As much as some would like to believe that the reason that Obamacare isn’t doing well among the American people has to do with “misinformation” being thrown about, in reality it is much more basic than that. Ramesh Ponnuru does a very good job of laying out the two conflicting portions of the promises made and why Americans aren’t buying the explanations given by politicians when they question them:
There are two basic points about health-care reform that President Obama wants to convey. The first is that, as he put it in an ABC special in June, “the status quo is untenable.” Our health-care system is rife with “skewed incentives.” It gives us “a whole bunch of care” that “may not be making us healthier.” It generates too many specialists and not enough primary-care physicians. It is “bankrupting families,” “bankrupting businesses” and “bankrupting our government at the state and federal level. So we know things are going to have to change.”
Obama’s second major point is that–to quote from the same broadcast–“if you are happy with your plan and you are happy with your doctor, then we don’t want you to have to change … So what we’re saying is, If you are happy with your plan and your doctor, you stick with it.”
So the system is an unsustainable disaster, but you can keep your piece of it if you want. And the Democrats wonder why selling health-care reform to the public has been so hard?
Add to this the fact that while Obama makes the promise about keeping your doctor and keeping your coverage, the legislation that has been passed out of committee in the House does not reflect that promise at all. Underlay all of that with the understanding most Americans have about the proven inability of government to handle anything in an efficient and cost-effective manner and you can understand both the angst and anger reflected out there today.
But Ponnuru’s point is very important – Americans may not be read in on the fine print and nuances of the bill (but then neither are the politicians who’re out there saying it’s the best thing since sliced bread without ever having read the thing), but they know enough to understand you can’t have it both ways. You can’t have a radical and complete overhaul of a system – changing the status quo – while at the same time, at an individual level, keep everything in the “status quo”.
And that’s what they’re fighting. The conflicting promises are obvious. Just as obvious then is one of those promises is a lie. And Americans have figured out which it is. Thus the roiling anger at townhall meetings that greet the purveyors of the lie and polls showing whopping majorities of Americans want nothing to do with this plan.
Ramesh Ponnuru writes one of the better op/eds discussing the push for “universal health care” I’ve seen.
The practical case is that uninsured people raise premiums for everyone else. But such cost shifting raises premiums by 1.7 percent at most, according to a 2008 study published in the journal Health Affairs. Reforms that increase the number of people with health insurance, while stopping short of universal coverage, would presumably make that small percentage even smaller.
The obvious way to take care of that is to directly insure that relatively small group instead of messing with the entire system.
What about portability and pre-existing conditions? As we’ve been saying here, for literally years, remove it from being employer based and you’ve taken care of both as long as a person keeps their payments current. And, to make it more affordable, remove state mandates. Ponnuru says precisely the same thing:
An alternative approach would be to make it easier for people to buy insurance that isn’t tied to their employment. The existing tax break for employer-provided insurance could be replaced with a tax credit that applies to insurance purchased either inside or outside the workplace. At the same time, state mandates that require insurers to cover certain conditions, which make it expensive to offer individual policies, could be removed.
More importantly, it is a free-market approach. As Ponnuru says:
These two reforms would address most people’s anxieties about the health care system. Insurance would be more affordable, especially for people who cannot get it through an employer, so the number of people with insurance would rise. Indeed, this would enable more than 20 million more Americans to get insurance, according to a model created by Steve Parente, a health economist at the University of Minnesota.
More important, people would own their insurance policies and thus be able to take them from job to job. They would no longer need to worry about losing their job and their insurance at the same time, or feel they need to stay with a job they dislike because they need the benefits.
There it is, the same solution we’ve been pushing at QandO pretty much since QandO has existed. It is a common sense solution which actually reduces government’s role, gives people choices and makes coverage more affordable for a larger number of people, portable and negates the concern for “pre-existing” conditions.
Which is precisely why government will reject such a remedy.