Tag Archives: Health-care

When all else failed, Republicans will try conservative ideas

Jennifer Rubin over at Pajamas Media writes that the GOP has had enough with the Democrats’ big-spending socialist agenda, and they are ready to try something completely different: small government conservatism. Instead of just being the party of “NO”, the GOP intends to market a series of common sense conservative policies directly to Americans.

Rubin writes:

Minority Leader John Boehner has a new video out listing a number of Republican themes and promising a Republican alternative budget from reformer Rep. Paul Ryan. The themes are simple: lower taxes, restrain the growth of government, a market-based health care plan, domestic energy development, and ending bailout mania. Boehner’s video does not have many details, but its core message is clear: Republicans are tired of being the punching bag for an administration that wishes to paint itself as the only source of ideas capable of solving the country’s problems.

But I didn’t like John Boehner’s video as much as this one from Rep. Paul Ryan:

He can make the case in the House of Representatives:

And look, he can take on the leftist news media, too:

Fun! Rubin continues with some links to wonderful policy ideas:

Truth be told, for months, Republicans inside and outside of government have been throwing out ideas on how to revive the economy.  Americans for Tax Reform has ten ideas to help small business. Newt Gingrich has twelve ideas to promote job growth and recovery. And budget draftsman Paul Ryan has had “A Road Map for America’s Future” for some time. But the mainstream media is uninterested in reading through all of this, much of the conservative blogosphere is too invested in carping about the shortcomings of elected leaders and in fighting among themselves, and the president, of course, has made a habit of disparaging his opposition’s lack of creative ideas.

the task here is to capture the public’s dissatisfaction with the Democrats’ bailout and pork-laden approach to governance and remind voters that Republicans in fact do have ideas — ones that favor lower taxes and less spending.

As soon as I read this, I rushed over to the Cato Institute to see their take on Ryan’s plan, and I found an article by Michael D. Tanner.

He likes Ryan’s plan:

Health Care: Ryan would reform our employment-based insurance system by replacing the current tax exclusion for employer-provided insurance with a refundable tax credit of $2,500 for individuals, and $5,000 for families. This would encourage employers to take the money they currently spend providing health insurance and give it directly to workers, who could then use it to purchase competitive, personally owned insurance plans. That would be insurance that met their needs, not those of their bosses, and people wouldn’t lose it if they lost their jobs.

Ryan would also allow workers to shop for insurance across state lines. That would mean residents of states like New Jersey and New York, where regulation has made insurance too expensive for many people, could buy their insurance in states where it cost less. And increased competition would help bring insurance costs down for all of us.

Since I am a clean-living, never-married single guy, this would basically add a bunch of money to my take home pay. More money for donations to Reasonable Faith and the Discovery Institute! So far so good!

Tanner continues:

Social Security: Like Medicare, Social Security is hurtling toward insolvency. Rep. Ryan would preserve the program unchanged for current recipients and workers older than age 55, but he would allow younger workers to invest part of their Social Security taxes privately through personal accounts. Unlike the present system, workers would own the funds in their accounts, and when they died, they could pass any remaining funds on to their heirs.

Taxes: Rep. Ryan would radically simplify today’s hopelessly complex, cumbersome and bureaucratic tax code. He would give filers a choice: They could pay their taxes under existing law, or they could choose a new simplified code, with just two tax rates (10 percent on the first $100,000 for joint filers; $50,000 for individuals, and 25 percent above that).

Human Events has some more details on the tax policy:

The tax reform aspect of the bill is appealing, offering a simplified tax system that has only two rates and eliminates the alternative minimum tax (AMT) and the death tax. The bill also abolishes taxes on interest, capital gains and dividends among other aggressive tactics that will make a noticeable, long term change.

And this interesting quotation from Ryan:

“Our fate is not inevitable…we can change it,” he said. “I want to be the Paul Revere of fiscal policy in this country.”

Now, that two-tier tax plan was one of the reasons why I preferred for Fred Thompson in the primaries… but the rest of my party wanted style, instead of substance. You blithering toadies! Who cares how warm his belly is? He opposes taxes and abortion, you hamster-brains! Oh, well. There’s always 2012, where we can try to run Mark Sanford, Bobby Jindal or maybe even Michele Bachmann!

For more on Ryan’s plan, here is an article in the Wall Street Journaltat he wrote. (H/T Western Standard Shotgun Blog)

Walter Williams evaluates Sweden’s single-payer health care system

Walter Williams is my second favorite active economist, just behind Thomas Sowell. (I also like John Lott, Robert P. Murphy and Jennifer Roback Morse – see my blogroll for links) In a recent article, Williams takes a look at how well Sweden’s single-payer, socialized health-care system is working out for its customers. The productive Swedish taxpayer forks over a lot of money to the government. What do they get in return?

First, what is socialized medicine? (which we are moving toward, since porkulus passed)

  1. Producers pay huge amounts of taxes to the government .
  2. Low-achievers pay nothing, since they have no income.
  3. When you want treatment, you have to get in line behind everyone else – especially behind special interest groups, such as people wanting sex-changes.
  4. The taxation is compulsory, the treatment of patients is at the government’s discretion.

Williams begins his article by evaluating the UK’s National Health Service:

A recent study by David Green and Laura Casper, “Delay, Denial and Dilution,” written for the London-based Institute of Economic Affairs, concludes that the NHS health care services are just about the worst in the developed world. The head of the World Health Organization calculated that Britain has as many as 25,000 unnecessary cancer deaths a year because of under-provision of care. Twelve percent of specialists surveyed admitted refusing kidney dialysis to patients suffering from kidney failure because of limits on cash. Waiting lists for medical treatment have become so long that there are now “waiting lists” for the waiting list.

And then there’s Canada single-payer socialized system:

…after a Canadian has been referred to a specialist, the waiting list for gynecological surgery is four to 12 weeks, cataract removal 12 to 18 weeks, tonsillectomy three to 36 weeks and neurosurgery five to 30 weeks. Toronto-area hospitals, concerned about lawsuits, ask patients to sign a legal release accepting that while delays in treatment may jeopardize their health, they nevertheless hold the hospital blameless. Canadians have an option Britainers don’t: close proximity of American hospitals. In fact, the Canadian government spends over $1 billion each year for Canadians to receive medical treatment in our country.

The article cites Sven R. Larson, who recently completed the book “Lesson from Sweden’s Universal Health System: Tales from the Health-care Crypt,” published in the Journal of American Physicians and Surgeons (Spring 2008). The first thing about socialized health care is that you don’t pay for treatment like you shop at Wal-Mart. The government takes your money and makes sure that everyone is treated equally, regardless of each individual’s earned income and lifestyle choices.

Mr. D., a Gothenburg multiple sclerosis patient, was prescribed a new drug. His doctor’s request was denied because the drug was 33 percent more expensive than the older medicine. Mr. D. offered to pay for the medicine himself but was prevented from doing so. The bureaucrats said it would set a bad precedent and lead to unequal access to medicine.

When health care is free for consumers, demand increases. Doctors and drug companies stop producing since the government won’t let them make a profit. Since the government is the single-payer, then the only way to stop the shortage is to ration medical services, often based on leftist victim ideology. Socialists don’t trust you to make your own decisions about how you earn income or how you spend it.

Here’s a bit more from the article:

Malmo, with its 280,000 residents, is Sweden’s third-largest city. To see a physician, a patient must go to one of two local clinics before they can see a specialist. The clinics have security guards to keep patients from getting unruly as they wait hours to see a doctor. The guards also prevent new patients from entering the clinic when the waiting room is considered full. Uppsala, a city with 200,000 people, has only one specialist in mammography. Sweden’s National Cancer Foundation reports that in a few years most Swedish women will not have access to mammography.

Wow, that smacks of fascism! But that is where socialism inevitably leads. In Canada, you can’t even buy your own drugs and treatment, even if the government puts you on a waiting list (dying list?), or if it won’t pay for treatment at all. Private purchases of health care or medical drugs are illegal in Canada. (except for Quebec, oddly enough, because of a recent court decision).

The problem with a system in which low-risk producers pay for the services, but don’t use them while high-risk victims use the services, but don’t pay for them, is that there is no incentive for people to be healthy. As people act more and more recklessly, the government steps in and starts controlling their lives in order to reduce costs. Fascism.

Socialized medicine redistributes wealth in order to equalize the outcomes of good lifestyle choices and poor lifestyle choices. The more that lifestyles are equalized, the less personal responsibility there is among the citizens. Eventually, the government takes control of people’s lives to reduce costs. This article shows how it’s happening in Canada, as they try to ban trans fats:

A mammoth government program is a poor excuse for further encroachment on people’s lives–maybe fewer government entitlements would encourage smarter and healthier habits. If the ban is the sword of the nanny-state crusader, surely the health-care system represents his shield.

Freedom means deciding how much security to want, based on your own free choices and the risks you assume.

A useful podcast on health care and government, featuring Sally C. Pipes on the Dennis Prager show is here. For a good explanation of supply, demand and shortages, see this Von Mises Institute article.

UPDATE: Saw this UK Telegraph story on a single NHS hospital (H/T Stop the ACLU):

NHS managers were yesterday accused of putting targets and cost-cutting ahead of patients as a report into at Mid-Staffordshire Hospitals trust found up to 1,200 people may have died needlessly due to “appalling standards of care” at a single hospital.

…Last night patient groups voiced concern that managers who should have spotted failings at the trust but did not raise the alarm have been promoted to key jobs in the NHS and health care regulation.

…The investigation into care between 2005 and 2008 found overstretched and poorly trained nurses who turned off equipment because they did not know how to work it, newly qualified doctors left to care for patients recovering from surgery at night, patients left for hours in soiled bedclothes and reception staff expected to judge the seriousness of the condition of patients arriving at Accident and Emergency.

Doctors were diverted from seriously ill patients to treat ones with minor problems to make the trust look better because it was in danger of breaching the Government’s four-hour waiting time target.

LAT: Conscience rule on abortions may be overturned

Los Angeles Times story is here.

Reporting from Washington — Taking another step into the abortion debate, the Obama administration today will move to rescind a controversial rule that allows healthcare workers to deny abortion counseling or other family planning services if doing so would violate their moral beliefs, according to administration officials.

And a bit more:

Last month without official ceremony, Obama overturned a controversial ban on U.S. funding for international aid groups that provide abortion services.

The move by the Department of Health and Human Services to throw out the conscience rule is being made equally quietly as most of Washington focuses on the president’s blockbuster budget plan.

UPDATE: The Achoress adds:

If we are going to be a nation that supports the “freedom to choose,” then it seems to me that has to go both ways. Professional health workers should be “free to choose” whether or not they will participate in what they find to be morally objectionable.

Freedom that is only one-sided i.e., “she is free to have a late term, partial-birth abortion and you are not free to refuse her request” or “she is free to demand this contraception and you are not free to refuse to fill that prescription,” is not really freedom.

It is enslavement. Dress it up any way you want. If the government is forcing you to do what your conscience tells you not to, under threats to your freedom, your purse or your livelihood, then you are not free.