Health Care Crisis or Moral Crisis


There are many reasons for rising health care costs, but “moral crisis” is rarely mentioned. Over the past 40 years, our nation has strayed from a clear idea of what is right and wrong. Many people have accepted the belief that each individual determines their own morality. We live in a “do anything you want” culture with tolerance for everyone and everything as long as it is legal. Advertisers repeatedly hit us with their slogans “Have it your way,” and “Just Do It.” We believe we owe it to ourselves to indulge.

“What’s wrong with my baby?” a young mother pleaded with me, an emergency room physician, after I had examined her seizing two-week-old baby.

The single mom had contracted the herpes virus from her boyfriend and transmitted it to her baby. Her newborn’s brain was severely damaged by the virus. I saw the child several times through the first ten years of her life. She was always in diapers and couldn’t talk or walk.

Not every young girl who engages in sex outside of marriage has a child that gets the herpes virus and requires total care, but with 45 million cases of genital herpes infecting our population, one out of four pregnant women have the virus and about 1000 babies come down with herpes encephalitis every year which this newborn had.

The television sitcoms and movies seldom display the negative consequences of recreational sex because consumers want a few hours of fantasy, not a lifetime of reality.

In the 1970’s, the chance of acquiring a sexually transmitted disease was one out of thirty two contacts and now the chances are one out of three.
As Americans, we first have to realize the magnitude of the problem we’re dealing with and the cost. According to American Social Health Association, we spend more than $8 billion per year to diagnose and treat sexually transmitted diseases not including HIV. In addition we pay for the emotional pain from rejection and betrayal that may result in depression, panic attacks, migraines, fibromyalgia, bulimia, anorexia, and obesity.

Premarital sex results in teenage pregnancy 900,000 times every year when our annual birth rate is 4.5 million. The pricetag is estimated to be $29 billion for adolescent childbearing and its negative social consequences.

HIV/AIDS as we know it didn’t exist until the 1980’s. Presently, the cost of the epidemic is $25 billion per year. We’ve lost 520,000 lives.

But how can we expect our society to miss out on all the fun by obeying God?

In a study by Robert and Amy Levin which was published in Redbook magazine, 100,000 women were surveyed. The women that were labeled “highly religious” were more likely to experience “a higher degree of sexual enjoyment and greater frequency in love making” than the other women. Sometimes as Christians, we are fooled into thinking that are lives are not as fulfilled, but when we seek God He doesn’t withhold any good thing from us.

God also cares about what we eat and how we work or exercise. In America, we live in a land of plenty, and sometimes we eat more than we should. As I was caring for a 500 pound lady who had been bed-bound for seven years, she told me she used to deep fry most of her food. She loved to eat. Her cakes and pies vanished at the church potlucks, but her lifelong habits severely restricted her freedom.

Another patient, Katherine, was a 50 year-old mom when she came to my office with her left face drooping. She had been diagnosed the day before in the emergency room with Bell’s palsy (paralysis of the facial nerve) which can be the result of an infection, inflammation, or diabetes. In Katherine’s case her blood sugar was elevated, and she was diagnosed with diabetes. Katherine was 240 pounds and rarely exercised. On that day in the office, she was emotionally distraught and cried intermittently throughout most of the visit. By the end of her appointment, after talking about proper eating habits and building up her muscle and metabolism by exercise, she was determined to make a change in her lifestyle and attend diabetic education classes to learn more about her disease.

When I saw her several weeks later, she had dropped a few pounds and was swimming 50 minutes five times a week. After several months, her facial paralysis resolved and her blood sugar returned to normal. She demonstrated motivation to do the right things.

Across America we have put on the pounds. On one Monday morning, I saw five patients in my practice who weighed over 300 pounds. In 1980, our population was 45% overweight or obese. By 2000, we blossomed to 65% overweight or obese.

Our overindulgence and lack of physical activity have lead to our excessive weight which is associated with an increased incidence of diabetes, coronary artery disease, high blood pressure, strokes, arthritis, sleep apnea, gallbladder disease, and cancer (uterine, breast, prostate, and colon).

Obesity kills 400,000 Americans prematurely every year, and the cost for diabetes alone was over $132 billion or almost ten percent of the total health expense. Experts say that if Americans will walk thirty minutes four times a week we will prevent half the cases of diabetes in the future.

Renee, a thin 36 year-old came to the emergency room complaining of chest pain. Her worried expression was apparent to me as she explained her pain with her hands on her chest. Her skin was pale compared to her reddish-brown hair. She was a factory worker and had just come from her job. After I reviewed her electrocardiogram, I informed her she was having a heart attack. She replied that she was afraid of that. Then she told me that she wasn’t ready to die because she had two boys at home. I told her I would do everything I could to help her.

I gave her an aspirin, oxygen, nitroglycerin, and eventually morphine to see if her pain would go away completely. Her pain persisted. I then ordered a clot busting drug to open up her arteries and relieve her discomfort. It didn’t. I contacted the heart doctor to arrange transfer for a heart catheterization. After she was transported and had the procedure, the heart doctor told me that she had disease in one of her arteries which only affected a small portion of her heart. I was glad she survived and was going to do well.

As I thought about the cost, I estimated the emergency room visit was around $2000, the clot busting drug at $2500, the helicopter ride billed $2500, and the heart catheterization a mere $2000. If she needed open heart surgery, it would have drained out $75,000.

The reason she had a heart attack at age 37 was because she had smoked cigarettes for twenty years. If she would have died, she would have left her 8 and 10 year-old boys without a mother. We spend $155 billion per year on tobacco related diseases which kill 480,000 prematurely every year. Smoking is the major risk factor for the top four causes of death (heart disease, cancer, stroke, and lung disease), and it cuts an average 13 years off a smoker’s life.

The cigarette kills 480,000 people prematurely every year, and we spend $155 billion per year on tobacco related diseases. Smoking is the major risk factor for the top four causes of death (heart disease, cancer, stroke, and lung disease).

Alcoholism affects 15 million people and results in 100,000 deaths annually.

Since the 1970’s, abortion has claimed 47 million lives and has adversely affected many women. I saw one emotionally distraught woman, who was having a miscarriage, in the emergency room. After she calmed down, she explained to me that she also had a two-year-old die suddenly from congenital heart disease. Then she told me that she aborted her first pregnancy because she wasn’t ready to have kids. Women who abort are two times more likely to abuse alcohol, five times more likely to use drugs, and three times more likely to commit suicide than the general population.

Gambling which in the 1960’s was only legal in 2 states has now been legalized in 48 states and has addicted 5 to 15 million people. In America, we wager over $700 billion per year which is more than we spend on movies, CD’s, major league sports, books, and entertainment parks combined. The financial ruin, health problems, and suicide attempts have impacted the health care system.

Pornography has grown to the point that Americans rent 800 million adult movies annually. The porn industry is partly responsible for an increase in the number of divorces, rapes, and child molestations.

Illegal drugs are used by over 10 million Americans annually. Smoking marijuana is just as dangerous as smoking cigarettes and drug use increases the risk for mental illness. In one study, army recruits who smoked marijuana more than fifty times before enlistment had a six times higher incidence of schizophrenia while enlisted.

Our divorce rate is over 50% and impacts the health of adults and children.

Fatherless homes account for 63% of youth suicides, 90% of homeless/runaway children, 85% of children with behavior problems, 71% of high school dropouts, 85% of youths in prison, and well over 50% of teen mothers.

Over the last 25 years, our jail, juvenile detention, and prison population has grown from 200,000 to 2 million while 10 million Americans go through the system every year. It costs $30,000 per year to care for a prisoner.

As the moral fabric of our nation spirals downward, what can we do? In Hosea 4: 6, it states “My people are destroyed for lack of knowledge.” We first have to know where we are, before we can begin to formulate ways to find solutions. America is in a health care crisis as we spend $1.8 trillion per year or $6000 per person per year. We need to get back to our moral foundation.

“What is the hope for America?” I asked a patient of mine, a former pastor who had a stroke.

He replied that each individual has hope. He was right.

We can have hope for this life and for eternity through Jesus Christ.

By Daniel Carrel D.O.

“Is Biblical Morality Outdated? A Physician’s Perspective” Available at Arnie’s Restaurant on Leonard, Kregel Parable bookstores, and at www.drcarrel.com. ISBN-13: 978-1-932124-87-3 ISBN-10 1-932124-87-X