Free Market Health Care?
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I had an interesting conversation today about health care that more or less revolved around the point that our best hope for reform is an upstart provider – not the politicians. And bringing government-provided health care into the mix doesn’t affect our cost since we’d be paying either way, either directly or through taxation.
I fully understand the suspicion of politicians. I can accept it. But I think anyone who has read this blog in the past knows the fervor with which I support any concept of universal health care (no matter the cost), but I try to keep an open mind.
Even though our current system (which is labeled anywhere from “free market” to “semi-free market” seems to only be lurching toward greater levels of failure, I decided to read up on “free market health care” to see what the proponents felt were the strong points.
And what did I find?
No strong points, really. Possibilities, sure. But these possibilities aren’t playing out.
Rather, my searches were more likely to turn up justifications. 1) It’s OK if a health care provider rejects you. In a free market, you can look elsewhere for help. Probably. 2) The financial health of providers ensures their success. Making money has to be a priority, even if the people lose. 3) People may need health care, but they sure don’t have a right to health care. It’s just like home or auto insurance. 4) If a health care company won’t help you out, then maybe you have some friends or a church who can help.
And none of this takes into account that the health care industry is not recession proof.
This is when I get to the point that I realize I can’t be open-minded on this one. Not because I’m incapable, but because I am not hearing any worthwhile argument. The discussion is fun but fruitless. In an ideal world, the free market system sounds wonderful. But it’s not working for us.
As stated here, “At its root, the lack of health care for all in America is fundamentally a moral issue. The United States is the only industrialized nation that does not have some form of universal health care (defined as a basic guarantee of health care to all of its citizens). While other countries have declared health care to be a basic right, the United States treats health care as a privilege, only available to those who can afford it.”
And I still can’t believe a majority of this country feel otherwise.
We can sit around waiting for an upstart to figure out the business model where it can provide cheap, quality care for most – competing against all the big heavies in a world where we may be able to shrink profit margins but that does not guarantee affordable health care – or we can implement universal health care in one fashion or another, serving everyone, and share the costs. Remember, we are a society.
Check out the amsa.org link above and let me know what you think. It not only lays the groundwork for a moral argument but also an economic argument.
Want a preview? According to a 2005 non-partisan study, “a universal, public financed plan… would save $1.1 trillion over 10 years.” That’s about three times the savings of the alternative solutions, such as expanding Medicaid.
At least I can end this post on a positive note. Reform is coming. “House Democrats, in consultation with the White House, will give Republican lawmakers until September to reach a compromise on President Obama’s signature health-care initiative… [then] lawmakers [will] roll Obama’s health-care proposals into a bill that cannot be filibustered, meaning Democrats could push it through the Senate with 51 votes, instead of the usual 60. Since Democrats control 58 seats in the Senate, they could approve a reconciliation bill without Republican votes or the support of some reluctant conservatives in their own party.” Now we just have to hope that this reform makes things better.

