Sunday, August 28, 2016

Obamacare and the Public Option

Now that it is becoming increasingly obvious, even to diehard defenders, that Obamacare is failing, I see the usual suspects are once again raising the suggestions of (a) a public option, and (b) universal federal health care.

The public option essentially involves the government putting up its own insurance company. Why liberals think the government, with absolutely no experience in the field, can make money or at least break even when professional insurance companies can’t is beyond me.  So really the public option involves the taxpayers (ie – the rest of us) subsidizing yet another, probably inefficient government agency.  I don’t think so!

We already know how the government would do with universal federal health care, because they already run two such systems – Medicare and the VA system.  The Veteran’s Administration health care has been a scandal for years now, and despite lots of embarrassing revelation over the past two years, it STILL isn’t fixed. In Phoenix this year, for example, the average wait time for a first appointment with a doctor was still 115 days, almost 4 months, and 1700 veterans were simply “lost” from the waiting lists.

So that is one model of how a federal health care system might look.

Medicare works better, but is economically unsustainable in the long run. In 2014 Medicare accounted for nearly $600 billion in the federal budget, or about 14% of the total budget. This year’s report from the trustees estimates that the fund will be depleted by 2028. And it is so poorly run that the Government Accounting Office recently estimated  that in 2014 it lost over $60 billion (yes, BILLION) in fraudulent charges

So yes, the nation’s health care system badly needs a major overhaul, but turning it into another expensive, bloated, inefficient, and unresponsive government agency is likely to make the problem worse, not better.