5 de outubro de 2009

Uma razão para o excepcionalismo norte-americano (vertente: sistema de saúde)?

A tese é interessante. Não sei do nível da sua capacidade em explicar, mesmo em parte, o que se passa nesta matéria, e noutras que distinguem a Europa dos EUA - o quadro de explicação é muito mais complexo, mas em todo o caso, merece ficar como referência:


"[...] Whatever may be right, something is rotten in American medicine. It should be fixed. 


But fixing it requires the acknowledgment that, when it comes to health, we’re all in this together. Pooling the risk between everybody is the most efficient way to forge a healthier society. Europeans have no problem with this moral commitment. 


But Americans hear “pooled risk” and think, “Hey, somebody’s freeloading on my hard work.” A reader, John Dowd, sent me this comment: “In Europe generally the populace in the various countries feels enough sense of social connectedness to enforce a social contract that benefits all, albeit at a fairly high cost. In America it is not like that. There is endless worry that one’s neighbor may be getting more than his or her “fair” share.” 


Post-heroic European societies, having paid in blood for violent political movements born of inequality and class struggle, see greater risk in unfettered individualism than in social solidarity. Americans, born in revolt against Europe and so ever defining themselves against the old Continent’s models, mythologize their rugged (always rugged) individualism as the bulwark against initiative-sapping entitlements. 


We’re not talking about health here. We’re talking about national narratives and mythologies — as well as money. These are things not much susceptible to logic. But in matters of life and death, mythology must cede to reality, profit to wellbeing."

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