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The authors point is, free-market or not, the system doesn't produce the same results when compared with many other systems, which are accused of being less fre
by bokonist 17y ago
The authors point is, free-market or not, the system doesn't produce the same results when compared with many other systems, which are accused of being less free-market.
If people accuse other systems of being less free-market, and those systems are actually more free market, it simply shows that the accusers are either idiots or lying or both. It does not prove that a free-market is a bad idea.
Nor is there some linear continuum between socialism and free markets. Imagine you have two financial systems, one a complete free market, the other covered in a web of regulations. The free market one might be considerably better. But let's then say that one single regulation gets introduced: "Banks that fail get bailed out". With that single regulation, the system is now infinitely bad, much worse than the highly regulated system.
What matters most is the particular details of a system, along with its implementation and its management.
The real reason that the U.S. system so bad is that our political system is so completely dysfunctional.
I could describe a half-dozen plans that on paper would be perfectly acceptable to you and lionhearted, to conservatives and liberals. But none of these plans will happen. Neither will the liberals' dream, European-like plan happen. The actually plan winding its way through Congress is a continuation of the same problems. By funneling more money away from the American people into the pockets of the various factional interests in the healthcare industry, it will most likely make things much worse.
- netsp 17y agoLet me get this right: Your position is that it is impossible to change this industry no matter what because of a deeply flawed political process unique to the US.
- bokonist 17y agoBasically.
- netsp 17y agono matter how bad it gets?
- bokonist 17y agoMy crystal ball only goes so far out. But in the next five or ten years, I'd be quite surprised if Congress passes a plan that produces a very significant positive impact. The core problem is that any policy that actually improves healthcare will by definition result in far lower healthcare spending. That means lots of doctors, nurses, insurance companies, etc will lose money and jobs. In a Congressional system, determined, concentrated factions will always beat the public as a whole. Very few people will vote out their own Congressman if healthcare reform fails. But if it succeeds, and results in cutting healthcare spending, then many nurses and doctors will switch their vote and stop donating money. Read "Government's End" by Jon Rauch. I interned on Capitol Hill, and his take on the problem is one of the most accurate - http://www.amazon.com/Governments-End-Jon-Rauch/dp/1891620495 http://www.amazon.com/Governments-End-Jon-Rauch/dp/189162049...