Obama’s healthcare agenda scares me.
Once a government program gets going, it creates a constituency. Hence, “temporary” programs become permanent. Even die-hard free-market types dare not oppose programs with large constituencies. Hence, government becomes more bloated over time and the system becomes less “democratic republic” and more “social democratic.”
In regards to medical care (not to be confused with health care), I think that there are viable reforms that could be made. In fact, I think, in theory, what Obama is proposing (in regards to a public health ins option) could actually work! The government does have a justifiable role in involving itself in areas of the market where market forces have failed (this is a democracy, after all). However, that theory works out if the government’s involvement is situational, i.e., truly transient in nature.
And we all know that a “temporary” public medical care option will eventually spiral into government-administered “universal healthcare” if it is instituted. Remember that large constituency?
The economics of healthcare are complex, and hence the problem. Critics of the current system, myself included, contend that we pay too much and get too little. That’s true. Small proposals (some have passed, some haven’t) can go a long way to alleviate costs of medical care: HSAs, taxing employer-sponsored health ins above a certain amount, tort reform, etc.
Economics is tricky, and healthcare economics is no different. Proposals meant to achieve one objective have vast, unintended consequences not foreseen even by experts, much less by our clowns in congress. Obama should tread carefully. For while government can “guarantee” coverage and even provide funds, he can’t guarantee that the resultant level of care is better than alternatives, or even than our current system.
UPDATE 6-23: David Brooks (the token conservative of the NY Times) doesn’t like proposed “healthcare reform” either.