Dr. Goodman’s article is a fantastic foray into the dark history organized medicine, culminating with a brutally honest assessment of the cartel that resulted. He gives a great preview of the good stuff in Greg Scandlen’s new book, Myth Busters: Why Health Reform Always Goes Awry, summarizing the oft-repeated myths we hear about healthcare economics thrown around like dogma.
A big part of the problem, as Cato’s Tanner pointed out earlier this year is that “Americans want widely contradictory things from health-care reform. They want the highest-quality care for everyone, with no wait, from the doctor of their choice. And they want it as cheap as possible, preferably for free.” Promising, as Sanders and Warren do, to give everybody high-quality health care without regard for ability to pay will always find an enthusiastic audience. But delivering on that promise is likely to give us not the illusion of Medicare for All, but rather its awful, unsustainable reality.
“While 55 percent of Americans say they want a single-payer/Medicaid-for-all plan, those in favor tend to change their minds when they hear that it means giving the government more control over health care, or that Americans would have to pay more in taxes.
That tracks with other polling on the issue. A May poll from the nonpartisan Public Policy Institute of California found support for single-payer state healthcare at 65 percent statewide, but that number dropped to 42 percent when respondents were told at least $50 billion in new taxes would be required to pay for it. That’s a pretty optimistic view of the taxes that would be required to pay for single-payer in California; the actual cost would be well over $100 billion annually.
Are you sure you want government-run health care? Many Americans don’t seem to understand the question. But once they do, the answer is “no.” “
Health “insurance” is NOT…INSURANCE. When everyone’s house is on fire at the same time we’re not talking about managing risk, we’re talking about a perpetually increasing spend.
Please listen to this insightful explanation by David Goldhill where he discusses this phenomenon and explains why Healthcare is not the economic Island that we made it out to be. Instead, much of what we believe and what we’ve done to healthcare, as far as economics and regulations, has made it an island unto itself. This is a huge part of the problem and one that has largely been self inflicted.
Is this a good deal? If you are a high-income individual with a lot more than $10,000 in the bank, this product may not be for you. But if you tend to live paycheck-to-paycheck and have trouble saving for medical expenses, insuring against your deductible may make more sense than trying to fund it with a savings account.
Health Matching Services is a very innovative firm, but it has to struggle with tax laws and regulatory regimes that look like they were designed with no thought at all. And of course, the ridiculously high deductibles offered by primary insurers are the perverse result of Obamacare.
In a rational world, the tax law would provide a level playing field for premium payments and deposits to medical savings accounts. Competition in a secondary insurance market would provide consumers with many choices. For example, some might prefer to self-insure for the first $3,000 and buy the kind of secondary insurance described above for the remaining $7,000 gap.
Who knows? But for the perverse incentives of Obamacare and other insurance regulations, primary insurers might offer these choices. A secondary market for health insurance might not even be necessary.