Category Archives: Business

When ObamaCare Unravels

And it is when, not if. It presents an opportunity to finally fix problems with the system dating back seven decades:

There is an alternative. A much freer market in health care and health insurance can work, can deliver high quality, technically innovative care at much lower cost, and solve the pathologies of the pre-existing system.

The U.S. health-care market is dysfunctional. Obscure prices and $500 Band-Aids are legendary. The reason is simple: Health care and health insurance are strongly protected from competition. There are explicit barriers to entry, for example the laws in many states that require a “certificate of need” before one can build a new hospital. Regulatory compliance costs, approvals, nonprofit status, restrictions on foreign doctors and nurses, limits on medical residencies, and many more barriers keep prices up and competitors out. Hospitals whose main clients are uncompetitive insurers and the government cannot innovate and provide efficient cash service.

We need to permit the Southwest Airlines, LUV -0.19% Wal-Mart, WMT +0.22% Amazon.com AMZN +1.11% and Apples of the world to bring to health care the same dramatic improvements in price, quality, variety, technology and efficiency that they brought to air travel, retail and electronics. We’ll know we are there when prices are on hospital websites, cash customers get discounts, and new hospitals and insurers swamp your inbox with attractive offers and great service.

…Health insurance should be individual, portable across jobs, states and providers; lifelong and guaranteed-renewable, meaning you have the right to continue with no unexpected increase in premiums if you get sick. Insurance should protect wealth against large, unforeseen, necessary expenses, rather than be a wildly inefficient payment plan for routine expenses.

People want to buy this insurance, and companies want to sell it. It would be far cheaper, and would solve the pre-existing conditions problem. We do not have such health insurance only because it was regulated out of existence.

Time to make a clear distinction between “health care” and true insurance, and let the market work. Instead, as always, we try to fix a mess caused by regulations with more regulations. This time, I hope it was a bridge too far.

Government Is Not Santa

Free-market capitalism is a pre-condition for generosity:

Government isn’t Santa. It’s the Grinch.

Think about it: The redistributionist impulse is driven by envy and bitterness. It is an economic position held, not accidentally, most strongly by people who cringe at the sight of a manger scene — by people who resent and suspect the very word “Christmas.” The redistributors are the people culturally inclined to abolishing Christmas from the public sphere, who will spend the solstice wailing in angst if a public-school choir should so much as hum “Away in a Manger,” never mind singing the verboten words “Little Lord Jesus.” And, in the Grinchiest fashion, they want to take your stuff.

Does anybody really need that many Christmas presents? Is it not the case that, at a certain point, you have enough in your stocking? And who among them has the honesty of Hillary Clinton, who once proclaims that it’s necessary to take things away from us in order to achieve her vision of a better world. If you strap reindeer antlers to your dog while sharing those sentiments, you’re a Seussian villain. Strap donkey ears to yourself while endorsing the same view and you’re the president of these United States.

Heh.

My Book

For those wondering, no, I don’t know why a print-on-demand book is showing as unavailable at Amazon. I called them about it yesterday, and they’re supposed to be looking into it, but they haven’t gotten back to me. I suspect it may not be resolved until after Christmas, at this point.

Breaking Up California

Tim Draper has an interesting idea. Make it into six new states.

Just looking them over, I’d say that Jefferson would be very similar to Oregon, North California would probably lean Republican, despite all the Democrats in Marin, Central CA would be heavily Republican, Silicon Valley and West California would almost certainly be Democrat, and South California would be Republican. I’d say, at worse, that it would be six new Senators of each party, though it would actually only be four new Democrats, since they’d lose the two from the current monstrosity. But the Central Valley would finally have some senators willing to fight for them and their water needs.

Jobs For Young People

Want to destroy them? Raise the minimum wage.

One of the reasons that I’m not a Republican is that they won’t argue over principle. They’ll concede it to the Democrats, and then just negotiate the price. They shouldn’t be arguing that it shouldn’t be raised — they should be arguing that it shouldn’t exist, on both principle of freedom of contract, and on its devastating effects on youth unemployment, particularly in the inner cities. The notion that there should be a single minimum wage applicable to all fifty states is both odious and ludicrous.

How Dare You?!

Daniel Hannan has a good piece on the NHS:

The elision of the “hardworking doctors and nurses” with the state monopoly that employs them is what allows opponents of reform to shout down any criticism. People who complain are treated, not as wronged consumers, but as pests. People who argue that there might be a better way of organising the system are treated, not as proponents of a different view, but as enemies.

Any organisation that is spared criticism becomes, over time, inefficient, insensitive, intolerant. It has happened to the United Nations. It has happened to the mega-charities. It happened, for a long time, to the European Union (though not over the past five years). The more lofty the ideal, the more reluctant people are to look at the grubby reality.

We can’t let that happen here. I’m sure that many of the people behind this legislative atrocity would love to jail its critics, if they could.