What Will Be The Real Cost Of Health Care “Reform”?
From a Washington Post editorial commenting on the health care industry proposal yesterday to try to save 2 trillion dollars over 10 years:
But it is important to note what wasn’t included yesterday. None of the interest groups signed up for a specific number; no one is saying who will sacrifice what, or how much. All are promising to “do our part,” but the actual share of the $2 trillion that would fall on each pair of shoulders was not laid out. What would make up the substance of the plan? That remains to be seen. How would the private sector be held accountable for this promise to reduce costs? That, too, remains to be seen.
Of course, Barack Obama’s promises to save money through the usual nebulous “waste, fraud, and abuse” rhetoric are no more specific than those proposed by the “interest groups” yesterday:
Make Health Coverage Affordable. The plan must reduce waste and fraud, high administrative costs, unnecessary tests and services, and other inefficiencies that drive up costs with no added health benefits.
As is obvious, the assumptions in this sentence are legion and that includes the savings.
The White House has emphasized repeatedly that health-care reform is entitlement reform — that is, an answer to the nation’s long-term fiscal challenge. Yet, so far, it is backing a plan to expand coverage that would cost taxpayers between $1 trillion and $1.5 trillion over 10 years, while it has proposed health-care savings of only $309 billion.
Calling it an entitlement reform and “an answer to the nation’s long term fiscal challenge” effectively lumps all health care under government auspices. An entity which has managed to mismanage the portion it has assumed over the years into a “fiscal challenge’ now wants the rest of the industry under its effective control with an initial price tag of 1.5 trillion (anyone who has ever monitored government estimates of cost know they are always low ball estimates which end up costing many more times the initial estimate).
I’d like to see the WaPo challenge that estimate and this:
Financing Health Care Reform. The reserve fund is financed by a combination of rebalancing the tax code so that the wealthiest pay more as well as specific health care savings in three areas: promoting efficiency and accountability, aligning incentives towards quality and better care, and encouraging shared responsibility. Taken together, the health care savings would total $316 billion over 10 years while improving the quality and efficiency of health care, without negatively affecting the care Americans receive.
You can read the specifics of the administration’s plan below the cited paragraph, but in essence it consists of curbing waste, fraud and abuse (as if that’s actually measurable in terms of savings) and increasing “quality” of care (an “efficiency” that assumes the present “quality” isn’t good enough), stressing preventive care (and assuming everyone will take advantage of that) and reducing drug prices (a form of cost control).
How anyone assumes even $316 billion in savings based on those assumptions is beyond me. But what one can fairly claim, given experience with government proposals and estimates, is that 1.5 trillion as a “cost” figure is probably well below its eventual or real cost. If anyone actually believes the government will be more efficient in the delivery of health care than a market based system (something we don’t have, even now, as government’s intrusion has distorted that market) will gladly buy into the claims being made. Those of us who have seen these sorts of grand programs and estimates before (check into the promised cost of Medicare and its eventual real cost) know that we’re being led down the primrose path to ruin by a bunch of smooth talking politicians who really haven’t a clue … again.