Monica E. Oss the CEO at Open Minds recently commented on the controversial Ryan Budget plan’s implications for Medicaid. She noted with some irony, that as we face the 150th anniversary of the Civil War, there's still a lively debate over states rights. She suggests that the conflict between the relative federal and state responsibilities for healthcare is a fundamental issue that even underlies the current Medicaid debate.
I believe the current national conversation over the Ryan plan mimics the Civil War in a more essential way. The fundamental question is whether we choose to be our “brother's keeper” or our “brother’s owner”? What obligation do those in power have towards those less powerful? It's a real choice regarding whether the moral compass of Abraham Lincoln or Ann Rand will lead healthcare, as well as our society over the next 150 years.