Archive for the ‘health’ Category

Paul Ryan sets the record straight

Sunday, February 28th, 2010

Rep. Paul Ryan (R-WI) was on Fox News Sunday this morning. This is a “must watch” interview. Ryan is the ranking Republican on the House Budget committee — a very well deserved position for this articulate, intelligent, young, and quite reasonable Representative. He explains the various GOP health care proposals and how the massive 2400 page Democratic socialist plan to takeover health care in this country is full of double counting TTTrillions of dollars sure to drive us further into debt.

(The transcript is also available here.)

Good Health Care Reform Article

Thursday, September 17th, 2009

One of the best I’ve seen so far in the current issue of Atlantic Monthly. (Yes, I now subscribe to Atlantic Monthly again — they made an offer I couldn’t refuse). It’s available free online in its entirety.

The essential points are:

1. There’s a difference between “health”, “health care”, and “health insurance”. One is your state of being that’s affected by many things — job, housing, family, goal attainment, etc.; one is the actual methods of keeping you healthy, mainly medically; and the other is one of many methods to pay for health care.

2. None of the reforms really address the core issue — reliance on employer (or government) provided insurance to pay for almost every medical procedure. Therefore, the patient is not the actual consumer, so normal market forces cannot apply in driving down costs while increasing value, quality, and access. Medical insurance should only be used for truly catastrophic ($50,000+ / year) events.

A simple analogy — when I got new windows in my house, I paid for it, not my homeowner’s insurance. And even if my homeowner’s insurance covered new windows, it would be due to a catastrophe — a tornado, for example. And, my employer would have 0 to do with it.

Also, I just got new brakes on my car. Again, I paid for it, not my auto insurance. And even if my auto insurance paid for it, it would be due to a catastrophe — an accident. And, again, my employer would have nothing to do with it.

I don’t agree with all the solutions proposed — having federal government involvement in providing the catastrophic insurance is ripe for tinkering and abuse and we’re just as likely to end up worse off than we are now. Also, mandating insurance is neither constitutional nor desired from a market-oriented approach. Even with those caveats on part of the proposed solution, this article is one of the best I’ve seen on this debate so far.

http://www.theatlantic.com/doc/200909/health-care

The Upcoming Health Care Debate

Friday, December 5th, 2008

Pres.-elect Obama is already mobilizing the masses on health care reform using the array of technology tools he used during the campaign.

The health-care mobilization taking shape before Obama even takes office will include online videos, blogs and e-mail alerts as well as traditional public forums. Already, several thousand people have posted comments on health on the Obama transition Web site.

National Review offers some Essential Reading On The Health Care Debate:

As the debate unfolds in Congress next year, you can expect incessant references to reforms already underway in Massachusetts, Indiana, Florida, and elsewhere. Policymakers will want to ground their proposals in recent state-level experience to reduce public apprehension and political opposition.

Obama, most Democrats, several large insurance and health-care companies, and some Republicans and conservatives will point to the Massachusetts model. It combines a government-managed supermarket for health plans, called a connector, with sliding-scale subsidies based on household income, mandates on businesses and individuals to “play or pay,” and a new state-run health plan for middle-income people to “compete” with private offerings. Their adversaries in the debate — most Republicans and conservatives, plus a few moderate-to-conservative Democrats and some parts of the health-care industry — will point to Indiana, which is using a savings-based plan to reduce the ranks of the uninsured, and Florida, which is trying to introduce consumer choice and incentives into Medicaid.

The NRO article has links to more indepth articles on each approach.

This is from a previous post from about a year ago, but it’s worth repeating here:

I don’t like how liberals have co-opted the term “universal health care”. What they really mean is a government run and government paid socialist utopian health care system. I support health care for everyone — it’s the just thing to do. I just don’t want socialists running it.

Decouple employment from health insurance

Most people get their health insurance from their employer? Why? There are 2 reasons:

1. Employer-provided plans become popular in the 1950’s due to the efforts of industrial-age labor unions.

2. The current tax code perpetuates this status quo by giving employers a tax break not available to individuals for their health insurance.

Let’s level the playing field and see what happens. Let individuals (or private groups of individuals) be treated equally under the tax code as businesses.

Try thinking about this another way. Alcatraz prisoners were told:

“You are entitled to food, clothing, shelter, and medical attention. Anything else you get is a privilege.”

Rule #5, Alcatraz Prison Rules and Regulations - 1934

Do employees get food from their employer?

Generally No, they get money to spend as they please.

Do employees get clothing from their employer?

Generally No, they get money to spend as they please.

Do employees get shelter from their employer?

Generally No, they get money to spend as they please.

So why is it an employer’s responsibility to provide medical coverage? It’s an outdated system that’s only perpetuated by outdated thinking in our tax code. If we leave things the way they are, more people will be without insurance and proper heath care.

What else can we do?

The ideas are too numerous to list here, but check out American SolutionsReal Change, the Center for Health Transformation, and the book Comeback.

Ed. Note: The American Solutions link on the original post no longer works. But since it’s essentially one of Newt’s sites, I added the link to Newt’s book instead (which I’ve read and enjoyed quite a bit).


UPDATE — Heritage has a nice article: Lessons from the States on the Costs of Universal Health Care