Full-time political junkies are often criticized for their cynicism. We're
too blasé, too dismissive of idealism, ideas, hope and plain old do-goodery.
There's merit to this complaint, and I would have more sympathy for it if
Washington were not a cesspool of intellectual reprobates and rent-seeking
whorishness. There's a reason the golden spirit of the high school
overachiever ("and if we all work together, we can make this the best
yearbook ever!") turns to dross in this fetid swamp of institutionalized
asininity.
Take, for a timely example, Medicare Part D, a.k.a. the prescription drug
benefit. If Washington is a sausage factory, then this is surely the most
jumbo of wieners. Here's how it works: Various private insurance firms are
invited to offer competing drug-insurance plans to everyone eligible for
Medicare. Everyone is entitled to the basic program, but they can choose
others if they want, on the assumption that private competition will drive
prices down and that people will pick plans better suited to their specific
needs. It sounds good, though in the process the government created a vast
new universal old-age entitlement at a time when entitlements are greasing
the skids toward a fiscal train wreck.
Recall that President Bush pushed for a prescription drug benefit as a way
to beat Democrats at their own game of "Socialize that Medicine!" ("I'll
take long lines for $1,000, Alex.") The Republican House, that famed bastion
of fiscal rectitude, had for the most part already endorsed such a plan even
before Bush proposed it, though the congressional GOP complains that Bush's
"big government" siren song led them astray. But when Bush sent his proposal
to Congress, it was a humble affair, aimed primarily at the needy. It was
the GOP Congress that removed the free-market gristle from the bill and
poured in pure pork fat, so as to ensure a smoother texture of pure
entitlement.
Meanwhile, Democrats, furious that the Republicans had stolen their issue,
rejected the whole Medicare plan on the grounds that it was an expensive
"giveaway" to Big Pharma and insurance companies. Democrats, it seems,
prefer even more expensive giveaways to the voters. For example, Sen. Dick
Durbin's alternative plan, proposed shortly after Medicare Part D was passed
(and still officially under consideration by the Democrats), never
contemplated that market forces could lead to anything good. So he insisted
that consumers must - must! - pay $35 a month in premiums. It turned out
that competition has made $35 expensive by comparison - one plan costs a
mere $6 per month, and the average is $32. Dick Durbin: granny gouger!
Now that the Democrats have taken over Congress, they are promising to "fix"
Medicare Part D by making it more government-run, more generous to
better-off recipients, and much less profitable for those evil
disease-curing drug companies. The hitch is that the current, supposedly
disastrous plan costs much less than expected and seniors are overwhelmingly
happy with it. Shocking, isn't it? People like to get expensive stuff
cheaper!
Oh, and before I get grief about minimizing such a vital issue, let's keep
in mind that the greatest generation has a lot going for it, but a healthy
aversion to statism isn't one of them. In 2000, when the prescription-drug
crisis was reaching a crescendo - Al Gore seemed to find old ladies who had
to choose between pills and food everywhere he went - senior citizens were
nonetheless the most insured Americans. All of them were entitled to
Medicare, most had other insurance, and four out of five of them already had
prescription drug coverage by a third-party provider. Yes, some poor seniors
needed help, but as a group, old people spent more of their money on
entertainment (5.3 percent) than they did on drugs (3.2 percent). And yet
the federal government refused to create a new entitlement to cheap
"Matlock" DVDs.
The subtlety of mind behind the Democratic push to have the government
"negotiate" - i.e. dictate - drug prices can be summarized in a statement by
Robert M. Hayes, president of something called the Medicare Rights Center:
"It only makes sense that if the industries do less well, the taxpayers and
the consumers will do better."
By all means then, let us burn these industries down and salt the earth
where they stood, for then we will live in consumer nirvana!
Hayes was talking to the Washington Post, which, having covered the
"devastating" effects of Bush's plan before the midterm elections, has now
suddenly discovered the plan works pretty well after all. "Success of Drug
Plan Challenges Democrats," blared the headline.
And people wonder why we're so cynical.
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