Michigan Healthcare Freedom

Health Policy Foundations, Pt 1

by | Sep 30, 2021

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 Where Did we Go Wrong?

 

Put aside the politics, the financial interests, and the public manipulation for a moment.

In a constitutional America hit by an unknown infectious disease, what would health policy look like?

With limited government, health policy is shaped like a pyramid.

Foundation

The first tier of the health policy pyramid is natural law, the only stable foundation.

It speaks of the earthy, elemental, unchanging things – or the bounds of perpetual change, such as the cycles of water and weather, the mutation of viruses. 

MHF Health Policy Pyramid

Natural law cannot be legislated out of existence, and we ignore it at our peril. Policy framed around a misconception of disease, the citizens, or human nature will fail. The three aspects of natural law do have differences. Disease changes occasionally, but less often than does our understanding of it. Habits and culture of the people shift over time, while the underlying human nature remains constant.

Lacking thorough knowledge about a disease, understanding the people and human nature becomes even more important to sound health policy. Without a clear frame of reference, the rising layers of the policy pyramid will be flawed and unstable.

 
The second tier of the health policy pyramid is the patients, family, and clinicians who deal first hand with the disease. Especially with unknown disease, they learn by experience and communicating with one another. They observe the symptoms, progression, diagnostic methods, treatments, and results. Theirs is the real life of healthcare, the interface of those who need and who give care.

Resting on the patients and clinicians, Tier 3 is the healthcare institutions which hire or contract with clinicians to serve patient needs. These facilities are the healthcare systems we’re all familiar with: hospitals, labs, nursing homes, clinics, pharmacies.

The fourth tier is made up of the health industries that serve patient needs indirectly. Medical manufacturers and suppliers, pharmaceuticals, health insurance, all function primarily through middlemen of Tier 3.

Fifth, the apex of the pyramid is governmental force – laws, regulations, rules, officials and agencies. They serve the healthcare ecosystem with stable definitions of relationships and obligations, and legal recourse when they are broken.

Of course, this model has been turned on its head since worldviews in modern America are no longer 100% constitutional.

More about competing worldviews in Part II.

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