The Joy is in the Details

Amidst the recent tumult over national health care some interesting details were overlooked. According to an article in this mornings Dallas Morning News, only 41 percent of the health goals set by the government in 1990 have been achieved. The results for the goals set in 2000 were even worse, 24 percent. The results forecast for 2010 look to be little, if at all better. The statistics in other areas were equally disappointing. While there were some positive statistics such as a rise in vaccination rates and a reduction in the numbers of strokes and heart attacks, the overall numbers were at best disappointing, especially considering how much money was spent. The poor statistics must certainly have played a role in the government's decision to take things in hand.

It is of no surprise that things did not work out according to plans. They rarely do. It is difficult to make plans and preparations for a nation of over 200 million people. Some eat well, others don't. Some exercise, others don't. Some get their vaccinations, others don't. Some engage in healthy lifestyles, others don't. The list goes on. In order to make a prediction concerning the rate of heart disease 10 years into the future one must have some idea how people are going to conduct their lives over those ten years. Some are content to make observations and extrapolate. Others are less patient and less scientific. They know the results they want and they are determined to do what they can to achieve those results. They are also the ones that make every body's business their business because they sincerely believe that every body's business is their business. The best way to achieve the results you want is to control the variables. Government believes it can control the variables. Indeed, for many, controlling the variables is where the true pleasure of legislation lay. For them, the joy is in the details.

The CDC expects only 20 percent of the health care goals set for 2010 will be achieved. Among other things, people are still not exercising enough, and are still eating too much and too poorly. They are not getting their vaccinations as they should. Tooth decay and blood pressure are up. There was some good news as well. Deaths from stroke, cancer and heart disease all dropped. Health care in the U.S. is not a complete disaster. Perhaps instead of remaking the health care system, we should have first seen what we could have done to fix the one we had. But where is the glory in that?

I suppose we can hope that we do better than achieve 24 percent of the health care goals we have set out to achieve. Perhaps we can even match the 41 percent of the goals that were set in 1990. 41 percent is better than nothing, even if it will be 59 percent less than what we paid for. Perhaps once the government takes over they will be more effective in getting people to eat right and take better care of themselves. You can bet that now that they are paying for it, they will get around to trying. That voice you hear in the morning telling you you need to get out of bed and exercise might one day be the government's.