathetic attempts at social policy. The only possible connection I can make is what you refer to as the Samaritan principle, but that is more efficiently done without running charity through the government.

2. "Jesus' ministry of healing was conducted in the face of structures and regulations designed to control, limit, and exclude."
You have in this one line summed up every reason to avoid government-run healthcare at any cost.

3. The context of community, inclusion, and sharing resources to assist the neediest - central in the early church witness - is a pattern and principle to renew.
The more the government takes, the less I have to give in my community. I promise that I as a congregational member and any pastor in the U.S. is better positioned to realize the needs of their community than any bureaucrat in Washington.

4. "Christian leaders should be leading the health-care dialog by seeking the truth and speaking the truth

by: lmbjck

08-27-2009 @ 5:38pm

by: lmbjck

08-27-2009 @ 5:38pm

by: boatkitten

08-27-2009 @ 11:32pm

Oh, you mean the Constitution suggests we provide all citizens with police protection, fire protection, judicial service, military service, but not general welfare items such as access to a doctor? Somehow, I highly doubt that.

by: boatkitten

08-27-2009 @ 11:32pm

Oh, you mean the Constitution suggests we provide all citizens with police protection, fire protection, judicial service, military service, but not general welfare items such as access to a doctor? Somehow, I highly doubt that.

by: stratdad

08-28-2009 @ 9:30pm

Actually, when the constitution was ratified, we gave over to the government the responsibility to protect our -existing- inalienable rights, and gave over the authority to use force in order to provide these protections. An individual didn't have a right to community resources before the ratification, and he didn't have them after. Rather, afterward, his private property and personal liberty were more secure. The governments role, as envisioned by the founding fathers, is as a protector of rights, not a provider of services. (Governments are instituted among men to preserve these inalienable rights to life, liberty, and pursuit of happiness) The constitution is not difficult reading - way easier than researching the truth about the health bill. We all need to know what it says, and what it means. The constitution was never intended to address or fix the painful and real injustices of capitalism.

by: stratdad

08-28-2009 @ 9:30pm

Actually, when the constitution was ratified, we gave over to the government the responsibility to protect our -existing- inalienable rights, and gave over the authority to use force in order to provide these protections. An individual didn't have a right to community resources before the ratification, and he didn't have them after. Rather, afterward, his private property and personal liberty were more secure. The governments role, as envisioned by the founding fathers, is as a protector of rights, not a provider of services. (Governments are instituted among men to preserve these inalienable rights to life, liberty, and pursuit of happiness) The constitution is not difficult reading - way easier than researching the truth about the health bill. We all need to know what it says, and what it means. The constitution was never intended to address or fix the painful and real injustices of capitalism.

by: boatkitten

08-29-2009 @ 10:22am

The health care proposals are not hard to read either. Kaiser Family listed a synopsis of all the proposals on thier website. There is not a plan that says eveyyone will get free health care. The public plan is one that you will PAY FOR. The people without health care are either: 1. Not making enough to pay for the ourtrageous individual policy premiums 2. Self employed with a condition deemed uninsurable 3. Employer never provided/had to drop health care.

Even non-Christian hospitals aren't so cold-hearted to push an accident victim into the alley just because he has no ability to pay. Hospitals will give service to those who need care.

Across the globe, countries have found that to deny health care, your entire nation suffers. That's why health care is a 'right', from Austria to Columbia to New Zealand to Japan to Switzerland and 30 more of the most modern nations on this earth. It is just embarrassing to me that the USA ranks with Bangladesh in terms of offering universal health care.
Switzerland was in our shoes 10 years ago, a crisis in health care, but changed their system so that everyone is now covered. The plan gaining most ground is very much like the plan they adopted - and staunch opponents are now quite happy with it.
http://www.pbs.org/wgbh/pages/frontline/sickaro...

by: boatkitten

08-29-2009 @ 10:22am

The health care proposals are not hard to read either. Kaiser Family listed a synopsis of all the proposals on thier website. There is not a plan that says eveyyone will get free health care. The public plan is one that you will PAY FOR. The people without health care are either: 1. Not making enough to pay for the ourtrageous individual policy premiums 2. Self employed with a condition deemed uninsurable 3. Employer never provided/had to drop health care.

Even non-Christian hospitals aren't so cold-hearted to push an accident victim into the alley just because he has no ability to pay. Hospitals will give service to those who need care.

Across the globe, countries have found that to deny health care, your entire nation suffers. That's why health care is a 'right', from Austria to Columbia to New Zealand to Japan to Switzerland and 30 more of the most modern nations on this earth. It is just embarrassing to me that the USA ranks with Bangladesh in terms of offering universal health care.
Switzerland was in our shoes 10 years ago, a crisis in health care, but changed their system so that everyone is now covered. The plan gaining most ground is very much like the plan they adopted - and staunch opponents are now quite happy with it.
http://www.pbs.org/wgbh/pages/frontline/sickaro...

by: ozdoc

08-30-2009 @ 11:48pm

My copays and deductibles are both much higher than they were 30 years ago. Before that, my aunts/uncles/grandparents/etc. didn't need insurance because the costs were doable for a one-income family with 9 kids.

by: ozdoc

08-30-2009 @ 11:48pm

My copays and deductibles are both much higher than they were 30 years ago. Before that, my aunts/uncles/grandparents/etc. didn't need insurance because the costs were doable for a one-income family with 9 kids.

by: binSchmidt

09-03-2009 @ 6:10am

"Christ drew a clear distinction between His Kingdom and man's institutions of government." Yes, but in the present day, Christ's Kingdom - the Church - has the opportunity to influence 'man's institutions of government'. The question then, is, how should a follower of Christ respond to an opportunity to provide for healthcare for all? His parable on the good Samaritan seems to a follower of Christ should provide that healthcare. In a perfect world, perhaps that could happen through private charity, rather than through government intervention. But until private charity finds the millions of dollars necessary to privately insure the millions of people unable to pay for their own medical care, a government plan seems to be the only method available.

Hardly anyone in the entire developed world, Christian or not, would question importance of a decent public healthcare system. Why do US conservatives see it any differently?

by: binSchmidt

09-03-2009 @ 6:10am

"Christ drew a clear distinction between His Kingdom and man's institutions of government." Yes, but in the present day, Christ's Kingdom - the Church - has the opportunity to influence 'man's institutions of government'. The question then, is, how should a follower of Christ respond to an opportunity to provide for healthcare for all? His parable on the good Samaritan seems to a follower of Christ should provide that healthcare. In a perfect world, perhaps that could happen through private charity, rather than through government intervention. But until private charity finds the millions of dollars necessary to privately insure the millions of people unable to pay for their own medical care, a government plan seems to be the only method available.

Hardly anyone in the entire developed world, Christian or not, would question importance of a decent public healthcare system. Why do US conservatives see it any differently?