Jul
17

Universal coverage is bad – Part Six

Perhaps the most puzzling condemnation of universal coverage is the contention that “A mandate is not necessary as the free market will solve the problem”.
Proponents of the free market argue that the problem is today’s market is not “free”, but rather over-regulated. And once we completely de-regulate the insurance market, the Invisible Hand will produce products and services that will provide coverage for a lot more folks.

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Jul
11

Universal coverage – Part Three

The second in the list of top ten reasons universal coverage is bad is…
People don’t have insurance because they choose to not buy it.
Admittedly there are several closely related arguments, but we’ll stick with the letter of the argument in this post, and address the relations later.
I will stipulate to some people choosing to not buy insurance, with the caveat that ‘some’ is a really small number. In fact, that ‘really small number’ is 2%. Yes, only 2% of those without insurance say they have no need for insurance.
So, at a simplistic level, the ‘choice’ argument goes down in flames. Alas, my more demanding readers will want more.

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Jul
10

Health policy — a question of philosophy or finance?

Here’s the health care consumerism dilemma in one neat, small, understandable package.
Advocates of consumerism in health care argue that forcing folks to pay for their care will make them better consumers, and thus reduce costs. Theoretically, that makes sense – if you have to pay for something you won’t get more than you need, and you’ll keep yourself healthier to keep your costs down.

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Jul
9

The top ten reasons universal coverage is bad

There’s been much to do here and thereabouts on the subject of mandated universal coverage, with a good bit of the “do” pretty negative. Universal coverage has raised the ire of several pundits, one of whom has gone so far as to set up his own club of anti-universal care people (secret handshakes, coded messages, and masks supplied at induction).
Why is universal coverage so bad? Here, culled from the speeches, monographs, and policy papers are the consensus top ten reasons.
I’ll explore each of them in turn this week.

Continue reading The top ten reasons universal coverage is bad