Showing posts with label healthcare reform. Show all posts
Showing posts with label healthcare reform. Show all posts

Monday, February 22, 2010

Big Insurance Wins One from Obama

Barack Obama this morning unveiled his plan for overhauling the health insurance industry in an effort to get the stalled legislative process going again. The bill was just posted on the White House website ("Putting Americans in Control of Their Health Care[!]). Here's the first detail to jump out, according to the Wall Street Journal:

The proposal increases penalties on business that fail to insure their workers and individuals who fail to get health insurance, as would be required under the new law. [Emphasis added.]

This is important because the insurers have been concerned that in earlier bills, the penalty for individuals who don't obey the government order to buy insurance would is so low that people would find it cheaper to pay the fine than to pay the premium. How are the companies to get all those new captive customers with a weak penalty? they wanted to know.

Apparently they won't have to worry about that anymore.

Next time Obama publicly demonizes Big Insurance, don't fall for the show. They are all in bed together when it comes to fundamentals.

Friday, February 05, 2010

TGIF: Obama and the Public

Broken or not, government at the moment is not inspiring confidence in the majority of people. That’s good news for those who look to government for neither inspiration nor solutions (to problems it itself has created). There’s no more urgent task that to fan the flames of political cynicism, emphasizing that what’s wrong with health care, finance, and energy won’t be fixed by electing the “right” person or party next time around but rather by removing the obstacles to bottom-up, decentralized solutions.

Read TGIF here.

Friday, January 08, 2010

TGIF: Opaque By Design

The phrase “transparent government” is just this side of a logical contradiction. A really transparent government would barely qualify as a government at all. Imagine if you could witness all the backroom dealing, logrolling, outright bribery, and the rest of the shenanigans that go on under the laughable rubric “governing.” It wouldn’t last a week.

Read TGIF here.

Friday, December 11, 2009

TGIF: Perverse Health Care Incentives

The common impulse for “health care reform” is entirely honorable. It is distressing to know that so many people are vulnerable to bankruptcy-threatening medical bills or to raw deals from State-cartelized insurance companies. Who wouldn’t change that if he could? The question is: Which approach has a better chance of changing it? Centralized bureaucratic decision-making by self-serving politicians and their “private sector” patrons? Or decentralized, cooperative, entrepreneurial efforts to satisfy cost-conscious, freely choosing consumers?
The full TGIF is here.

Op-ed: There's No Such Thing as a Free Mammogram

Read my latest FFF op-ed here.

Friday, December 04, 2009

Op-ed: Kill the Insurance Mandate

Everyone who believes he lives in a free country should be asking himself, By what authority do the Congress and the president force me to buy insurance?
My latest FFF op-ed is here.

Friday, November 20, 2009

TGIF

Want to know how the politicians justify forcing us to buy health insurance? I discuss their screwball grounds in this week’s TGIF.

Saturday, November 14, 2009

Health Insurance Scam

How can you get insurance for a volitional act? Regardless of one’s position on abortion, there is no denying that it is something a woman chooses. It doesn’t happen without her initiative and consent. My objective here is not moral judgment but precision. For all kinds of reasons a pregnant woman might feel she needs an abortion, but that does not change the fact that it is an action not a happening (as Thomas Szasz would put it).

The rest of TGIF is here.

Tuesday, November 10, 2009

Insurance for Abortion: What’s Wrong with This Picture?

The health-insurance nationalization bill that passed the House Saturday night has a lot of enemies. One reason for this is that in order to get a majority to support the bill, House Speaker Pelosi had to accept an amendment by Rep. Bart Stupak that would ban tax-funded abortions (except for rape, incest and danger to the mother’s life) under the “public option.” It would also bar people who get government insurance subsidies from buying policies with abortion coverage. However, AP reports: “Under the Stupak amendment, people who do not receive federal insurance subsidies could buy private insurance plans in the exchange that includes abortion coverage. People who receive federal subsidies could buy separate policies covering only abortions if they use only their own money to do it.”

To all those people who are upset by the amendment, I say: That’s what you get for inviting government to become involved in a personal matter like medical care.

But there’s a more fundamental point: How can there be such a thing as insurance coverage for elective abortions? Insurance emerged to protect one’s financial well-being against unlikely catastrophic happenings (as Thomas Szasz likes to call things that befall people). But an elective abortion (whatever your position on the issue) is not a happening. It’s a volitional act (which follows previous volitional act). How does a company insure against a volitional act? It can’t, but that doesn’t mean firms which we call insurance companies aren’t willing to appear to cover abortion by collecting payments from customers in advance. They are happy to do so, but only under the right circumstances. The key factor is that someone other than the insured person, such as an employer, must be willing to pay the premium. Of course when an employer pays the premium he reduces the employee’s cash wages, but most employees don’t understand that. So they think their insurance is paid for by someone else. But if the employee had to pay for her own insurance against elective abortion, I suspect she wouldn’t think it worth the price. That’s because the premium would consist of prepayment for possible future services plus costly administrative overhead. It would be a bad deal. What would she do if she decided she wanted an abortion? She’d pay out of savings or borrow the money. Insurance is a costly way to pay for things you (and the insurance company) know you may choose to buy one day.

Saturday, October 31, 2009

Pelosi Health-Insurance Bill Summarized

Happily, you need not invest the next few weeks of your life reading the 1,990-page House overhaul of the health-insurance -- and by implication, the healthcare -- industry. A convenient summary has been provided, compliments of Pierre-Joseph Proudhon.

To provide affordable, quality health care for all Americans
and reduce the growth in health care spending, and
for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled that the American people shall henceforth be:

Watched, inspected, spied upon, directed, law-driven, numbered, regulated, enrolled, indoctrinated, preached at, controlled, checked, estimated, valued, censured, commanded, by creatures who have neither the right nor the wisdom nor the virtue to do so. ... [A]t every operation, at every transaction noted, registered, counted, taxed, stamped, measured, numbered, assessed, licensed, authorized, admonished, prevented, forbidden, reformed, corrected, punished. ... [U]nder pretext of public utility, and in the name of the general interest, ... place[d] under contribution, drilled, fleeced, exploited, monopolized, extorted from, squeezed, hoaxed, robbed; then, at the slightest resistance, the first word of complaint, to be repressed, fined, vilified, harassed, hunted down, abused, clubbed, disarmed, bound, choked, imprisoned, judged, condemned, shot, deported, sacrificed, sold, betrayed; and to crown all, mocked, ridiculed, derided, outraged, dishonored.

All in favor say aye. The rest of you can go to hell.

Friday, October 30, 2009

TGIF: The Welfare State Corrupts Absolutely

Let’s begin at the beginning. Medical care is not a free good found in nature. Of course, no one really thinks it is. But that doesn’t keep most people from wanting to pretend otherwise, and the current institutional setting makes that possible. After a while, one forgets one is pretending. Yet medical care goes on being a collection of produced goods and services — subject to the laws of supply and demand, and requiring resources and labor that come with opportunity costs. Therein lies the problem.
The rest of TGIF is here.

Wednesday, October 21, 2009

Read It and Weep

Once again, NYU's Mario Rizzo at ThinkMarkets, a FEE summer seminar lecturer, exposes the sham democracy that is the welfare state. The latest example? The Senate Finance Committee health-insurance bill (pdf).

It is 1,502 pages long and it is in legislative language. If passed, it will affect our lives in important ways. Let me suggest that you all read it carefully and then let your senators know what you think.

Of course you won’t do that and neither will I. We are rationally ignorant and we shall remain that way.

Will the senators, not on the committee, read it? I doubt it. They will be too busy giving their opinions on selected portions. However, special interests will know about the particular provisions that affect them. As to the senators on the committee, staffers will give summaries. How much they understand or care about provisions that affect the general interests in contrast to the interests that elect them is unknown.

But why worry? As the bill states at the top, its purpose is "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes."

We're even told that "This Act may be cited as the 'America’s Healthy Future Act of 2009'."

What's the matter? You got a problem with that?

Monday, October 12, 2009

Insurance Companies Want a Mandate with Teeth

The health-insurance lobbyist complains that under the proposed healthcare overhaul the penalties on individuals who don't buy coverage would be too mild and would encourage people to wait until they are sick before buying a policy -- at which point they couldn't be turned down or charged more than healthy people.

That's right. The industry wants the government to force us to buy its product and to impose harsh penalties on those who refuse. The companies, which oddly are demonized by the "reform" crowd, are happy to accept all kinds of coverage rules in return for captive customers and guaranteed income.

If I may be so presumptuous as to edit Adam Smith:

People of the same trade seldom meet together with government officials, even for merriment and diversion, but the conversation ends in a conspiracy against the public, or in some contrivance to raise prices.

Wednesday, September 16, 2009

A Modest Health-Care Proposal

Enough dithering! President Obama says it’s time to act on health care. I agree.
Read the rest of my latest FFF op-ed here.

Friday, September 11, 2009

TGIF - ObamaCare: Status Quo on Steroids

Let’s begin by noting that the so-called health-insurance companies deserve little sympathy. As they exist today, they are very much creatures of the State. In fact, there’s a sense in which it can be said that if we didn’t have health-insurance companies, we wouldn’t need them.

Read the rest here.

Thursday, September 10, 2009

Forcing Insurance Companies to Cover Preexisting Conditions Is Immoral

The Christian Science Monitor today published my op-ed on the fundamental dishonesty of President Obama’s healthcare proposals. Read “Forcing insurance companies to cover preexisting conditions is immoral” here.

Wednesday, September 09, 2009

Obama Speech

Predictable crap. How many times does it have to be demolished?

It was nothing but theater. The objective was to get good reviews from the pundits. He was no less ambivalent about the "public option" than he has been, so the "Progressives" shouldn't be terribly happy.

But I am curious why all these employers are buying health plans for their employees that drop them when they get sick? What's up with that?

Friday, September 04, 2009

Health-Care “Reformers” Duck the Hard Questions

Advocates of what is called health-care “reform” must lack confidence in their case. Were they sure that more government control of medicine and medical insurance was a good thing, they would answer the opposing arguments rather than marginalize their adversaries as corrupt or crazy.
The rest of this week's op-ed is at FFF website.

Friday, August 21, 2009

Obama's Health-Insurance Cartel

President Obama and other advocates of nationalized health insurance have tried a variety of sales pitches, which indicates their difficulty in getting traction with the public. The latest is”competition and choice.” Who could be against those things? Barack Obama for one.

The rest of TGIF is here.

Thursday, August 20, 2009

"Now I Am Finally Scared of a White House Administration."

Nat Hentoff, who has valiantly defended civil liberties against all threats, declares, "Now I am finally scared of a White House administration," in his analysis of the Obama healthcare-takeover plan here. It is well worth reading.