[lbo-talk] Healthcare Follies

Max B. Sawicky sawicky at verizon.net
Sun Jul 6 11:04:50 PDT 2008


I would bet that there is less bureaucracy and paperwork in HMOs, relative to fee for service, but I'm just guessing. But the main issue there is rationing for profit. By contrast, a socialist system would ration by we hope social criteria, but rationing there would be. You might want to distinguish real socialized medicine (government provision with tax finance) from welfare state schemes like single-payer.

The biggest oversight is your neglect of insurance, as opposed to care.

There is an information problem in selecting insurance, as well as in selecting care/providers.

More important, however, is that insurance requires an open-ended commitment from the insuror -- over and above some limit in terms of your out of pocket/copays/coinsurance, they have to be on the hook. Otherwise it isn't insurance. Once they are on the hook, there is no spending constraint on providers and patients. The system must be near-universal, and even if it is, spending will grow rapidly, there will be a lot of unnecessary care, and it will increasingly burden the public sector.

Arguing against the free market position is pretty simple, IMO. With individual insurance, anybody who needs care will not be able to afford insurance.

Michael Perelman wrote:
> I am getting ready to leave for my final summer trip to Las Vegas, where it will be
> appearing with a host of conservative luminaries, such as Ron Paul, Bob Barr, Steve
> Forbes, Christopher Hitchens, and Dinesh D'Souza. I will be in two debates
> beginning next Thursday. David Himmelstein and I will be debating single-payer with
> John Mackey, the head of Whole Foods and John Goodman, the man who invented health
> savings accounts. Here is what I whipped up today. I would very much appreciate
> any comments.
> http://michaelperelman.wordpress.com/2008/07/05/healthcare-follies
>
> The second debate will concern the nature of freedom. There, I will be debating
> John Mackey again and two others whom I do not know. I will call for help again on
> that one is in his I get something prepared. Here is the website for the
> conference.
>
> http://freedomfest.com/
> --
> Michael Perelman Economics Department California State University Chico, CA 95929
>
> Tel. 530-898-5321
> E-Mail michael at ecst.csuchico.edu
> michaelperelman.wordpress.com
> --
> ___________________________________
> http://mailman.lbo-talk.org/mailman/listinfo/lbo-talk
>
>



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