National Review Online
Thursday, April 11, 2019
Government programs often become more expensive over
time. Medicare for All is growing without even having gotten into law. The
version of the plan Senator Bernie Sanders (Socialist, Vt.) has just introduced
will now cover long-term care, which had been omitted from previous bills.
But the expense of the bill — which would necessitate
large increases in debt, in middle-class taxation, or in both — is hardly the
only objection to it. Scores of millions of people with private
health-insurance plans, the vast majority of whom are satisfied by them, would
be forced to participate in a government plan instead. Roughly another 20
million on Medicare Advantage, again mostly satisfied customers, would find
their plans terminated, too, for being too market-like for socialist tastes. At
the same time, the plan would impose unprecedented and draconian reductions in
pay for medical providers, which is bound to have a negative effect on the
supply of care.
Naturally, the legislation also takes care to socialize
the cost of abortion-on-demand and to trample on medical providers who harbor conscientious
objections to it.
For decades, a lazy talking point on the left has held
that other countries, with socialized medical systems that achieve better
health outcomes at lower costs than ours, point the way forward for us. The
apparent difference in health outcomes usually turns out to reflect differences
in lifestyle and measurement. And no country, as Brian Riedl of the Manhattan
Institute has pointed out, has socialized a medical sector as large as ours and
then forced it to downsize. Sanders is proposing an expensive, dangerous
experiment that has never been tried and, if Americans are lucky, never will
be.
No comments:
Post a Comment