I will honestly never know how it was that conservatives got this reputation as being “fiscally responsible”. People who fancy themselves politically savvy centrists will often describe themselves as “socially liberal, fiscally conservative” as though that was a superior approach to just calling themselves “moderates” or something. Nuanced it may in fact be, but a point in their favour it is not. Classical fiscal conservatism is, at its heart, an argument that the state should interfere with economic matters as little as possible, and even then only to encourage the development of private industry through competitive markets and maintaining standards of fairness.
Since the days of Margaret Thatcher and Ronald Reagan, however, fiscal conservatism has come to mean “get the government out of the way” by “starving the beast” and basically denying the possibility that public control over any industry is anything other than a surefire path to failure. It’s not enough to maintain fairness – it’s an absolute necessity that government be powerless not only to participate in markets, but to also demonize the possibility of intervention when things are clearly headed for calamity.
Specifically, this attitude has reared its disgusting and self-centred head in a discussion over the provision of health care to refugees. The basic underlying philosophy of publicly provided health care is to ensure that people are able to access medically-necessary services based on their need for those services, rather than a market-based approach that prioritizes those who have superior ability. Yes, it happens to be anti-capitalist, but it has the side benefit of being more fiscally responsible, since people aren’t putting off illness management until it’s too severe for them to ignore it. Refugees, people literally fleeing to Canada for fear of persecution in their home countries, often have greater need (particularly for psychological care, a particular bugbear of mine). The public health care system, it therefore seems to follow, should respond with greater provision of services.