[QUOTE=Dorothea Book]
Can you please say which of the health plans being proposed by liberals aims to to give Congress power to mananage anyone’s health? The plan that Hillary Clinton was promoting proposed to subsidize the purchase of private healthcare for all those who could not afford it. It would mandate that all Americans were insured but through the insurer of their choice. Though it has fewer mandates the Obama plan, according to his website, “will create a National Health Insurance Exchange to help individuals who wish to purchase a private insurance plan. The Exchange will act as a watchdog group and help reform the private insurance market by creating rules and standards for participating insurance plans to ensure fairness and to make individual coverage more affordable and accessible.”
I’m not sure which part of either plan involves giving Congress the power to manage anyone’s very health. Perhaps you have some other “liberal” plan in mind?
And I’m still waiting for evidence of the supposed liberal investment in “central planning.”
[/QUOTE]
And how are those plans NOT management through Congress? Obama wants to set up PUBLIC health insurance. That means it will be run by government, and overseen by Congress.
His plan ‘guarantees coverage for all’, regardless of health. Looks like all the ill people will be flocking there. So it’s going to be expensive. But wait - he also guarantees low payments, and greatly enhanced coverage. So I guess government will be paying for it. He’s got new laws that will mandate standards set by government, demand reporting of health outcomes, force employers to pay into the public health system, yada yada yada. That document you linked to is frightening. Wait until they try to implement it - the number of regulations on business and health providers is going to explode.
And inevitably, there will be problems with whatever they decide. Unintended consequences. More plans will be offered. It may not be direct state ownership of health care, but it’s still management of the health care system. Just as sugar tariffs and corn subsidies and price supports manage the farming industry. All of these are attempts to subvert the market and force it down a different path, or to take control away from the market entirely.
For the record, I do believe there’s an honest market failure in health care, and there’s a role for government to play in correcting it. Health care insurance is a ‘lemon market’ - the people with the worst health have the greatest incentive to seek insurance, and insurers have the greatest incentive to insure healthy people. And the insurers can’t determine the real risks they face with an individual because they don’t have perfect knowledge of the individual’s medical history. Therefore, they assume the person is not as healthy as the average person, and price accordingly. That pushes healthy people out of the insurance market.
That’s why insurance companies want to pool their clients, and why employee pools are so desirable - they’re a decent statistical cross-section of the public, so insurers can price their insurance more efficiently. But that causes problems with job mobility and forces people to accept the insurance their employers offer, whether or not it fits their personal needs. So the whole system is somewhat inefficient.
The thing is, being a libertarian who can recognize a market failure, I think that choices are maximized if the government acts to correct the market failure, but does no more than that.
However, I’m also a pragmatist, and I can see that the public is clamoring for some kind of health care support from government. As a pragmatic libertarian, I would support the proposal that involves the least amount of government intrusion that would satisfy the people, while preferring no intrusion at all. Barack Obama’s program isn’t it.