Paying for Health Care

John Cochrane correctly decried the costs of health care in today’s economy, but he has the wrong solution.

Why is paying for health care such a mess in America? Why is it so hard to fix? Cross-subsidies are the original sin.

No, cross-subsidies, “sinful” as they are, are not the original sin.  The original sin is government involvement at all in the form of any sort of subsidy.  Far from the subheadline’s claim that “honest subsidies” (eliding the oxymoronic nature of that label) would encourage competition and innovation, they’d do the opposite, as all subsidies do: they’d suppress competition and innovation by giving the government-favored recipients a government-mandated advantage over their government disfavored competitors, freeing the one from competition’s pressures to innovate and reducing the other’s access to resources needed to innovate—and stifling competition’s engine, the need to innovate to stay ahead of rivals.

“As Necessary”

Recall the kerfuffle over whether senior government officials—an ex-CIA Director, for instance—should have their security clearances continued when they leave government services.  As Sean Bigley put it in a recent Wall Street Journal op-ed,

The idea was that senior administration officials should be allowed to retain their security clearances after leaving government so they could consult with successors as necessary.

Bigley suggested that this particular rationale even “makes sense for a brief, defined period.”

He’s overstating the case, though.  “As necessary” doesn’t justify an automatic continuance of a clearance that’s no longer automatically needed, nor does “as necessary” come close to representing a continued need to know that is a Critical Item in granting clearances.

All government personnel, regardless of rank, should lose completely their security clearances as soon as they leave government service.  “As necessary” is not continuous; it’s case-by-case.  Post-government service clearances should be granted on that case-by-case basis and no other.