Subsidiarity

Subsidiarity is a key principle of Vincentian attitude. It is explained here, with reference to the current healthcare debate:
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Subsidiarity is that principle by which we respect the inherent dignity and freedom of the individual by never doing for others what they can do for themselves and thus enabling individuals to have the most possible discretion in the affairs of their lives. (See: Compendium of the Social Doctrine of the Church, ## 185ff.; Catechism of the Catholic Church, # 1883) The writings of recent Popes have warned that the neglect of subsidiarity can lead to an excessive centralization of human services, which in turn leads to excessive costs, and loss of personal responsibility and quality of care.

Pope John Paul II wrote:
“By intervening directly and depriving society of its responsibility, the Social Assistance State leads to a loss of human energies and an inordinate increase of public agencies, which are dominated more by bureaucratic ways of thinking than by concern for serving their clients, and which are accompanied by an enormous increase in spending.” (Pope John Paul II, Centesimus Annus #48)

And Pope Benedict writes:
“The State which would provide everything, absorbing everything into itself, would ultimately become a mere bureaucracy incapable of guaranteeing the very thing which the suffering person -every person -needs: namely, loving personal concern. We do not need a State which regulates and controls everything, but a State which, in accordance with the principle of subsidiarity, generously acknowledges and supports initiatives arising from the different social forces and combines spontaneity with closeness to those in need. … In the end, the claim that just social structures would make works of charity superfluous masks a materialist conception of man: the mistaken notion that man can live ‘by bread alone’ (Mt 4:4; cf. Dt 8:3) - a conviction that demeans man and ultimately disregards all that is specifically human.” (Pope Benedict XVI, Deus Caritas Est #28)

While subsidiarity is vital to the structure of justice, we can see from what the Popes say that it rests on a more fundamental principle, the unchanging dignity of the person. The belief in the innate value of human life and the transcendent dignity of the human person must be the primordial driving force of reform efforts.

Source: pastoral statement on healthcare reform