Lela’s preferred free-market plan for medical care policy would be no plan whatsoever. I’m offended that anyone thinks they need to tell me how to take care of myself. I’m able to make those decisions for myself. Government, get out of the way and let the market work. Free individuals can negotiate among themselves for lower and better coverage and care.
Rick’s preferred free-market plan for medical care policy would include sliding-fee medical clinics that would operate under charitable auspices. We forget that fraternal organizations used to contract with doctors to provide their members with medical care for a low monthly fee and that churches used to operate hospitals. Contrary to revisionist history, these systems and institutions were well-run and responsible for a rapid increase in the overall health and lift expectancy of Americans. That was all before the American Medical Association got involved in deciding who could become a doctor or open a clinic, using the force of government to create a virtual monopoly.
Rick was stunned when he wrote that. We believe he just became a libertarian … except he supports government-funding for those sliding-fee clinics, so he’s not quite there yet.
The fact is that it’s really scary that so much of the country believes we must have a federal top-down strategy to manage a huge chunk of the American economy. That’s the main problem. We don’t need a federal plan for health care now any more than we needed in the 1990s or the 1950s. Yet Republicans have allowed liberals to frame the entire debate in anti-market terms.
The Freedom Caucus stood up and said these things and Pesident Trump, who is a progressive who in the past said he favored liberty-and-choice-destroying universal health care, pulled the bill. He hinted that they would keep the Amercian Health Care Act on the shelf until Obamacare implodes (likely toward the end of this year) and then dust it off then. That’s the wrong approach!
The AHCA falls far short of a free-market solution. It’s certainly not a repeal of Obamacare. It’s a half measure that tries to fix the unfixable with tiny doses of deregulation that essentially do very little to impact the core of the ACA. The AHCA’s the “tweak” on the rudder of the Titanic headed toward the iceberg that did nothing to keep the behemoth from hitting it and eventually sinking.
Trump suggested a three-phase rollout, but there were no details for the other two phases, so they might as well not exist because the Republicans will lose the Senate and possibly the House in 2018 if things continue the way that they are headed. Obamacare has too many flaws to ever be fixed and pretending otherwise is not going to get us anywhere.
We’ve seen what the Democratic Party plans for health care (and not insurance, but actual care). They would channel us all into Bureau of Indian Affairs-like services that see our mortality rate drop to British levels (dead people are much lower drain on government than living ones). The Democrats oppose opening up insurance markets across state lines because …. Who knows why because it doesn’t make any sense. Opening up auto insurance across statelines did wonders for improving competition and controlling premiums. Thirty years later, my monthly premiums are just now about what they were before the market was opened up. And Alaska has different coverage than, say, New Hampshire, so no, that’s not a problem either … except maybe in the minds of people who think government-run medical care is the answer to the medical insurance crisis in this country. If that’s the only choice you’re willing to accept, all other alternatives look wrong.
The Democrats don’t want to look at access to actual medical care, insurance costs or the continued growth of the welfare state. They seek to constrain markets to create monopolies that can be controlled by a federal regulatory regime. When that fails, because it ignores economic reality, they will insist upon passing single-payer.
“When I was working in France, I had opportunity to do some visitation in England and Germany and look behind the scenes of their medical care systems. When I developed appendicitis, I dosed myself with pain killers and antibiotics and caught a jet to the United States rather than go under the knife of any of my colleagues in Europe. They’re nice people; some of them were very well trained by European standards and they mean well, but I do not recommend any single-payer or universal medical system in the world. All of the ones I’ve seen are inadequate for anyone I love who has any illness requiring high-skilled treatment.” Rick (speaking as a doctor)
- Halting federal funding of unPlanned Parenthood, the nation’s largest abortion mill
- Offering states more flexibility in the operation of their Medicaid programs.
- Expanding health savings accounts
- Getting rid of the individual mandate
- Opening insurance across state lines
- Repealing Obamacare’s taxes
Pressure from conservative groups made the American Health Care Act, as presently conceived, a non-starter. That’s a good thing. The Affordable Care Act would have been a lot worse if it hadn’t been for the moderate Democrats who just couldn’t stomach its more socialist aspects. Democrats did not, despite prevailing mythology, compromise with the GOP in 2009. The GOP managed to pass some amendments, but they were all technical in nature – commas and spelling repair. The Democrats were forced to compromise with their own moderates.It only takes a few senators to hold an entire party’s golden goose hostage.
This time around, the GOP was confronted by the conservative Republicans of the Freedom Caucus, who rightly pointed out that the people did not sweep the GOP into office in order to “tweak” Obamacare. They voted for the GOP because the GOP promised to REPEAL Obamacare.
No federal entitlement has been repealed, replaced or even significantly modified after its passage, but this is the fight that caused Republicans to win majority control in 32 states, hundreds of seats in the House and Senate, and that nicely shaped office in the White House. So Republicans need to take a good hard look at where they stand right now. If they don’t have the strength of character to back of full repeal of Obamacare, then they were elected on a lie. Surely someone among them has a better idea than either the AHCA or the ACA.
Republicans, please recognize that you were put into the position that you’re in right now by people who want to get rid of Obamacare. You shouldn’t allow yourselves to be intimidated by Democratic rhetoric that you’re going to kill Grandma and expose “the children” to the winter winds. We know they’re full of gas. They tried to convince the American people that Obamacare would be a political and economic success story even as the American voters argued that it wouldn’t be. Reality has shown the Democrats were phenomenally wrong and that the American people understand economics better than the elites. The voters who put you in office are not going to fall for a lecture about how unpopular a repeal bill will be. Feel free to pass a bill that incorporates the principles many GOP voters say they believe in.
REALLY! They’re behind you and even libertarians like Lela and doctors like Rick will cheer you on.