The Myth of the Free Market Health Care Reform

I offer my readers two examples of why the “free market” system alone is systemically incapable of creating or sustaining any semblance of real health care reform:

  1. The free market requires that any product related to health care for real human beings actually is designed to make a profit for the owners/shareholders of that business.
  2. The free market requires that any product related to health care for real human beings actually is designed to make a profit for the owners/shareholders of that business.

That is not a typo.

“Hunter,” one of the contributors to the Daily Kos, wrote a letter to the President making his case for free market health care.  Here are his concluding paragraphs:

So, Mr. President, I write to you with this demand: we are not a socialist country, one which believes the health of its citizens should come without the proper profit-loss determinations. I believe that my healthcare decisions should be between me, my insurance company plan, my insurance company’s list of approved doctors I am allowed to see and treatments I am allowed to get, my insurance company’s claims department, the insurance company doctors who have never met me, spoken to me or even personally looked at my files, my own preexisting conditions, my insurance company’s crack cost-review and retroactive cancellation and denial squads, my insurance company’s executives and board of directors, my insurance company’s profit requirements, the shareholders, my employer, and my doctor.

Anything else would be insulting.

Hunter didn’t make this up.  This is, indeed, the reality of health care in the free market.  I urge you to read the complete letter.  You’ll love the part about the gold-plated utensils and its vital relationship to your health care dollar.

Paul Krugman, Nobel-winning economist and New York Times columnist, however, just puts the nails in the free market myth coffin:

There are, however, no examples of successful health care based on the principles of the free market, for one simple reason: in health care, the free market just doesn’t work. And people who say that the market is the answer are flying in the face of both theory and overwhelming evidence.

I urge you to read the complete post from Dr. Krugman’s blog.

It really comes down to this.  If you are chuckling, you understand that health care reform is about real people needing real medical care when they need it, without the cost or lack of access costing them their lives or livelihoods.

If you are experiencing blustery consternation and wanting to call me a socialist, communist, or worse (none of which apply, because I am a dyed-in-the-wool capitalist), you need to make a decision.  Do you want to live in a country that is healthy and prosperous because health care is delivered through a collaboration of the government, mission-driven non-profit organizations and private enterprise, or…

Well, do you want to or not?  The myth that free market health care reform will be achieved is dead.  As Paul Krugman points out there are many things the free market can do very well.  Health care is not on that list.

I care enough about you as a person and as an American to support a portion of my taxes being spent to ensure you can get the medical care you need when you need it, because I know in the long run we will be better off–you, me, and 300 million of our fellow Americans.

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