I don’t buy this. Power probably could work, simply by virtue of the sheer amount of infrastructure that it requires. I don’t see that happening at all with UHC. Let’s consider two possibilities off the top of my head. First, unless UHC is completely, or very nearly completely, funded by taxes such that everything it provides is free, then there’s always room for a black market doctor to provide surgeries or drugs at a rate below the premiums. Of course the problem with free, or very nearly free, medical coverage is that now people will abuse the system because there’s no cost incentive to keep them home when they have a mild headache. So you’re stuck with either a huge tax and infrastructure burden or with competitive markets.
Second, not every health problem can be solved with money. Consider someone who needs an organ but can’t wait 6 months on the organ list. You’ve now got a black market on organs. Consider someone who has a serious condition and a is aware of a drug or treatment that isn’t approved. You’ve not got black market drugs. Consider someone really wants a procedure that is deemd unnecessary or can’t be done without extensive costs to themselves like cosmetic surgery. you’ve not got black market surgery.
I could disagree more. Taxes are a method of raising funds for the government, nothing more, nothing less. We, as a society, make certain concessions to increase the available funds like progressive taxation because we believe it hurts the rich less to be taxed at a higher rate than the poor, or some concept of them owing more, or whatever. However, explicitly using taxes as a tool for social engineering is, imo, highly unethical because you’ve now transformed what is, at it’s root, a necessary and largely objective tool and turned it into a highly subjective tool that may or may not actually serve it’s original purpose, much less it’s new one.
Besides, wealth redistribution clearly hurts incentive and social mobility because you’re removing part of the benefit of working harder. And yet, I’m still lost as to how it will help raise the standard of living when, as I stated in my previous post, I think it will cause standard of living to grow more slowly or even decrease.
This I absolutely agree with you here. Anyone who generalizes that the poor are lazy is wrong. When I did blue collar work as an undergrad, I worked as hard then as I do now, and yet I make several times more money in my current job. The working poor (as opposed to those who are simply unmotivated) just don’t have any skills in high demand.
I also agree with you that there isn’t really much anyone can do to help the working poor because they’ll never have skills in high demand. But what we can do is find ways to give motivation to those who are underachieving because they’re unmotivated (ie, your “lazy” poor). Then, by encouraging the people who can contribute more to do so, we can do some of those nifty things like be more innovative or productive and help raise the standard of living for everyone, even those who are stuck being janitors.
The more everyone contributes, the more everyone benefits, but the way to do that isn’t by penalizing the wealthy and rewarding the poor (who may or may not be “lazy”). Negative reinforcement of contribution and potential for positive reinforcement of a lack of contribution are bad things; why not just focus on maximizing positive reinforcement of contribution?