Filed under

Human Right

 

The Only Thing Certain Is That Nothing Is Certain

Paris is freezing. My hands are in pain, trying to hold the metal of the camera. The sting of the cold is almost too much. I think of the men and women I saw last night sleeping in the waiting room of Gare de Lyon.

There's a mist of frost over the city. Mostapha is here for his asylum application interview. Last night, the friend we were staying with in Paris asked Mostapha "do you want to know the history of Western Sahara?" as preparation for his interview. They've been going through significant dates together, to make sure the timeline is accurate. They watch an online video of an interview with an Egyptian Sheikh explaining the history of Western Sahara, but Mostapha doesn't like some of his conclusions. He shakes his head and tuts when the Sheikh says Western Sahara was part of the Moroccan Kingdom. "He's lying."

The next morning, in a cafe near the ministry of refugee affairs, we sit waiting for the offices to open, trying to stay warm. Mostapha is still running through the details of his journey to France, and his reasons for applying for asylum, to get everything straight and clear in his head. He disappears for a few minutes, and we smile when he emerges from the bathroom wearing his Dra'a, long blue robe, with the folds of cloth wrapped around his arm. We're used to seeing him in jeans and a t-shirt, but he says it's important to wear the Dra'a for his interview. He takes pride in it, even though it means he'll suffer from the cold on the walk to his interview. We wish him luck and he leaves a little early to make his 9am appointment.

Mostapha_draa

An hour later, he returns to the cafe, a smile on his face. "It was fine," he says, calmly. "Their questions were simple. They asked how I got here to France and about my background and my family. I think it was fine. They say I'll get a decision in one month." We sit down for another coffee.

Later, back in Avignon, Hossam asks "what if they don't accept his application?" But I don't know the answer.

I'm reminded of certain arguments. They're not far from the arguments we always have about Palestine. There are differences of opinion about how to approach the Sahrawi cause - differences that are becoming clearer to me now. The recent protest camp, and all the violence that followed, has split the opinions of the Sahrawi down the middle. "We have the right to defend ourselves" one said. "No, those camps were a shame on us and all Sahrawi" another told me, "violence only breeds violence."

Some say Moroccan policemen were slaughtered like sheep. Others say it's not true, those videos were fake. We don't now the real number of dead and injured. We don't know the real timeline of events. Was anyone else there to witness? The only thing certain is that nothing is certain.

 

Filed under  //   Documentary   Human Right   human rights   morocco   the runner   tourist with a typewriter  

(How Much) Healthcare is a Human Right

  Phil Niles

No US political issue is more inflammatory than health care reform.  The two main dimensions are morality and affordability: approximately 70 million people are un- or under-insured, yet we already spend twice as much as other developed countries on healthcare.  Unfortunately, many people are passionate about either the personal or the pragmatic side of this problem, fewer people are passionate about both.  What a time to be an MD/MBA student!

The other day, I saw the following message glued to the lid of a classmate's lap top:

Media_httpfilercaseedupxn20img0124jpg_ddnfaoyuideiicj

Many people (particularly medical students, and particularly not business students) are passionately in favor of universal healthcare.  However, the fundamental statement "HEALTH CARE IS A HUMAN RIGHT" addresses the wrong question.  Instead of debating whether healthcare is or is not a human right, my friend, Tim, should Elmer this:

Media_httpfilercaseedupxn20img01242020how20muchjpg_yodhhcokehofagw

Whether you believe healthcare is a right or is not a right forces an artificially black and white stance out of a progressive situation.  When thinking about healthcare resources as a zero sum game this becomes somewhat clearer.  Does one person have a right to $100,000 per year health care over society's right to use that money on other health care expenditures? What if it were $1,000,000 (which is not an unrealistic figure in the US)?  Would you rather spend $1,000,000 on curing one person's otherwise terminal disease or on 100,000 people's flu shots?  Collectively, we make such decisions, in other words we already practice rationing.  While I can understand that the concept of a "human right" being price-dependent is unsettling, it is important that we become comfortable with rationing if we are to have a sustainable system.  Yet every politician and their mother is avoiding the "R"-word.

Peter Singer (the ethicist) recently wrote in the New York Times: "Remember the joke about the man who asks a woman if she would have sex with him for a million dollars? She reflects for a few moments and then answers that she would. 'So,' he says, 'would you have sex with me for $50?' Indignantly, she exclaims, 'What kind of a woman do you think I am?' He replies: 'We’ve already established that. Now we’re just haggling about the price.'"


With all of the emotional and financial investment in health care, it is important to address the situation with an actionable approach - not an ideologic one.  My suggestion is to quantify just HOW MUCH health care we believe is "right" to provide, recognize that we should cap public health care spending, and focus the moral/fiscal debate on how high that cap should be set.  Let's achieve our ambitions of providing access for the uninsured with the most likely way of succeeding: by haggling about the price.


Philip Niles

Filed under  //   Case Western   Health Care Cost   Health Care is a Human Right   Health care   Healthcare costs   Human Right   MD/MBA   Peter Singer   Phil Niles   Philip Niles   Ration   TED   TED Fellows   cap spending   collaboration   ted2009  
Posted by Phil Niles 

Comments [9]