Randy Alcorn: Factual Flatulence on Health Care

If we're going to fix the problem, we need to split the difference between free market and government bureaucracy

By | Published on 03.14.2010

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There were some sharp responses from readers of my previous column in which I opined that the foundering of health-care reform was a result of the harsh realities of America’s Darwinian economic system. Clearly, the health-care issue, along with so many other critical issues confronting this country, is now flammable fodder for the contentious two-dimensional ideological thinking that passes for wisdom these days.

Randy Alcorn
Randy Alcorn

I am always impressed by readers who, whether in agreeing or disagreeing with me, have cogent comments. These days, however, I am not impressed very often. Too many comments are rote recitations taken directly from the conservative or liberal manifestos, and made by various opposing gas bags producing the same stench as has the factional flatulence that has been stinking up the halls of Congress. Until we can elect thinkers instead of stinkers, not much will improve in America.

Today, it’s all about which side you are on and not about rational examination of issues and possibilities. Such examinations are typically clouded by catechismic considerations of one or the other political-economic ideologies. Health-care reform is a critical issue that, to the convenience of those special interests being enriched by the status quo, is caught between the ideological left and right.

For my friends on the right who, because they believe I am a card-carrying libertarian, continue to be perplexed by my position on health-care reform, I say that I prefer free-thinking to unquestioning faith in dogma of any kind, including free-market economic doctrine.

As much as you want to believe in the flawlessness of your philosophical fantasies, free-market capitalism is not a panacea for every socio-economic ailment. Unless you are among the thin gold line of the social strata that has enough wealth to insulate you from the most severe economic upheavals, you, too, are subject to the vagaries of fortune.

If you lose your job, exhaust COBRA, and your kid needs a $200,000 kidney transplant within three months or he dies, how long would it take the magic of the free market to make health insurance affordable for you — without disqualifying your kid for his pre-existing condition? How long would it take to reduce the cost of that transplant to a level whereby you could as least sell everything you own to pay for it?

No matter that you have worked hard, paid your taxes, never collected a dime of welfare, and always voted Republican, you become just another casualty of the economic jungle. Unbridled capitalism descends into cannibalistic self interest and survival of the richest. As we have seen with Toyota, in the pursuit of wealth, human welfare is often forfeit. The same homicidal rapacity is found in the health insurance industry.

Even those who are financially insulated should want health-care reform enacted before millions more Americans are priced out of health care and left to suffer and die or go bankrupt paying for astronomically pricey medical care. Masses of Americans denied health care are probably not going to just accept that as their fate so the health-care industry can grow profits to raise share values and pay themselves huge bonuses. Letting the gap between haves and have-nots get too wide usually leads to confiscatory revolutions or nervous police-states.

For all of you on the religious right, this health-care issue should be simple. For the same reason God does not want you to abort fetuses, She does not want you to let people die because they can’t get health insurance.

And, for all of you who have drunk the tea and are apoplectic about the growing girth of government, I share your fury, especially when I consider the massive misallocation of public funds on nonsense like unnecessary military adventures, the oppressive police-state war on drugs, welfare to illegal aliens, pork-barrel politics, and lavish pay and benefits to politicians and government employees. The money wasted on these things is far greater and of less benefit to American society than is the money that would be needed to afford all Americans some reasonable level of health-care coverage.

And, for my friends on the left, government is not always the prescription for curing every social ill, real or perceived. In fact, government is a cancerous disease when it gets as ginormous, grasping and greedy as ours has become. Government is run by people, and people whether in government or in the private sector are subject to the same ethical frailties of selfishness and venality. But, government is potentially more dangerous because it can ultimately impose its will at the point of a gun.

Americans have always been resourceful problem solvers, innovators and pioneers. If we can focus on health care as a problem to be solved rather than an ideological issue to squabble over, we can find a workable solution. That solution involves judicious regulation of the free market without imposing suffocating blankets of government bureaucracy. We can do this.

— Santa Barbara political observer Randy Alcorn can be contacted at .(JavaScript must be enabled to view this email address).

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» on 03.15.10 @ 02:33 AM

Randy, are you aware of Congressman Paul Ryan"s health care proposal. He would create an universal health care system through the use of the private market. He would unhinge health care insurance from employers by eliminating the unfair and anachronistic tax-free benefits received by employees, which everyone else in the individual market does not receive. In lieu of this tax freebie, everyone would receive a refundable tax credit which can be used as a voucher to purchase health insurance. Insurance would be portable, ending the practice of losing your insurance when you change jobs. People would be allowed to purchase insurance in any state in the country, thereby introducing competition in the system which does not exist currently. Government mandates would be for the most part eliminated, allowing consumers to purchase plans designed for their unique circumstances. Most importantly, there would be incentives for people to purchase health savings accounts. Let’s be real, unless people have some skin in the game, they will have no incentive to be careful consumers of health care. He does have a role for government and that would be to create a data base which would allow consumers to compare costs and health care outcomes for insurance companies and health care providers. Without transparency, there will be no way to intelligently shop for health care, just like for other consumer products. He would prevent insurance companies from not enrolling people due to pre-existing conditions, through the use of reinsurance. No one insurance pool would be confronted with having a disproportionate share of sick people. I believe this plan has the greatest chance to insure the maximum number of people at the lowest available cost. Most importantly, this plan will restrain the unsustainable growth of health care costs which will eventually bankrupt our country and force the government to ration health care. If you think government can control costs, spend sometime researching the Massachusetts model, the same plan that the Democrats are trying to ram through Congress. That state by mandating and heavily subsidizing very expensive plans for everyone is experiencing a cost explosion, which there only answer is to either have the federal govt pay for it or begin the process of rationing care
  I wish more people were aware of Congressman Ryan’s plan. He is a creative problem solver who has designed a free market solution for this massive problem. There are many conservatives (including me) in the country who hope he considers higher office. Obama is aware of this plan and has even complemented some aspects of it, but is against it because he doesn’t think it will pass the Congress and he has, as we all know, unlimited faith in the government to impose solutions to all our problems. Randy, I do have one problem with your column: there is a profound difference between conservatives and liberals. To say that we are all the problem is a good sound bite, but to believe that there can be some homogenization of these two very different perspectives is naive. It would lead to an incoherent plan premised on political payoffs and special interest influence. The citizens of Massachusetts, in their recent election, have figured this out.

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» on 03.15.10 @ 07:38 AM

The problem for health care in the US is that there is no example around the world that applies to us.  Comparing us to France, Italy, Germany, Canada, just doesn’t work.  we are talking about economies of scale.    It is impossible to track a system that tries to serve 300 million people from Washington DC.  A government fix is not the solution.  A government regulated fix, allowing true competition and encouraging best practices is the solution.  American has always been ideological from Thomas Jefferson to the present.  We have to work through that and I remain optimistic we can with regard to health care.  Obamacare is a one-sided ideological approach that may get rammed through, but it will be gradually undone before its full impact is felt, if it does not include some of the solutions from the other side.  And it should be.  The Obama mandate is over, not that it ever really existed; now let’s get working on real solutions.

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» on 03.15.10 @ 09:15 AM

Randy, it’s about costs and how you intend to pay for them. I have at length asked those in favor of expanding a large service economy like healthcare where the wealth to pay for it comes from. The typical answer from the left is “steal it from others or other programs.” On the right the answer is just keep doing what we have been, like that clearly has worked well for 95% of us (right!) All service sectors in an economy depend on wealth generation in order to expand in a manner that is not destructive to other service sectors. As long as wealth increases then we all benefit. The left seems to not understand this concept so they hitch on to the “redistribution” bandwagon in order to enrich those who cannot do it themselves. The right is clearly out to lunch on this as well seeing how they view speculation and investment wealth as the same as real or material wealth. It ain’t and we learned that quite well last year as we all watched our speculative wealth evaporate in a matter of months. China did not do so badly, why, because they make all our stuff. OPEC did not fair so badly either, why, they extract our energy resources. Get the picture? I know this all sounds so simple and 19th century like but people, that is reality. If you have material wealth you have wealth period. Without material wealth you can pass yourself off as a service economy like some European countries do (small population of bankers serving a huge global population can work well) but you are still dependant on other country’s having wealth to service. When Americans realize we have to swap our trade deficit for a trade surplus, we have to do more than we consume, make more than we spend then Randy and only then can we talk about expanding another wealth consuming service. We simply have to stop this nonsense and start paying our bills.

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» on 03.15.10 @ 09:36 AM

Interesting column, as usual, Randy.

As one of millions of Americans who pays for his own health insurance, I agree that something must be done.

I am however extremely nervous about what the government’s end product will look like.  Having seen first hand what an absolute disaster has been made of residential lending with the new appraisal and disclosures regulations (under the guise of protecting borrowers), its very hard to be optimistic.  (Now there’s a subject for a future column!)

I would like to see a non-profit insurance company, which covers MAJOR issues only (not $5,000 deductible, but maybe $30,000 per incident).  Its silly to have insurance for day to day care.  Having a “cash” price might force some fee transparency and lower costs.  Currently, when insurance pays, how many really care how much it costs?  Also, done right, this form of insurance should get rid of mountains of overkill paperwork.  While this might initially seem to be a policy for the rich, much lower premiums could end up being attractive to many, and encourage the insured to take better care of themselves, because baring disaster, its on their dime.

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» on 03.15.10 @ 03:14 PM

No one disagrees that the current health system needs reworking but a 2000+ page bill that no one really understands is not a step in the right direction and surely will hurt more than help.  Start with some simple steps like capping damages for medical awards, allowing health insurance to be sold across state lines and promote medical savings accounts.

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» on 03.15.10 @ 03:47 PM

Bravo, Mr. Alcorn! Thank you for attempting yet again to raise the level of debate over health care to at least a high school level. Of course you are absolutely right that dogma and pointless rhetoric has dominated the useless bickering in Washington and in the news media. An estimated 800,000 people go broke when confronted with a medical crisis and its incredible to hear people deny this reality. On this very website there have been heartbreaking stories about families confronted with their own health tragedies and a plea for strangers to send donations to help them pay the insane medicals bills snuffing out their American dream. Why folks right-of-center are so tone deaf on this issue is beyond me. I urge anyone with an interest in seeing an intelligent resolution to the health care madness to watch ‘Sick Around the World’, an honest look at how OTHER nations deal with this issue: http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/

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» on 03.15.10 @ 05:13 PM

EmptySuit,
We are not tone deaf as you put it, we are broke. Get your hand out of my friggin pocket thief! Tell us how you are going to pay for it. Tell us how you reconcile adding 30 million users to a system that has less resources than it needs now to cover those already insured. How will you keep costs down when you artificially inflate demand with no commensurate increase in the supply? Assuming you get everyone insured by force like Obama wants, and that somehow you are able to increase the number of government insurance staffers to handle the 30 million and assume that by a miracle the AMA allows more doctors to get through med school to service these 30 million more (along with secretaries, technicians, nurses, admin staff office space emergency vehicles etc…), how much money will you have to rob from other parts of the economy to pay for all this stuff? $1 trillion, 2, 6, 10, 50?  And if you are stealing if from another part of the economy then what happens to the economy as a whole? Answer that my friend and can the phony compassion crap. No one owes anyone else their life. And it’s ok for you to feel for the less fortunate, just do it with your own money not someone else’s, that’s not compassion its theft. Forcing someone to do something against their will because you think they ought to is tyranny, it is fascism, it is not compassion. Believe me I see wonderful works of compassion everyday and it does not come at the point of a gun (which, by the way, every federal regulation does, including paying taxes).

So tell us Empty, where’s the money? You don’t like that we are against the Obama plan, but hey where are the cost savings in his plan? There are none! His plan is full of cost escalations, lots of them and mostly aimed at the middle class tax payer AGAIN! His plan is to get 30 million new users at our expense with no increase in supply, which means way less service than we have now and way more costs. If you want these people to have insurance why are you not looking at how to reduce the cost of insurance? I’ll tell you why, because even if you drop insurance rates to the floor you still don’t have the damned infrastructure to support the new medical service it will generate. And if you people think for one minute insurance for 30 million is expensive do the math on increasing one of the most expensive wealth gobbling industries in the world, health care.

The answer is really simple, do more work, earn more money and then you can afford more services. Sitting around crying about this crap and then charging it to your maxed out credit card ain’t gonna work. Besides your creditor, the bank of China, say no more buster, pay as you go. Now with that in mind are you still willing to go for this debacle? If so better put a crowbar in that wallet buster.

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» on 03.15.10 @ 07:35 PM

Randy, I re-read your column and I have a few more problems with it. You conclude by suggesting the solution is the judicious regulation of the free market. What the heck does that mean? Is that the Obama plan? I am sure if you ask them, they will tell you their plan fits that description. I think if your going to criticize conservatives and liberals for not working together, you are then obligated to give us more details rather than sweeping generalizations. Have you researched the various plans out there and the health care systems already functioning in the states and other countries? Do you really know what you are talking about? It also seems ironic that your so upset with the various political factions for not working together. When you stoop to calling people gas bags producing a foul odor, you seem to be operating on the same level as the people you’re so upset with.
    Empty newsroom, I have to laugh when you criticized the dogma and empty rhetoric characterizing this debate. I don’t see any evidence from any of your comments that you are able to rise above your own liberal dogma or any willingness to work with anyone else who may have opinions different from your own. So far, all I can see is a whole bunch of name-calling and self-righteousness. Before you conclude that only people who think like you have a monopoly on compassion, you might want to know that a study was done a number of years ago that found that people who identified themselves as conservatives gave far more to charity than so-called liberals.
    AN50, I have followed your comments and I agree that a country that doesn’t produce sufficient wealth cannot support the enormous entitlements for which many self-interest groups are demanding. I will go one step further and postulate that countries that do not have free markets almost always do not create wealth. For example, Israel in the first 35 years of her existence was a socialist state that had a stagnant economy and high unemployment. By the late 1970’s the Israeli people were finally fed up with their labor-oriented, socialistic governments’ inability to deal with the outrageous terrorism of the PLO and began to elect conservative governments. Guess what, these conservative leaders dismantled the socialistic infrastructure and introduced free market reforms. Today, Israel has one of the most vibrant and prosperous economies in the world. How ironic that an outside existential threat had the unintended consequence of electing governments that reformed their economy. It might take an external threat to the United States to mobilize the people to elect a government willing to make the hard choices to salvage our future.
  Please take a look at the health care plan I outlined in my previous comment. It reforms our system without the oppressive hand of government coercion. It has been tried in Switzerland and has worked very well there.

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» on 03.15.10 @ 08:17 PM

AN50: You’re right. Bill Kristol was also right when he said “Americans don’t deserve health care”. We can’t achieve what most other democracies already have enjoyed for decades. How could we? Our system is dominated by greed, special interests and inefficiency. We should just give up on fixing our broken health care system as it goes broke and takes everyone down with it. Thank you for participating!

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» on 03.15.10 @ 09:13 PM

AN50 is one of those I deserve medical care and a basic living just because I exist.  That’s not America, Thank God.

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» on 03.15.10 @ 09:28 PM

I read all 32 sentences of Mr. Alcorn’s article.  There is a lot of good material in it but I will focus in on only the first 9 sentences, because it is in the 9th sentence that Mr. Alcorn goes astray.  I have detailed the first 8 sentences below but you are welcome to scroll down to sentence #9 if you wish.

Sentence #1: “There were some sharp responses from readers of my previous column in which I opined that the foundering of health-care reform was a result of the harsh realities of America’s Darwinian economic system.”

Translation of Sentence #1:  I CAUGHT SOME HEAT FROM MY PREVIOUS ARTICLE

Sentence #2: “Clearly, the health-care issue, along with so many other critical issues confronting this country, is now flammable fodder for the contentious two-dimensional ideological thinking that passes for wisdom these days.”

Translation of Sentence #2:  Health Care…as well as other issues are popular contests and only get a two dimensional hearing (assuming that Mr. Alcorn means 1) “Liberal” and 2) “Conservative)

Sentence #3: “I am always impressed by readers who, whether in agreeing or disagreeing with me, have cogent comments.”

Translation of Sentence #3: MR. ALCORN IS INTERESTED IN HEARING INTELLIGENT RESPONSES.

Sentence #4:  “These days, however, I am not impressed very often.”

Translation of Sentence #4:  MR ALCORN IS NOT HEARING INTELLIGENT RESPONSES.

Sentence #5: “Too many comments are rote recitations taken directly from the conservative or liberal manifestos, and made by various opposing gas bags producing the same stench as has the factional flatulence that has been stinking up the halls of Congress.”

Translation of Sentence #5:  MOSTLY I HEAR REGURITATIONS OF THE 2 DIMENSIONAL TALKING POINTS.

Sentence #6:  “Until we can elect thinkers instead of stinkers, not much will improve in America.”

Translation of Sentence #6:  IS MR. ALCORN SUGGESTING A THIRD PARTY?

Sentence #7:  “Today, it’s all about which side you are on and not about rational examination of issues and possibilities

Translation of Sentence #7:  NOT SO MUCH OF A TRANSLATION AS A QUESTION…WHEN HAS IT BEEN ANY DIFFERENT?

Sentence #8: “Such examinations are typically clouded by catechismic considerations of one or the other political-economic ideologies.

Translation of Sentence #8:  SAME AS SENTENCE #7 ONLY EXAGGERATED.

Sentence #9: “Health-care reform is a critical issue that…”

Translation of the first part of Sentence #9:  HERE…MR. ALCORN DEMONSTRATES THAT HE HAS BOUGHT INTO THE MEDIA AND POLITICAL “HYPE” OF HEALTH CARE AS A “CRITICAL ISSUE”

WHAT IS IT THAT MAKES AN ISSUE A “CRITICAL ISSUE”?

EVERYONE OF US IS GOING TO DIE.

THERE WILL BE A CAUSE OF THE DEATH.

OVER EATING.

OVER DRINKING.

HEART FAILURE.

LUNG FAILURE.

BRAIN FAILURE.

FALLING DOWN.

MURDER.

SUICIDE.

THE LIST GOES ON.

SO…ON A PERSONAL LEVEL WE CAN ALL AGREE THAT PREVENTING/CURING WHATEVER EACH OF US ARE GOING TO DIE FROM IS A “CRITICAL ISSUE”.

THAT HAS BEEN TRUE SINCE THE DAWN OF HUMAN EXISTENCE.

BUT HEALTH CARE HASN’T BEEN A “CRITICAL ISSUE FOR THE LAST 10,000+ YEARS.

WHY IS IT A PUBLIC “CRITICAL ISSUE” NOW?

ONLY BECAUSE WE LIVE IN A MEDIA AGE WITH MEDIA SAVY AGENTS/POLITICIANS TO EXPLOIT IT AND THEY ARE TRYING THEIR BEST TO EXPOIT US.

Our lifetimes now are longer than at any point in history.

Our quality of life now is higher than at any point in history.

Is there room for improvement?

Of course.

As Americans…and as humans…we have never stopped making efforts to improve things.

And I encourage that to continue.

However, ALL of the health care hub-bub is an effort to influence ordinary Americans to flock to one banner or the other.  President Obama and the Democrats are the leaders of that effort.

Do yourself, and all Americans, a favor and don’t panic.

Stop and think.

You will do the right thing.


Mark King

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» on 03.16.10 @ 12:05 PM

Gee Empty you still manage to avoid answering the question, how will you pay for it? Quit comparing apples and oranges and explain the economy of it. Why do these other places have the stuff you want? How do they pay for it? What is their secret?

There is no secret. France, Germany and England are all way over committed on their entitlements with healthcare at the top. That means they have more demand than supply and more expense than wealth to pay for it. These countries all ration care and have many untold horror stories of people dying waiting for a diagnosis. These countries also do not have the heavy burden of being world cop and expending huge amounts of money on military ops like we do and they are still being bankrupted by public healthcare and you want that here?

No one will debate the need for compassion but where is the compassion in demanding an expense to your economy that will cause more suffering and death than the thing you are spending on will cure? Tell us Empty where does the money come from? Keep in mind if you bankrupted everyone in the country making over $250k and redistributed their money to the rest you would not much more than a dollar. Problem is, most wealthy are not sitting on piles of cash, their wealth is reinvested into the economy and the only thing you will be taking is disposable income. If you take the investment capital you destroy our economy with it. So let’s here the grand plan instead of this idiotic partisan ranting.

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