Tuesday, July 7, 2009

Dean Baker on Life, Liberty, and Employer-Provided Health Insurance

Once again, Dean Baker of the Center for Economic and Policy Research hits the nail right on the head. The topic is health care reform:
As Congress starts to delve into the dirt of a health care reform package, the clearest point of conflict is over the existence and structure of a public health care plan. Some members of Congress have thrown down the gauntlet, insisting that they could never allow the public to have the option of buying into a government-run plan.

These members tell us that a government-run plan will be like having the Post Office manage our health care. While the Post Office actually does a pretty good job where I live, if the point is that a government-run plan is going to be bureaucratic and inefficient, then why are opponents of a public plan so worried about giving people the choice to buy into it? If the public plan is bad, then people will just stay with the options currently available in the private sector. As those of who believe in the free markets like to say: “what’s wrong with giving people a choice?”

In addition to the members who just say “no” when it comes to a public plan, there are also members who are willing to allow a public plan, but only if they can be sure that it will not provide real competition with existing private plans. This route involves crippling the public plan in various ways to make it less competitive.
The entire essay is well worth reading.

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