From: Travis
Subject: Universal healthcare and the waistline police
Date: Sunday, January 11, 2009,


http://www.csmonitor.com/2009/0107/p09s01-coop.html
 Universal healthcare and the waistline police We risk a nanny state
contrary to American ideals. *By Paul Hsieh*

from the January 7, 2009 edition

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Sedalia, Colo. - Imagine a country where the government regularly checks the
waistlines of citizens over age 40. Anyone deemed too fat would be required
to undergo diet counseling. Those who fail to lose sufficient weight could
face further "reeducation" and their communities subject to stiff fines.
Is this some nightmarish dystopia?
No, this is contemporary Japan.
The Japanese government argues that it must regulate citizens' lifestyles
because it is paying their health costs. This highlights one of the greatly
underappreciated dangers of "universal healthcare." Any government that
attempts to guarantee healthcare must also control its costs. The inevitable
next step will be to seek to control citizens' health and their behavior.
Hence, Americans should beware that if we adopt universal healthcare, we
also risk creating a "nanny state on steroids" antithetical to core American
principles.
Other countries with universal healthcare are already restricting individual
freedoms in the name of controlling health costs. For example, the British
government has banned some television ads for eggs on the grounds that they
were promoting an unhealthy lifestyle. This is a blatant infringement of egg
sellers' rights to advertise their products.
In 2007, New Zealand banned Richie Trezise, a Welsh submarine cable
specialist, from entering the country on the grounds that his obesity would
"impose significant costs ... on New Zealand's health or special education
services." Richie later lost weight and was allowed to immigrate, but his
wife had trouble slimming and was kept home. Germany has mounted an
aggressive anti-obesity campaign in workplaces and schools to promote
dieting and exercise. Citizens who fail to cooperate are branded as
"antisocial" for costing the government billions of euros in medical
expenses.
Of course healthy diet and exercise are good. But these are issues of
personal – not government – responsibility. So long as they don't harm
others, adults should have the right to eat and drink what they wish – and
the corresponding responsibility to enjoy (or suffer) the consequences of
their choices. Anyone who makes poor lifestyle choices should pay the price
himself or rely on voluntary charity, not demand that the government pay for
his choices.
Government attempts to regulate individual lifestyles are based on the claim
that they must limit medical costs that would otherwise be a burden on
"society." But this issue can arise only in "universal healthcare" systems
where taxpayers must pay for everyone's medical expenses.
Although American healthcare is only under partial government control in the
form of programs such as Medicaid and Medicare, American nanny state
regulations have exploded in recent years.
Many American cities ban restaurants from selling foods with trans fats. Los
Angeles has imposed a moratorium on new fast food restaurants in South L.A.
Other California cities ban smoking in some private residences. California
has outlawed after-school bake sales as part of a "zero tolerance" ban on
selling sugar products on campus. New York Gov. David Paterson has proposed
an 18 percent tax on sugary sodas and juice drinks, and state officials have
not ruled out additional taxes on cheeseburgers and other foods deemed
unhealthy.
These ominous trends will only accelerate if the US adopts universal
healthcare.
Just as universal healthcare will further fuel the nanny state, the nanny
state mind-set helps fuel the drive toward universal healthcare. Individuals
aren't regarded as competent to decide how to manage their lives and their
health. So the government provides "cradle to grave" coverage of their
healthcare.
Nanny state regulations and universal healthcare thus feed a vicious cycle
of increasing government control over individuals. Both undermine individual
responsibility and habituate citizens to ever-worsening erosions of their
individual rights. Both promote dependence on government. Both undermine the
virtues of independence and rationality. Both jeopardize the very
foundations of a free society.
The American Founding Fathers who fought and died for our freedoms would be
appalled to know their descendants were allowing the government to dictate
what they could eat and drink. The Founders correctly understood that the
proper role of government is to protect individual rights and otherwise
leave men free to live – not tell us how many eggs we should eat.
If we still value our freedoms, we must reject both the nanny state and
universal healthcare. Otherwise, it won't be long before the "Waistline
Police" come knocking on our doors.
• *Paul Hsieh practices medicine in the south Denver metro area and is a
cofounder of Freedom and Individual Rights in Medicine (FIRM)*.










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