“The true purpose of the Affordable Care Act is to destroy private insurance companies and make single-payer unavoidable.” – Chief Obamacare architect Dr. Ezekiel Emanuel
“We must defeat them (giant health insurance lobbies) together. That means: Joining every other major country on Earth and guaranteeing health care to all people as a right, not a privilege, through a Medicare-for-all, single-payer program.” – Berniesanders.com
“The Democrats believe that the only solution to a failed government program is another government program.” Andrew Wilkow, Patriot XM Radio.
One of the key issues on the 2020 agenda is Health Care. As Bernie Sanders and other Democrat candidates are stating, a single-payer system is seen as the cure. This “Medicare-for-all” solution to the health care crisis, so-called, is actually the antithesis of what is needed. The same progressive mentality that gave us the current system under the Affordable Care Act, a system acknowledged by its own designers as one doomed to eventual failure, is not the mindset that will provide any useful solution. Quite the contrary.
Control of health care is one of the main foundations of a Statist agenda. Control health care and you have significant control of the people. If a single-payer system is installed, it will only be a matter of time before the system fails in any intention to provide adequate care. Below are six reasons why a single-payer system is doomed from the start in America:
First: The premise of health care as a right is flawed. Everyone has a right to seek good health care (it is not a privilege either) and, in a true open market, providers will rise to meet that demand. It is, however, erroneous to declare any commodity a Human Right. A professional service is not a guarantee in any free system, even one as important as medical care.
Second: The only way to lower health care cost is to recognize the commodity value of health care and create true open market competition. For the system to succeed, less regulation is needed with more competition among both providers and insurers. This could be painful as there are sure to be casualties from such deregulation. But if the system is truly competitive, where one provider or insurer fails, others should be ready and willing to fill that vacuum.
Third: A single-payer system is unaffordable. Currently, 18% of Americans utilize Medicare and the cost to the government is just over half a trillion dollars per year. Project that number out and full population coverage would cost over three trillion dollars per year. That would comprise the bulk of the taxable revenue collected each year. Such numbers are simply impossible.
Fourth: Since the numbers can never work, as such a system begins to collapse almost immediately, the only solution from a bureaucratic perspective is to ration care to lower benefit utilization. This is why, according to Fox News, the average wait to get in to see a doctor in Canada is nineteen weeks. It is inevitable that service levels will have to be drastically reduced, constraining the “rights” of everyone based on simple economics.
Fifth: Such a system will greatly dilute the quality of providers and care. Highly skilled doctors, requiring years of schooling, residency and other special professional training, will lose motivation to excel at their practices under a severely regulated economic model. Many of our best doctors today carry immense student debt into their professional careers. They must have the opportunity to prosper financially to have any incentive at all to undergo such long and rigorous training.
Sixth: Innovation will die. The great majority of progress in medical techniques and technology originated in our semi-open market system of care. Hardly any new or groundbreaking ideas are coming from socialized medicine. Such a system would stall medical progress in its tracks.
Bernie Sanders and other Democrats are offering unrealistic and unsustainable policies. The health care system does not need more government intervention. It needs more deregulation and opportunities for creative open market solutions. Just look at Dr. Josh Umbehr in Wichita, Kansas, founder of Atlas M.D. In this Cooperative, paying members are receiving a much higher standard of care at a fraction of the cost compared to what local insurer’s plans can provide. Tear down regulatory walls that currently create semi-monopolies among large insurers, and you are sure to see innovative solutions forwarded.
As usual, the Democrat platform misses the mark completely based on workable principles. Bernie and the other bumbling Socialists should do a bit more homework.