Why libertarians can support Universal Healthcare (or some form of it)
People need to suck less!, Pragmatism Rules! Tagged America, free-market, government subsidy, health insurance, life, Massachusetts, morality, preventive medicine, taxes, United States, universal health care 6 Comments »So I’m pretty sure I’m blaspheming in the House of Free Markets, but I admit to being liberal, and even statist, on one issue: healthcare. I’m not Michael Moore-ing the issue and going to assault people with sob stories, manipulations, and ignorance of the facts on the ground. Instead, I think there are moral, and potentially economic, reasons to at least mandate healthcare.
I think the most pressing issue over medical assistance is morality. As an agnostic, I maintain that the only thing that we can know in this life is ourselves. There may or may not be a higher power, but it is not for me to legislate based on the possibility of an afterlife or upholding some deity’s desire. Honestly, even if there is a “heavenly being”, how could I possibly know what It wants me to do? So all I can go with is my life. Without some sort of objective moral standard to guide my actions, I do what I can to live a good life. With that said, I think the most important thing to uphold is the value of human life. I’m too damn smart to even approach the abortion side of the life issue, but I will address prolonging the lives of human beings who are out of the womb.
If the government’s obligation is to protect and preserve your life and liberty, how can it NOT offer you health care? The United States in 2008 has the largest economy in human history. It has a population that is better educated, safer, and has a higher standard of living than any other society. Ignoring the future and looking solely at hard data, this is the most impressive collection of human beings throughout the history of the species. For a society so advanced to simply let people die is oddly horrific.
My plan:
My general premise is that health care should be like auto insurance: you have to have it. It is also loosely based on Massachusetts’ health care plan under Mitt Romney. As in the current market, there are myriad types of health insurance programs which range in cost and quality of care. Everyone in the country receives a baseline government subsidy to buy a bare minimum health program. There would be minimal co-pays and additional costs to prevent people from going to the doctor for a hangnail, which would clog up lines.
For those with the means, they can use the subsidy and their own personal wealth to buy better quality health insurance. For the wealthy and insured, just think of this way: your taxes increase by $250 and you get a $200 credit to buy health insurance. You then buy your $1,000 health insurance that includes gold plated needles and state-of-the-art equipment.
At this point, the uninsured do not receive health care. Those who choose not to register for a health insurance plan (for reasons that would be totally beyond me, since you are getting free health care), they receive nothing. The emergency rooms would be less busy because of preventive medicine and would have no moral obligation to treat those without insurance.
If you want to see it from a different angle: my program is also analogous to food stamps. It allows the needy to make the purchase of essential items for basic survival. In order to best spread the program, I have elected to also give benefits to those who can afford to make payments. Though, I’m not unopposed to only allowing those make under $40,000 (or some other arbitrary number) to get government subsidies.
The counterarguments (and accompanying counter-counterarguments):
1. People are going to die anyway, the government need not concern itself with prolonging the inevitable
People will die. However, if we accept that the government has no obligation to prolong life, that it should not have a military or offer any services which improve lifespan and/or quality of life. If we accept as a general rule that prolonging the inevitable is unnecessary, we should commit mass suicide right now to get it over with.
2. This is going to cripple and discourage doctors and pharmaceutical workers
Not entirely. Doctors can still make oodles of money in the public and private sector. Considering how much money preventive care saves, I’m down the government paying a little extra to doctors…hell, let’s have merit pay for doctors who take the time to find illnesses and save long-term medical costs. Also, I don’t want the government covering plastic surgery or other optional procedures. If a doctor wants to make millions giving botox injections, let’s go for it.
Pharmaceutical companies would be largely unaffected by mandating health care. There need not be a wholesale reform of patent laws, so drugs can still cost $20/pill to promote further Research & Development. Moreover, putting more Americans on healthcare will make drug use more affordable, increasing the supply of customers to drug companies.
3. This is an affront on my personal liberties! I should buy as much healthcare as I want!
That’s fine. If we make health care like auto insurance, then you can buy as high or low quality health care as you want. Buy a policy that offers top of the line services which covers all doctors and provides the most up-to-date procedures. I am not arguing that all Americans should have equal health care, just that all Americans should have some form of it.
4. It is grossly inefficient!
Not really. Considering the incredibly high costs of Emergency Room visits by the uninsured, preventive medicine is much cheaper. Offering a tax credit/stipend to the poor to buy low-level health care is more cost-efficient than Hillary or Obama’s plans to put all Americans on government-run programs. My plan still has privatized medicine.
5. It’s the free-market! Any Econ course worth its salt teaches you that the free-market is the most efficient producer of goods and services
Yes, but any Econ course also acknowledges externalities. In the case of the externality of the economic (in terms of work productivity) benefit of health care for poor folk, I’m willing to let the government use my (and your) tax dollars.
Moreover, preventive medicine is an investment that the poor can’t make.
Given the nature of this particular blog environment, I suspect my views are unpopular. I hope to spark intelligent discourse. If you disagree, please drop a comment.







