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Support for Public Option Waning... at the New York Times?

by: Scott Martin   posted: 2009-10-01 16:01:00
Viewed 377 times. 2 Comments.

Has the New York Times finally seen the writing on the wall and decided to take what it can get and avoid further political damage to the Obama administration? It looks that way. Today's edition features this article by Nelson Schwartz on the Swiss model, the only European plan that does not feature a fully government-run health care option: Swiss Health Care Thrives Without Public Option

Like every other country in Europe, Switzerland guarantees health care for all its citizens. But the system here does not remotely resemble the model of bureaucratic, socialized medicine often cited by opponents of universal coverage in the United States.

If the Times is getting ready to back off the public option, the main beneficiary would be something akin to Sen. Max Baucus' bill.

In Congress, the Senate Finance Committee is dealing with legislation proposed by its chairman, Max Baucus, Democrat of Montana, which would require nearly all Americans to buy health insurance, but stops short of the government-run insurance option that is still strongly supported by liberal Democrats.

Of course, plenty of problems remain with any option that attempts to cover every citizen.

The Swiss government does not “ration care” — that populist bogeyman in the American debate — but it does keep down overall spending by regulating drug prices and fees for lab tests and medical devices. It also requires patients to share some costs — at a higher level than in the United States — so they have an incentive to avoid unnecessary treatments. And some doctors grumble that cost controls are making it harder these days for a physician to make a franc.

The Swiss government also provides direct cash subsidies to people if health insurance equals more than 8 percent of personal income, and about 35 to 40 percent of households get some form of subsidy. In some cases, employers contribute part of the insurance premium, but, unlike in the United States, they do not receive a tax break for it.

It is laughable that the Swiss system does not in rationed care. Perhaps not to the extent of a government run system, but any system that gives care to all without regard to ability to pay does, by definition, ration care. And it is still an income redistribution model, albeit to a lesser extent. Under this system, doctors are squeezed. The government has decided that the service provider loses and the person who can't pay for services on his own benefits. The Swiss system, like any mandatory plan, perverts the free relationship between buyer and seller, provider and consumer.

Swiss private insurers are required to offer coverage to all citizens, regardless of age or medical history. And those people, in turn, are obligated to buy health insurance.

I'm still looking for the language in the Constitution that allows the federal government to demand that a person purchase something and demand that another person offer a service for sale.

Nevertheless, this is a good sign. We can argue these points and more when the time comes. But the fact that liberals are looking for a politically feasible alternative to the public option is a victory for the free people of this country.

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Comments 2

Jerry Critter on 2009-10-01 17:57:43

The Swiss system works because they do not allow a profit to be made off primary health care insurance. All primary health insurance companies are, by law, NON profit. Profit is only allowed for secondary coverage.


Scott Martin on 2009-10-01 18:03:46

Yeah, that's mentioned in the Times piece. Whether or not it "works" is another story. It is certainly anti-freedom and would not be allowed under an accurate reading of the U.S. Constitution.


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