Greeks
Falling Out of Their Trojan Horse
by
Vin Suprynowicz
Recently
by Vin Suprynowicz: His
Monument Stands All Around Us
A key contention
of President Obama and the congressional sponsors of health insurance
reform is that a health insurance exchange
allowing consumers to choose between private health plans
with premiums artificially jacked-up by government mandates, and
a government program with artificially low premiums would
increase competition.
In fact, It
would reduce competition by driving lower-cost private health plans
out of business, reports Michael Cannon, co-author of the
book Healthy Competition: Whats Holding Back Health
Care and How to Free It, in an Aug. 6 Cato Institute paper
titled Fannie Med? Why a Public Option Is Hazardous
to Your Health.
President
Obamas vision of a health insurance exchange is not a market,
but a prelude to a government takeover of the health care sector,
Mr. Cannon found. In the process, millions of Americans would
be ousted from their existing health plans.
In a speech
to the American Medical Association, President Obama recently reiterated
a promise that he has made repeatedly since the 2008 presidential
campaign: No matter how we reform health care, we will keep
this promise to the American people. If you like your doctor, you
will be able to keep your doctor, period. If you like your health
care plan, youll be able to keep your health care plan, period.
No one will take it away, no matter what.
But after the
Congressional Budget Office estimated as many as 15 million Americans
could lose their existing coverage under Senator Kennedys
legislation, the Associated Press reported on June 19, White
House officials suggest the presidents rhetoric shouldnt
be taken literally.
The new government
program would literally oust millions of Americans from their
current health plans and threaten their relationships with their
doctors, as employers choose to drop their current employee health
plans and as private health plans close down, Mr. Cannon reports.
A Lewin Group
analysis estimated that Obamas campaign proposal would move
32 million Americans into a new government-run plan. But Lewin subsequently
estimated that if Congress used Medicares price controls and
opened the new program to everyone, it could pull 120 million Americans
out of private insurance more than half of the private market.
(There is a
socialist letter-writing tree that attacks anyone who cites the
Lewin Group as a source, pointing out the outfit is an Ingenix company,
and thus a wholly-owned subsidiary of United Health Group
despite the fact thats clearly disclosed on the organizations
Web site at www.lewin.com/WhyLewin/AboutUs/ where we also
find U.S. Sens. Ron Wyden, D-Ore., and Bob Bennett, R-Utah, telling
the Wall Street Journal The Lewin Group (is) the gold standard
of independent, health-care analysis. Why is it that economic
analyses funded by free-market sources should be held suspect, while
government analysts who have an obvious bias in favor of
continuing big-government solutions go unchallenged?
Since no government analyst has ever lost his or her job for lowballing
the likely cost of a government boondoggle, shouldnt it be
the other way around?)
The share
of Americans who depend on government for their health care would
rise from just over one quarter to two-thirds, under Obamacare,
Mr. Cannon reports. And whats more, Many of those millions
would be involuntarily ousted from their current health plans.
Wow. Just as
all those fearful citizens showing up to express their concerns
at this summers town hall meetings dismissed
by congressional leaders as racists, hate-monger, and worse
have been saying.
No one should
be surprised at all this, Mr. Cannon notes. President Obama
has repeatedly affirmed his preference for a single-payer, government-run
health care system, such as exists in Canada. Many people, including
New York Times columnist Paul Krugman, support a new government
program precisely because they believe it will lead to a single-payer
system.
Jacob S. Hacker
of the University of California-Berkeley School of Law quips, Someone
once said to me, This is a Trojan Horse for single-payer,
and I said, Well, its not a Trojan Horse its
right there!
If Congress
wants to make health care more efficient and increase competition
in insurance markets, there are far better options, Mr. Cannon suggests.
Congress should let consumers rather than employers or the
government control their health care dollars and choose their
health plan. It should convert Medicare into a program that gives
seniors a voucher and frees them to purchase any health plan on
the market.
Reforming the
tax treatment of employer-sponsored insurance with large
health savings accounts would give workers the thousands of dollars
of their earnings that employers currently control, and likewise
free workers to purchase any health plan on the market.
Finally, Congress should expand competition by prohibiting states
from denying market entry to health plans and providers licensed
by other states that is, by making clinician and health insurance
licenses portable across state lines.
These real
reforms would reduce costs, increase innovation, and reduce the
number of uninsured without higher taxes or additional government
pending, Mr. Cannon concludes. So why arent they even on the
table in Washington?
Perhaps because
this isnt really about affordability, but rather about a vast
new federal bureaucracy providing lucrative jobs for legions of
unionized registered Democrats and even more importantly,
about who gets to run your life.
September
11, 2009
Vin
Suprynowicz [send
him mail] is assistant editorial page editor of the daily Las
Vegas Review-Journal and author of The
Black Arrow. Visit his
blog.
Copyright
© 2009 Vin Suprynowicz
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