Politics is a rough business everywhere but, from this side of the Atlantic, the tone of political discourse in the US can sometimes look particularly ugly. One of the worst examples I’ve ever seen, was the suggestion by Senator Rand Paul that a right to free health care is equivalent to a belief in slavery. The quote in question was the following:
With regard to the idea of whether you have a right to health care, you have realize what that implies. It’s not an abstraction. I’m a physician. That means you have a right to come to my house and conscript me. It means you believe in slavery. It means that you’re going to enslave not only me, but the janitor at my hospital, the person who cleans my office, the assistants who work in my office, the nurses.
Basically, once you imply a belief in a right to someone’s services — do you have a right to plumbing? Do you have a right to water? Do you have right to food? — you’re basically saying you believe in slavery.
I’m a physician in your community and you say you have a right to health care. You have a right to beat down my door with the police, escort me away and force me to take care of you? That’s ultimately what the right to free health care would be.
(If you think this must be some crude spoof, by the way, here is a clip of him saying it.)
By way of information to US readers, we have a free National Health Service here in the UK, meaning that everyone has a right to healthcare, and my mother and my maternal grandfather both worked for it as doctors. They were not forced to be doctors, and they were not forced as doctors to work for the state. They were paid well enough to lead prosperous middle class lifestyle. They were free to resign whenever they wanted. They could go and work for private healthcare agencies, if they prefered, or for themselves. There’s absolutely no sense at all in which their condition could be described as slavery, or indeed as different in any fundamental way to the condition of anyone else who works for an organisation of any kind. When you think what slavery actually means (and the Senator represents the former slave state of Kentucky, so he should know), the very comparison is obscene.
You might say that US politics is not my business. But actually it is because the US is a global superpower, and what happens in the US matters everywhere, and perhaps especially in the UK, where there is a common cultural heritage, and no language barrier to filter us from its blast. However I freely admit I know very little about the personalities involved, and almost nothing about Senator Paul. So here are a couple of questions.
Is Senator Paul an extremely stupid man, so lacking in curiosity that he hasn’t bothered to look into the many free health services around the world, and so lacking in imagination that he can’t figure out for himself how such a service might work without breaking down doctors’ doors?
Or is he cynical and mendacious man, who in order to serve his own political ends, tries to besmirch something that, whatever its snags, is basically benign (a community agreeing to club together to provide healthcare for everyone) by equating it with something that is evil and foul?
Echoing in the back of my mind are the slogans of George Orwell’s Oceania: WAR IS PEACE. FREEDOM IS SLAVERY. IGNORANCE IS STRENGTH. Not an exact parallel of course, but what Orwell was warning about was the misuse of language to destroy our capacity to think.
