The 6 Pack Economist

As most of you know I am not a fan of government run healthcare.  The reasons of course are numerous.  Most of my reasons for opposing this have to do with the incompetence and corruption that government ventures bring like flies to shit. 

Simply being opposed to something is usually not enough for an argument.  Unless of course you believe the current situation is perfect.  I do not think the current situation is perfect but the alternative of increased government intervention will result in a worse situation.  Although a few additional people will have health insurance the vast majority will see their current coverage slowly die.  The reasons for this are multiple but most of the reasons have to do with the government run plan being subsidized by the tax revenue more and more till the private insurance companies cannot compete.

If we assume that the current plan is similar to a government run health insurance provider, similar to Aetna or United Healthcare.  The difference would be that, instead of being run for profit it would be run for the good of the people.  Those familiar with the term “good of the people” know that it means it will be thousands of jobs for the campaign workers of the winning party.  The most important difference although is not in how the theory of how the company is to be run, but by the sources of funding for the company.  While a private health insurance company is paid primarily by premiums paid by the policy holders, the public plan will be paid by a combination of “affordable premiums” and government taxes.

So far we outlined the future of the system under the current plan but what makes the current system so broken it needs such radical fixes?  There are a few pieces of the current system that are broken.  The first is the current price of insurance premiums.  Many people cannot buy health insurance because it is priced too high.  The reason for this is primarily that the person is trying to buy a policy just for their family.  While businesses have bulk policy leverage to bring the price down the individual does not.  The second problem with the current system is paying for coverage and not getting coverage.  This can range from “preexisting condition” to “uncovered procedure” problems.

I personally believe that when someone buys health insurance it should pay for all non-cosmetic issues a person should encounter.  How much of it the insurance covers can vary, but everything should be covered.  The counter to this is that a company simply cannot cover certain illnesses and still be in business.  So how do we fix this issue?  In this case I think the government can help.  I just don’t see any other way to solve this problem besides including the government. The government would simply have a catastrophic fund.  A person and the insurance company could register a person’s illness, be it cancer or another very expensive illness, at which point all treatments for this illness can be subsidized.  Other rules would of course be needed but the primary purpose of handling high risk cases would be handled.

 The other problem is of course with pricing.  The price of an individual family getting health insurance can be daunting.  The local corporation does not pay that price for its employee’s coverage.  Why? Because it is buying so much that it has leverage to bring the price down.  John and Jane Doe can’t do this.  To solve this problem, coops are the answer.  These coops would be non-profit and run by a small group of individuals.  The coops would charge a nominal membership fee that would be pay for the people negotiating the rates. 

The last problem is very simple to fix.  Although not outlined as a problem earlier it seems the simplest to fix.  All health insurance should be income tax deductible, both for the guy working for the corporation and the guy running a three person landscaping company.

The alternative to all this is a government insurance system that when it is run poorly it will simply ask for more funding from the tax base.  The private companies without this access to taxpayer’s piggy bank will slowly disappear.  Each one that disappears will put more pressure on the government system and more pressure on the tax base.  Because let us not forget that billions of tax income come from the people in the insurance industry.  Each one of the insurance companies that goes out of business means thousands of call center reps, secretaries, IT workers, and managers.  The great majority of these people are not different then me or you.  Although some executive loses his job and multi-million dollar salary, many more Joe Six-Packs are standing next to him at the unemployment line.