Wednesday, August 19, 2009

What does the Bible say about health care reform?

I've been watching the national debate on the proposed restructuring of the American health care system with great interest. There appears to be a plurality in favor of the position that at least some reform of our current health care delivery system is called for, but there are substantial minorities who disagree that any significant reform is required. Even among those who would agree that some reform is required there is little to no consensus on what the list of problems to solve is, and what priority is associated with each problem on the list. And, even in cases where there is agreement on the nature and priority of the problems to be solved, there is no consensus on acceptable solutions to those problems.

Further, given the multitude of individuals, groups, and companies with different perspectives and purposes with regard to the evaluation of our health care system, it was never to be expected that any such debate would proceed in a very orderly, rational manner.

Rather, given the complexity of the issues involved, health care reform has come to be a fairly binary plank in political platforms with the Democrats "in favor" (without there actually being much agreement on what they're actually in favor of), and the Republicans "against" (whatever that means). This stalemate existed until the recent election when the Democrats, who took advantage of a groundswell for change in the electorate, and who had campaigned under the illusion that consensus answers to the questions above actually exist, attempted to push their signature issue and had their illusions shattered when they actually tried to commit specific reforms to writing.

The administration and the congressional leadership, surprised by the lack of consensus and realizing the weakness of their position have fallen back on demonizing the opposition as evil. And, many in the Republican opposition are at this point more excited about "winning" and weakening President Obama politically than they are in rationally answering the questions of which parts of our system (if any) require reform, and what those reforms might be. The result, of course is that the political discourse on the subject is not, on the whole, an honest pursuit of truth, but is instead an exercise in justification of preconceived positions and masking of self-interest.

It's easy, as a Christian citizen, to get sucked into the debate and become a partisan of whichever side of the debate we are naturally drawn to without making the effort to found our opinions in what the Word of God has to say to us. Said another way, in reading the various arguments put forward both for and against the proposed reforms, I have seen few that examine the proposals (or propose other policy prescriptions) from a specifically Christian perspective.

So, with that long introduction, here are the questions that I would like to pose to my readers (with the expectation that you will post replies here for others to read):

- What guidance do you think the Bible has to give with regard to health care legislation specifically or on social welfare generally?
- How does that guidance translate to specific policies that you think Christians should support?

The only rules are to support your answers biblically.

Assuming adequate participation I'll summarize and add my thoughts after a while (if there isn't participation then I may just share my thoughts without benefit of discussional prelude).

3 comments:

  1. Hi Tim:

    I think there is an error that many make when speaking on social issues and health care is no different. The Bible speaks of caring for widows and orphans and others in a number of places; Deut 10:18; Deut 14:28-29; Deut 24:17-21; Ps 82:3; 1 Tim 5; James 1:27; etc. It is often verses such as these that those purporting a social gospel grab hold of to say the government needs to do something. But this misses the point that these actions were put forth to the church and Israel and not set up for the government of the land. Yes the government of Israel would have part in this as in Deut 14:28-29 but we could probably see this as even now applying to the church but not to the government as we have today.

    Another thing that is also often missed is that the care that is to be offered often has stipulations as with widows in 1 Tim 5 and with those being able to work in 2 Thes 3:10. Even the offering in Deut 14:28-29 is only every three years so is not perpetual in the sense of most programs today. To simply have a social program or health care open to all with no stipulations is not biblical.

    The bottom line scripture does call for believers and the church to help those truly in need as the bible directs and describes but simply because we are called to do so does not dictate the government regulating it. The church and those that like to use the church have misused God’s call for his people and in many ways all people to mandate a top down manner of caring for others. Care for others is to be done but as an out flow of the commands of God and his change of our hearts. This is the call in Luke 10:30-37 but that the call is not for a program to help those in need but is to be ready to care for others as the need arises as the Samaritan did. To use this passage, as I have seen done, to say universal health care is a biblical principle misses the point Christ is making, that we are to all care for our neighbor out of love for God not out of subservience to the state.

    So I would say that to say the church needs to be involved in some manner with helping the needy is biblical but it needs to be done out of obedience to scripture not some governmental law. I would even say that this is truly how things have worked in the past, that is until we as a people began to rely on the state to take care of these issue. It was the church that set up orphanages and feed the hungry. But then the state started taxing so there was less money and they took over the welfare and the church handed that over to the state so look where we are now.

    I hope this all made some sense as I had a bunch running thorough my mind.

    Grace and Peace,

    Tony

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  2. The "government" is one mechanism through which the community acts. It is hard to say that if the believer and church are commanded to feed the hungry, the government should not or need not.

    With regard to bibilical dictates of caring, ought not the believer rejoice at the ends regardless of the motivation of the means-giver? If a heretic were to feed the hungry, should the believer snatch away the kettle and say "you are not to do this"?

    If the government would catch up with the governments in the many non-believing lands of the developed world and say to the widow, the orphan and the stranger in need, you shall have health care as a right of birth in this the greatest land on earth, I would say Amen and thank God.

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  3. We are in the world but not of the world...I believe that Jesus bought our healing and there is no need for insurance. Perhaps our governments are like carryovers from the Roman church that was both church and state. When the first Christians tried to pool resources between them, there was cheating. Again, I go back to that we are to be in the world but not of it. If we are led to give individually, we are blessed in doing so. God will bring all the kingdoms in line under his kingdom beautifully as we believe...His kingdom come his will be done on earth as it is in heaven.

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