A few days ago, the distraction of actual governance in Washington was the report on Employment, the economy, and the effect of the Affordable Care Act published by the Congressional Budget Office (CBO). As usual, the talking head of Washington, Republicans and the Democratic White House included, missed the point.
“It confirms what we’ve known all along: The health care law is having a tremendously negative impact on economic growth,” said Sen. Bob Corker (R – Tenn).
“At the beginning of this year, we noted that as part of this new day in health care, Americans would no longer be trapped in a job just to provide coverage for their families, and would have the opportunity to pursue their dreams. This CBO report bears that out, and the Republican plan to repeal the ACA would strip those hard-working Americans of that opportunity.” – White House Press Secretary.
The point missed by both sides, and it happens all the time, so often that many of us have become numb to it, is that they are talking exclusively in numbers of a system which is just as well, if not better, described by the lives of the people they serve.
I had cause to take my friend Sharon to a dermatologist she had never visited before. It was an emergency visit. Sharon had been in and out of the hospital for a few months, and one day, at home, her arm blew up. Her slender arm, where she had a pic-line for IV fluids she had to take at home, suddenly, within hours, inflated almost beyond recognition. She called her nurse, and she called me. What I saw was a Thanksgiving’s Day Parade version of her left arm. We took a picture and sent it to her doctor – anything to avoid going to the hospital, which she had already seen too much of. The doctor called ahead to this dermatologist to take a closer look.
I took Sharon there. She filled out the paperwork. Along with Benadryl, ice, and then heat, the doctor diagnosed her with an allergy to the adhesive of her bandages. After two hours, Sharon was all better; tired, but better. We stopped at the office counter on the way out, so that Sharon could make whatever co-pay was needed. The office accountant happily announced, “Your insurance said that you’ve already met your deductible; isn’t that great!”
I’m sure that the woman meant to say something positive at the end of the long visit. She probably didn’t realize that a fulfilled deductible also meant an exhausting road of illness. How could she know all that Sharon had already endured, and that this was just one more stop in pursuit of better health?
Sharon set her straight, “Do you know how sick I’ve been before I reached the deductible? It’s not worth the savings.”
The Washington Post points out that the CBO was less partisan in its actual findings:
“In its assessment of the law’s impact on the job market, the agency had bad news for both political parties. In an implicit rebuke of GOP talking points, the CBO said that there was little evidence the health-care law is affecting employment and that businesses are not expected to significantly reduce head count or hours as a result of the law.
But the report also contained a setback for the White House. The CBO predicts that the economy will have the equivalent of 2.3 million fewer full-time workers by 2021 as a result of the law — nearly three times previous estimates.
After obtaining coverage under the health-care law, some workers will choose to forgo employment, the report said, while others will voluntarily reduce their hours. That is because insurance subsidies under the law become less generous as income rises, so workers will have less incentive to work more or at all.”
Just as the secretary at the dermatologist’s office spoke to Sharon with only an eye to dollars spent or saved (which really required high expenditures first), so it is when politicians speak about Health Care, as if the care we are speaking about is not about people at all.
I take for granted that both sides, liberals and conservatives, are arguing not about whether or not health care is important. They (ultimately, at least) are arguing about how we should go about providing it. Either because of the political climate and the need to score-or-punish, or, the abstraction of talking about the systems underling funding, both sides have lost the language of human value which underlies the necessity of a government caring for people – real people, such as Sharon.
A parallel exists between the health care debate and the Tower of Babel story.
What did God see at the Tower of Babel that was so infuriating? The Torah never tells us, but it was so bad that God could not allow this first Biblical community to continue. Our sages suggest that it was not the building of tower itself, but rather HOW the people went about building the tower that drew God’s ire. The people were so focused on building the tower, they forgot their humanity.
“The tower was built with steps on the east side and on the west. Single-file, each person would climb up on the east side, place the brick, and descend on the west side. When a person would fall from the great height, they people of Babel would lament, “How long will it be until someone can bring up a brick to replace the one that was just dropped?”
As we continue to discuss the affordability of healthcare, I suggest that we, and the leaders we elect into office, have in mind real people in our lives who have been in need of great care. My hunch is that over the next decade or so, we will indeed develop better cost structures in health care. What we can’t afford is losing our humanity along the way.
“A gift is something that cannot appear as such.” – Jacques Derrida, The Gift of Death
And God came down to see the city and the tower, which the children of man had built. And the God said, “Behold, they are one people, and they have all one language, and this is only the beginning of what they will do. And nothing that they propose to do will now be impossible for them.” (Genesis 11:5-6).
What was it that the builders of the Tower of Babel did that was so wrong? Could you imagine a moment when the entire planet’s human population actually got along long enough to do something together. Here we were one planet, one people – can you imagine? John Lennon would be so proud (“Imagine”). Only, what? God doesn’t see it us coming together as all that good. In fact, He thinks its dangerous. Wait till 2045, the date that Ray Kurzweil, the 1999 National Medal of Technology award winner sets for the singularity.
What is the Singularity?
In short, the singularity is the moment in time, at the current rate of acceleration, that the technology we create, computers, will actually “think” faster than we do.
One of the major implications for faster, smarter, and smaller computers, may very likely be nanobots, artificially intelligent inventions that can be made as small as our blood cells. Could we have such nano-cells floating inside of us to keep us healthy? Could we live, 150 years? 200? Forever?
If we could continually renew and/or replenish our cells through technology would we? Why wouldn’t we? It is certainly Judaism’s point of view that we are partners with God, even in healing the body. If we could get rid of illness, rid of death, shouldn’t we?
I’ve recently watched the documentary Transcendent Man, which details Kurzweil’s expectations for our near future (if I keep my body moving, and if I survive my son’s driving lessons, and if I stop eating whatever deliciousness my wife bakes, I should make it). There is a compelling, yet disturbing argument being made that through faster and smarter technology our lives will be extended beyond the simplicity of one decaying body that ends in 80 to 90 years. If if happens, its because we built the technology to make it happen. The possibility is closer than some think. I’m pretty sure that the bio-tech company a few miles from my house already has the technology to clone me.
What would God say?
They said, “Come, let us build ourselves a city and a tower with its top in the heavens, and let us make a name for ourselves, lest we be dispersed over the face of the whole earth” (Gen. 11:4).
The rabbis teach that it was not the building that was an affront to God, it was there motivation: “A name for themselves”. In a famous midrash, a rabbinic tale, the people would climb a ladder on one side of the Tower, place their brick and climb down the other side. When someone would fall, the people would mourn the brick that should have been placed, and not the person.
We are told that God already had the Torah, the lessons and the Law before creation came into existence. This is a good model for science as well. We should get a handle on the issues (can does not mean should) before we reach points of no return.
I suggest that the same issue is at hand with the singularity and life-extension (or even re-animating the dead; Kurzweil hopes to bring back his deceased father). Motivation is an issue. There is no question that we will be able to do amazing things -beyond what you and I can imagine today. But the question of ethics, has never, and will never, be overcome by technology.
The most precious commodity we have is life. It is painful enough to see it wasted. A time when life extends forever? Well, that would be worse. Life would be rendered insignificant, meaningless. Death always feels like such a tragedy, but it may very well be better than the alternative.