Gay Marriage Strawman 3: Think Of The Children

Third in a four part series.

One of the most common mantra against allowing gays and lesbians to marry is that marriage is meant to be between one man and one woman. When asked why, the response is that only a man and a woman can make a child. Despite this basic biologically obvious observation, not all men nor all women can make a child. Otherwise an enormous fertility industry would not exist. Nor do all married couples want children despite the best efforts of some to turn back Griswold vs. Connecticut.

If children were the sole reason for marriage, then the logical position would be to deny licenses to anybody who cannot produce a positive pregnancy test result. Indeed, apocryphally (and I cite Jude the Obscure as but one literary example) many marriage proposals in times past not involving the exchange of property occurred only after a metaphorical rabbit had died. For peasant farmers there was no reason to do otherwise. And if marriage was only for raising children the fact that infertile people or post menopausal women can get married proves that there are larger issues than just procreation in the mix.

Recently David Blankenhorn has reversed his position against gay marriage which had largely been based on the pro-procreation argument.

I had hoped that the gay marriage debate would be mostly about marriage’s relationship to parenthood. But it hasn’t been. Or perhaps it’s fairer to say that I and others have made that argument, and that we have largely failed to persuade. In the mind of today’s public, gay marriage is almost entirely about accepting lesbians and gay men as equal citizens.

He makes the case that it is ironic that the gay community is embracing marriage as broader society is becoming more blasé about it, with or without children. 53% of children born to mothers under the age of 30 who weren’t married. Many weddings that do occur now include the children of the bride and groom as members of the party.

And lots of gay couples enter marriage to form families. Despite the biological headwinds they face, they have available the same resources heterosexual couples can take advantage of, adoption, donor sperm, surrogacy, etc. And to say that a gay or lesbian person is not the parent of a child just because they have no genetic material at stake is an insult to any adoptive or step-parent who has ever taken on parental duties.

But having children is not the sole or even primary reason to get married. Many straight couples never intend to have kids. Why should gay couples have to meet some higher standard? Marriage throughout history has had many purposes, exchange of property, insurance of fidelity, political bonding, but the modern notion is that marriages should be based on love and affection. While arranged marriages still occur in many cultures, the Western notion of the love match is taking root through the soft imperialism of popular culture.

And with modern contraception, children are not a necessary nor sufficient reason for a marriage. For two people to get married the necessity nor the possibility of them having children no longer makes any sense as a criteria. A mutual affection and a desire for commitment should be be all that is needed.

What’s Next

The PPACA extends the current system to more people to increase coverage, but doesn’t fundamentally reform health care at the delivery level. As such, it will not succeed in bending the cost curve to make the growth rate of health care spending sustainable. The interesting question now is what path it takes when it inevitably collapses. I see one of two options: 
 
1. “Individual Market Based” – Some combination of Ron Wyden’s and Paul Ryan’s reforms are enacted eliminating the employer based tax preferences and replacing them with individual tax credits, thus eliminating the already tenuous “firewall” between the exchanges and the employer based system.  
 
Medicare and Medicaid (and potentially TriCare) are voucherized and integrated into the existing subsidy system in the exchanges so that all health insurance is purchased by individuals in the exchange system with varying levels of subsidies and tax credits based on age and income. About as close to “Free Market” as you are likely to get. 
 
2. “Single Payer (sort of)”. Medicaid for all is enacted replacing the exchange system entirely with a universal minimal standard insurance package provided by the government. Coverage and reimbursement is dictated by a more robust version of the Medicare Payment Advisory board that strictly limits name brand drugs and other expensive treatments in favor of generics and applies similar cost/benefit analysis to approved procedures (and reimbursement rates). The ability to see specialists without a referral or otherwise go “out of network” is curtailed, as are end of life procedures.  
 
In parallel with the public system, private insurance and medical care remain to provide enhanced care for those who can afford it.  
 
Eventually, the public system comes to resemble public schools vs private schools as taxpayers who opt for the private system are not receptive to tax increases to maintain and improve a public system that they themselves do not participate in, thus regulating the public system to a second tier level of care, much like Medicaid is today.

SCOTUS Decision (Open Thread)

So today is the day. I thought we could just use an open thread for comments as the decision and opinions come in.  Anyone have a link to that liveblog we can add here?