PDA

View Full Version : Daniel McCarthy: Right-Wing Obamacare



Winehole23
03-22-2010, 05:01 PM
Right-Wing Obamacare (http://www.amconmag.com/blog/2010/03/21/right-wing-obamacare/)

Posted on March 21st, 2010 by Daniel McCarthy

(http://digg.com/)
Whether it’s called Obamacare (http://www.washingtonpost.com/wp-dyn/content/article/2010/03/21/AR2010032101637.html) or Romneycare (http://spectator.org/archives/2010/03/17/the-masscare-massacre), and whether it’s right-wing or left-wing, the further cartelization of the healthcare system is a very bad idea. In exchange for extending coverage to high-risk individuals, the insurance industry is promised guaranteed profits from a consumer base — that is, people like you and me — that is legally compelled to purchase its product. As with any massively centralized compulsory system, no one can know how it will all work out: perhaps the insurance companies really will lose money in the end. But as we move further away from a free market, the usual kinds of competitive pressures that keep costs down and quality high will be further attenuated; the only sure losers here are the consumers.


Although it doesn’t matter whether a bad idea is right-wing or left-wing, it might as well be pointed out that Obamacare has a great deal in common not only with what Mitt Romney did in Massachusetts but also with what George W. Bush wanted to do with the Social Security system (http://mises.org/daily/1836). Remember how Social Security “privatization” was supposed to work: it was not a just chance to opt our of a federal Ponzi scheme that transfers wealth from the young and poor to the old and affluent — which is what Social Security does — but rather Bush’s plan offered as the alternative to having all of your payroll taxes go to Social Security the prospect of having a small percentage of those taxes go into a “private” (but of course, government-approved) retirement fund. In short, it was a choice between an old-fashioned wealth transfer and a newfangled forced-savings scheme (http://econlog.econlib.org/archives/2004/10/forced_savings.html), one that would have involved the same cartelization risks as Obamacare does.


Just as Obama and the Democratic Congress are forcing Americans to buy insurance, Bush and the Republican Congress were going to force people to buy into retirement funds if they partly exited Social Security. No wonder, then, that the GOP has put up such feeble resistance (http://www.amconmag.com/article/2010/jan/01/00027/) against the individual health-insurance mandate: for 20-odd years the putatively free-market Right has wanted the federal government to compel individual citizens to buy another kind of product. The roots of Obamacare are not to be found among Marx, Lenin, or the European Left, but with Bismarck, Milton Friedman, and the state-capitalist Right (http://www.washingtonpost.com/wp-dyn/content/article/2010/03/21/AR2010032101637.html):

The Chicago boys’ proudest achievement is Chile’s privatized pension system. Its main architect was José Piñera, now a scholar at the Cato Institute. Before the Pinochet regime, Piñera recalls, only workers in government industries, public servants, and the military had pensions. Pinochet—like Otto von Bismarck before him—decided that all citizens should have pensions, and so in 1981 then–labor minister Piñera created a sophisticated system that gave Chileans the choice between a state or a private pension. The state deducts a compulsory 10 percent from each worker’s wages—or as much as 20 percent, if the worker requests it—which he can invest in either the public or the private system. Nearly everyone picks the private pensions, which are managed by six private investment companies, each offering a mix of safer and riskier investments; the Chilean state also regulates these companies and their investments.
Movement conservatives and beltway libertarians have lauded the Chilean retirement system for decades. What can they do when a Democratic administration applies the same principles to another field, healthcare? They can hardly say that what’s good for retirement savings is not good for health insurance, nor that one is a necessity and the other a luxury. Cartelization and corporatism are the philosophy and program of our right-wing policy wonks no less than of our left-wing “Obamunists.”

Marcus Bryant
03-22-2010, 06:08 PM
Read this last night. Best summation and exposition on the true nature of the national political spectrum I've seen in a while. In many respects this national plan is a continuation of "RomneyCare" and Bush's Medicare drugs benefit at the national level.

Capt Bringdown
03-22-2010, 08:27 PM
It's a similar if not exactly same pattern we saw in the bank bailouts: the players and interests who are the root cause and instigators of the problems suffer no consequences. Oh no, in fact, they are handsomely rewarded and their power and monopoly reinforced.

It all adds up to massive wealth transfer to those already at the the top and more burden placed on the back of the american worker. Capital is waging a ruthless class war, what else is new?

Ignignokt
03-22-2010, 09:19 PM
We Won!

Winehole23
03-22-2010, 09:31 PM
Yeah. I thought I'd celebrate by posting an article that talks about cartelization, and compares GWB's Social Security reform to Obamacare, Romneycare and to the policy of Otto Bismarck in siglo XIX.

Winehole23
03-22-2010, 10:29 PM
Too in your face, gtown?

DMX7
03-22-2010, 10:35 PM
Congrats!!! :toast

Winehole23
04-13-2012, 11:07 AM
RomneyCare at six:


For example: No other state spends as much of its budget on health care as Massachusetts. And health costs in the state are growing significantly faster than the economy as a whole—to the point where they threaten to crowd out much of the rest of the state’s budget. And RomneyCare isn’t exactly making things easier.

As Zirui Song and Bruce Landon report in The New England Journal of Medicine (http://www.nejm.org/doi/full/10.1056/NEJMp1201261?query=featured_home&#t=article), despite years of political energy directed at cost control, health spending in the Bay State remains a serious concern. In 2009, for example, the state spent $61 billion on care. In 2012, more than 54 percent (http://www.nejm.org/doi/full/10.1056/NEJMp1201261?query=featured_home&#t=article) of the state government’s budget will be devoted to health care, the highest in the nation. The majority of that spending is on the expanded insurance coverage called for by RomneyCare. Other states have big Medicaid bills, but Massachusetts also pays for the same sort of middle-class insurance subsidies that ObamaCare is slated to begin offering nationally in 2014. The price of coverage paid by individuals is going up too. As Song and Landon note, “For individuals, monthly premiums for a minimal (“bronze”) plan purchased through the Commonwealth Choice connector (the state insurance exchange) increased from about $175 in 2007 to $275 in 2012 (a 57% increase), despite slowed growth in overall health care spending since the start of the recession in 2008.”


President Obama has obvious political reasons for tying his own law to the state version signed by his opponent: It helps neutralize Romney’s increasingly frantic criticism of one of Obama’s least popular legislative achievements. But it also connects ObamaCare, which the president has struggled to portray as fiscally responsible, to the mounting fiscal troubles surrounding RomneyCare, Obama's model. The troubles Massachusetts is already having with RomneyCare are the same troubles that America can expect to have with ObamaCare down the road.


If anything, the national fiscal issues may be worse. For one thing, Massachusetts was able to pay for a big part of its overhaul with an influx of specially granted federal dollars through a Medicaid waiver. Washington cannot turn to any larger, outside political body for cash (unless one counts borrowing from fellow nations). For another thing, coverage rates in Massachusetts were already unusually high relative to the rest of the United States. This is important because the growing costs of RomneyCare are primarily the result of the growing cost of expanded coverage. Relatively speaking, the Bay State’s increase in coverage was actually quite modest. That will not be true nationally—which means the costs could be far greater.


Song and Landon suggest that Massachusetts will be the state to watch to see which cost-control efforts work. I suspect it will be more the other way around: We’ll watch RomneyCare to see what doesn’t work—and as a preview of the problems we can expect nationally. To a large extent, we already are. As the NEJM authors write: “One lesson is already resoundingly clear: the growth of health care spending threatens the sustainability of every other public service, from education, to public health, to infrastructure, to defense. Indeed, health care spending is the most important determinant of our growing national debt.”


So happy birthday, RomneyCare. And ObamaCare, take note: This is what you’ll look like soon.
http://reason.com/blog/2012/04/12/happy-birthday-romneycare-youre-growing