I was reading a Leftish blog the other day -- he'd love to be mentioned by name -- and the auteur was whinging about universal (mandatory) health care and how the Right just didn't get it, since after all, waaah, health care is already rationed based one's insurance and ability to pay or the lack thereof.
Suuuure, you're right -- just like houses and cars are "rationed." Just like food is "rationed." Or for that matter, like insurance is "rationed:" if you can pay for it, you can have it. (In the case of employer-provided health insurance, it's actually a part of your pay).
Here's the deal: just as you are not entitled to free food, free housing, a free car or even free potable water, you are not entitled to free health care; each of those things is the result of someone else's labor and if you claim it is yours by right, you are claiming a right to enslave the people who provide it to you. Some friend of the workin' man you are!
IMO, one of the things wrong with the high price of health care is the overhead involved; an awful lot of that appears to be CYA and direct costs involved in malpractice insurance, thanks in part to a quirk of our legal system that turns physicians, hospitals and related businesses into a sort of low-risk pinata filled with money. This game requires lawyers and by the most amazing coincidence, guess what profession is best represented in the United States Congress? --Don't look to them to fix this any time soon.
Another contribution to the overhead of doctoring: the record-keeping requirements of health insurers and governments. This tends to drive doctors into large groups, where staff costs can be shared; but the groups often become medical "factories," trading personal interaction for volume. If you think handing government control over them will change matters for the better, you've never spent time dealing with the IRS or your state BMV/DMV.
Health care is not a right. Neither is efficiency. That doesn't keep fools from trying to claim they are. Or from trying to take my money to commit acts they deem good against others. Funny how they never want to dig into their own pockets, isn't it?
Working On A Starship
1 month ago