stem,
The healthcare debate is not, as characterized by some, a battle between hard-hearted conservatives and caring liberals who're just trying to take care of people.
It is about America remaining true to it's founding principles, namely personal liberty and personal responsibility, a free market (being the best vehicle for accumulating personal wealth and thereby security) and subsidiarity.
Liberty and responsibility get talked about a lot, and so does the free market. Granted, the American free market of today is NOT what the Framers of the Constitution envisioned, but I digress...
The last thing I mentioned, subsidiarity, is also a fundamental aspect of American governance but it doesn't get talked about much, at least not using that term, because most people have never heard the word or know what it means. Subsidiarity simply means that issues ought to be solved by the smallest and least centralized competent authority. Individuals, families, charities, churches and local communities, counties/boroughs then the individual States ought to be the primary instruments of political change instead of a massive bureaucratic centralized federal government.
Subsidiarity means solving problems at the lowest level possible.
It is important to understand that the men who crafted our Founding documents were fearful of allowing the accumulation of power in any one civil authority. Our three separate, interdependant yet rival branches and the deliberate separation of powers were intentionally designed to limit and check power.
The so-called reform of our healthcare system equates to the government seizing control of an entire private industry and 1/6 of the U.S. economy, which is specifically prohibited by our Constitution. The hitch in this and other past abuses of government power, is that they were justified by the Commerce Clause (Article 1, section 8, Clause 3) which charges Congress with regulating commerce between the states. In the 1789 use of the word, "regulate" meant "to keep regular", as in to keep flowing, and moving with as little impediment as possible.
In more contemporary times, as the meanings of words evolved and expanded, the word regulate came to mean oversee and then to control, and so Congress violated it's charter and pirated control of interstate commerce away from private business.
Congress was supposed to stimulate and facilitate trade not micromanage it.
In America, despite the hype, we enjoy the best healthcare system in terms of overall quality, specifically because our system is competitive. Ironically, the very same Congressional liberals who rail against the failures of the insurance companies are the ones who dictated to those same companies the counterproductive rules and regulations that limit their ability to respond to consumer demand.
Health insurance in this country is the bloated, bureaucratic, unresponsive mess that it is specifically BECAUSE the government got involved. The government blocks competition, dictates reimbursement rates, and already sets limits on care. Sure it's the insurance company doing the dirty work, pulling the plug as it were, but they are responding to rules set forth by a meddlesome government. Only the blindly naive believe the availability and quality of care will improve if the entire system is federalized.
The best analogy I can make is...having the government take over healthcare would be like being a passenger in car driven by your doctor and a crazy man jumps in, grabs the wheel and forces the car off the road, totaling it, and then forces you at gun point to buy a newer, slower, crappier, less reliable and grossly more expensive car.
Subsidiarity--Let the states figure out their own healthcare rules and let increased competition improve quality and availability of care while driving costs down.