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Should cosmetic surgery be funded by the government?

electricitylikesmeelectricitylikesme Registered User regular
edited April 2008 in Debate and/or Discourse
Here's my first answer: no.

But that's based purely off the number of people in America who get pretty bad healthcare. In Australia (where I live, because I was born here, but fuck if I'm ever leaving coz it's awesome) - I'd lean further towards "yes" because most of our health concerns are administrative, not necessarily funding related.

The reason I bring this up though is because the virtue of looking attractive is still one of the most unfairly handed out things that can happen to anyone today. Most of us, probably figured this one out in high school - someone like me who went on roaccutane had many years of beign positive he absolutely couldn't have a girlfriend because jesus christ I wouldn't want to date me. Roaccutane was probably the best thing that happened to me, precisely because I would look at myself and feel like I was actually decent looking.

Now I, had a curable condition. The thing which really gets me is everytime I see someone who doesn't. I end up being struck thinking "how is that remotely fair in life?"

Obviously, at the present time we don't necessarily have the technology to fix every type of problem like this but it is a virtual guarantee that we eventually will but it is going to cost a fuckload depending on what needs fixing. Hell, there are charities in the US today which specialize in say, fixing hair lips for those who can't afford the surgery.

So, my question D&D is, would you support a healthcare system under which we more generally include cosmetic/plastic surgery alteration or repair to people's appearance? And, considering our progressing technology, how far do you think this should go?

electricitylikesme on
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  • FirstComradeStalinFirstComradeStalin Registered User regular
    edited April 2008
    Outside of something like the hare lip (which can cause severe medical complications including infections and trouble eating), I don't support public funding of any cosmetic surgery that isn't preventative or part of a recovery process from another surgery. The changes have nothing to do with keeping the people alive or healthy, and that's what we should be focusing on.

    FirstComradeStalin on
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  • ZombiemamboZombiemambo Registered User regular
    edited April 2008
    God no. I'm not paying for someone's superficial "improvements."

    Zombiemambo on
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  • HembotHembot Registered User regular
    edited April 2008
    You know...at first I thought "HAHA THAT'S THE STUPIDEST IDEA!!!"

    Then I thought...."It's not fair some people are so goddamned ugly"

    However, given the dangers of surgery and the fact that many ugly people end up with very pretty people I don't think cosmetic surgery should be state supported. It's just "optional" and I don't feel like paying taxes for someone to change their nose every 6 months.

    What kind of rating system would we use to measure who is deserving of such surgery? hotornot.com? lol. I think when I got Lasik 7 years ago it was an "optional" surgery so I had to pay out of pocket. No Insurance coverage. Not being able to see the big E is a lot more important than not having thick lips imo. Stuff like performance related physical correction should problably be covered first.

    edit: but I'm not against the OP's idea provided all forms of medical treatment that are necessary to keep humans alive and functional have been discovered. Welcome to the year 60,000 A.D. though....

    Hembot on
  • Dark MoonDark Moon Registered User regular
    edited April 2008
    Where would you draw the line between ugly enough for surgery or pretty enough to go without? Or would anyone who wanted it be able to get cosmetic surgery for free? As it stands, are truly disfigured people not able to get plastic surgery funded by your government to fix the problem?

    I ask because at least in Canada, all plastic surgery is not considered cosmetic, and I don't see how this isn't sufficient. Those born with massive cranial deformities can have their skulls resculpted without paying, and those who want lips the sizes of rolls of toothpaste have to shell out their own money for the privilege.

    Dark Moon on
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  • Wonder_HippieWonder_Hippie __BANNED USERS regular
    edited April 2008
    There is such thing as a medically necessary cosmetic surgery, isn't there? Also, complications from some things that can be treated by cosmetic surgery (Stalin's example of hare lips earlier) can cost more in the long run.

    Wonder_Hippie on
  • Romantic UndeadRomantic Undead Registered User regular
    edited April 2008
    Yeah, in order to answer this question I think we need a more concrete definition of what kind of plastic surgery we're talking about here.

    If it's "any and all plastic surgery" then the answer is no.
    If it's stuff that will radically improve the lives on a medical level of those receiving it, then yes.
    Can you justify "curing" ugliness as a means to radically improving someone's life, I say... "maybe".

    Basically, there's a difference between just being "ugly" or "plain" and being "deformed". An abnormal deformity should be addressed, but normal levels of unnatractiveness are not so damaging to a person that their quality of life suffers too considerably. Most "ugly" people, in my experience, simply suffer from poor self-image and hygiene. Hell, the ugliest people I've seen typically have terrible teeth and hair, things that can be easily handled through regular healthy hygene practices.

    As much as I might like for someone to pay for surgery for my baldness, I don't think that's the government's responsibility, they have more important things to pay for.

    Romantic Undead on
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  • The CatThe Cat Registered User, ClubPA regular
    edited April 2008
    Outside of correcting actual defects and the aforementioned post-surgical stuff, I think its something better handled by private cover. I'd rather see our system expand in the direction of covering dental work, which it currently basically doesn't.

    The Cat on
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  • The CatThe Cat Registered User, ClubPA regular
    edited April 2008
    That said, I can afford to say 'go private' because our health insurance sector isn't a fucking ripoff. Its well-regulated and competitive, which is more than I can say for a lot of countries. You can get decent private cover here for only a few bucks a week.

    The Cat on
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  • fallaxdracofallaxdraco Registered User regular
    edited April 2008
    The Cat wrote: »
    That said, I can afford to say 'go private' because our health insurance sector isn't a fucking ripoff. Its well-regulated and competitive, which is more than I can say for a lot of countries. You can get decent private cover here for only a few bucks a week.

    It is really an indisputable fact that Australia's healthcare system is a lot more efficient than the system of the USA. Why do you think that is? What could be done to update the US system?

    As for the OP, just as soon as society as a whole could easily afford it, it should be funded, but currently it should not.

    There is just not enough money/resources to go around yet for everyone to get every surgery that they would like, so we should concentrate on the medically necessary ones first.

    fallaxdraco on
  • The CatThe Cat Registered User, ClubPA regular
    edited April 2008
    Not sure. I'm not qualified to talk about the nuts-and-bolts of it, but I'd suggest that the government underwriting big chunks of the system (including education and training of staff, although that is woefully underfunded) actually makes it easier for private health businesses to operate. I'd also suggest the amount of preventative care support we receive probably has an impact, but I've never seen a bit of research on that sort of thing that managed to separate its effects all that well. Certain regulatory stuff should definitely help - restrictions on direct advertising of drugs, insurance law, etc. There's so much going on its hard to isolate any one thing to go all magic-bullet with.

    The Cat on
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  • The Rocking MThe Rocking M Brisbane, AustraliaRegistered User regular
    edited April 2008
    I'm with Henry Rollins on this.

    Having said that though I think cosmetic surgery should be provided free of charge to people with genuine need for it (as it has been pointed out).

    The Rocking M on
  • shrykeshryke Member of the Beast Registered User regular
    edited April 2008
    The Cat wrote: »
    Outside of correcting actual defects and the aforementioned post-surgical stuff, I think its something better handled by private cover. I'd rather see our system expand in the direction of covering dental work, which it currently basically doesn't.
    This is actually a really good answer.

    EDIT: Because it basically hits a lot of the issues I'm thinking about - teeth are in sort of that area of being a cosmetic consideration that causes actual serious problems as well.

    Dental Health is far more then just a cosmestic concern too.

    shryke on
  • The CatThe Cat Registered User, ClubPA regular
    edited April 2008
    shryke wrote: »
    The Cat wrote: »
    Outside of correcting actual defects and the aforementioned post-surgical stuff, I think its something better handled by private cover. I'd rather see our system expand in the direction of covering dental work, which it currently basically doesn't.
    This is actually a really good answer.

    EDIT: Because it basically hits a lot of the issues I'm thinking about - teeth are in sort of that area of being a cosmetic consideration that causes actual serious problems as well.

    Dental Health is far more then just a cosmestic concern too.

    No kidding. I don't think #1 flatmate has eaten anything I've cooked since I moved in, and its not just because I'm a fuckawful cook. Its because all his back molars had to be removed, and he has to wait months to get prosthetics that cost like $4000 each.

    also, goddamnit now I'll be youtubing Rollins all night...

    The Cat on
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  • Crimson KingCrimson King Registered User regular
    edited April 2008
    Basically, there's a line that needs to be drawn somewhere. If your appearance makes it impossible for you to interact with other people, the government should fund the surgery. On the other hand, if you just want bigger tits, it shouldn't. There's a midpoint between these where the government stops paying for things. But since being more attractive will pretty much always improve your life, and attractiveness can't be quantified, it's very hard to know where that line is.

    Crimson King on
  • QuidQuid Definitely not a banana Registered User regular
    edited April 2008
    I can see cosmetic surgery such as implants, facelifts, etc for people with a genuine psychological need for them and recommended by a psychologist. But outside of those and extreme cases such as medical necessity or severe scarring not so much.

    Quid on
  • HeirHeir Ausitn, TXRegistered User regular
    edited April 2008
    I'd support it for post-surgical needs and health reasons.

    For example, my Mother-in-Law had breast cancer. After all was said and done, she survived, but was missing a breast. After she hit her 5 year mark, she had plastic surgery to get her back to where she was before cancer. I have no problem with that.

    I have no desire to pay for some rich guy's daughter to get breast implants for her 16th birthday.

    Heir on
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  • Loren MichaelLoren Michael Registered User regular
    edited April 2008
    The thing which really gets me is every time I see someone who doesn't. I end up being struck thinking "how is that remotely fair in life?"

    Obviously, at the present time we don't necessarily have the technology to fix every type of problem like this but it is a virtual guarantee that we eventually will but it is going to cost a fuckload depending on what needs fixing. Hell, there are charities in the US today which specialize in say, fixing hair lips for those who can't afford the surgery.

    So, my question D&D is, would you support a healthcare system under which we more generally include cosmetic/plastic surgery alteration or repair to people's appearance? And, considering our progressing technology, how far do you think this should go?

    Ugly people don't deserve to be ugly, and appearance has a massive fucking effect on one's happiness and opportunities in life.

    Publicly fund the knife!

    Loren Michael on
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  • nexuscrawlernexuscrawler Registered User regular
    edited April 2008
    Where would something like being horribly disfigured in an accident and needing facial reconstructive surgery fall?

    nexuscrawler on
  • The CatThe Cat Registered User, ClubPA regular
    edited April 2008
    Where would something like being horribly disfigured in an accident and needing facial reconstructive surgery fall?
    Its a repair job, doesn't really match up with "I was born with a teeny jaw". Not really the same at all.

    edit: I mean, that should be part of normal treatment; imagine if it was normal for surgeons to do any old godawful shit to you so long as you kept functioning.

    The Cat on
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  • Marty81Marty81 Registered User regular
    edited April 2008
    The line needs to be drawn somewhere, but where? There was recently a story about a cheerleader who died while undergoing "breast enhancement" surgery - when you actually read the article, you find out that she had a condition where one was drastically smaller than the other (like an A and a C) and she was just trying to even them out so that she could wear a regular bra and lead a normal life. And what about things like toenail fungus? Most US insurance agencies won't cover treatment for that, because it's considered cosmetic.

    Marty81 on
  • QuidQuid Definitely not a banana Registered User regular
    edited April 2008
    A line shouldn't be drawn anywhere. The stuff needs to be reviewed and approved by the doctors (including psychologists). Sure, let some stuff get blanket approval, but there shouldn't be anything automatically disapproved either.

    Quid on
  • TofystedethTofystedeth Registered User regular
    edited April 2008
    Don't forget breast reductions. I know several girls who have had or are thinking of getting breast reductions because of the back problems they are having.

    Tofystedeth on
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  • KrunkMcGrunkKrunkMcGrunk Registered User regular
    edited April 2008
    It's kind of funny that guys are worried about their looks, and think that any kind of ugliness makes them undateable. Most women don't care about looks as long as you take care of yourself (shower, exercise, clean your clothes).

    Girls are in a different spot though. I feel bad for women because a lot of women have been taught to derive their self-esteem from their looks. At least I, as a man, can be average looking and still have confidence. But, women have a lot more avenues available to them that aren't as drastic as plastic surgery. I'm reminded of a saying, "There's no such thing as an ugly woman; just a lazy one."

    Anyhow, if the US were to have socialized healthcare, I think plastic surgery should be covered if it were being used to reform someone who were disfigured, either by birth, or by accident. There are a lot of health reasons for plastic surgery outside of vanity.

    KrunkMcGrunk on
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  • Bliss 101Bliss 101 Registered User regular
    edited April 2008
    Quid wrote: »
    A line shouldn't be drawn anywhere. The stuff needs to be reviewed and approved by the doctors (including psychologists). Sure, let some stuff get blanket approval, but there shouldn't be anything automatically disapproved either.

    I agree with this, if only because I doubt a line can be drawn anywhere, and I certainly wouldn't want politicians to be the ones trying to do it. But this leads to a question of utility: if we cover the cost of major, hugely expensive operations that improve the life of the patient tremendously, shouldn't we also cover relatively trivial operations that only improve people's lives a little? Because if our answer is no, then we're back at drawing the line that's really difficult to draw.

    As a side note, I think it's time we did something about symmetry.

    Bliss 101 on
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  • KrunkMcGrunkKrunkMcGrunk Registered User regular
    edited April 2008
    Bliss 101 wrote: »
    Quid wrote: »
    A line shouldn't be drawn anywhere. The stuff needs to be reviewed and approved by the doctors (including psychologists). Sure, let some stuff get blanket approval, but there shouldn't be anything automatically disapproved either.

    I agree with this, if only because I doubt a line can be drawn anywhere, and I certainly wouldn't want politicians to be the ones trying to do it. But this leads to a question of utility: if we cover the cost of major, hugely expensive operations that improve the life of the patient tremendously, shouldn't we also cover relatively trivial operations that only improve people's lives a little? Because if our answer is no, then we're back at drawing the line that's really difficult to draw.

    As a side note, I think it's time we did something about symmetry.

    What do you mean by trivial? Are you talking about facelifts, etc.?

    KrunkMcGrunk on
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  • Bliss 101Bliss 101 Registered User regular
    edited April 2008
    Bliss 101 wrote: »
    Quid wrote: »
    A line shouldn't be drawn anywhere. The stuff needs to be reviewed and approved by the doctors (including psychologists). Sure, let some stuff get blanket approval, but there shouldn't be anything automatically disapproved either.

    I agree with this, if only because I doubt a line can be drawn anywhere, and I certainly wouldn't want politicians to be the ones trying to do it. But this leads to a question of utility: if we cover the cost of major, hugely expensive operations that improve the life of the patient tremendously, shouldn't we also cover relatively trivial operations that only improve people's lives a little? Because if our answer is no, then we're back at drawing the line that's really difficult to draw.

    As a side note, I think it's time we did something about symmetry.

    What do you mean by trivial? Are you talking about facelifts, etc.?

    Basically anything that doesn't cost a fortune. Let's assume that technology advances to a point where a minor nose job can be done at the cost of, say, removing a mole today.

    Bliss 101 on
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  • Dread Pirate ArbuthnotDread Pirate Arbuthnot OMG WRIGGLY T O X O P L A S M O S I SRegistered User regular
    edited April 2008
    If a person feels like they are incomplete and worthless without a nose job, the state should be paying for therapy, not cosmetic surgery.

    Dread Pirate Arbuthnot on
  • KrunkMcGrunkKrunkMcGrunk Registered User regular
    edited April 2008
    Bliss 101 wrote: »
    Bliss 101 wrote: »
    Quid wrote: »
    A line shouldn't be drawn anywhere. The stuff needs to be reviewed and approved by the doctors (including psychologists). Sure, let some stuff get blanket approval, but there shouldn't be anything automatically disapproved either.

    I agree with this, if only because I doubt a line can be drawn anywhere, and I certainly wouldn't want politicians to be the ones trying to do it. But this leads to a question of utility: if we cover the cost of major, hugely expensive operations that improve the life of the patient tremendously, shouldn't we also cover relatively trivial operations that only improve people's lives a little? Because if our answer is no, then we're back at drawing the line that's really difficult to draw.

    As a side note, I think it's time we did something about symmetry.

    What do you mean by trivial? Are you talking about facelifts, etc.?

    Basically anything that doesn't cost a fortune. Let's assume that technology advances to a point where a minor nose job can be done at the cost of, say, removing a mole today.

    I'd say no. If it's already a cheap, easy procedure there's no need to get bureaucracy involved.

    KrunkMcGrunk on
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  • QuidQuid Definitely not a banana Registered User regular
    edited April 2008
    If a person feels like they are incomplete and worthless without a nose job, the state should be paying for therapy, not cosmetic surgery.
    What about when the therapist recommends surgery as a solution, something that's not unheard of.

    Quid on
  • QuidQuid Definitely not a banana Registered User regular
    edited April 2008
    I'd say no. If it's already a cheap, easy procedure there's no need to get bureaucracy involved.
    Eh, as nice as that sounds it doesn't mean someone can afford it. It'd definitely depend on the situation in my opinion.

    Quid on
  • nexuscrawlernexuscrawler Registered User regular
    edited April 2008
    I love how people pretend insurance isn't a clusterfuck of bureaucracy too

    nexuscrawler on
  • shrykeshryke Member of the Beast Registered User regular
    edited April 2008
    I love how people pretend insurance isn't a clusterfuck of bureaucracy too

    Maybe where you live.

    shryke on
  • FellhandFellhand Registered User regular
    edited April 2008
    Quid wrote: »
    If a person feels like they are incomplete and worthless without a nose job, the state should be paying for therapy, not cosmetic surgery.
    What about when the therapist recommends surgery as a solution, something that's not unheard of.

    Then it should have to go through a second opinion and possibly even a third. If three experts in the field say that someone definitly needs a new nose insted of therapy then that's enough for me as long as there's a check and balance system and they're not just giving away nose jobs like they give ritalin to treat ADHD.

    Fellhand on
  • KrunkMcGrunkKrunkMcGrunk Registered User regular
    edited April 2008
    Quid wrote: »
    I'd say no. If it's already a cheap, easy procedure there's no need to get bureaucracy involved.
    Eh, as nice as that sounds it doesn't mean someone can afford it. It'd definitely depend on the situation in my opinion.

    It's a moot point anyhow, seeing as getting a nose job or other such things will probably always involve someone going under anesthesia.

    KrunkMcGrunk on
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  • LewieP's MummyLewieP's Mummy Registered User regular
    edited April 2008
    OK, I've had quite a bit of plastic surgery over the years, the first when I was 5, when my left thumb was cut off, turned 90* ish anticlockwise and pinned in place. to give me an opposable thumb. It was to correct part of my disability, Poland's syndrome. Over the years, I was offered more surgery, to make my left hand look more "normal" - I have 3 1" long webbed fingers, another 1" finger and my thumb is about 1.5" long - I was offered to have my webbed fingers split. I didn't have that done, as I couldn't see how it would give me more function. I've also had breast surgery, twice, to even me up.

    If I lived in the US, I would have had to have medical insurance to cover the surgery, but I know of women in the US whose insurance wouldn't cover them because they had a pre-existing medical condition. Til puberty, a girl with Polands Syndrome won't know if her breasts will both grow, but it's still classed as pre-existing. I'm so glad I live in the UK, here I just had to ask about surgery, was referred to a surgeon, and eventually had the surgery.

    I didn't physically need the breast surgery, in fact the second time caught MRSA afterwards, and was quite ill, but I'd push for it again tomorrow if I ever needed it again.

    I don't think you can legislate about what should be free and what should be paid for - each case should be decided on its own merits. When I had the first breast surgery (I was 16) there were women on the same ward having apparently frivolous plastic surgery - nose jobs, tummy tucks, but when I talked to them, I could see the real impact having a massive nose/ very wrinkled stomach post x4 children had on the women there.

    Yes, on the whole I'm against 16 year old girls having breast enhancement/augmentation, but I was 16, too. Does it make a difference that I only had 1 implant? I'm not sure. do I get let off cos of my disability? I don't know about that, either. I think it says more about our society when girls feel the need to have surgery when they are only 16.

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  • ElJeffeElJeffe Registered User, ClubPA regular
    edited April 2008
    I think that when the principle arguments for publicly funded health care revolve around "people are dying and suffering because they can't afford health care" it's a bit... something to be saying that people need to have free cosmetic surgery because it's unfair they're so ugly. Fuck that.

    If there's a legitimate medical reason, or if it's to correct an actual birth defect or something similar, sure. If it's purely cosmetic, fuck off and pay for it yourself.

    ElJeffe on
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  • KrunkMcGrunkKrunkMcGrunk Registered User regular
    edited April 2008
    ElJeffe wrote: »
    I think that when the principle arguments for publicly funded health care revolve around "people are dying and suffering because they can't afford health care" it's a bit... something to be saying that people need to have free cosmetic surgery because it's unfair they're so ugly. Fuck that.

    If there's a legitimate medical reason, or if it's to correct an actual birth defect or something similar, sure. If it's purely cosmetic, fuck off and pay for it yourself.

    I think it's interesting to note how an emphasis on good looks has made its way so far into peoples' psyches that they feel as though ugliness is crippling.

    KrunkMcGrunk on
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