Steve Deace
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That’s because in the past generation maximizing profit as a business model for major corporations has been replaced by minimizing risk. Thus, the chance for the biggest health insurance providers to effectively cut off any real competition means that while one of them won’t be number one, none of them have to worry about being number none. The biggest health insurance providers in the country will each be granted exclusive proprietary rights on a regional basis by the federal government. Which means just like most Americans have one option for their home energy use, so will they have one option for their health insurance.

Your health insurance provider will operate much like a public utility, with the federal government determining what gets covered and for how much. Who knows, maybe some Republicans will even announce a glorious compromise that allows state governments to have some say as well. Either way, the government, not the free market, is going to determine the rates and the benefits.

And considering how much regulation of this industry we already have regardless of Republican or Democrat control, it’s not nearly as big of a leap as you think.

In the end, the politicians in both parties will sanctimoniously claim they saved the world’s greatest healthcare system from collapse. Of course, there will be a remnant of salt-of-the-earth patriots who still believe in the Constitution and liberty on Capitol Hill that will fight this. But like always the Republicrat Machine will eventually roll them because the American healthcare system is “too big to fail.”

Since you’ll still be dealing with your private health insurance provider for billing and customer service, the establishment Republicans will boast to their base they saved us from becoming Western Europe. But since the government is going to determine who gets what and how much, the Democrats will boast to theirs how they made sure every American is insured.

However, no matter what sleight of hand they attempt to fool you with, when you have one option for health insurance and one entity determining what the insurance covers and costs, without competition you essentially have exactly that which the American people rejected in the 2010 election cycle.

In other words, we’re all going to be on a different form Medicare.

On my syndicated radio show this week I asked Grace Marie Turner of the Galen Institute, one of the leading conservative healthcare think tanks in the country, if my hypothesis was far-fetched.

She not only said it wasn’t far-fetched, but agreed with me that barring a rapid resurgence in free market solutions it’s the most likely outcome. Turner further noted that one of the consequences of Romneycare in Massachusetts – the predecessor to Obamacare – was the loss of health insurance competition, with only a few companies big enough to survive the Romneycare overhaul. The law of supply and demand always means less competition/options and more regulation always equals higher costs, which is exactly what Romneycare has created in Massachusetts.

Higher rates, no competition, and you’re selling a product every American has to have? What business isn’t going to sign up for that? This is exactly why you’ll see health insurance providers offering Congress their business plans just as the automakers did after Obama’s election.

If Romney is the Republican nominee for president, regardless of whether he or Obama wins this fall this will be the outcome of healthcare in America. All we’re doing now is negotiating the terms of surrender depending on whether or not Obamacare is repealed or the individual mandate is declared unconstitutional by the Supreme Court. If Obamacare is repealed or rolled back, Republicans will have the leverage to be able to negotiate more state government involvement. If Obamacare stands as is the negotiating leverage for total federal regulation then tilts towards the Democrats.

When you stop and look at recent history, what I am suggesting isn’t radical but the norm. On a national level, the Republican Party has been largely devoid of free market reformist thinking since the mid-1990s, and it’s obvious if pro-TARP/pro-stimulus Romney – the man who attacked Rick Perry for telling the truth about social security – is the next GOP standard-bearer he will just be the next decay manager.

We’ve seen this movie before, it’s called “Surrender Now Before It’s Too Late,” and it always ends the same. The Democrats propose putting the Constitution through the paper shredder, and the Republicans rally to regulate how much of it ends up in tatters. Heaven forbid national Republican leadership actually defends our constitutional republic for a change. Remember when they started the first session after their 2010 election victories by reading the Constitution word-for-word?

Neither do they.

Maybe that’s why my state’s Republican Senator Charles Grassley – a living, breathing testimony to the need for term limits – originally was negotiating with the Obama Administration for a seat at the Obamneycare table before conservatives back home called him out on it. Grassley is the Methuselah of the GOP, so he’s played this game before and knows how it ends.

Since the state he represents is home to some of the biggest health insurance companies in the country, he knows it’s best to get your seat at the table now to guarantee your cut of the proceeds.

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Steve Deace

Steve Deace's nationally-syndicated radio show airs coast-to-coast each weeknight from 9-Midnight eastern, including many of the Salem Radio Network's top conservative talk stations in markets like New York City, Houston, Philadelphia, Seattle, and Minneapolis. His radio program has been featured in major media such as Fox News, CBS News, ABC News, CNN, MSNBC, The Washington Post, The New York Times, The Los Angeles Times, Politico, The Weekly Standard, and National Review among others. In 2013 he wrote the second-most shared column of the year for USA Today, defending "Duck Dynasty" and traditional American values. In addition to being a contributor for Town Hall.com, Deace is also a columnist for The Washington Times. He is also the author of the new book Rules for Patriots: How Conservatives Can Win Again, which includes a foreword by David Limbaugh and is endorsed by a who's who of conservative leaders. You can follow him on Twitter @SteveDeaceShow.