Health Care
The history of American health care is exceptional, and not in a positive way. Every other developed nation has a cradle to the grave universal health care system. Several presidents attempted to provide universal healthcare, but every attempt was defeated by industry and conservative opposition. Several significant gains were made over the years: Medicare provided access to coverage for the elderly, Medicaid for the very poor, SCHIP for children, and COBRA for the previously insured unemployed. But it wasn’t until 2010 that a universal health care bill, the Affordable Care Act, was finally signed into law by President Barack Obama.
Commentary
Cry Wolf Quotes
We believe that the experience of the last few years teaches that in addressing problems of health care financing we should try at all costs to avoid the establishment of new Federal or State bureaucracies and regulatory regimes. We, further, should avoid the creation of new Government entitlement programs, the addition of new financial burdens on the Federal Health care budget, or the distortion of the marketplace by eliminating choice or reducing competition in health care.
The most devastating indictment of the president’s proposal is that it threatens to destroy virtually everything about American health care that’s worth preserving. Under the plan’s layers of regulation and oversight, even seeing a doctor whenever you like will be no easy matter: access to physicians will be carefully regulated by gatekeepers; referrals to specialists will be strongly discouraged; second opinions will be almost unheard of; and the availability of new drugs will be limited.
[The stimulus bill funds] a bureaucratic structure for the government to begin rationing the health care of the American people. They can then lead a national, populist, grassroots movement to force Congress to pass the bill, and President Obama to sign it, educating the public along way about the intractable problems of socialized medicine.
As we devise legislation of this kind, my observation through the years has been that we tend to work at the Federal end of the chain. We will put the money in the Federal end, and it’s almost always on the assumption that the party at the very other end gets his full cost. If there ever was a circumstance under which you wanted the various parties and participants to share, this is the circumstance. I would again come back to fostering and leaving opportunities open for encouraging initiatives on the part of the insurance underwriters, providers, and communities to share in the cost of this problem. Don’t make it so easy. Don’t just give 100 percent Federal money. Somebody has got to start giving on the chain.
Related Laws and Rules
Backgrounders & Briefs
Marine Hospitals in the 18th Century
The Marine Hospital Act of 1798 was the federal government’s first foray into public medicine. The arguments against the policy sound awfully familiar.
The Work, Family and Equity Index: How Does the United States Measure Up?
The Project on Global Working Families is a study that measures worldwide social safety nets.
Resources
Center for Economic and Policy Research (CEPR) is a progressive think tank that concentrates on social and economic policy, both domestic and international.
University of California-Berkeley Labor Center carries out research on labor and workplace-related issues.
Yale’s Rudd Center for Food Policy and Obesity is a think tank devoted to food policy in the United States.
Institute for Women’s Policy Research is a prominent think tank that is largely focused on American women's issues. This covers everything from pay equity to welfare reform to domestic violence.
