During an Objectivist dinner club meeting I attended with my husband this evneing, a new attendee asked, “Why is everyone so quick to attack Obama’s health care reform ideas and spreading fear about them–instead of proposing alternatives?”
I thought for a few minutes while the discussion went on, then I realized the “why” as to the volume and viciousness of attacks by people who are opposed to any socialized-medicine scheme for the United States…and why little airtime is spent talking about alternatives…
Think of it this way, what would you do when you’re on an airplane high in the air and terrorists are rushing the cockpit intent on crashing the plane? Would you look to the people around you and start a discussion about way to improve airplane safety? Or, would you do anything and everything in your power to stop the terrorists from killing you and everyone else on board?
According to a retired physician I know, the alternative is simple: DE-regulate. In his practice–before 1965–he talks about how everyone had access to medical care and how doctors were of a higher caliber. But, he went on to explain that Medicaid and Medicare put an end to America’s clear dominance in health care– both in terms of access and quality. Before the government got involved, health care costs were much lower than today (even after taking inflation and technological advances into account).
The poor had ample access to charity hospitals (supported by *private* charities) and most commercial hospitals offered some degree of free/low cost care as well. A night in the hospital in 1965 would have cost you about $7 ($48 in today’s money). Even the working poor could afford that! But, thanks to government intervention and insane tort laws, an average hospital stay averages $1,000 a night ($148 per night in 1965 money).
He was also explaining that in the 60’s, there were 20 applicants for every seat in medical schools nationwide–and only the best of the best got in. Now, there’s only 2 applicants for every seat– plus there’s the spectre of racial quotas. So it is easy to understand what is happening to the quality level of doctors coming out of schools now. Don’t get me wrong, there are some great physicians coming out of those schools even today– but they become disenchanted in many cases because of the switch from a focus on “solving the case” to “decrease time per patient to raise profits to overcome losses from government patients.”
Want to know why people like me are so terrified of any and all of the plans floating around inside the beltway to reform health-care? Simple! Look at what an abysmal failure Medicaid and Medicare have been– and they want to EXPAND that to the whole country? It does NOT matter whether the plan is “administered” by the government (a la “public option”) or by private insurance companies– it will be bureaucrats deciding on the standards and compensation rates–not the doctors and hospitals–not even the insurance companies.
But, all that said, you want to know what the solution to our horribly corrupted health care system is for the United States? …. REPEAL Medicaid and Medicare (in an orderly fashion, perhaps a 5-10 year phase out program), DE-regulate medicine (who knows better…your physician or a faceless bureaucrat?). Basically, remove government from the equation. Government is a mechanism of force/enforcement– neither of which have a place in health care.
Let’s have REAL reform, not just more of the same. Let’s dial back the health-care clock to 1964 (not including the technology or medicine, of course) and let’s re-establish the United States as the greatest health care in the world–to which everyone has ACTUAL access.
But before we can even have the debates and discussions, we must first stop Obamunism.

The Means Justify the Ends
28 August 2009 — Eriks GoodwinFrederic Bastiat
I think that it is truly sad that there are those who simply do not realize that the “people” do a better job than the “state” in all things other than national defense and law enforcement. Normally, I would include the courts in that list of things since that is the only other legitimate function of government, but juries *are* the people–and are the arbiters of justice.
Why is it so difficult for so many to realize that while they claim that the ends are worth it, i.e., people having access to universal health care, they can’t even conceive of the evil of the means by which they want to achieve it. Why is it so difficult to understand that the means justify the ends, not the other way around? If one’s means are evil or even just a little tainted, so will the ends be, too.