Call them "death panels" or not, a government that needs to cut costs will limit what it spends on health care, especially on people nearing the end of life. Medical "ethicists" have long lamented that too much money is spent in the last several months of life. Given the premise that it's government's job to pay, it's only natural that some bureaucrat will decide that 80-year-olds shouldn't get hip replacements.
True, surveys show that most Brits and Canadians like their free health care. But Dr. David Gratzer notes that most people surveyed aren't sick. Gratzer is a Canadian who also liked Canada's government health care -- until he started treating patients.
More than a million Canadians say they can't find a family doctor. Some towns hold lotteries to determine who gets to see one. In Norwood, Ontario, my TV producer watched as the town clerk pulled four names out of a big box and then telephoned the lucky winners. "Congratulations! You get to see a doctor this month."
Think the wait in an American emergency room is bad? In Canada, the average wait is 23 hours. Sometimes they can't even get heart attack victims into the ICU.
That's where we're headed unless Obamacare is repealed. But that's not nearly enough. Contrary to what some Republicans say, we didn't have a free medical market before Obama came to power. We had a system that limited competition through occupational licensing, FDA rules and other government intrusions, while stimulating demand through tax-favored employer-based "insurance," Medicare and Medicaid.
If we want affordable and cutting-edge health care, there's only one approach that will work: open competition. That means eliminating both bureaucratic obstacles and corporate privileges. Only free markets can give us innovation at the lowest possible cost.
Of course, that also means consumers should spend their own money on health care, limiting insurance to catastrophic expenses. Americans don't want to hear it. But that's the truth.
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