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Health Care Reform: The Road Not Travelled

This evening the latest Obamacare deadline will pass.  Missing throughout the discussion lately has been the road not travelled—solutions to the high cost of health insurance and the coverage of the uninsured that did not involve the establishment of a vast new federal bureaucracy, the involvement of the IRS, the establishment of “death panels” and forced enrollment.

One of the key reasons health insurance is so high is the relative lack of competition.  Insurers can’t cross state lines to give potential customers a wider selection of choices.  Unfortunately, Obamacare ignored that reality. Part of the reason: the White House needed the support of insurers to gain support for the President’s plan, so their monopolies were allowed to continue.

While poorly performing hospitals and doctors should be forced to pay dearly for their malpractices, the reality is that many lawsuits are without any basis, brought under the concept that merely paying off an agreed upon sum is cheaper than going to trial.  Tort reform could lessen this burden, which greatly increases medical costs, but trial lawyers are key political contributors so this was ignored.
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Nurse practitioners could perform far more routine medical services than they currently do, but this threatens the AMA’s monopoly, and like the trial lawyers, they have great lobbyists, so this approach to reducing costs never got very far.

There were other common sense ideas, but none provided the vast patronage mill and jobs-for-politicians that Obamacare did.