As for the "who pays for it" debate, I have some disjointed thoughts on the matter.
Gasbandit says that "healthcare is not a right". And you're right....it's not a right spelled out anywhere in the founding documents of this country. But also, as mentioned, the state of medicine at the time was basically leeches and herbs.
The fundamental question then is "should healthcare be a right?" I think it should be. Even though it's not an enumerated right in our constitution, it seems to me that it is a fundamental human right.
It's unconscionable that people should die of infections, be denied treatment options that may save their lives (or worse yet, be dropped after being diagnosed with a life-threatening condition) or any of the other insurance-company related medical horror stories we ofttimes hear about in the news--and all the while, insurance companies are raking in hundreds of millions of dollars in profits. When i was young and poor, I didn't carry insurance at all, because I simply couldn't afford to do it and also live outside of my parents' home.
It just seems to me to be fundamentally bad to have a system that says that someone cannot have access to a life-saving treatment so that someone else can drive a Mercedes. In a for-profit capitalist-based system, that's exactly what we have.
I've heard people throw labels at health care reform: That it's fascist. That it'll be inefficient. They've compared government run healthcare to the postal service. But John Stewart (of the Daily Show) made a pretty good freaking point: For 44 cents, the postal service sends someone to your house to pick up some crap that you wrote, take it to a plane and fly it to your Aunt Mabel in Wyoming (paraphrase). I don't think many people are asking to do away with for-profit healthcare. For those who can afford it, it can be pretty freaking amazing. Our life expectancy in this country is well above the world average.
But what about those people who can't afford it? I make pretty good money, and so luckily, when Callistarya got her cervical cancer diagnosis, I could pull $1500 out of my ass to cover deductibles and up front expenses. I'll be paying another $1000 in the next few months. But I make nearly 100 grand a year, and between the two of us, she and I already pay about $650/month in insurance premiums.
Ten years ago, this situation would have completely broken me. As it does so many people. And I don't think it's right.
So, if healthcare should be a right, someone has to pay for it. The way things work in this country, the wealthy SHOULD pay more in taxes, because they make more money. Our entire tax system is based on that. We have what's known as a "progressive tax" system. I'm in the 28% tax bracket. I pay thousands a year in taxes. Poorer people often get money back every year, over and above any money they put into the system (after child credits, etc). I already shoulder a burden that the government has said I should shoulder--the burden of helping out those less fortunate than me. And you know what? I don't begrudge that. I've been there. I've been so poor that a $600 income tax refund was all that stood between me and eviction. And if that means I shoulder part of the burden of someone's liver transplant, because they can't afford $300,000 to have it, well, fucking a. That just makes my day knowing that I could pay a little bit more in taxes, and one more person would get to live that otherwise wouldn't.
Does that mean I endorse this particular healthcare overhaul? Fuck if i know. It's complicated, and i have no idea if it'll have the intended consequences. But I do applaud the effort.