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Wednesday, February 21, 2007
Thomas Sowell :: Townhall.com Columnist
Priceless Politics: Part II
by Thomas Sowell
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Will Congress pass Obamacare by the end of the year?

With all the advances in sophisticated analysis by professional economists, very little of even the basic principles of economics has gotten down to the average citizen and voter.

Many, if not most, of the economic policies advocated by politicians today would never pass muster if the average voter understood as much economics as an economist like Alfred Marshall understood 100 years ago or David Ricardo 200 years ago.

Nothing is more basic in economics than prices -- and yet the role of prices is repeatedly ignored or even misrepresented by politicians and the media.

What do prices do?

Prices impose the most effective kind of rationing -- self-rationing. Why is rationing necessary? Because what everybody wants always adds up to more than there is.

It doesn't matter whether you are talking about a capitalist economy, a socialist economy, a feudal economy or whatever. Resources are limited but desires are not. That is the basic and defining problem of economics.

Prices force you to limit your claims on what other people have produced to the value of what you have produced for other people. Prices force you to limit how much of product A you buy because you need to keep some money to buy product B.

While prices convey these limitations, they do not cause them. No economy -- capitalist, socialist, feudal or whatever -- can keep consuming more than it produces. Producing more of product A means using up resources needed to produce product B.

Simple and obvious as all this may seem, politicians blithely ignore it when they promise to make the prices of housing or health care or other things "reasonable" or "affordable."

Nothing is easier for any government than to impose price controls. Governments have been doing that for thousands of years. What governments cannot control are the underlying realities expressed through prices.

What does the history of thousands of years of price controls tell us?

The first thing undermined or destroyed is self-rationing. When you pay the full price of going to a doctor, you go there when you have a broken leg but not when you have the sniffles or a minor skin rash. When the government makes health care "affordable," you go there for sniffles and a minor skin rash. Continued...

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About The Author
Thomas Sowell is a senior fellow at the Hoover Institute and author of The Housing Boom and Bust.
 
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Sorry for the double post...
"How about a horror story from France about a bunch of old people dying in a hospital ward in the heat of summer because that hospital ward did not have air conditioning?" -- France has its problems, but they also have "horror stories" about longer life spans, greater satisfaction levels, lower death rates for toddlers, young people, etc.... but that's actually the only horror story (rationing-related or otherwise) that I've heard of outside of the U.K. or Canada. Once again, however, France only spends around 10% of its GDP on healthcare, while the U.S. spends around 15% (and growing, I'm pretty sure).

"And you have not addressed the theoretical underpinnings of Sowell's argument. Address those first, before assaulting us with potentially irrelevant anecdotal evidence." --

Theoretical underpinnings --

I actually partially agree with them. If you made more people pay for all of their medical care then people would obviously be more likely to go to the doctor less, demand would decrease and average prices might decline somewhat. But there's more to it than that. The danger in danger in leaving people's healthcare subject to the profit motive is that the poor, unemployed and sickly NEVER provide a profitable market for high-quality medical care. Taking the government out of the process could lower prices for rich people, at least theoretically, but they could then increase when as a result more of those poor and lower-middle class people started getting sick since they decided to "ration their own healthcare to deal with costs" and having to have operations and treatments far more expensive than the regular visits that could have prevented them. The doctors are then faced with the option to either deny that person care (inhumane) or subsidize it somehow, raising prices for everyone else.

To stbmom
"There isn't a person in the United States that doesn't have access to healthcare." -- Emergency care? True. But not always preventative care, or potentially life saving operations, drugs, and surgeries that are non-emergency and beyond their means. The ones hurt the most are the lower-middle class guys (and poor people without kids) just well-off enough to not qualify for Medicaid but not well-off enough to afford quality medical care.

"Canada and the U.K. do not automatically have better healthcare than in the U.S. - in fact the U.S. often has people from those countries coming for specific treatments." -- Although I doubt many poor people are scrambling to get here to use our healthcare system.

"I would much rather pay for my own healthcare and have the option of shopping around for the best doctor - even if they cost more, than to have someone else pay for it and I might possibly be stuck with a moron." -- I believe most countries with universal health coverage give people the option to pay for their own care.
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