Comments on: Most Unexpected Comparison of the Day

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By: lukelea

lukelea — Sat, 18 Jul 2009 18:45:10 +0000

The public-plan-becomes-a-dumping-ground scenario may not be such a bad thing. What if it causes the costs of private insurance to go down for all but the sickest while the care of the latter group is financed by a progressive system of taxation?

By: Maggie's Farm

Maggie's Farm — Wed, 08 Jul 2009 19:43:43 +0000

Eight interesting comments found on the web today…

From a commenter on our abortion post yesterday:

That we live in a land in which one can go to prison for harming the egg of a piping plover yet enjoy a Constitutionally protected right to exterminate their unborn human child speaks only the unspeak…

By: Brian Moore

Brian Moore — Wed, 08 Jul 2009 13:21:14 +0000

“Why keep all of the public plan eggs in one basket? If there are some efficiencies to be gained from a public plan, who is to say that the first go at it will realize them? Of course, the real reason for only one public plan is that they want it to grow into a single payer plan.”

Well, even if they're being honest and truly are not trying to get a single payer plan, it does reveal a certain silliness: they believe they will get it right the first time, or at least be able to consistently change it accurately to be “right enough.” These really are a group of people who think they can legislate, in one take, a public healthcare option that will compete (on its own merits) with whatever people have today. This is not to say that whatever people have today isn't, in many cases, really bad — but all the reasons they are really bad (and why it is hard to come up with a good one) are still going to apply.

By: Brian Moore

Brian Moore — Wed, 08 Jul 2009 13:16:14 +0000

So Schumer's idea is fair competition between a public option and a private option? Does this situation exist in any other field on a national level? Maybe in mail? How well is the USPS competing with DHL, FedEx and UPS? Doesn't it still have a monopoly on letters — a segment in which the precise scenario of “low-cost benefits + losing money” is taking place?

There's no way they're going to strike a balance so long as people can vote themselves politicians who will give them more healthcare benefits — it's definitely going to fall down the “more benefits/more costs” hole.

By: Alex J.

Alex J. — Wed, 08 Jul 2009 11:49:26 +0000

How would a low-benefit public plan resist political pressure from medical providers to expand what it covered?

I doubt that a public high-deductible plan, without subsidy, will inject enough competition to reshape the health care market.

Generally speaking, it seems to me that a no-subsidy public plan is unstable. Nobody will use it, and it will get subsidized to make it more attractive. Or, it will bleed money on expensive enrollees, and the private plans will be taxed for dumping them. I believe it will be politically, and bureaucratically, unable to provide parsimonious health coverage.

Hm, as an aside, why don't supporters of a public plan support more than one public plan? They could try different strategies. Why keep all of the public plan eggs in one basket? If there are some efficiencies to be gained from a public plan, who is to say that the first go at it will realize them? Of course, the real reason for only one public plan is that they want it to grow into a single payer plan.

By: Most Unexpected Comparison of the Day | Adobe Tutorials

Most Unexpected Comparison of the Day | Adobe Tutorials — Wed, 08 Jul 2009 04:29:25 +0000

[...] From Arnold Kling : I worry that today’s equivalent of Robert McNamara is Peter Orszag, who I fear is poised to do for our health care system what McNamara did for Vietnam. I suspect this is a bit overheated, but the fact that Arnold’s book, Crisis of Abundance: Rethinking How We Pay for Health Care , is so outstanding makes this tough to simply dismiss. See original here: Most Unexpected Comparison of the Day [...]

By: Most Unexpected Comparison of the Day

Most Unexpected Comparison of the Day — Tue, 07 Jul 2009 23:43:48 +0000

[...] Original post by WinGea [...]

By: Will Wilkinson

Will Wilkinson — Tue, 07 Jul 2009 21:44:26 +0000

Actually, my own preferred policy includes a public plan but recognizes that it is a dumping ground for the uninsurable devoted specifically to rationing. The cost to taxpayers for the care of the uninsurable stays relatively low because a free market in health services and products, in which people pay for routine treatment, will lead to competition on both quality and price, pushing up quality at lower prices. So care in the government rationed plan is not good, but not very expensive.