The Cure

February 19th, 2009 at 11:21 pm David Frum | No Comments |

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It’s always nerve wracking when a friend publishes a book. What if it’s not good? That question never arises with my friend David Gratzer, rapidly emerging as one of this continent’s leading experts on free-market healthcare reform.

David comes to this great issue with two great advantages:

First, although the late Milton Friedman praised him as a “natural economist,” David in fact was trained as as an MD – and so sees healthcare with the point of view of a practitioner.

Second, David is a Canadian, who has practised under the Canadian healthcare monopoly: a permanent inoculation against any temptation to support a so-called single-payer healthcare system.

David’s first book, Code Blue , cooly appraised the state of the Canadian system. The title sums up his assessment: “Code Blue” is hospital code for imminent loss of life. This book won Canada’s Donner Prize in 2000, Canada’s highest prize for a work of public policy.

David is now affiliated with the Manhattan Institute, and his new book, The Cure , turns a free-market eye on the American healthcare system. Gratzer’s question: How is it that the US can simultaneously have such fabulous medicine – and such broad unhappiness with the way that medicine is delivered? His answer: competition, competition, and more competition – that’s his “cure.”

What makes this book so valuable for policymakers is that Gratzer offers two versions of his cure: one cautious and incremental, another radical and bolder.

His incremental reforms include ideas like allowing different state health insurance policies to be sold across state lines. A New Jersey policy can cost five and six times as much as a Kentucky policy – but there may be people in New Jersey willing to trade some of the converage and litigation opportunities afforded them by the local product for lower Kentucky prices.

His bolder concepts would deploy tax reform to sever once and for all the obsolete connection between employment and health insurance.

Throughout his book offers useful background, clear explanations, and lucid ideas. I can’t think of any better place for a conservative interested in the health care problem to start reading and thinking.

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4 Comments so far ↓

  • Johnnnymac66

    I’ve lived all of my 51 years in Chicago. I learned world politics by reading Gigi Geyer, Evans & Novak, George Will, and many, many others. I learned Chicago politics by reading Mike Royko, Studs Terkel, and many others.
    For me, the tipping point with Evans came when he “outted” Valerie Plame, a crime I believe was treasonous. I wrote him and told him exactly that, and was not surprised when I received no response.
    From that point on, I’d glance at his columns, but never again believed anything in them.
    When Hunter Thompson would inject himself into the stories he was writing, it was funny. Outting an undercover CIA operative because of a personal grudge wasn’t at all funny.
    I still believe Robert Evans committed treason against the United States.

  • WaStateUrbanGOPer

    Novak comes off as a sort of American, Jewish-cum-Catholic verson of Evelyn Waugh: nasty, vindictive and palpably self loathing. But he wasn’t unpatriotic. Moreover, he was correct about the War on Terror and Iraq. Compare his foreign policy views to David Frum’s, and then tell me: who comes out looking better on the geopolitics of the past decade?

  • WaStateUrbanGOPer

    Oh, and by the way Frum, you’d fail your mother-in-law’s course, too: it’s ABC 20/20, not “NBC 20/20.”

  • lolapowers

    Mr Frum, I so wholeheartedly agree with you, Novak was indeed a dark soul !

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