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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 the Dems' health care Christmas Present to America be an improvement or detriment to our health care system?


The underlying reality has not changed, however. The doctor's time is still limited, and the time that you take up with your sniffles or skin rash is time that somebody else with a broken leg -- or perhaps cancer -- has to wait to get an appointment.

Government-run health care systems in countries around the world have longer waits -- sometimes months -- to get medical attention. In other words, the rationing goes on, but more haphazardly, because prices do not force people to ration themselves according to the seriousness of their problem.

It is the same story when housing prices are controlled by government. Rent control has allowed some people to take up more housing space than they would if they had to pay the full price that reflects other people's demand for housing.

The net result, whether in New York or San Francisco or elsewhere, is a lot of apartments with just one person living in each, and lots of families who cannot find a vacant place to move into. Housing shortages have resulted from rent control in cities around the world.

Housing shortages mean that some people are forced to live far from their jobs and commute, and some become homeless on the street. Homelessness tends to be greater in cities with rent control -- New York and San Francisco again being classic examples.

Economists have long been saying that there is no free lunch but politicians get elected by promising free lunches. Controlling prices creates the illusion of free lunches.

Prices not only ration existing supplies, they also determine how many new supplies will be forthcoming. When a new pharmaceutical drug costs an average of $800 million to develop, there is no point talking about "affordable" medications.

Either the $800 million is going to be paid or the supply of new drugs will dry up. Controlling prices does not change that.

This is part two of a three part series. To read "Priceless Politics" click here, for "Priceless Politics: Part III" click here.

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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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