Among some people there is a belief that spending tax dollars on certain program is charitable. This belief mistakenly assumes that people 1) pay taxes voluntarily and 2) the tax dollars are allocated according to people’s wishes. Both of these assumptions are wrong. Taxes are not voluntary and politicians spend money on political priorities which aren’t necessarily the same as taxpayer’s priorities.
Real charity is voluntary. It is done out of goodwill or love of humanity. Taxation is not voluntary. Only half of Americans pay income tax. And very would pay as much taxes if it were completely voluntary.
That why I get irritated when I read things like this from an economist named Uwe Reinhardt in the N.Y. Times:
The theory here is that in all modern nations, the better-off members of society would like to provide kind acts for the less well-off. The kind acts in question include financing health care for the less fortunate who cannot pay for that care with their own resources.
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In our holiday card, my wife and I put forth the hypothesis that, for all we know, the American people are just as kind and charitable in health care as are people in Taiwan, Japan, Europe and Canada, even though it may not appear to be so in light of the demonstrated hardships we tolerate in health care for millions of families at the bottom of the income scale.
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A tongue-in-cheek holiday card of this nature does, of course, take poetic license, so to speak, but we did try to make a serious point. Namely, thanks to the expensive and often wasteful manner in which our country’s health care providers and insurers have managed their affairs, they have helped to price kindness out of America’s soul.
Federal spending on health care is not charitable spending. Charity is when I voluntarily give my hard-earned money to causes I believe in, such as my church, fighting cancer, or give more transportation options to poor people. That is charity. Real health care charity would involve giving money to people in need, not government programs.