Greetings, everyone. Although I am unable to commit to participating in all these debates, I would like to comment on this issue as the candidate of the Spiritual Progressive Party.
We believe that government is the institution which is charged with shaping societal institutions to reflect the values of the nation. The values which we wish to promote are social equality, respect for diversity, protection of individual rights and freedoms, and responsible stewardship of the natural environment. We believe that it is impossible for individuals to exercise their right to acheive their full human potential while living in extreme poverty, and the alleviation of such poverty is therefore a central responsibility of government.
Although we respect and value the contributions of economic scientists, we reject the philosophy of the “Austrian school”, which assumes a priori that the freer markets are, the better; in practice, this philosophy degenerates into defining “good” results as those produced by free markets, and thus serves as propaganda for the class interests of the rich. In short, although we look to economists to tell us what we can do, we look to philosophers, ethicists, and theologians to tell us what we should do, and to politicians to reconcile the two. We therefore have no objections on principle to government interfering with the economy in order to acheive a more just society, although we are always attentive to arguments about the likely efficacy of such interference.
In the matter of health care, we stand for a system of universal, government-run health insurance. This is not “socialized medicine” in the sense that doctors would not be employed by, nor hospitals owned by, the government. Rather, the government would provide everyone with health insurance, which individuals could then use to freely choose among providers, who would compete with each other based on quality of clinical care rather than on price. Our current system of competing for-profit insurance companies is tremendously wasteful, considering the duplication of paperwork, money spent on advertising, and of course the effort that these companies put into not paying claims, since it is not in their economic interest to do so. These bureaucrats, admen and claims deniers are getting paid, so on paper they may appear to be “productively” employed, but in real life they are not providing any real service to the nation, illustrating the limitations of economic statistics.
Any physician, including myself, will tell you that the time spent negotiating with insurance company bureaucrats constitutes a huge burden, either forcing us to spend less time on patient care or hurting our bottom line by having to hire others to do this for us. The bureaucracy needed to manage one unified system, especially one which has no incentive to deny payments for needed care, will be much less. Admittedly, there will need to be a large initial investment in job retraining programs for the millions of insurance company employees who will be thrown out of work by the advent of universal health care, but this is a temporary expense for a permanent benefit.
Under universal coverage, all Americans will be covered by insurance which will be paid for out of taxes; for most Americans, this will mean a net increase in disposable income, since the tax hike will be offset by the savings in health insurance. What services are covered, and at what rates, will be determined by a panel representing both patients and medical professionals, appointed by the President, who will ultimately be accountable to the voters for the decisions made by this panel. This will be good for small businesses straining under the burden of healthcare costs, and for American businesses competing on a global scale. There may or may not need to be copays for certain services; in my personal and professional experience, the application of the “moral hazard” paradigm to healthcare costs is unrealistic. Most people don’t like to go to the doctor, and therefore consume fewer healthcare services than they really should, even without financial disincentives to get care! Punishing the vast majority of people in order to restrain the tiny handful of hypochondriacs from wasting resources is not the most efficient way to acheive that end.
I fully agree with my Libertarian colleague that the proposals put forth by my Democratic colleagues (both on this board and in real life) would likely amount to government subsidization of the private insurance companies, which are already doing quite well! Proposals which amount, in effect, to the government buying private insurance for the poor, may increase the number of persons covered, but do not address the fundamental problems with private insurance; inefficiency and economic incentive to not cover services. These proposals will not attack the root causes of spiraling healthcare costs, and will not be economically sustainable in the long run. The solution is to put the private insurers out of business entirely!
I thank you for your time. I will strive to respond to questions, but apologize in advance if my other responsibilities do not allow me to do so. God Bless America, and Everyone Else, Too.