[QUOTE=RTFirefly]
That’s a nice conservative bromide, and I can see some areas around the fringes of the health-care issue where impediments to the free market have raised some costs and limited some choices.
But the central conundrum - that health insurance is going to be expensive for those who probably will need it in the near future, and cheap for those who probably won’t need it - isn’t something the unregulated free market can solve, because that’s exactly how the free market ought to work.
You can say that people with pre-existing conditions, or who are already in bad health, should just be SOL with respect to getting health insurance. I’ll disagree with you, but it’s an honest position, and if that’s yours, then you would of course prefer McCain and the GOP to Obama and the Democrats.
But if you’re saying that a much more lightly regulated market than at present can provide affordable health insurance to those people, I think you need to explain how this will occur.
[/QUOTE]
I’m not talking about either candidate’s specific proposals, but I can give you some specific examples of what I’m talking about.
Drugs. In a free market, I could buy my drugs from Canadian companies at a lower price if I choose. Due to excessive regulation in the U.S., I can not.
Groups. If I’m an insurance company, and I want to offer insurance to everyone, young and old, sick and well, I’ll make them all part of one large group and rate the group as a whole. This is basically illegal in the US (It’s possible, in a roundabout way, the folks I work for do it, but the barrier to it are considerable)
Competition. If I find the perfect insurance plan for my family offered by a company in Alabama, I can not purchase it because I live in Maryland. State insurance agencies prevent inter-state competition, driving up the cost to consumers. and a lot of that has to do with…
Mandates. States mandate certain coverages for their citizens, regardless of whether a citizen needs that coverage or not, they have to pay for it. A good number of states mandate coverage for infertility treatments. If I live in that state I have to pay for that coverage whether I use it or not (and IVF is a really good example here; getting pregnant is NOT a health issue, it’s a lifestyle choice. If someone wants a baby, and can’t catch pregnant, I’m very sorry for them, but it’s NOT something insurance should cover, and in states where it is mandated, everyone has to pay for that coverage, even though the majority of them will never use it) New York actually put limits on what health insurance companies could make, as a result insurance costs a million bucks up there, and the only thing available is very restrictive managed care coverage. You read Michelle’s LJ, you know what she has to go thru just to see a doctor, that’s the result of over regulation killing the free market.
That’s 4 examples of how departure from free market principles has made insurance more expensive and less available for consumers. Fix just those 4 things and you’d go a long way towards helping the 12 million uninsured Americans get insurance, and you’d be doing it by embracing, not denying, basic principles of the free market.