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Thursday, May 10, 2007
Laura Hollis :: Townhall.com Columnist
A Lesson for the Left about Medicine, Money and Motherhood
by Laura Hollis
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Will the Dems' health care Christmas Present to America be an improvement or detriment to our health care system?


As Mother’s Day approaches, I am thinking about an invitation I received recently to view a film called “The Motherhood Manifesto” at a local library. “Bring something yummy and come hear about the policies that make it so hard to be a mom these days!” the invitation read cheerfully.

The word “manifesto” in the title sent up red flags for me. But, curious, I went to the host website – www.momsrising.org – to see what the components of the “manifesto” are. Cleverly, the website’s authors have used “MOTHER” as an acronym for their demands: M = (paid) Maternity and paternity leave. O = Open, flexible work. T = TV and afterschool programs. H = Healthcare for all kids. E = Excellent childcare. R = Realistic and fair wages.

“Manifesto” is the word for it, all right. Karl Marx would be proud. Virtually everything on the site advocates government regulation of business, and taxpayer-funded social services. The site is filled with supporting factoids about how many school-age children are home alone each afternoon (14 million!), the need for government censorship of the (40,000) TV commercials children see each year, and Canada’s allegedly wonderful health care system.

This initiative, like so many touted as women-driven and mother-centric, betrays the Left’s complete lack of understanding of – or utter disregard for -- basic economics. As long as some public policy pronouncement is “for the children” or accompanied by a compelling story of a family’s struggle or financial hardship, we’re supposed to be all for it, even if it bloats the government or brings the economy to the brink of collapse.

As one who worked in Detroit in the 1990s during the Clintons’ (happily) failed attempt to nationalize health care, I can attest that Canada's system is hardly the model plan that MomsRising.org seems to think it is. In Michigan, we saw the Canadians come across the border to avoid months waiting for necessary surgery, for a choice of doctors, or to obtain America’s better medical research. Canada's system is a failure for the same reason the United Kingdom's is a failure: when people perceive that something is "free" (because the costs are hidden to them), they use much more of it than they would if they had to pay for it.

A so-called “single-payer” (read: government-provided) health care system paid for in this country by tax dollars would collapse in an astonishingly short time. You need only look at the medical malpractice crisis. In the 1980s, we began to see multi-million-dollar jury verdicts in questionable cases (where malpractice was unclear or even unproven) because the jury knew that an insurance policy would pay the verdict. But this drove the premiums up to the point that doctors could not - and cannot - afford them.

Physicians will not stay in specialties where the insurance premiums are over $100,000 per year, as is often the case now in high-risk practices like obstetrics and neurosurgery. Doctors cannot pass the costs of those premiums on to patients in the form of fees, because patients cannot pay them, and Medicare and Medicaid will not pay them. Nor will HMOs or PPOs, all of whom have fixed prices for what they will pay. So the doctors close their doors.

My point is that while there is much wailing and moaning about prices, no one pays any attention to costs. You can clamor all you want to fix or control or cap prices, but the costs are what they are - and once the price is less than the cost, the business or practice is gone. (Unless, of course, you are going to have the government order people to stay in business, and it is not difficult to imagine the catastrophically poor care that we would get with people forced to stay in medical practice.)

The MomsRising site is just as wrongheaded in its complaints about the lack of "fair wages," for women. When wages are adjusted for time that mothers spend out of the work force at home with their children, women in the same jobs make dollar for dollar what men do. (See Steven Chapman and Thomas Sowell's writings.)

In my field – law - , for example, many women take time off to be at home with their babies. Some step off partnership track altogether. Some do part-time or flex-time while their children are young, and take longer to make partner. These are all great options. But if a woman chooses to go up for partnership in 10 years rather than seven, it is manifestly unfair to the man (or woman, for that matter) who went up for partnership three years earlier, to demand to be paid as much as they are. MomsRising calls this income disparity “the mommy tax,” as if a woman should be paid despite the fact that she wasn’t there doing the work.

And MomsRising’s economic prescriptions for lower income women - women who don't make enough in their jobs to pay for someone else to take care of their children while they work - make even less sense. If you make less than $25,000 per year (as MomsRising claims is true of one-quarter of families with children under six), then how is it logical to pay someone else between $4000 and $10,000 per year per child (another MomsRising statistic)? Wouldn’t it make more sense to stay home and take care of your children yourself?

Oh, no. MomsRising demands that lower-income women be paid more, in order to afford childcare that they admit is already inadequate and too expensive. And they want the child care to be "excellent" (which will make it even more expensive). Oh, and by the way, someone else should pay for it.

The economics on the MomsRising site is atrocious; the conclusions counterintuitive. But perhaps that’s the point. Indeed, the larger question in my mind as I reviewed the site, was: Where in any of this is the ‘mothering’? Continued...

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About The Author

Laura Hirschfeld Hollis is a Clinical Professor of Business Administration at the University of Illinois.

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too late!
guess I am like a year too late with my post! Oh well!

where are you guys?
Where are the sensible people? I read this article and I read every post and I felt like I was breathing fresh air. I belong to an online forum for Mom's and I'm telling you many women today have eaten the leftist arguments up (for govt. sponsored everything, "self-actualization"...) hook line and sinker. It is politically incorrect to espouse such conservative Mary Poppins viewpoints, and the vicious ones let you know it. The thing is, whenever a "conservative" tries to make a valid point, he or she is attacked by a leftie. Then the conservative rebuttles, and the leftie has no argument! I am so angry at these women I want to shout at them that if they don't like all of the amazing privelages this country has to offer why don't they move to Canada or Sweden? They are so narrow-minded and just can't see the big picture-imagine the society they envision and it's repurcussions 50 years from now. By the way, I'm not so righty I think poor and disadvantaged women need to fend for themselves and who cares if their children grow up to be murdering gangsters or nothing more than a clerk at Wal-Mart...As a Christian I believe in helping those less fortunate than myself. But don't we already have those programs (like Wick and Headstart and charities also??). If sensible people don't start standing up for what they belive in and know to be true in their hearts this country is going to get away from us. Afraid it already is.
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