Friday, August 23, 2013

The Healthcare Elephants

The Healthcare wars are heating up again as Obamacare costs start to sink in. By now the battle lines are drawn, and no one is going to change his or her mind until Obamacare either works or shows that is it a flaming pile of poo. But why does the debate have to be so rancorous? Why do we shout at each other? What are we missing in this debate?

The elephants in the room are (1) "Is healthcare a right?", similar to "is housing a right?" If you think it is, you'll never be happy until a government-run single-payer system is in place. If not, you want a chance for the market to provide what people want. Both have big problems. Single-payer inevitably leads to shortages or what some call "death panels" - the rationing of expensive treatments that society cannot afford for all. On the other side, the market has serious issues dealing with genetics, pre-existing conditions, and ageism.

(2) What role does freedom play in the healthcare wars? Can I be free to ignore my future and my retirement income, bungee jump, snort drugs, live on skid row, or have unprotected sex if I want? If you say yes, then logic takes you quickly to the point where you can't really tell people to take care of their health or require the government to insure them. If you say no, you logically conclude that "the Public Good" gives government the mandate to compel you to lose weight, stop taking drugs, stop drinking large sugary drinks, etc.

Me? I want to be free to live my life the way I see fit. I want to earn and save money to buy things I want, including a health maintenance contract (some call it "insurance") similar to an extended mileage warranty for a car. I want to be free to choose how much I spend on that contract based on its perceived value to me and what other things I want to do with my money, like buy a house. I view this contract that I can purchase as a "luxury good" as defined by economists.

To take the other side leads logically and inevitably to socialism. I am not a socialist. I am an American, born and bred in the land of the free, free to choose how I live my life.