I really don’t want to write about the healthcare bill, but I feel compelled. Disclaimer: I don’t have anything really insightful to say about it, nor am I an expert on the intricasies of the bill.
So here’s the thing. I watched my facebook page explode with status updates in response to the bill. I have some reactionary Republicans who are not happy, but they hate everything Obama does, so whatever. What I found more interesting is the reaction of the libertarian leaning folks (and I know a lot of them). There are actually different shades of libertarians. The people you probably think of when you hear “libertarian” are the craziest, because they are the most vocal.
They’re the ones yelling about socialism, and write your reps to tell them you oppose, and Glenn Beck is one of the worst. I don’t know when he decided someone died and left him the modern day messiah of the libertarian movement, but I know my Libertarian Message Board has had more than one thread dedicated to how much we want him to go away.
My internet-stranger-friend actually sums it up much better than me:
This reform bill really doesn’t do much. Mostly it’s a mish-mash of stuff that’s of the “mildly bad idea” variety. Tax on medical devices? That’s stupid, but not going to end the world. Making it harder to deduct medical expenses from your taxes? Again, completely counter-intuitive if the ostensible agenda is lowering health care costs. Same goes for extensions of medicare – but that’s already expensive and nonsensical, I mean, why give rich old people free health care? Forcing more money from the “evil pharma” companies who have the audacity to make life-saving and life-improving drugs and only ask that you, you know, pay for them? Stupid, but not the end of the world. Most of the rest of it will make your premiums go up, but since costing you money is all Washington is good at, that shouldn’t be much of a surprise. The mandate won’t do what they say it will, and I certainly can’t find it in the ennumerated powers of the Federal Government, but it also doesn’t go into effect for several years and that’s eternity in DC. The time inconsistency problem of government might strangle it in the crib. So calm the fuck down, it isn’t the end of the world. It certainly isn’t socialism, really. And if you think this is the last straw or should be cause for violent revolution, get out of the libertarian camp and go cheer for Team Red with the rest of Glenn Beck’s mouthbreathing fans.
The underlying problem (to me) is this sets yet another precedent for the government stepping in to “fix” things. This is nothing new, of course, but it’s basically been all downhill since the New Deal.
Whenever I say the government shouldn’t be in the business of providing healthcare, I am asked for a solution. My proposal is that we start with SEVERELY curbing the FDA (the drug approval process is expensive and lack of access to different types of drugs is (in part) what drives up the costs of drugs). Then we eliminate the malpractice insurance industry. And we’ll go from there.
I’m not super worried about this bill in terms of “stupid things the government has done” and the pre-existing conditions bit is a good change. But I guess my issue with the healthcare as a right argument/agenda is that training someone to become a doctor is still incredibly expensive, the research and design that goes into making a new drug is incredibly expensive (and also requires a huge amount of knowledge/education), and cutting edge equipment is incredibly expensive. And in the U.S., we do tend to have (and demand) the best of all three.
In the U.S., we have the option to demand the best. If we don’t like what one doctor says, we get a second opinion. We sue when things go wrong. We expect doctors on call when we need them and our drugs to work. We compare our system to Canada or the UK, and spout stats about being the only modern industrialized nation that doesn’t take care of it’s citizens healthcare.
But we treat medicine as a free market industry. Basic access to basic care is what it comes down to in the so-called enlightened nations, and we should have as much. But we shouldn’t pretend that it is a “right” to have unfetttered access to only the best, to demand such a high level of protection (in the form of drug regulation), and expect not to have to compensate the source or the provider.
Edited to add: I don’t remember if I made this clear elsewhere, but I don’t think the “reform” is going to save the average person (i.e., me and you, dear readers) any money. You’re always paying the government somehow.