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Gop: Obamacare Will Destroy The Best Health Care System The World Has Ever Known

June 11th, 2009 at 8:30 am Henry Clay | 54 Comments |

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On Sunday, a senior Senate Republican made his case against the Democrats’ plan for a “public option” for health insurance.

He explained that the public option would “be the first steps in… destroying the best health care system the world has ever known.”

There are very good arguments against the health care proposals being advanced by the Democrats.

This is not one of them.  And with only weeks before the full Senate considers a comprehensive health care reform package, such talking points will only undermine the Republicans’ efforts to challenge and improve upon the Democrats’ efforts.

As FF contributor David Gratzer has ably argued in the New Atlantis, the Democrats’ modest sounding public option would in fact deal a fatal blow to the private health insurance most Americans enjoy.

Disincentivize employer-provided group insurance through an employer-mandate and the taxation of benefits.

Establish politically motivated benefit packages with coverage mandates, that along with guaranteed issue and community rating, will drive up the cost of insurance.

And create an individual mandate with generous government subsidies.

It is clear where this will wind up.  With nowhere else to turn and no serious proposals for “bending the growth curve,” American taxpayers will be on the hook for another growing entitlement that will be paid for either by tax increases or government rationing of care.

Not a pretty picture.

But one way to guarantee that we wind up with a triumphant signing ceremony for comprehensive health care reform is to argue that America has the best health care system on earth.

While certainly decent compared to the alternatives, objectively speaking our health care system is a mess.  The government subsidizes the care of the elderly by stiffing doctors, who then pass along those costs to the privately insured.  In a post-industrial national economy, individual insurance decisions are subject to the regulations of 50 state insurance commissioners, undermining portability.  The government provides massive and regressive subsidies to employer-provided coverage, while providing practically meaningless tax breaks to those who seek care in the individual marketplace.

In other words, the system is pretty lousy and needs work.  Conservatives helped to make this case, first in the think tanks, then in President Bush’s proposal for health care reform, and finally during Senator McCain’s campaign.

It may be that the vast majority of Americans with private health insurance are satisfied with their coverage.  But they certainly worry, particularly in this economy, about a health insurance system that largely ties your opportunity for coverage to your employment. And they understand that their share of coverage is consuming an ever larger portion of their income.

In other words, they might be satisfied with the system, but they aren’t ecstatic about it.

They might have real concerns about who will wind up holding the bag for the Democrats’ reform.  But there is no special place in their heart for America’s insurers and pharmaceutical manufacturers.

And if Republicans’ opening shot is that the Democrats’ plan will undermine the greatest health care system on earth, Rahm Emanuel is somewhere smiling.

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54 Comments so far ↓

  • ottovbvs

    balconesfault wrote 7 minutes ago”It looks like they’re getting something right that we should take a serious look at.”……Actually the French get most things right……it’s only widespread Francophobia that makes us blind to the fact.

  • ottovbvs

    “get confused – are you a doctor or an aerospace engineer?”……A doctor who judges the effectiveness of the UK NHS by the state of the restrooms at Heathrow as I recall.

  • sinz54

    ottovbvs: Applying for insurance is a one-off. You’re not going to save money on health care costs there.The big payoff is in streamlining the operations of the medical *providers*. Many of their forms are still paper (not yet online). They don’t even have standardized procedures for management of those forms; it’s often ad hoc.I went to a hospital a couple of years ago, and they actually misplaced my medical records! Panic ensued. Doctors, nurses, receptionists, were all running around the hospital floor trying to find my medical records. After looking for nearly two hours, they found them. (That was time they should have been spending treating patients, not running around.) And my medical records consisted of a bunch of papers stuffed into a folder. Nothing was online, nothing.On other occasions, I had to hand-carry medical records, X-rays, CT scan films, from one hospital or one doctor to another. IOW, we patients act as unpaid couriers for the hospital’s information management. And we can screw up too. What would really save money would be a secure “MedNet,” containing all the medical records, X-rays, CT scans, everything, for all hospitals and all doctors in the nation. If you get injured while skiing or driving, the doctor logs onto MedNet and gets all your medical history–instantly.Obama is making a serious mistake if he thinks that the main driver of health care costs is private insurance companies. It’s not. America’s health care *costs*–what we spend on medical providers–really are rising, regardless of who pays the bill. And they will continue to rise until the providers shape up.

  • sinz54

    ottovbvs: I agree with you and Mike K that the French system has some interesting features we should be looking at–but the scramble going on in Congress right now is unlikely to stop, look, and listen.In a global economy, in which America is competing, we should be looking at our competition: How does Japan deal with health care, how does France deal with health care, etc. Somehow, despite an aging (and therefore sicker) population, Japanese auto companies continue to beat the pants off American auto companies–and their electronics giants like Sony and Panasonic continue to do well too.

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