Counter-Revolution
Posted on Friday, July 24, 2009 by J. Robert Gough
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by Flynn
So the National Teleprompter held a primetime press conference to rescue the latest $1 trillion+ "emergency, absolutely vital" legislative proposal; health care reform. With a self-imposed deadline of the end of July, Obama is trying to get Congress to transform one-seventh of the economy in a matter of weeks. Congress spends more time than that naming federal buildings.
Here are the only two things you needed to know before the press conference:
1. Virtually every current participant in the health care system SUPPORTS the overhaul: the American Medical Association, American Nurses Association, insurance companies, unions, and drug companies. Sheesh, even Wal-Mart supports it. (Of course, patients seem less impressed.) If everyone who gets money from the current system supports an "overhaul" of that system, at the end of the day, how much "reform" is there, really.
2. The Democrat National Committee is running ads against democrats to get them to support the bill.
Most of the debate is over a so-called "public option", urged by supporters as a necessary way to inject competition into health care. There are more than 1,300 different companies offering health insurance. My math suggests that's a lot of existing competition.
Somehow I think UPS faces more intense competition from FedEx, rather than the US Postal Service. If the USPS didn't exist, would anyone credibly suggest we should create a public postal service to ensure competition between UPS and FedEx?
The other debate is how to pay for all this. (I know government actually knowing how it will pay for something may seem rather quaint these days, but apparently even Chinese communists have limits on how much of our debt they will buy.) It will cost trillions. (Any figure you read right now is bullshit. They've used every budget trick in the book and even then, they've got a $1 trillion + price tag. [One trick they've used: increased payments to doctors-see AMA support above-won't be counted in the budget. Seriously. Sorry, I can't link to this...it's a private subscription news service I get.] No one really knows how much this will cost.)
But let's assume the Democrats can piece something together with duct-tape and chewing gum. New taxes, surtaxes, benefit caps, individual mandates, etc. Let's assume they can find the requisite trillions. What will actually happen?
At a certain snapshot in time, every American will have health insurance of some kind. They will be in some kind of system that will provide some percentage of payment for their health care consumption.
We won't have more doctors. We won't have more nurses, hospitals, drug companies or clinics. We may have more health care coverage, but we won't have more health care.
At the end of the day, what are we trying to do: expand and improve the health care system itself or simply finding everyone a "payment plan" for the existing system. What we're doing isn't going to improve our health. It is just shadowboxing.
What if, instead of creating a Rube Goldberg plan to pay for health care, we actually did some simple things to improve our health care. No doubt, there are dozens of drugs that are currently only available with a doctor's prescription. How much could we save-and how much could we improve our actual health-if more of these were moved to "over the counter"? What if we chipped away at the doctor cartel and gave Physicians Assistants and Nurses more authority to make certain low-threshold medical decisions?
Currently, every state regulates health insurance products sold in their state. Along with this regulation often comes a long list of conditions and procedures that have to be covered. Insurance costs vary widely across the country. I live in Virginia, but why can't I buy a health insurance product out of Idaho, which has generally lower premiums-because their legislators don't muck about much with insurance mandates?
Health care is the one sector of the economy where adults are treated like children. Set us free.
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Reply #1 on : Fri July 24, 2009, 12:39:33

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Reply #2 on : Sun July 26, 2009, 10:42:54