What does bother me is that the right is not acknowledging that the Health Care Act left room for market forces to act. The reason I am not in favor of a single payer option is, in a word, competition. My hope is that the America health system will not model itself on Massachusetts, Canada, Finland, France, Russia or China, but can eventually do better than that.
Right now, a lot is broken in America, the health statistics are great examples of that. Cost per person, wasted money, infant mortality; in all these America is a lousy example. Health care innovation, life prolongation, and care for the wealthy, here’s where we excel. I see so much doggone waste in hospitals, and unneeded care, and stupid decisions – made to cover someone’s lawsuit backside, to satisfy a stupid regulation, to please an insurer.
And the health care system is global, we must acknowledge, too. American pharmaceutical companies have Americans subsidize aids care in Africa, for example. We can’t simply have the Fed dictate the price of drugs.
Streamline all this where we can, and make it abundantly clear that if the other guys are doing something good and efficient – and we should grease the proverbial wheels to let those guys find good and efficient things – others should covet it, and versions of it should spread and take hold. The government is not good at this, private sectors are. On the other hand, the government is good (or should be) at sharing, and delivering large markets. And whoever, where ever we can remove red tape, do it, dammit, do it.
The public option, and more so universal health care were not good ideas for these reasons. I am glad that wise minds and American interests – which often really are the same, though not always – were represented in the making of the Health Care Act. I would rather call that wisdom than compromise.