Sunday, December 20, 2009

Is design overrated?

Hot Air » The illusion of design

Why is health insurance so expensive that the poor cannot afford it? The Left believes this is a failure of the free market, with greedy health-insurance companies callously pricing their product out of reach, and slapping exorbitant premiums on anyone who isn’t the picture of health. The true answer is that government is primarily responsible for distortions in the health insurance market, dating back to the wage controls that made it commonplace for employers to offer health benefits as a means of attracting skilled employees. The law preventing the sale of health insurance across state lines is an example of government-induced price distortions. For a contrasting example of medical services becoming more affordable in response to free-market competition, consider the constantly falling price of Lasik eye surgery. The Left refuses to think clearly on this subject, and maintains that health care is a “human right” that should be available “free” to everyone.

Liberals insist it is simply unthinkable to allow financial considerations to impact the distribution of this essential human right. As Kirsten Powers put it recently, “Americans will die if we don’t provide universal health insurance.” Because money is the instrument through which free people express their will and make choices, the argument for socialized medicine boils down to the superiority of design and control over competition and choice.

So, in summary, the case for nationalizing health insurance is that health care cannot be entrusted to the unpredictability and greed of the free market. The individual purchasing decisions of free men and women are too chaotic. The only way to ensure access to health care for everyone is for the State to install a massive, strictly enforced system, complete with huge fines and jail time for those who fail to comply. This system would be superior to the free market, because it would be carefully designed by brilliant minds… engineered to deliver an incredibly complex, ever-changing service to hundreds of millions of Americans.

Is anyone stupid enough to think a “carefully designed system” is what the Democrats are about to drop on us?
Far from being a brilliant plan constructed by top doctors and financial experts in a government brain trust, this health-care bill is a twisted, deformed political document, seen in its entirety by only a few high-ranking politicians belonging to a single political party. Its components have not been precisely crafted as part of a fantastic system calibrated to ensure the maximum access to quality health care for all Americans.

The bill is not being examined with transparency and careful deliberation by representatives who behave as humble servants of the people and their Constitution. Instead, it’s being hastily rammed through in the dead of night, over the objection of powerful majorities of the American people, with desperate last-minute deals cut to acquire the necessary votes, financed by vast sums of taxpayer money. The primary consideration is not crafting the most sophisticated and intelligent health care reform… it’s getting a bill pushed through before angry voters have a chance to blast the Democrats out of Congress. Look at it this way: if the average middle-class American paid about $5000 in federal income tax last year, then you might be one of the 20,000 people who paid for Mary Landrieu’s vote, in the hope of giving Barack Obama a bill to sign as a Christmas present.

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