Health Care: IBD recently ran
an extensive series of pieces by economist Thomas Sowell highlighting
government's involvement in the financial meltdown. We did it both to correct
the historical record and to warn about future interventions of the same kind.
The most important warning is over current plans by Democrats in Congress and
the White House to "reform" the U.S. health care system in a way that will end
up hamstringing private insurers, bankrupting doctors and adding trillions of
dollars to U.S. debt — while not improving health care in America one jot.
As the sagacious Sowell has noted many times and in many places, government
action such as taking over 17% of our $14 trillion economy may sound like a
good idea — and may even have the best of intentions — but is in fact
dangerous to our health. Literally.
And when, would we add, has government ever taken on a large domestic
program that has worked well or stayed within its budget? Medicare, when
considered in the mid-1960s, was projected to cost $10 billion by 1990. Actual
outlays 25 years later came to $107 billion. And now Democrats want to expand
it.
Entire books have been written debunking the idea of government-run health
care. The idea of an overhaul is wildly unpopular among Americans, especially
once they find out what's contained in the "reforms" Congress wants.
The latest polls show strong opposition to government-run health care. And
it's growing. Just Thursday, a CNN survey showed 61% of Americans oppose the
idea. Other major polls — Gallup, Rasmussen, you name it — show similar
opposition.
The latest IBD/TIPP Poll, taken in early December, suggests it's affecting
President Obama's ability to govern, with 47% giving him a poor grade on
health care.
And yet, the clock is ticking. Democrats would dearly love to get a bill
passed before the end of the year to show that theirs is not a do-nothing
Congress. Last Wednesday's action by the Senate to move forward with Majority
Leader Harry Reid's "compromise," as it's deceptively called, takes Congress a
step closer to its goal.
But make no mistake: The health care bill making its way through the House
and Senate, if passed, is a disaster in the making, one that will have
enormous ramifications for our basic freedoms and standard of living. Among
the reasons:
• They don't begin to cover everyone. The
latest leaves 24 million of the 47 million uninsured uncovered by 2019, well
after the program starts, according to the Congressional Budget Office. Still,
trillions will be spent to take over 17% of our economy and pad the deficit by
hundreds of billions a year. The CBO further estimates 10 million will lose
their private insurance. By forcing millions of Americans into government run
health plans, it will ultimately lead to a single-payer health care system.
• Medical costs will soar. Estimates range
from $1 trillion to $6.25 trillion, thanks to mandates requiring you to buy
insurance. Even a pared-down version would add $290 billion to the yearly
deficit, CBO data show. The real budget-buster is letting 3 million Americans
ages 55 to 64 buy in to Medicare, an expansion of nearly 30%. Medicare is
already, by government and private estimates, as much as $100 trillion in the
red in coming decades.
• Taxes will also go up. The proposed overhaul
contains at last count 13 tax hikes. Democrats talk about "free" health care.
In fact, as numbers from the Joint Tax Committee show, 17.8 million of us will
pay lower taxes, while nearly four times as many — 68.4 million — will pay
higher taxes.
"A family of four making $54,000 would pay more than $825 per month for one
federally managed plan...even after a $10,100 government subsidy," wrote
Daniel Foster on NationalReview.com.
• Bureaucracy will explode. At last tally, the overhaul
would create 108 new bureaucracies, ranging from an Interagency Pain Research
Coordinating Committee to our favorite, the Program of Administrative
Simplification. Thousands of new government workers will be needed — but think
Post Office, not Mayo Clinic.
• Health outcomes will worsen. The biggest lie
about government care is that it will make us healthier. Yet, a 2008 study by
the British medical journal Lancet shows government-run health care systems in
Germany, France, Britain and Canada have higher rates of death from breast,
prostate and colon cancer than the U.S. — due largely to substandard
government care.
Americans have greater access to MRI, tomography and other sophisticated
diagnostics — and more lifesaving drugs. The waiting list for surgery and
other treatment runs to 800,000 people in Canada and 200,000 in Britain, notes
health care analyst Sally Pipes. Thousands die each year from lack of care in
Europe and Canada. The U.S. has virtually no waiting lists.
• Reform as envisioned is unconstitutional.
Proponents love to cite the Constitution's Commerce Clause as justification
for government control of nearly everything. Unfortunately, the Supreme Court
has never said that's the case — and isn't likely to.
Also, the U.S. government has never forced citizens to buy something —
which is exactly what health reform would do. As the CBO noted: "A mandate
requiring all individuals to purchase health insurance would be an
unprecedented form of federal action." It won't pass high-court scrutiny, nor
should it.
The final argument, that the "general welfare" clause of the Constitution's
Article 1, Section 8, permits programs such as this, is based on a
misunderstanding. That clause deals with the government's right and obligation
to take care of its own finances. It has nothing to do with "welfare" as
commonly construed.
In short, the health care overhaul pushed by the Senate, House and White
House are not only massively bureaucratic, fiscally irresponsible and possibly
dangerous to your health — they also aren't legal.
We started with Thomas Sowell, so why not end with him? Last year, in the
middle of the health care debate, he wrote:
"The point is that health care is largely in your hands. Medical care is in
the hands of doctors. Things that depend on what doctors do — cancer survival
rates, for example — are already better here than in countries with
government-run medical systems. But, if political rhetoric prevails, we may
yet sell our birthright and not even get the mess of pottage."
Truer words were never spoken.