Showing posts with label Health Care. Show all posts
Showing posts with label Health Care. Show all posts

24 May 2010

Just The Links, Please

Wherein I write a sentence or three about each.
  • I think the Tories missed an opportunity to win control of Parliament outright and Republicans risk doing the same. What must they do? Follow Barone's advice and propose a bold plan that cuts Fed spending to ~20% of GDP.
  • Think moderation of radical Islam is inevitable? Think again.
  • Hypocritical Democrats aren't the only ones selling American education down the river--some Republicans do it too. It will come as no surprise to most of you that these Republicans reside in Illinois.
  • That awesome European model for what America could do and be? Not so awesome. Hey Krugman, are you paying attention?
Enjoy!


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19 March 2010

Sen. Tom Coburn's Message To Democrats Selling Their Healthcare Votes For A Mess Of Pottage

Especially all those fake pro-lifers--these guys, so principled.



This health care debate and vote is a perfect example of why a "bad" Republican is different and superior to a "good" Democrat.

(via Nice Deb)


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10 February 2010

Of Wal-Mart, Health Care, & American History

Sometimes I get so burned out from reading talking about nothing but slavery and the poor treatment of Native Americans and women in the American History seminar I teach (I have to stick to the syllabus) that finally reach my limit and lash out.

Mind you, America is not perfect. The aforementioned Big Three sins were real. But they aren't all there is to American History. And it doesn't help that we are teaching practically nothing more than those three plus the British hobby horse (class warfare) to British freshers who hardly even know who George Washington was.

Just in case the supervising professor on my course (or anyone else from my university, for that matter) read this post let me say up front: I don't blame them; this is the state of academia.

Anyway, where was I? Oh yes, sometimes I reach my limit and go on an I-love-America-liberty-markets-free-trading-are-awesome rant.

Like yesterday. We reviewed a bunch of reading that characterized the increased interdependence, division of labor and specialization of the American economy in post-Reconstruction America as horrible because it made the rich richer and the poor poorer and so on and so forth. One article we read trumpeted "economic independence" as an ideal that was somehow lost or never was or some other such nonsense.

That is, in the New South, capitalists from the North built factories to process raw cotton and tobacco and mine and coal and extract and refine iron (later steel) because it was closer to the source (reducing transportation costs) and laborers in the South were much less likely to unionize, thus resulting in lower labor costs.

And all of this was bad, bad, bad.

Missing is the fact that all of these developments brought jobs to the South (where there had been, prior to the Civil War, a lack of industry) and a higher standard of living. The fact that there were now stores near every railroad depot (another feature of post-Reconstruction America) selling goods people hadn't even imagined before was not a good thing, it was bad because people went into debt to the bad Northern capitalists who produced these goods and duped the stupid poor Southerners into buying them.

The post-Reconstruction period in America is widely considered by economists to be a Golden Age of commerce. Standards of living increased significantly. But the historical narrative is one of worker exploitation, etc. etc.

So I took a moment and tried to teach something about the power of competition and how it both reduces prices and improves quality.

Now the Wal-Mart & Health Care part of the blog post title: Stephen Spruiell made the point last Friday at The Corner that the mere presence of Wal-Mart in the health care industry would improve quality and drive down costs--even for those who never went to Wal-Mart for their open-heart surgery. He's right. This, my friends, is the power of markets in health care.

Because other people would have to compete with Wal-Mart in supplying health services to individuals, the quality would go up (just as there is Nordstrom) and the price would go down (think of the many different price-comparison websites on the internet).

Unlike Europe, we ought not care about the difference in income between the richest and the poorest so long as the poorest can become richer and the richest aren't ensconced, by some government diktat, as the ruling class. Indeed, though the spread between richest and poorest may increase, America remains the country where the most people are able to move between the five infamous quintiles on the income scale. By and large, the poorest do not remain the poorest and the richest die like everyone else.

In Europe, regulation, law, and other preferential treatments have resulted in fairly static class organization. The middle class remain the middle class and the upper class remain in the upper class and this continues on, ad infinitum, generation after generation. The modern European welfare state has created, as I point out to my friends who will listen (or at least act as though they are listening) a permanent underclass. In France, for instance, this underclass is populated mostly by Muslim immigrants who, despite the ever-increasing benefits being thrown their way by the French liberal elite, continue to burn cars.

They burn cars not because they want another 10 Euros a week to pay their mobile phone bill, but because the barriers to getting a job and generally breaking into civilized French society (for instance) are for all intents and purposes, impenetrable.

The same is basically true, to a greater or lesser extent, in every other modern welfare Western European state.

This is essentially what liberal utopia (aka social democracy) looks like. The Great Society largely reversed several generations of gains by African Americans (from the Emancipation Proclamation through the Civil Rights movement). Thomas Sowell has shown how African Americans income, education, standard of living, etc., increased right up until liberal good intentions destroyed the African American family and made them America's permanent under class.

African Americans now vote, practically en masse, for liberal Democrats who, in turn, promise them an expansion of welfare programs which do nothing more than make them, as a people, more dependent on the state and the "good will" of liberal elites.

How to wrap this up? Eric Foner, of all people, wrote about Frederick Douglass's concerns regarding liberal paternalism in his article, "Rights and Black Life in War and Reconstruction."
Frederick Douglass himself had concluded in 1865 that the persistent question "What shall we do with the Negro?" had only one answer: "Do nothing.... Give him a chance to stand on his own legs! Let him alone!" Douglass realized that the other face of benevolence is often paternalism and that in a society resting, if only rhetorically, on the principle of equality, "special efforts" on the freedmen's behalf might "serve to keep up the very prejudices, which it is so desirable to banish."
America need not make the same mistake as our friends in Europe. Liberty and responsibility are inextricably tied together and our government laws and policies--whether health care or welfare or whatever--ought to reflect that relationship.


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27 January 2010

Rep. Paul Ryan & 'The Party Of No' Re-Present Their Plan To Restore America's Economic Awesomeness


Seriously, the Democrat party would rather carry on referring to the GOP as the "party of no" (hence the headline) rather than consider Republican proposals like the one put forward by Rep. Ryan.

And that's fine. Let them. Independents and conservatives know better. I'm still holding out hope that the Democrats double down on this health care disaster of theirs and lose big this November.



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01 December 2009

The Power Of Markets In Healthcare: I Have Seen A Vision Of The Future And This Is It


Division of labor and specialization.

The approach has transformed health care in India through a simple premise that works in other industries: economies of scale. By driving huge volumes, even of procedures as sophisticated, delicate and dangerous as heart surgery, Dr. Shetty has managed to drive down the cost of health care in his nation of one billion.

His model offers insights for countries worldwide that are struggling with soaring medical costs, including the U.S. as it debates major health-care overhaul.

"Japanese companies reinvented the process of making cars. That's what we're doing in health care," Dr. Shetty says. "What health care needs is process innovation, not product innovation."

At his flagship, 1,000-bed Narayana Hrudayalaya Hospital, surgeons operate at a capacity virtually unheard of in the U.S., where the average hospital has 160 beds, according to the American Hospital Association.

Narayana's 42 cardiac surgeons performed 3,174 cardiac bypass surgeries in 2008, more than double the 1,367 the Cleveland Clinic, a U.S. leader, did in the same year. His surgeons operated on 2,777 pediatric patients, more than double the 1,026 surgeries performed at Children's Hospital Boston.
[...]

But Jack Lewin, chief executive of the American College of Cardiology, who visited Dr. Shetty's hospital earlier this year as a guest lecturer, says Dr. Shetty has done just the opposite -- used high volumes to improve quality. For one thing, some studies show quality rises at hospitals that perform more surgeries for the simple reason that doctors are getting more experience. And at Narayana, says Dr. Lewin, the large number of patients allows individual doctors to focus on one or two specific types of cardiac surgeries.

In smaller U.S. and Indian hospitals, he says, there aren't enough patients for one surgeon to focus exclusively on one type of heart procedure.

Narayana surgeon Colin John, for example, has performed nearly 4,000 complex pediatric procedures known as Tetralogy of Fallot in his 30-year career. The procedure repairs four different heart abnormalities at once. Many surgeons in other countries would never reach that number of any type of cardiac surgery in their lifetimes.

Dr. Shetty's success rates appear to be as good as those of many hospitals abroad. Narayana Hrudayalaya reports a 1.4% mortality rate within 30 days of coronary artery bypass graft surgery, one of the most common procedures, compared with an average of 1.9% in the U.S. in 2008, according to data gathered by the Chicago-based Society of Thoracic Surgeons.

It isn't possible truly to compare the mortality rates, says Dr. Shetty, because he doesn't adjust his mortality rate to reflect patients' ages and other illnesses, in what is known as a risk-adjusted mortality rate. India's National Accreditation Board for Hospitals & Healthcare Providers asks hospitals to provide their mortality rates for surgery, without risk adjustment.

Dr. Lewin believes Dr. Shetty's success rates would look even better if he adjusted for risk, because his patients often lack access to even basic health care and suffer from more advanced cardiac disease when they finally come in for surgery.
In addition to keeping costs low so the people of his country can afford life-saving heart surgery, Dr. Shetty also turns a profit--about 7.7% after taxes and more than the 6.9% average in the United States.

This is the sort of thing I'm talking about when I refer to market reform of healthcare. Neither I, nor anyone else has to come up with all the answers, indeed, we couldn't possibly do so. That is for a market, full of enterprising, profit-seeking individuals to figure out.

The role of government is not to provide healthcare for everyone through some sort of trojan horse-like public option that morphs into British- or Canadian-style socialized medicine. It is to get the hell out of the way of a free market that would lower costs and improve quality.


If you have tips, questions, comments or suggestions, email me at lybberty@gmail.com.

13 November 2009

Leftists Say We're Crazy Lunatics For Thinking The Country Is Headed In A Socialist, Freedom Reducing Direction (UPDATED)

Stone: Do you think it’s fair to send people to jail who don’t buy health insurance?

Pelosi: … The legislation is very fair in this respect.
Look, folks, there are different paths to collectivist, socialist, repressive, Orwellian states, just because the United States isn't on the exact same one as, say, the former Soviet Union, doesn't mean that what the current group of leftists (including our President) is doing isn't of a piece with what was done elsewhere to limit the freedom of individual Americans.

This is how it's done in Nanny States. 20 years ago, the social democracies of Western Europe (including the UK) didn't look like they do now. Now, per the Telegraph, new environmental regulation could result in carbon rationing cards for subjects of the crown (remember, they're not citizens).
An Environment Agency spokesman said only those with "extravagant lifestyles" would be affected by the carbon allowances.
He said: "A lot of people who cycle will get money back. It will probably only be bankers and those with extravagant lifestyles who would lose out."
However, some have criticised the move as "Orwellian" and say it will have a detrimental impact on business.
Ruth Lea, an economist from Arbuthnot Banking Group, told the Daily Mail: "This is all about control of the individual and you begin to wonder whether this is what the green agenda has always been about. It's Orwellian. This will be an enormous tax on business."
Under the Climate Change Act, Britain is obliged to cut its emissions by 80 per cent on 1990 levels by 2050. This means annual CO2 emissions per person will have to fall from about 9 tonnes to only 2 tonnes.
Do you have an "extravagant lifestyle" as defined by the Holy Church of the Environment & Mother Gaia?

Prepare to have your unrighteous behavior curbed.

My friends here in the UK don't even know to be upset about most of these things. Like a frog in a pot of water, with the temperature slowly increasing, they're lives are managed and regulated to the Nth degree and they don't even know it.

President Obama, Nancy Pelosi, and Harry Reid 2009 alone have shown their government control-loving, liberty-reducing in just the last 10 months. Card check to take away the secret ballot and sneak unionize wherever they can. Cap & trade to regulate 1/6th of the economy. Health "reform" to control another 1/5th or so. Takeover of domestic automakers. Takeover and regulation of the financial sector. Am I missing anything? I feel like I'm missing something.

The shocking thing about this is that I had no idea how wide reaching their grasp for power was until I started typing it all into this blog post.

My liberal-leftist friends are always convinced of the power of ever-greater reform and policy tweaking and technology and other knowledge advancement to bring efficiency to the inherently inefficient government bureaucracy.

But here's the thing, you cannot efficient-ize the government enough to make up for the concurrent loss of liberty.


UPDATE 14 November 6:17p BST: Ryan Decker's comment from the Facebook thread:
You could have ended the sentence thus: "you cannot efficient-ize the government." Even if the liberty/efficiency tradeoff did exist the point would be moot because government is not capable of increasing efficiency. Policymakers simply face the wrong incentives, lack the competence, and cannot process the information required to increase the efficiency of anything.

So there's no trade-off in which government policy could somehow increase efficiency at the cost of liberty. If they're taking your liberty, they're doing it inefficiently.

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11 November 2009

Martin Feldstein: 'Obamacare Could Have Unintended Consequence Of Raising Premiums & Reducing Number Of Insured'

The Congressional Budget Office is required to estimate the cost of the law as it is written, not as it may evolve. But we as taxpayers will have to pay those future costs.
As with nearly every other government program, the cure is far, far worse than the disease.

(h/t Scott L.)


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29 October 2009

There Is An Alternative To Obamacare

Several, actually.

Republicans have done more this summer than just take pot shots at the economy-reorganizing plans coming out of Democrat controlled committees.

From the Chicago Tribune (h/t Scott L.), hardly a bastion of conservative, Republican-friendly commentary:
Over the summer and fall, Republicans in the House and Senate have introduced six -- yes, six -- health care reform proposals. You didn't hear? Well, those plans didn't produce much of a ripple because Democrats dominate the Congress.

We don't agree with everything in these bills. But the GOP proposals contain smart ideas to increase choice and competition in the health insurance market -- a powerful Republican counterpoint to the Democrats' expensive plans. The ideas include:

--Let insurers sell policies across state lines. That would loosen the strangling state-by-state regulations and unleash competition to drive premium prices down.

--Give people who buy insurance in the private market the same tax breaks as those who get it through employers. Now, employers that offer coverage get a tax break on the premiums they pay for employees. And employees don't pay taxes on the value of the coverage they receive. People who want to buy insurance in the individual market should get the same tax breaks. That would help millions of people acquire coverage.

--Expand the ability of small businesses, trade associations and other groups to set up insurance pools to offer coverage at more attractive rates.

--Control health costs in part by reining in the medical malpractice system that raises insurance premiums and forces doctors to order tests to protect themselves from lawsuits. Limiting certain kinds of damage awards would reduce spending on health care by about $11 billion in 2009, or about one-half of 1 percent, the Congressional Budget Office estimates. Think about that in human terms: Reform would save millions of patients the expense and trauma of unnecessary tests and procedures.

These excellent ideas could expand coverage for the uninsured without cratering the federal budget or curbing the competition and innovation that drive the U.S. health care system. Republicans should keep pushing them -- and ruling Democrats need to give them a full and fair hearing.
Look, if leftist Democrats' real goal were to insure health care for the 5% of the US population that remains uninsured and to lower the costs for the remaining 95%, they would at least consider the Republican plans.

But it's patently not their goal.

Some of them, maybe, are open to conservative, non-socialist solutions.

A few more don't care about the relative efficiency of the system or the inherence loss of liberty in a government-run plan.

The ones who really bother me are those who want more power and more control over their fellow Americans. These are the ones to whom I frequently refer whose condescending attitude knows no bounds.

They think they know better. Yet, they willfully ignore the lessons of the failure of the command & control economies of the 20th century (USSR, &c.). For these leftists, the plan always failed because the right people weren't in control or because the plan just needed to be tweaked or given more money.

But that's the problem with these grand social plans: The right people don't exist and eventually you run out of other people's money.


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22 September 2009

'Hopeychangers'' Pusillanimous Retreat In Eastern Europe

In a sense, the health-care debate and the foreign-policy debacle are two sides of the same coin: For Britain and other great powers, the decision to build a hugely expensive welfare state at home entailed inevitably a long retreat from responsibilities abroad, with a thousand small betrayals of peripheral allies along the way. A few years ago, the great scholar Bernard Lewis warned, during the debate on withdrawal from Iraq, that America risked being seen as “harmless as an enemy and treacherous as a friend.” In Moscow and Tehran, on one hand, and Warsaw and Prague, on the other, they’re drawing their own conclusions.
There's been a lot of talk lately that Barack Obama is the second coming of Jimmy Carter.

If only.

President Obama's posture towards North Korea, Venezuela, Iran, Russia, Honduras, Afghanistan, etc., makes President Carter look positively potent.


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15 September 2009

A Cautionary Tale For All You Aspiring Social Planners


there is our inefficient and inequitable system of tax-advantaged, employer-based health insurance. While the federal tax code promotes overspending by making the majority unaware of the true cost of their insurance and care, the code is grossly unfair to the self-employed, small businesses, workers who stick with a bad job because they need the coverage, and workers who lose their jobs after getting sick.

This employer-based system arose not by thoughtful design but as an unforeseen result of price controls during World War II and subsequent tax policy. How this developed and persisted despite its unfairness and maladaptive consequences is a powerful illustration of the law of unintended consequences and the fact that government can take six decades or more to fix its obvious mistakes.
Please, geniuses/social betters/leftists of the Obama administration & Democratic Congress: Rather than doing the relatively easy, obvious thing--introducing reform to correct past government distortion of health markets--design for us a program (yet another) that will bring medical utopia.

I'm sure you'll get it right this time.


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20 August 2009

America's Relatively Low Life Expectancy ≠ Bad American Healthcare

And there are even more factors involved than Steve Chapman outlines in this awesome quote:
It's true that the United States spends more on health care than anyone else, and it's true that we rank below a lot of other advanced countries in life expectancy. . . .
One big reason our life expectancy lags is that Americans have an unusual tendency to perish in homicides or accidents. We are 12 times more likely than the Japanese to be murdered and nearly twice as likely to be killed in auto wrecks.
In their 2006 book, 'The Business of Health,' economists Robert L. Ohsfeldt and John E. Schneider set out to determine where the U.S. would rank in life span among developed nations if homicides and accidents are factored out. Their answer? First place.
That discovery indicates our health-care system is doing a poor job of preventing shootouts and drunk driving but a good job of healing the sick. All those universal-care systems in Canada and Europe may sound like Health Heaven, but they fall short of our model when it comes to combating life-threatening diseases.
One of the other things that skews the numbers for the US is the way we count infant mortality rates. Here, any baby that shows any signs of life is counted.

Not so in the rest of the industrialized world. This discrepancy--the fact that the United States counts everything & the rest of the world is much, much more selective--skews the numbers the leftists use to argue that American health care is too expensive/worse than everywhere else.

Liberty: Nevermind that the difference between America and the rest of the world is that here, individual Americans spend whatever they will on health care because they are free to do so. In the rest of the world, their governments spend some arbitrary amount on healthcare that serves some while rationing everyone else into queues for basic procedures.

I've said it before & I say it here again: American health care is not perfect. But it is the best in the world.

And there are market-based changes that can make it even better & cover more people.


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19 August 2009

A Trend?





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17 August 2009

My Friend Branden B. On President Obama's New York Times Op-Ed

The main contributors to this blog are yours truly (lybberty) and my brother, matt. From time to time, I post submissions from guest contributors whose principles align with the principles of OL&L.

This is one of those times.

Longtime friend & friend of the blog, Branden B., weighs in with some insightful analysis of President Obama's health care op-ed which ran in Sunday's New York Times. I recommend it for your review.
I read Obama's editorial this morning on health care in the NY Times. A few things jumped out at me because they seemed incredible. I don't completely understand the issue nor do I pretend to; however, I did learn a thing or two in school along with everyone else who took Econ 110 and they could shoot holes through his argument as easily as I could.

First, it's obvious that the President is putting the majority of his effort into demonizing insurance companies. For those who have read Atlas Shrugged, it is phenomenal how similar his language is to the looters in Rand's book. I am not saying that insurance companies are perfect entities or that Rand's philosophy is even mostly correct. It just blew me away that he was lifting their language so exactly:
...in unwarranted subsidies to insurance companies that do nothing to improve care and everything to improve their profits.

...we’ll be able to ensure that more tax dollars go directly to caring for seniors instead of enriching insurance companies.

...reform will provide every American with some basic consumer protections that will finally hold insurance companies accountable.

...A 2007 national survey actually shows that insurance companies discriminated against more than 12 million Americans
Secondly, take a few moments and read the following paragraph, think for a bit, and then tell me why this will not work.
We will put an end to these practices. Our reform will prohibit insurance companies from denying coverage because of your medical history. Nor will they be allowed to drop your coverage if you get sick. They will not be able to water down your coverage when you need it most. They will no longer be able to place some arbitrary cap on the amount of coverage you can receive in a given year or in a lifetime. And we will place a limit on how much you can be charged for out-of-pocket expenses.
Again, I understand that there are real people affected by the problems he outlined above. That said, what does he think is going to happen to the insurance premiums for everyone (including those that are sick) if companies are required to turn a blind eye to just about everything they use now in determine (insurance) premiums? He doesn't even acknowledge that your premiums are going to at least double and possibly triple or quadruple. At that point, the government will then step in and say that insurance companies can't raise premiums (as it was in Atlas). Insurance companies will then go bankrupt and the government will conveniently step in with their fixed plan, paid for with your tax dollars.

Finally, what does this last sentence mean?
If you have health insurance, we will make sure that no insurance company or government bureaucrat gets between you and the care you need.
The first "we" is Obama, a government bureaucrat. We could rewrite that to say:
If you have health insurance, we [government bureaucrats] will make sure that no insurance company or government bureaucrat gets between you and the care you need.
I don't normally do these sorts of rants but I could not believe that the President peddled these fallacies so blatantly in the morning newspaper.
[ed. note: Branden, this is what you get for reading the NYT Op-Ed page.]


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13 August 2009

President Obama's Ringing Endorsement Of The 'Public Option'




'What, are all you free-marketers afraid of a little competition!?!!'


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02 August 2009

Mark Steyn: 'Government Health Care Would Be Wrong Even If It “Controlled Costs.”'

On the price tag: It’s often argued that, as a proportion of GDP, America spends more on health care than countries with government medical systems. But, as a point of fact, “America” doesn’t spend anything on health care: Hundreds of millions of people make hundreds of millions of individual decisions about what they’re going to spend on health care. Whereas up north a handful of bureaucrats determine what Canada will spend on health care — and that’s that: Health care is a government budget item. If Joe Hoser in Moose Jaw wants to increase Canada’s health-care spending by $500 drawn from his savings account, he can’t: The law prevents it. Unless, as many Canadians do, he drives south and spends it in a U.S. hospital for treatment he can’t get in a timely manner in his own country.

You can make the “controlling costs” argument about anything: After all, it’s no surprise that millions of free people freely choosing how they spend their own money will spend it in different ways than government bureaucrats would be willing to license on their behalf. America spends more per capita on food than Zimbabwe. America spends more on vacations than North Korea. America spends more on lap-dancing than Saudi Arabia (well, officially). Canada spends more per capita on doughnuts than America — and, given comparative girths, Canucks are clearly not getting as much bang for the buck. Why doesn’t Ottawa introduce a National Doughnut Licensing Agency? You’d still see your general dispenser for simple procedures like a lightly sugared cruller, but he’d refer you to a specialist if you needed, say, a maple-frosted custard — and it would only be a six-month wait, at the end of which you’d receive a stale cinnamon roll. Under government regulation, eventually every doughnut would be all hole and no doughnut, and the problem would be solved. Even if the hole costs $1.6 trillion.

How did the health-care debate decay to the point where we think it entirely natural for the central government to fix a collective figure for what 300 million freeborn citizens ought to be spending on something as basic to individual liberty as their own bodies?

That’s the argument that needs to be won. And, if you think I’m being frivolous in positing bureaucratic regulation of doughnuts and vacations, consider that under the all-purpose umbrellas of “health” and “the environment,” governments of supposedly free nations are increasingly comfortable straying into areas of diet and leisure. Last year, a British bill attempted to ban Tony the Tiger, longtime pitchman for Frosties, from children’s TV because of his malign influence on young persons. Why not just ban Frosties? Or permit it by prescription only? Or make kids stand outside on the sidewalk to eat it? It was also proposed — by the Conservative party, alas — that, in the interests of saving the planet, each citizen should be permitted to fly a certain number of miles a year, after which he would be subject to punitive eco-surtaxes. Isn’t restricting freedom of movement kind of, you know . . . totalitarian?

Freedom is messy. In free societies, people will fall through the cracks — drink too much, eat too much, buy unaffordable homes, fail to make prudent provision for health care, and much else. But the price of being relieved of all those tiresome choices by a benign paternal government is far too high.

Government health care would be wrong even if it “controlled costs.” It’s a liberty issue. I’d rather be free to choose, even if I make the wrong choices.
This is a distinction I've made privately and tried to explain on the blog: There is a difference between what America pays and what Americans pay for health care (or anything else, for that matter).

Leftist progressives want government to plan & manage an ever-growing share of American life in pursuit of their dystopian utopian dreams.

Make no mistake: This is The Road to Serfdom.


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28 July 2009

Democrats Don't Want Health Care Reform, They Want Socialized Medicine

And nothing else will do.

According to health care economists
(h/t Matt L.), 90% of Americans are insured. Of the remaining 10%, better than 25% are young & healthy and feel no need to subsidize the health care costs of the old & sick and thus, go uninsured. Shall we force them?

About another 25% of the remaining 10% are of sufficient means that they feel they are able to burden the risk of going uninsured and pay for their own care. Shall we take away their liberty?

Roughly 25% more are illegal aliens. Um, yeah.

The remaining 25% of the 10% of Americans who are uninsured are financially or medically (pre-existing conditions, etc.) or some combination thereof, unable to get insurance.

Democrats want to scrap the whole system--the best system in the world--to cover about 2.5% of the population.

There are better, cheaper ways to enable these people to get access to health care. And contrary to Obama, Reid, Pelosi & co., Republicans have made a number of proposals which would make health care cheaper & better for everyone.

To wit, Jim DeMint on ABC's "This Week" with George Stephanopolous:
Republicans, including me, have introduced lots of health care reform proposals. I introduced a tax equity, which would allow people to deduct the cost of their health insurance. The president and Senator Conrad voted against it. I had a proposal that would allow people to buy health insurance in any state, not just a single state monopoly. The president and the Democrats voted it down. I had a proposal that would allow individuals to use their health savings account to pay for a premium. They voted it down. They even voted against allowing small businesses to come together and buy their health insurance . . . . So, George, what we've seen is that Republicans do want reform that will make health insurance more affordable and available. But the only proposals we're getting from Democrats is more government control of health care.
[emphasis added]

The point, for Democrats, is not about finding a way to make health care cheaper & better for Americans, it is about putting everyone into a scheme over which they, in their infinite wisdom, have complete control.

(see also Cap & Trade)

via Political Diary

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02 July 2009

American Healthcare Has It's Problems, But It's Still The Best In The World

Seriously. There are some things that could done to resolve these problems (see here & here), but American healthcare is still the best in the world, warts and all. Free market reform of American healthcare would only widen the gap between us and everyone else.

From doubleplusundead via Russ from Winterset at Ace of Spades (standard language warnings about AofS apply), a cautionary & enlightening tale.
It seems that a Canadian couple gave birth to a premature baby this weekend in Hamilton, Ontario. Since Canada is just another Third World Hellhole where brain surgery is done with a 16" Poulan and a 6-pack of Moosehead, its not exactly a shock that NOT. ONE. SINGLE. Neonatal Intensive Care Unit (NICU for short) bed could be found for the child. I know what you're thinking: Russ, they couldn't find one single NICU bed available in the City of Hamilton for this baby? NO. They couldn't find one single NICU bed available for this baby in the entire PROVINCE of Ontario. You know, a PROVINCE? Sort of like a STATE, only 196% more [dumb]?

Luckily, Canada just happens to be the mildly retarded cousin of the United States of America; and like most families, we look after each other - even if the slow relatives are complete window-lickers who eat their own boogers in public. The baby was brought to Buffalo, NY, where she is enjoying the fruits of America's evil profit-driven health care system. If this was the end of the story, I'd be willing to smile and wish the happy hosers well with the addition to their family; however, as Paul Harvey used to say, there is ..... the rest of the story.
This kind of stuff--Canadians coming to American for medical care, surgery, &c.--happens all the time.


If you have tips, questions, comments or suggestions, email me at lybberty@gmail.com.

26 June 2009

Karl Rove: 'From 1998 To 2002 Nearly Twice As Many New Drugs Were Launched In The U.S. As In Europe'

Nearly everyone agrees that some reforms are needed. But it is also vital to protect areas of excellence and innovation. Stanford University professor Scott Atlas points out that from 1998 to 2002 nearly twice as many new drugs were launched in the U.S. as in Europe. According the U.S. Pharmaceutical Industry Report, some 2,900 new drugs are now being researched here. America's five top hospitals conduct more clinical trials than all the hospitals in any other developed country, according to Mr. Atlas. And a McKinsey Co. study reports that 40% of all medical travelers come to the United States for medical treatment.
These are some of the costs--the unanticipated consequences (diminished drug research)--associated with a single-payer system.

Where's the incentive to develop new drugs if there is no profit to be made? If government is going to pay for research & development of new drugs, well, how is it going to pay for it? And if government does pay for it, who decides which drugs to develop?

When healthcare is rationed, so is R&D for life-saving drugs. And when government controls the R&D decisions, then government picks the R&D "winners."

Who donated the most to a powerful Senator? Here comes your funding. What is the hated disease de jour? Here comes your funding.

Unlike the millions or billions made when government picks the winners (and bankruptcy for the losers) in a financial crisis, in this instance, the losers die.


If you have tips, questions, comments or suggestions, email me at lybberty@gmail.com.

25 June 2009

Taxing Your Good Health

That is what will happen if Democrats get their way with single-payer health care--socialized medicine--in this country. And the President admitted as much in his infomercial last night:
As a candidate, then-Sen. Obama bashed his rival for the Democratic nomination, Hillary Clinton, for proposing that Americans be mandated to have health insurance.

"She'd have the government force you to buy health insurance," he said Feb. 23, 2008. "I disagree with that approach. I believe that the reason Americans don't have health care isn't because no one's forced them to buy it, it's because no one's made it affordable."

But now the president is acknowledging that his thinking on the issue has "evolved" and he could support a law mandating that individuals purchase health care coverage, with fines for those who do not.

Obama stressed that there must be some kind of waiver for those who are simply unable to afford it.

"People have made some pretty compelling arguments to me that if we want to have a system that drives down costs for everybody, then we've got to have healthier people not opt out of the system," the president told ABC News.
As he notes, in order for this system to work--to actually drive down costs--you have to include healthy people as well as the sick--everyone is forced into the plan. Many of these healthy people do not have health insurance or carry insurance with really high deductibles because they are healthy and do not need it.

In a single-payer system, the healthy would be forced into the same health plan as the sick--effectively taxing their good health and eliminating all other choices open to them. This is utilitarian leveling at its, well, level-best. In order to reach a more equal outcome for everyone, Obama and co. will tax your health and infringe on your liberty.


If you have tips, questions, comments or suggestions, email me at lybberty@gmail.com.

19 June 2009

Milton Friedman Fridays - On 3rd Party Payment In Healthcare




If you have tips, questions, comments or suggestions, email me at lybberty@gmail.com.

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