Watch
out for politicians promising us new 'rights'
By Vin Suprynowicz
June 26, 2001 - Even liberal Michael Kinsley, formerly of
the New Republic and now editor of "Slate,"
expresses astonishment at the way the Republican Party --
onetime purported champion of limited government -- is
going along with the heavy-handed notion of a
"Patients' Bill of Rights."
"Republican complaints about the Democratic bill are
limited to the issue of lawsuits. It's hilarious -- and, I
suppose, inspiring -- that no major Republican is out
there saying, 'No. This violates my most basic free-market
principles. Insurers should be free to offer any deal they
want and consumers should be free to take it or leave it,'
" Mr. Kinsley writes in his weekly column for The
Washington Post.
Mr. Kinsley also correctly diagnoses the sleight-of-hand
now at work in disguising the true costs of this newest
layer of government meddling, and who will pay them:
"Nobody denies that the cost of these new benefits
will ultimately hit the beneficiaries in the form of
higher insurance premiums.
But nobody who supports the bill plays this up,
either."
In fact, what we are seeing in this (really extremely
limited) debate over a new form of government meddling in
the health care industry is just another demonstration of
von Mises' Law. The celebrated Austrian economist figured
out decades ago that government interventions in the free
market only trigger strings of unintended consequences,
which inevitably lead for
calls for new government interventions to fix the problems
caused by the initial government meddling ... et
cetera ad infinitum.
During and immediately after the Second World War, the
United States government froze most wages in this country,
supposedly as a measure to limit war
"profiteering." (This from the government that
appropriated the design for the Jeep from those who
invented it, let the Jeep contracts to well-heeled
corporate campaign donors, and allowed the firm whose
engineers invented the Jeep to build ... little trailers
to be pulled behind the Jeeps.)
In fact, of course, trying to halt employers from bidding
competitively for the most desirable employees is like
passing an ordinance that makes it illegal for bricks or
other dangerous objects to fall from great heights.
American employers simply lured away the employees they
wanted by offering them an additional value the government
had forgotten to freeze -- health benefits.
Thus were health benefits inextricably bound up with the
American workplace, where previously Americans had paid
for their own doctors visits out of pocket -- or gathered
together in fraternal organizations to contract with
provider physicians, a strategy which the American Medical
Association long and vehemently decried.
So now, congressmen score political points by shouting
that they're shocked -- shocked! -- to learn that
Americans can lose their health coverage when they lose or
change their jobs, insisting that something be done.
That something turned out to be the Health Maintenance
Organization, of course, a business enterprise with which
no one is actually obliged to contract, but which will
generally insert in its contracts (in order to hold down
costs) a method for resolving disputes over "refusals
to provide coverage" other than going to court.
What? Expect sick people to be bound by some
"contract"?! So here comes Congress again,
riding to the rescue, attempting to dictate whether and
when such contracts should be binding, and when patients
should be allowed to go play the lawsuit lottery ... no
matter what so-called "contract" they've signed.
A better solution, of course, might be to allow health
care consumers to form negotiating units based on
something other than the workplace -- buying their health
care with the strength of numbers provided by the Elks,
perhaps, or the Moose, or the Odd Fellows or the
International Order of Foresters.
Oh wait, that's the way it used to be done 90 years ago,
before the AMA went to the government and lobbied against
such "pre-paid health care," insisting that the
only route to quality was "fee-for-service."
Isn't it?
Government will never repair its meddling in the health
care field with more meddling. The problems will only be
solved by collapsing the whole charade, like the riggers
dropping a circus tent after the last performance of the
night.
Let the doctors charge cash, if they want, offering stout
discounts for patients "who don't make us bother with
insurance companies." Let them prescribe whatever
drugs they want, instead of maltreating chronic pain based
on the perverse and fantastical premise that "We're
going to pretend mankind has never discovered the
opiates." Let insurers compete in a free
market, offering as much or little coverage as they like.
Government's only role should be to prosecute outright
chicanery and fraud.
Food is necessary for health and survival, too. Are
Americans starving because Congress isn't rushing to pile
more regulations on our "Nutrition Maintenance
Organizations?" Or do all us "amateurs"
just pick a free-market supermarket of our choice, and get
along just fine?
Vin
Suprynowicz is assistant editorial page editor of the Las
Vegas Review-Journal.
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