By the end of today, we will be able to: Describe the difference between a right, privilege, & responsibility + Debate whether health care is a right, privilege, or responsibility + Evaluate examples of health care needs to figure out if they should be included in “basic health care” coverage = Evaluate arguments related to coverage for health care expenses to determine support for the belief that health care is a right, privilege, or a responsibility. 2 m

Possible Answers: RightPrivilegeResponsibility Definition: "something that is due to a person or governmental body or law, tradition, or nature." Definition: "a special benefit, exemption from a duty, or immunity from penalty, given to a particular person, a group or a class of people.” Definition: “a particular burden of obligation upon one; being accountable, as for something within one's power, control, or management Example(s): - Using any public road - Pursuit of happiness - Voting (if you are 18) Example(s): - Having a driver’s license - Receiving a Pension Example(s): -Keeping your car in safe driving condition - Obtain a college degree, if desired 2m class share-out Right = Everyone should get it! Privilege = Certain people should get it! (based on age, employment, etc.) Responsibility = Individuals/groups should get it of it on their own!

What do YOU think!? Is access to health care a RIGHT, PRIVILEGE, or RESPONSIBILITY? -Answer this question in your notebook. - Support your choice with at least two reasons. 2 m

Is access to health care a RIGHT, PRIVILEGE, or RESPONSIBILITY? 5 m -Move to the side of the room based on the response your wrote in your notebook. -Chat with one person next to you about WHY you both chose that side for 1 minute!

What did Obama and McCain say in the 2008 debate? Is access to health care a RIGHT, PRIVILEGE, or RESPONSIBILITY? Obama’s answer: RIGHT McCain’s answer: RESPONSIBILITY 2m

What is Basic Health Care? Many people have indicated in national polls and surveys that they agree with some form of basic health insurance for all U.S. citizens. What constitutes basic health insurance? Should any available treatment be offered to everyone or do you have to draw the line? Should there be any out-of-pocket costs or should the government pay for all treatment? 2 m

Quick Vocab: Basic health insurance: A system in which all residents have access to health care Out-of-pocket costs: Payment for health services not covered by an individual’s health plan

Vote: Should this be covered by BASIC health care, provided and paid for by the government ? Yes or No? Ex: Jim breaks his leg and requires a cast. Yes: Jim should not have to pay for it. This is a common health issue and without simple treatment, it could become a serious problem Accidents happen frequently. No: Jim should not be casted for free by the government. He should have to pay for it because it’s not fair to burden tax payers with his injuries. He may have been careless or putting himself at high risk of injury with little regard for the consequences. 2 m

Vote: Should this be covered by BASIC health care? Yes or No? 1. Jim breaks his leg and requires a cast. 2. Sarah is due to receive her Polio vaccine. 3. Stan drinks heavily and develops cirrhosis of the liver. He currently needs to be hospitalized to stabilize his condition. 4. Mark would like to enroll in a program to help him treat his alcoholism. 5. Daria has her yearly mammogram and discovers she has breast cancer. The doctors recommend a mastectomy along with chemotherapy. 6. Susan would like reconstructive surgery after her mastectomy. 12 m

Vote: Should this be covered by BASIC health care? Yes or No? 7. Sharon has had difficulty getting pregnant and would like to try in vitro fertilization to help her conceive. 8. Sharon is pregnant and would like to receive pre-natal care and counseling. 9. Sharon would like to have her child at home with a midwife. 10. Kara, who has smoked for twenty years, has lung cancer. The doctors recommend surgery and chemotherapy. 11. James is morbidly obese. He would like to receive gastric bypass surgery to help him lose weight. 12. Jenny is depressed and is on several antidepressants. She would like to see a psychiatrist to help her with her depression. 13. Jordan has diabetes and requires daily insulin monitoring. He needs an insulin pump and other equipment.

Big Question: How far should lawmakers go in regulating the public’s health when it interferes with personal liberties? Goal: Use evidence to support or refute controversial laws that regulate citizens’ personal liberties in the name of public health.

In the absence of a national consensus about health care reform, many cities have taken the lead in providing health care and protecting their residents’ health and welfare. For example, New York and Chicago ban unhealthy ingredients, such as trans fat, or unhealthy behaviors such as smoking. What is the government’s role in regulating healthy and unhealthy behavior, especially if the government bears the financial responsibility for health care? It is a fine balance between personal freedom and the government’s responsibility to provide for the health and welfare of the majority of its citizens. Have some local governments gone too far?

Model: Wearing a seat should belt should be mandatory for all ages. Step 1: Re-read your case to assess the FACTS Step 2: Discuss what EVIDENCE you need Step 3: Gather & organize evidence Step 4: Prepare to debate What type of evidence would a group want to gather: - if they SUPPORT this statement? - if they are AGAINST this statement? 4m

Model: Wearing a seat should belt should be mandatory for all ages. Possible Evidence: SUPPORT -Statistics: -deaths due to not wearing seat belts -Lives saved in areas where seat belt wearing is required -How seat belts work to save lives Possible Evidence: AGAINST -description of how enforcing this would be difficult -statistics on % of people who already use seatbelts anyway -data on how other safety measures could better reduce driver fatalities 2m