Saturday, August 01, 2009

Government Run Health Care Part 1

The prospect of health care reform brings up many issues. It will need to cover several blog posts to keep matters clear. Today we shall look at the basic assumptions involved. In future posts we will look at the economic forces on the rest of the economy and the constitutional issues.

It seems apparent that many of the people who voted for Obama thought they were going to get something for nothing. In their magical thinking, the health care system was going to be just like it is now, but FREE. Those of us who have grown up understand the first rule of reality: THERE AIN'T NO SUCH THING AS A FREE LUNCH!! (TANSTAAFL)

Medical care, in all its manifestations is a good in economic terms. Someone has to go to school for a long time, work, invest, take chances to create medical care. So, if we are not going to physically enslave all the doctors, nurses, pharmacists, technicians and steal all the capitol equipment used for health care, someone has to pay for it.

Shall the user of the medical service pay for it or shall the government use its guns to make someone else pay for it? That is the stark reality of the situation. Which is the moral and ethical choice?

Now, let's say that you decided for the use of government guns and you still want your "free" health care. How might this work? The government has to collect taxes from everyone under some rule or another. Maybe you will be in a less taxed group, maybe not but, in any case, the government will take a pile of money from us and then pay for our health care-right?

Well, they have a budget. For any given year they have a sum allotted to health care. There is, after all, a limit to what you can steal from a productive person before he decides to stop producing. What if the demand for services exceeds that budget amount? They have to deny services to someone. By what standards do people get denied and who decides? AYY-there is the rub. Your money has been taken from you. You no longer have it available to pay for care. Some government functionary decides who gets care and who doesn't.

In Canada, it is just waiting lists. Let's see if you survive with your 90% occluded coronary arteries until your name comes up on the list. Or maybe it will be something like they are already doing with Medicare patients. How many of the government's dollars is it worth to extend your life? Notice that money became their dollars now-not yours any longer. Is there anything more foolish than giving up control of your very life?

1 comment:

Roxie said...

Mike - I like the way you show the inevitability of rationed care. Nicely done:)