Friday, September 11, 2009

US Health Reform (PP3)

Watch the September 09, 2009 Presidential address to Congress regarding health care reform in the United States. What do you think are the biggest ethical issues remaining in the debate and why?











17 comments:

Unknown said...

I have worked in an emergency room for almost 2 years now, and I can say for sure that there have been many opposing viewpoints on healthcare reform, the one constant however is that nobody can tell me exactly what is being proposed. Obama’s speech has shed some light on those issues, but my question still remains as to how exactly these reforms will be implemented. One example of a seemingly typical emergency room patient who is not suffering from emergent illness (as defined by those that require immediate life saving intervention) comes to an emergency room where they know they will be treated and often given guidance for cheap prescriptions and a free ride home. If health insurance is in fact mandated, than presumably the hospital will be compensated for the treatment of this patient. On the surface this is of course a good thing, however what if this patient is able to procure a hardship waiver? Does the burden then once again fall on the taxpayer? I think that where this burden falls is an essential ethical issue as the choice of the individual can have lasting effects on the rest of society. Not to say that the individual receiving a hardship waiver for an emergency room visit is in the wrong, but what if they had a problem that could have easily been treated in an outpatient clinic or primary physician’s office or urgent care? All of these places can refer a patient to the more expensive emergency room, but the ER certainly cannot refer patients from the front door back to the more appropriate facility. Assuming that the rules regarding transfers to an equal or higher level of care are governed by malpractice laws, maybe reform of these laws is a good thing. It can then be argued that a slippery slope may occur with patients being shuffled arbitrarily between facilities at their detriment.
The current state of things has led many ER’s to essentially set up urgent care facilities and clinics within their own spaces under the guise of fast track, or quick intake areas, with the more “acute” or emergent areas being pushed into smaller spaces. Many patients come to emergency rooms because they know they can be treated and not responsible for the bill. There are also those that are pain seekers, wanting a place to sleep for a night, or (in seemingly increasing numbers) are psych patients waiting for placement in proper facilities. If the burden of payment could be shifted back onto the patients who exploit the emergency room, while also providing affordable options (such as going to an urgent care rather than ER for the 7 year rash at 3am) then I think the reform is a great idea. In practice however I know this will be much more difficult, and I feel that ultimately the most ethical resolution is to appeal to the individuals and educate them on the options available.

Heather said...

The biggest ethical issues remaining in the debate are abortion, illegal alien health care, and required health coverage. Abortion is an ethical issue because federally funded health insurance, as proposed, would mean that the U.S. government is announcing their opinion on pro choice and pro life. President Obama stated he would not allow federally funded abortions, but stated that all low-income women would be covered by government-subsidized healthcare. This means they would not be covered for all medical procedures. So what good does it do? How can you humanely deny healthcare based on where you legally live? If someone is need of emergency care, do you deny him or her because they do not have a green card? There are many answered questions as to how illegal aliens will be treated if they seek health care paid by the government. As a health care employee, you are professionally bound by the oath that you take when you accept your licensure to provide assistance. Who is the government to tell me how much I can and cannot spend on health insurance? They did not address how the determination will be made on who will be forced to buy government subsidized insurance. Which means, those of us who can afford to pay insurance will be paying more because our tax dollars will be going to required health insurance for those who cannot afford it. Once again, the democrats are separating reality with social reform. President Obama was contradictory in that he said that everyone must have coverage, but then he stated that 95% of the people employed by small business would be exempt from the requirement.

Alexis said...

Choice and competition principals that our dear president holds so near to his heart, I believe that the new health care reform proposed is very manageable and I agree with this reform. People are given the choice to pick and choose what insurance they need and the insurance companies have to compete over their consumers. However the biggest ethical issues that remain with the health care reform are abortion, illegal immigrant health care, and health care becoming a requirement.
The new health reform calls for the choice by consumers to pick and choose the insurance company they wish to invest in which a mean better business for the insurance companies but is this major plot to get the insurance companies richer? To me the way it was proposed not only seemed to benefit the consumers but the insurance companies as it seemed like the issue of health care had become a major profit maker for the insurance companies. Even though it doesn’t seem fair to the consumers as they may be in great danger going looking for the right insurance and ending up with the wrong insurance, the new reform proposed consumer protection rights that will take effect within the next four years.
One particular event throughout the whole speech that I thought was symbolic in some way was the embrace by Obama of the proposition set forth by John McCain. Health insurance as a requirement I believed to be against all ethics considering that many people can’t afford any type of health insurance. The ethical part of this is the requirement by the businesses to supply their employees with insurance or “chip in” on the future costs. People who can’t afford the health insurance are given a waiver which is very reasonable for most.
My biggest question about this is, who is stuck with the huge bill when a waiver is given to someone? Who does this bill fall upon and who is given this responsibility? This doesn’t seem like a good idea to me. Especially with our economy in so much debt it is very questionable to me.
Another point that the president made in which he contradicted himself was he stated that everyone was required to have health insurance however 95% of the people employed by small businesses are exempt from this requirement? This was a bit confusing because and what seem to me like something unreasonable that they are exempt while others have to pay.
Overall, I agreed with the health care reform to a certain extent. However the waiver is insurance is unaffordable and the insurance companies getting better business seems plausible to me. The consumer protection rights coming up in four years will make everything a little more reasonable but for now we are stuck wondering if this new reform is really going to work.

Anonymous said...

To me the speech was very inspiring.To me this reform is a great idea.To me personally it would help me out a lot because in the spring I went to the ER.They are charging me 2,500 and I dont have health insurance.This would help me greatly.One of things I did not like was the law against illegals.A lot og illegals just work and go home like a lot of Americans and should not be denied.There humans too and they also need help at times.I liked when the President addressed that Sen McCain also wanted to start this reform it showed that he appreciiated him

Rasheedah said...

I suppose the biggest ethical issues that are remaining in the debate have to do with healthcare becoming mandatory, abortion, and healthcare for Illegal Immigrants. My overall impression about the US Healthcare Reform Package is that it will help out a lot of people. I believe this new bill will be exactly what America needs to finally get the ball rolling so we can get back in the game. I feel America’s reputation was damaged due to the Iraq war and I feel that this healthcare reform bill will start putting trust back into the people’s heart about our own country. Maybe once the government actually starts taking steps to really take care Americans whether they be rich or poor, black or white and everything else in between. Maybe then will America gain her respect back, from Americans and around the world.
In regards to healthcare becoming mandatory for all Americans I believe this to be ethical. With the fact that car insurance is mandatory by law and without it offenders could face large fines and have their car impounded for a minimum of 30 days. I don’t see what is the big problem to mandate a basic healthcare policy for all Americans to carry. It would cut cost for emergency room visits therefore saving money in the long run. Regardless if we like it or not when people do not have insurance everyone pitches in anyways, at least this way it will come from the government and not out of our hard earned cash. For those who complain that they wouldn’t have money to pay for insurance there will be a hardship waiver. Everyone will be covered even the poor homeless people this plan is going to finally include every single American and I have to say we haven’t had something like this as far as I can remember.
The other issue remaining is Health care for Illegal Immigrants. I have some concerns with this part of the plan because I don’t believe it is ethical to not allow a human being insurance due to their “illegal status”. If I can remember correctly I believe Arizona used to be Mexico. So for one, when did the person who created this earth give rules determining which group of people can cross a line or not, I haven’t seen it. I think the world do so much better if we would just except everyone as a creation from a higher source and realize that no one has more power than the other, we are all equal and no matter what part of the world you came from if you come to America we will take care of you.

tammylynrog said...

A 35 year old black women with two children ages five and seven has lost her job and the insurance she had through that job, is a breast cancer survivor, she will need her next mammography in six months but her new job doesn’t offer its employees insurance. She has applied for insurance with several insurance companies only to be denied. Two years later she finally gets a job that offers medical insurance but it’s too late. When she gets the mammogram she was suppose to have gotten a year and a half ago it shows lumps in both of her breast, and lymph nodes. After all the other diagnostic test are done not only does she find out the cancer is out of remission it has also metastasized to her liver. The Oncologist give here six months to live, she dies in five. Did the insurance company let her die or is her death related to the fact that we have no law to protect people with preexisting conditions. This is the biggest unethical ethical issue concerning health care reform in the 21st century. I agree with president Obama, no American citizen should be denied health care because of a preexisting condition, it is unethical, immoral, and down- right evil to knowingly watch someone die when it can be prevented.

Unknown said...

First off I love the fact that we are trying to make our healthcare system better. I do think its going to be harder for them to fix than they think. There are plenty of kinks, that need to worked out but there is one problem that stands out to me to be unethical. America has been dealing with illegal immigrants for a while and they unfortunately do not have insurance and if they are not a legal citizen they obviously can not apply for insurance. When they have a medical emergency doctors can not turn them away because its unethical but what happens when it become illegal to treat someone without insurance. The issue I have is when they come for help will they be turned away or will we still be paying out of pocket for them to be taken care of. Or will we need to fix the illegal immigration problem before we start the new health reform in which case how long will that take and how much longer will people who have lost their jobs or can not afford insurance have to wait. In that case, how is it Ethical to make American citizens wait for the “discount” insurance? There are many problems with this one issue because it can be looked at in many different ways but it will be the biggest problem in the reform.

Unknown said...

Health care has always been a heavily debated topic amongst Americans. Many people such as the middle class, fear that with a nation wide health care system their payments and interest rates will sky rocket. The sad part is that there are millions of people without health insurance, and they constantly fear becoming ill because of the money it will cost them to simply see a doctor. It was reported in 2007 that more than 54 million people under the age of 65 were without health insurance and nearly 7 million more followed in the past two years. On September 9th President Barrack Obama addressed Congress and the Nation about his Health Care Reform Plan; during his speech he stated “It will provide more security and stability to those who have health insurance. It will provide insurance to those who don’t. And it will lower the cost of health care for our families, our businesses, and our government." It would be nice to believe that with President Obama’s Plan all those things would come true, it simply is not ethical for a people to not be able to basic afford health care.
One part of President Obama’s Health Care Reform Plan states that it will “End discrimination against people with pre-existing conditions.” This is one part of the plan that I do hope takes effect. As it stands now those people with pre-existing medical conditions are exempt from any insurance coverage that pertains to a medical issue due to the pre-existing problem for a whole year. How is it ethical of the insurance companies to tell someone with a pre- existing condition such as hypertension, if they happen to have a heart attack and end up in the hospital the insurance will not cover them if it occurs in the first year? It simply is not; hospital bills add up fast and can cost over a thousand dollars easily. Another part of President Obama’s plan is to “Offer a public health insurance option to provide the uninsured and those who can’t find affordable coverage with a real choice.” This is another part that is extremely important and is also an ethical issue. It quite simply is not ethical for a person to have to fear becoming ill because he or she does not think they can afford the medicine to pay for it. Or for a mother to fear having a child become ill because she does not know if she would be able to care for them. These are just a few scenarios of the hundreds Americans face everyday. With this part of the plan, at least people in situations like this would have some sort of health care coverage and would not have to live in constant fear. Finally the last part that I believe is important is it would “Eliminate extra charges for preventive care like mammograms, flu shots and diabetes tests to improve health and save money.” This is yet another ethical problem with insurance companies. For instance, it is not fair to charge a woman with a family history of breast cancer a premium to get a mammogram. Preventative care should be encouraged and not limited due to that amount of money and individual has. With this new plan in effect it would help to encourage more people to seek out preventative care and promote the catching and preventing of diseases. In the end, President Obama’s Health Care Reform Plan is ethical in that it’ll alleviate the stress of affording healthcare and will promote a healthier population in America.

Unknown said...

Sifting through the presidential speech on health care, I found a couple topics that were big ethical issues that were not addressed thoroughly. My first was federal dollars would not be used to fund abortions. I could see how they would not want to fund something like abortion, however, there are some cases where a woman is not able to pay for an abortion. For example, a poor woman might be raped and does not want to keep the child, however she cannot pay for the abortion or because the government did not fund abortion clinics, the woman could not find a place close enough. This may lead her to receive an illegal abortion which would most likely put her life more at risk than if she had had it done in a clinic. This new plan requires everyone to do their part, however, what happens with the people that cannot? The ones who live pay check to pay check while living with an illness? This new plan limits how much you can be charged out of pocket, but what happens to the ones who cannot pay out of pocket at all? Is it ethical for the tax payers to continue to pay for it or should the government step in and take some responsibilities? The plan also claims that it will provide lost coverage that will protect you from financial ruin only if you become seriously ill. It is a great thing to help out those who are seriously ill and in financial trouble, but what if you lose coverage and are not seriously ill and cannot pay as well? What happens to those people? I believe even if you are not seriously ill, you should still receive some sort of coverage. Another issue was the one of illegal immigrants no receiving coverage. This is a real big ethical issue. The amount of illegal immigrants in the United States of America is huge. One could say that this is hurting the economy, however, my point of view is the opposite. I have seen statistics and they show that a lot illegal immigrants are not out committing crimes, but are hard and work trying to make a life for themselves and their family. As I see it, they are helping trying to get this economy “back on its feet”. Therefore, I believe that they should receive coverage as well.

Sonia Robertson said...

I think the biggest medical issue here is the denial to provide illegal aliens with an affordable insurance plan that is not funded by the government. Why should they be denied healthcare whether it is or isnt a pre existing condition just because theyre not a citizen.
i agree with an earlier post that we should also have an obligation to be under some sort of health insurance same way we do with auto insurance. We should all be required to have coverage. Whether we have a pre existing condition or not, why should they be turned down if so or have to wait a year until they suffer an episode from their condition other wise theyre not covered if it happens before. All because it wont cover a pre existing condition. Its like letting someone die and not caring to try and help them out somehow. Maybe it could cost them more but who says someone isnt willing to pay an extra dollar to save their own lives?
When I was pregnant I didn't have health insurance and of course all the insurance companies wouldnt cover me since I was already pregnant. So what did I have to do? Apply for AHCCCS, but did I qualify? No, because I was making too much money and I wasn't completely in the dumps. I was just pregnant with no health insurance. The moment I was laid off i was approved for health care but I still had to work since I had a baby on the way. I had to accept a job only if they would pay me $3 dollars less than the salary actually was just so I could keep the Government funded Insurance. Which in turn, made it harder to live since my life was set on the income I previously was receiving. So its either you have it going good enough to afford a good health plan, or you make cuts in other areas of your life to be able to have state funded care. There has to be a middle for those who cant afford health care but obviously cant afford to not have a job.

Tanya said...

After listening to President Obama’s speech to Congress on healthcare reform, I feel there are still a lot of questions to be answered and made clear to the American public. President Obama’s speech evoked enthusiastic support from the Congress members but details and specifics of how the proposed healthcare reform will truly benefit all Americans still needs to revealed. I feel the biggest ethical issues surrounding healthcare reform concern abortion, healthcare in regards to illegal immigrants, and mandatory healthcare for all Americans. I felt President Obama contradicted himself when he said we must mandate that all Americans have healthcare and then in the next statement say that no government dollars will fund any abortions. Abortion is a choice that every woman has the right to make concerning her own body. I believe that any medical decision regarding your personal self is one of your basic fundamental rights as a human being. The court case Roe vs Wade provide this opportunity for all women to have this choice be their’s alone. If the government is providing medical coverage for those who can’t afford it, you in essence would lose your choice to have an abortion because no federally funded dollars would pay for such a procedure. The government would essentially be taking away your right and choice to have an abortion. If the government can dictate that they won’t pay for abortions what is to stop the government from taking away another procedure concerning your health if they are paying for your coverage.
I agree with President Obama that healthcare should not be made available to illegal immigrants, however I believe it would be unethical to deny them coverage if they were to end up in the emergency room. To deny a person coverage when they are seeking emergency treatment would be considered unethical because that is saying you do not value human life. It should not matter at that point if the patient is American or an illegal immigrant. All human life should be valued and treated with respect and dignity. Medical professionals promise to do no harm, how could they not help a person seeking emergency treatment just because they are an illegal immigrant. At some point illegal immigrants are going to be seeking medical treatment, if they are seeking such treatment in an emergency room, treatment must be provided because all human life should be valued. This would be the most ethical thing to do.

Tanya said...

I am on the fence about mandating healthcare coverage for all Americans. President Obama made a comparison to automobile insurance. Well, I believe automobile insurance to be a privilege. Not everyone can afford to own or drive a car. Not every person has a car. A family of four could possibly all share one car. If you truly can’t afford a car than you wouldn’t have car insurance and you would find other modes of transportation. The other modes of transportation which are less expensive have been made available by the government such as city buses. Medical coverage is personal, as it applies only to you. Seeking medical treatment is your personal right and choice. I don’t think it is ethical for the government to mandate that everyone has to have medical insurance. What if someone truly cannot afford it? How can the government tell you that medical coverage needs to be one of your living expenses? I understand there will be credit waivers, but what are the credit waivers covering. I can’t believe that government options for healthcare would provide the persons with an unlimited cap on medical expenses. Few medical insurance companies provide an unlimited cap to those who pay for medical insurance. If the government were to mandate medical coverage as a necessity for all Americans, I feel at some point the government will have taken away your choice on the type of treatment you can seek when ill. When choosing a medical insurance policy, you normally go over the types of coverage and treatments and amount of money that you are allowed to spend when facing an illness. If the government where to mandate the medical coverage at some point it will be the government dictating what types of treatment you can receive. Will the government’s insurance coverage allow you to fight cancer all the way to end with countless rounds of chemotherapy and maybe even organ transplants because of damage done during chemotherapy? To think that just because the government is going to mandate medical coverage everyone will have unlimited access to treatment to fight their illness is naïve. Just like Medicare and Medicaid is made available to the disable and elderly of America, this medical coverage just not provide for unlimited procedures and treatment. There are regulations and rules dictating what are procedures, tests, and treatments are actually covered. So would be the case if the government mandated medical coverage for all Americans. I think at some point the government will be choosing the type and amount of treatment you will be receiving. I think this is unethical if they are taking away you’re your choice regarding your medical health. Your personal health coverage is your choice and right alone. It does not belong to the government to make.

davinecortez said...

I’m all for reform due to the fact that the astronomical cost of health care and its continual ascending costs keep rising. More restrictions should be put on insurance companies and health care associations.
I would like to be optimistic seeing changes implemented that actually succeed, although ultimately I don’t foresee a positive change. Americans as a whole will not be affected in a beneficial sense. There are too many probabilities.
President Obama contradicted himself when he stated that everyone would require health care, EXCEPT the 5% of people employed by small business. My concern is how these reforms will be executed and where will the funding come from? Will funding come from tax payers? Will taxpayers be penalized and pick up the bill for the unemployed and all the millions exempt? In my opinion, anytime money is involved there is almost always a form of corruption or foul play. How will the money be dispersed and regulated? How do we come to a conclusion regarding sensitive political topics such as abortion, Illegal immigrants and the healthcare insurance requisite? These are all topics we currently can’t agree on. How are we going to agree on right and wrong and put our hard earned money on it? There will never be a complete agreement. Things should stay the way they are and the new reform should focus on the insurance companies and healthcare systems.

Nichelle said...

In my opinion, the remaining ethical issues with healthcare reform are illegal immigrant coverage and what is the operational definition of ‘seriously ill’ and at what age will young and healthy people be required to have ‘basic health insurance’? I am glad to know that our president is trying desperately to put this healthcare issue to rest or at least get something finally started that could benefit all Americans. However, as with all things government run, there are abuses (mostly financially) that will definitely need to be addressed. If illegal immigrants are not included in the healthcare reform then who will foot the bill when they do finally go to the ER or clinic or hospital? In addition, what will be the operational definition of ‘seriously ill’? This will cause abuse of the reform as there will probably be some loophole that insurance companies will find to use to their advantage if that definition is not broad and covering a spectrum of the various meanings of ‘seriously ill’. I say that the definition needs to be broad in nature because if it is narrowed down and specific then it will create an opportunity for some people to still not get coverage. Then there is the requirement of young healthy people being mandated to have ‘basic health coverage’. At what age is this supposed to take place? There are lots of young, healthy people that will hit age 18 and not have a job or be struggling on their own to get thru college or even worse, what about the young people that leave home at 13 or 14 years of age for whatever reason. Are they too going to be mandated to have ‘basic health coverage’ or will they fall under government funded healthcare? There are still lots of issues that need to be addressed here, but I praise the president for at least putting forth a sincere effort to get things going in the direction of trying to get all Americans health care coverage.

Anonymous said...

The biggest ethical issues remaining in the debate about the health reform are abortion, illegal immigrants, and whether its becomes mandatory. I believe that the health reform is a great idea because it will help all Americans to gain that trust that many of us have lost in this country. But still it will be a complicated matter to solve because it has a lot of twists. Yet there are still a lot of questions being asked about the reform. Abortion is a big concern and many questions are left unanswered about it. In his speech Obama said that government will not fund abortions, but in the other hand he stated that he will aide low income women which contradicts each other. For example what if a poor women gets raped then why wont the fund cover her, Or does it mean that you are only partly covered. Another big issue is illegal immigrant. I believe that in order to fix the health care system we need the numbers to go down for those people that do not have insurance. Is it right to be denied the medical needs if you go into the emergency room and just because you do not have a green card. I believe that the government has not answered the questions about immigrants and whether or not to fund their medical treatments. Many people I know have gone into the emergency room as later on they know that the costs for going is greatly unaffordable. I believe that government should lower the costs for the medical needs I believe is a waste paying so much. Only to an extend I believe government can help immigrant with the costs, I believe that if the health care reform is not going to help people based on the status in the United States then to help in a way that there are not in debt with hospitals for many years. Another question remaining is that in his speech Obama stated that 95% of the people will insured but in the other hand he stated that if you work in a small company that you can be exempt. So who exactly will benefit from this reform. I believe insurance companies will benefit from this because consumers are going to choose what insurance company they want. So that’s another issue because insurance companies will become richer, while the country is in a big debt. Another issue is whether theses insurance will be paid with taxes of whether the government is going to take any of the responsibilities, which will lead the government into even more debt. In conclusion, I believe the health reform is a great idea but there are still many remaining questions unanswered which make me think if its really going to happen.

Sherrie said...

In regards to Barack Obama, US Health Reform speech. First of all, President Obama is a wonderful speaker. He grabs the attention of all, although everything sounds so surreal. I still have been left with this uneasy feeling of reading between the lines. I do believe in, his ideas for those who have insurance and for our elders who have Medicare, Medicaid and insurance for our veterans. He quotes, “Nothing will change”, and “it would be against the law for people who have insurance to be dropped because of preexisting conditions” also, “no dropping insurance coverage when you are sick” all the things that should be happening now, the government hasn’t been doing anything about it, they should have been made accountable for this from the beginning. Who is going to see that this is going to happen? Who is going to make sure the insurance companies aren’t participating in illegal acts? Who is going to be the one accountable?

I also believe that people who have change or lost their jobs and for the small business owners that are struggling to make ends meet, should have the opportunity to find affordable insurance. Insurance companies should have affordable/competitive insurance plans for everyone. As a small business owner, this has been an incredible financial burden. I have a family of four. We couldn’t afford not to have insurance coverage for us personally or for our business. The coverage we originally had been with, was with a competitive health insurance company. We had the lower deductible, co-pays and prescription plan but we couldn’t afford it anymore, now we have had to resort to a major medical plan. We now pay 50% less, but our coverage is 50% different. We now have no co-pay, no prescription plan, and our deductible is incredible high, but incase of an emergency we can still say we have some kind of insurance and hopefully this wouldn’t put us in a financial ruin. With this health reform bill again, I hope this can help us and millions of others like us, to help families with there insurance needs from big to small. But again, anything can work as long as someone is held accountable to see if this bill is followed through.

Unknown said...

From my perspective, I think that there is something that the government should do to change the healthcare system in the U.S. Therefore, I totally agree with the healthcare reform. However, there are many huge ethical issues that still need to be considered. There are three important ethical issues that we should be aware of: illegal immigration, mandatory insurance, and government takeover. First, there are many illegal immigrants who come to the U.S. every day to get free healthcare access. It provokes a question: “Is it a right or privilege for a human to get access to healthcare?” Many Americans think that it is not right for illegal immigrants to get free healthcare in the U.S. The reason is because they don’t live here, and did not contribute anything to our society, so why should we pay for them? In addition, by crossing the U.S.-Mexico border, they break the law and should be punished by that action. I have thought about those reasons for a long time, but I think that a human life is much more important than money or any other reason. In addition, I do believe that everyone in this world would do everything in their power to help a dying patient. This is a moral issue. During the speech, President Obama said that his plan will not pay for illegal immigrants. This statement brings up many questions. What should doctors and nurses do if there is a dying illegal immigrant who comes to their hospital? Should they help the patient or not? If they decide to give the patient treatment, whose would pay for the bill since the government would not pay? I think that the government should be clearer about this. Second, if this bill passes, everyone in this country will be required to buy insurance. This is a big ethical issue. Everyone in our country knows that America is a liberal country, and we have our freedom. Government cannot force citizens to buy health insurance. We are adults, and we know what we need to do. In addition, by requiring everyone to have health insurance, the government breaks its own Constitution. I think that it is a good idea for everyone to have health insurance, but we all have our freedom. Therefore, the government should not require us to all have insurance. Third, there is a big debate going on concerning about the fact that government may eventually take over the entire healthcare system. This is not just a mere healthcare reform. This is also about politics. Many people are concerned that if this bill is passed, private insurance companies would be wiped out. If it is true, it would affect the U.S. economy tremendously. There would be fewer jobs since the private insurance companies create many jobs. Finally, I believe that our current healthcare system must be changed as soon as possible because there is a huge problem in this system. However, the government should consider this carefully before implementing healthcare reform. I think the best thing the government should do now is to work on the ethical questions, so that the plan can become clearer.