One of the interesting side shows to this steaming pile of an election has been the crisis of Obamacare. Per The Week Obamacare needs a massive influx of federal cash:
This week, the White House dropped a news bomb by acknowledging insurance premiums on ObamaCare’s exchanges will rise 25 percent in 2017. Those escalating premiums are already driving away customers, leading some insurers to pack up and leave the exchanges. As a result, one in five Americans on the exchanges next year will be in markets where only one insurer is offering coverage.
Great. I am sure President Clinton will be fully competent to handle the situation between naps and weaseling out of federal crimes.
This program was designed by America’s best and brightest Government Geniuses. The idea was to a) control health insurance costs and b) insure more sickly people. Seeing as how those are competing goals they had their work cut out for them.
The fact that, contrary to what the Geniuses think, health insurance is one thing, and health care – operations and medicine – is a different thing, and the problem is compounded. Cheaper health insurance doesn’t do much good if you can’t get medicine or operations with it. Anyone who promises to insure all Americans is probably selling snake-oil.
Now, there is a way to bring down the cost of expensive goods to the point that poorer people can afford them: you can make more of them, and make them more cheaply. That is what has happened with every other commercial good over the course of the 20th century. I drive a cheap 2006 Toyota that is a much better car than the Cadillac my dad payed out the nose for when I was little. My little great-nephews have tablets that an Arab Oil sheikh could not have bought twenty years ago, that an IBM executive 30 years ago could not have imagined. Some of this dynamic does go on with medicine, there is substantial medical progress going on, but little cost control.
I suspect (from my peanut gallery) that the problem is that healthcare is a consumer good but we think of it as a human right. While there are good reasons for that, there are plenty of other things that are human rights – like food – that we treat as pure consumer goods. No one has thought to have a government food department or employer based, government sponsored food insurance, yet we manage to eat.
(Worse, we don’t act as if healthcare is a consumer good, or as a human right, but as if it is a racket.)
Conclusion: I have no idea. I don’t know how to manage systems that complex. Unlike our Government Geniuses, I can at least admit the fact.