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Friday, November 06, 2009
Thomas Sowell :: Townhall.com Columnist
The "Costs" of Medical Care: Part IV
by Thomas Sowell
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Within living memory, most Americans had no medical insurance. Even large medical bills were paid off over a period of months or years, just as we buy big-ticket items like cars or houses.

This is not ideal for everybody or every situation. But if we are ready to rush headlong into government control of our lives every time something is not ideal, then we are not going to remain a free people very long.

Ironically, it is politicians who have already made medical insurance so expensive that many people refuse to buy it. Insurance is designed to cover risk. But politicians have mandated that insurance cover things that are not risks and that neither the buyers nor the sellers of insurance want covered.

In various states, medical insurance must cover the costs of fertility treatments, annual checkups and other things that have nothing to do with risks. What many people most want is to be insured against the risk of having their life's savings wiped out by a catastrophic illness.

But you cannot get insurance just for catastrophic illnesses when politicians keep piling on mandates that drive up the cost of the insurance. These are usually state mandates but the federal government is already promising more mandates on insurance companies-- which means still higher costs and higher premiums.

All this makes a farce of the notion of a "public option" that will simply provide competition to keep private insurance companies honest. What politicians can and will do is continue to drive up the cost of private insurance until it is no longer viable. A "public option" is simply a path toward a "single payer" system, a euphemism for a government monopoly.

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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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Healthcare cost
As it stands now according to the CDC the US spends between 15-16% of gross domestic product for healthcare. This is nearly twice as much as other industrialized countries and we still have poorer health outcomes (US ranks 36th in life expectancy, infant mortalitiy, etc.) and we still have 46 million uninsured. That is unsustainable. At some point the numbers of uninsured will increase driving up the cost of premiums for people with insurance. As healthcare cost escalate, it will eat up more and more of GDP. There will come a point where no one except the very rich will be able to afford healthcare. The argument between right and left really boils down to the role of gov't. Those of us on the left believe that gov't should do for people what they cannot do for themselves. Example: The US has one of the best interstate freeway systems in the world. It allows for goods to be transported all over the country relatively cheaply. The right believes that gov't is very inefficient at providing direct services and that should be left to business. Can anyone imagine a corporation or group of corportations building an interstate highway system? Its the same with healthcare. We need to spread the cost out over as many people as possible so that we can have healthcare when we need it. We can even make the case for insuring illegal immigrants. Most undocuments are healthy men. They would contribute to the insurance pool. They would take out far less than what they put into it. These are the folks who are keeping social security afloat. They put into the system but never collect. The fact is there is no free lunch. Any healthcare is going to be paid for by us the people reading this column. The right relies on lies and distortions but has no viable alternatives.

Tommy you have no idea
First, I would support anyone who wanted to sign up to medicaid to do so. So, sick middle class people without insurance would not have to either go bankrupt or go without necessary medical treatment. I also would expant eligibility for VA benefits. Medicaid and the VA are not the greatest healthcare by and large -- but they are much better than nothing. Some very good doctors work at the VA because of patriotism. So, you lie (in the words of Joe Wilson) when you say that I want a single payer national system. By the way, you probably have no idea that the 30 or so developed countries with universal coverage do not all "do it" the same way. If we had a system like the Swiss, Germans or Irish you could not say it is a takeover of healthcare -- while if we had one like the UK you could say that. The US spends way, way, way more per person on healthcare than any other country. The British government spends less per person than our government -- and our government only covers military, medicare and medicaid eligible people -- less than 50% of the country. Don't take my word for it, simply look up the facts rather than calling me some sort of liberal. Namecalling is way easier than looking something up.
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