Pitches and Pitchforks

I am fascinated by the ruckus engendered by the health care debate. I haven't seen this level of citizen involvement or desire to instruct political hirelings since the Watergate debacle. But, I am surprised at the tenderness of adoration so many claim to hold for capitalism, contrasted to the almost irrational fear and hatred of any degree of socialism. I hate to remind that there is nothing in the mandate of the philosophy of capitalism that requires or even encourages fairness. I believe our Wall Street Bonus Babies, exemplars of capitalism, will stipulate to that. This eccentric myopia may explain some of the difficulties the current administration is experiencing in its attempt to persuade the public of the value of mutuality in the realm of health care. Mr. Jefferson, in the Declaration, displayed admirable prescience when he wrote, "all experience hath shown, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they have become accustomed". This is evidenced by the surprising cleaving to the "free market" as the proper mechanism to achieve more affordable and widespread health care, when doing so is contradicted by the obvious failure of the free market to meet these goals. This is not to say the free market is inherently incapable of fulfilling such a hope, but is simply an acknowledgement that its recent failures have driven us to the present controversy. Health care in the "free market", at this point in time, is unaffordable for institutions such as corporations, unions, states, and cities, let alone non-affluent private individuals. The only corrective measures proposed at present are "socialistic", which are roundly attacked at town hall meetings, at the same time there is a bizarre affection for the status quo, which it is generally admitted, under serves the public interests. What a quandary?

Personally, I am not afraid of the bogey man of socialism, but I am apprehensive of the proposed methodology to collect dollars for services "socialistically" and then compensate for their provision “capitalistically". All I can say is "caveat emptor", and jog the memory of $1200.00 hammers invoiced to the public in a similar arrangement with defense contractors.

I think some of the more vociferous pundits have sown discord for intellectually disingenuous reasons and temporary political advantage. Our real trial is not whether we shall have dominant socialism or capitalism, but how to arrange an equitable (and necessary?) marriage of the two, to provide health coverage to the masses.

And, if the ultimate fear is that we will become as "Nazified" as Canada, then I think it is safe to say we have nothing to fear but fear itself.

Free Market Failure?

I have to disagree with your assertion, as I believe the free market can and will bring down health care costs if it's allowed to actually work sans unintelligent regulation. For example, insurance companies aren't allowed to compete across state lines meaning they can't get new policyholders to defray rising costs, doctors in states that haven't reformed tort laws have to carry an obscene amount of malpractice insurance, and the states along with the feds have mandated minimum coverages on group policies which make them more expensive.

All of these regulations come with a price, and that price is paid for by the people who have to buy insurance.

Our current economic situation was largely caused by government regulation and intervention that moved from protecting the public interest to serving it. That's what the American people continue to fear. Bureaucrats butting in on business is one thing, but your very life...that's scary.

Across State Lines

I held the same opinion as you until I heard it explained that the insurance regulations are so varied from state to state that companies would be burdened by trying to meet so many differing standards that any economy would be lost. And of course there is a reluctance, for federal and local reasons, to try to universalize insurance regulations across the nation. We have enough controversy without calling into issue State Rights. I don't know how they're going to make health care affordable.