Monday, November 9, 2009

Where's the "Milestone"? Where's the "Change".

The New Jersey Star-Ledger has lauded the House of Representatives for its passage of the 1990 page health care "reform" bill, HR3962. They're calling it a Health care reform milestone!

It's no such thing. Here are my comments:


We’ve all heard the story of the fireman who starts fires, so that he can be the first on the scene to “save” lives and property. Well, in regard to American health care, the government is that fireman.

For the past 75 years, ever-increasing government interference into health care has led to a steady escalation of problems. The solution to the problems has always been more government interference. This has been mainly led by the openly socialist Democrats, but too often supported by Republicans (ex. – the HMO Act of 1973, SCHIP in 1997, and Bush’s Medicare prescription drug benefit).

The Editors themselves cite several examples of government-created problems. But once again, they don’t draw the obvious conclusions.

“When crisis hits, they land in emergency rooms, where steep costs drive up the health bill for all of us.”

Why do people who are unwilling or unable to pay their own way “drive up the health bill for all of us”? Because the government forces hospitals and doctors to treat all comers even if they can’t or won’t pay, whether the hospitals want to provide charitable care or not. This forces them to raise rates elsewhere, and causes states to tax the rest of us to subsidize the hospitals.

“For millions of middle-class families, the loss of a job has meant a loss in coverage.”

And exactly who created this absurd situation? The government did, by creating the third-party-payer health insurance system through its tax and regulatory policies, tying our insurance to our jobs.

“[The current bill] also ends the most obnoxious games that insurers play, like banning people with pre-existing conditions and imposing lifetime spending limits.”

“Pre-existing conditions” is a government-created condition, thanks to the aforementioned third-party-payer system, which forces you to find another insurer when you lose or change jobs – a situation that would not exist in a free market in which the patient/consumer actually owns his own policy. Did you ever wonder why you never hear of people losing their life insurance coverage because they contracted a life threatening illness or lost a job? It’s because people own their own policies, and they are guaranteed renewable. By contractual agreement, which is enforceable by the courts, the insurer cannot drop you as long as you pay your premiums (which is your responsibility, not your neighbor’s or other taxpayers).

Terms of contracts - such as “lifetime spending limits”, if any – are a matter between the insurance company and the customer. In our current system, the third party makes those decisions. Insurance companies can’t “impose” anything, at least not in a free market where there is real contractual freedom and competition (which, by the way, the government now forbids). They can only offer products for sale, which the consumers (which should be individuals spending their own earnings) are free to reject or accept. The most successful insurers in a free market would be those that are best at tailoring their products according to the needs and pocket books of the customers they seek.

Of course, if you don’t protect yourself and get sick, you must pay for your care out of pocket. You have no right to expect others to pay for it through government mandates on pre-existing conditions. But first, we need the freedom to take responsibility for our own lives, which only a free market can provide.

We need to get rid of the kinds of draconian government coercion that is crippling health care in this country, and restore the freedom of patients, providers, consumers, and insurers to contract directly and voluntarily with each other. Government has no right to dictate the contractual terms. Individual rights and personal responsibility are two sides of the same coin.

A true debate would begin with an examination of how we got to where we are today. Instead, we get an insane 2000 page blueprint for coercion to “fix” the problems created by government itself, and which is designed to ultimately fail, paving the way for a single-payer health care dictatorship.

The mawkish concern for the uninsured and the janitors and the “children [who] don't get the preventive care” is just a cover. The architects of this bill, and their supporters, are after power, and nothing else.

There’s no “milestone” here. There’s no “change”. There’s just another marker on the road to totalitarian government control of American medicine

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