The Correct Way to Criticize McCain's Healthcare Plan
Obama's attack on McCain's healthcare plan is that he will make include insurance benefits as taxable income. This is accurate and effective, but misleading. The $5,000 dollar transfer will more than make up for these losses. This policy is a relatively smart way to address moral hazard. What will end up happening is that poor people will end up consuming more healthcare and rich people will downsize from the cadillac healthcare plan through what is known in microeconomics as a "substitution effect."
Never fear liberals, there is plenty left to criticize! Including:
-It will actually fracture risk pools instead of pooling risk broadly as he plans to "promote competition" - this will have an upward pressure on price.
-It will not address the market for health, only the market for health insurance.
-Thus it will not address inflated Doctor's salaries, over-specialization, the shortage of general practice Doctors, inflated drug costs.
-It only transfers wealth and deals with moral hazard, it does not address inflated costs.
Thus the plan assumes the only problem with healthcare in the United States is moral hazard, that we consume too much. The real problem is cost. We fix costs by fixing the market for healthcare services and promoting broad risk pooling in health insurance.
This just some good ammunition against conservatives who may be on to the fact that Obama's attack doesn't really hold up when you examine the policy.
Never fear liberals, there is plenty left to criticize! Including:
-It will actually fracture risk pools instead of pooling risk broadly as he plans to "promote competition" - this will have an upward pressure on price.
-It will not address the market for health, only the market for health insurance.
-Thus it will not address inflated Doctor's salaries, over-specialization, the shortage of general practice Doctors, inflated drug costs.
-It only transfers wealth and deals with moral hazard, it does not address inflated costs.
Thus the plan assumes the only problem with healthcare in the United States is moral hazard, that we consume too much. The real problem is cost. We fix costs by fixing the market for healthcare services and promoting broad risk pooling in health insurance.
This just some good ammunition against conservatives who may be on to the fact that Obama's attack doesn't really hold up when you examine the policy.
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Even Obama hasn't been able to utter the awful truth that as long as the insurance companies are taking 25-30% off the top of every health care dollar, our system will not measure up to nations with national health care systems.
But, HEY, now that we're nationalizing the banks, medicine can't be too far behind - Right?
October 15, 2008 5:35 PM | Reply | Permalink
Good post, but the way I deal with this is a bit more devious perhaps. It is clear to me that if McCain's plan were implemented, the system, such as it is, would implode. The employer based system would collapse, his Medicare $800B cuts would lead to the elderly, physicians and other providers, hospitals, etc., virtually rioting in the streets. So, for those of us who believe that the system needs rebuilt in a Bismarckian or single-payer model, McCain's plan would get us there fairly quickly. So, that's what I tell people. If you want to get to a crisis that will lead to some form of universal health care, vote for McCain. With Obama, you get more incremental change and the time to actually debate and consider how to fix the system.
You should reconsider your position on addressing Moral Hazard. Please see Malcolm Gladwell's excellent piece linked to here:
http://cmhmd.blogspot.com/2007/01/new-yorkerthe-moral-hazard-myth.html
And the myth of moral hazard is also why HSA's can't work long term.
Cheers,
October 17, 2008 4:39 PM | Reply | Permalink
I tend to agree that adverse selection and the insurance agency "creaming" as Father OKC mentions are bigger problems than moral hazard. Nevertheless, to deny that both ex ante and ex post moral hazard takes place in our insurance markets is a mistake in my estimation. All problems that lead to excessive costs need to be considered in our healthcare proposals.
October 21, 2008 1:18 PM | Reply | Permalink
Inflated salary-Are you crazy?
How about giving up 15 years of your life for 100 plus hour work weeks for training, sacrificing your family and any hope of a social life, 200k in medical school debt, and no 401 k contributions during this time. Inflated, let me ask you what would they have to pay you to give up 15 years of your life?
Dr. Rob Bham.
October 29, 2008 8:57 PM | Reply | Permalink
Dr. Bham,
I wasn't making a personal attack on you and you shouldn't take it as such.
Doctors in the United States make up to 60% more in corresponding fields than Doctors in Canada. I argue that this has, among other things, contributed to soaring healthcare costs. I believe that everyone has to sacrifice, including Doctors.
But to answer your question more directly, yes I'm crazy (?).
October 30, 2008 3:03 PM | Reply | Permalink