So, the Supreme Court has ruled that there is no Constitutional basis for agents of government requiring employers to provide particular kinds of health insurance coverage to their employees. But, I’d go further and argue that, if health services are part of the general welfare responsibilities of government, delegating those to employers is both irresponsible and inefficient. Adding a layer of middlemen in the form of insurance companies is bad enough. Expecting employers to pay the bill is adding insult to injury.
One is reminded that the industrialized agriculture that was developed in the American South expected plantation owners to provide medical services, however rudimentary, to the slaves. Since reproducing themselves was one of the critical slave functions, that expectation made economic, if not humanitarian sense. Now that workers are free to labor for themselves or others, employers have little practical interest in their physical welfare. Which means that the health insurance (which assures nothing at all) “benefit” is simply, because targeting specific populations for deprivation has been declared taboo, another component of the coercive culture of obedience seeking to encompass one and all.
“Single payer” was a mis-nomer for the “public option,” which tried to have it both ways by renaming an obligation as an option. The bottom line is that the public health is a public responsibility and our public servants are tasked with delivering it. Making it a profit-center for some middlemen does no-one any favors. Making the SCOTUS decision a rallying cry for disaffected Democrats is deplorable.
Yes, corporations, being subsidiaries of the states that create them, can be ordered to follow particular regulations, especially when it comes to how the currency, which the federal authorities helpfully provide, is to be employed. However, as is often the case, here the stricture — “if you want it done right, do it yourself”– seems particularly apt. If the persons within the jurisdiction of the Constitution are to be provided with medical and preventive care, then the Congress should see to it and not pass it off to corporations whose primary mission is making widgets or, worse, destroying the natural environment. It makes no sense to expect munitions makers and the purveyors of mobile cages with wheels (cars) to supervise the health care of their employees. Never mind the corporations that make poisons like DDT and ‘Roundup.’
Of course, the American fascination with death to whatever we don’t want is part of the problem. Perhaps the Hobby Lobby people have a point in not wanting to be part of it.