Free Markets for Health Care

Here’s an illustration of why one is badly needed.  The Wall Street Journal‘s article is centered on health coverage plans, but the underlying problem is in health care provision and the monopolistic nature of both provision and coverage.

Last year, Cigna Corp and the New York hospital system Northwell Health discussed developing an insurance plan that would offer low-cost coverage by excluding some other health-care providers, according to people with knowledge of the matter. It never happened.
The problem was a separate contract between Cigna and NewYork-Presbyterian, the powerful hospital operator that is a Northwell rival. Cigna couldn’t find a way to work around restrictive language that blocked it from selling any plans that didn’t include NewYork-Presbyterian, according to the people.

And

Dominant hospital systems use an array of secret contract terms to protect their turf and block efforts to curb health-care costs. As part of these deals, hospitals can demand insurers include them in every plan and discourage use of less-expensive rivals. Other terms allow hospitals to mask prices from consumers, limit audits of claims, add extra fees and block efforts to exclude health-care providers based on quality or cost.

We’re on track to commit 20% of our GDP to health care costs, and the industries of health care provision and health care coverage operating outside a free market environment is the major driver of that expense.

The WSJ piece goes on at length in this vein.

If patients and our doctors were able to shop around and force hospitals, clinics, and coverage providers to compete for our business, we’d very quickly see better health care, better (actual) health insurance, and lower costs.  If our doctors had to compete for our business, we’d see just as quickly better care at lower cost.  And our doctors would need have no fear of costs—their fees—going too low: there’s a lot to be said for patient loyalty to a good doctor, both from a quality of care and continuity of that care perspective.

He Didn’t Build That

Our economy had the awe-uninspiring growth rate of 2% per year during ex-President Barack Obama’s (D) time in office.  Now, the Census Bureau has reported that

  • [r]eal median household incomes rose 1.8% to $61,372 between 2016 and 2017
  • the overall poverty rate dropped 0.4 per centage points to 12.3%
  • poverty rates for blacks and Hispanics fell to 21.2% and 18.3%, respectively, the lowest in more than 45 years
  • the share of people earning less than $15,000 declining 0.3 per centage points

Obama didn’t build that.  Those folks also think they’ve reached the point where they’ve made enough money.

On the other hand, Obama, his Progressive-Democrat cronies, and his regulators did create the very low economic baseline against which those per centages are being measured.

The PLO and Peace

The US is cutting off funding for the PLO, and we’re closing the PLO’s delegation office in DC.  Various apologists for the terrorist organization are up in arms over the Trump administration’s sterner stand.

…the administration that appear to be moving away from the 1993-95 Oslo accords before the administration has explained what it thinks should come next.

Walking away from the Oslo peace framework? That framework doesn’t exist; the PLO walked away from it long ago.  See, for instance, PLO leader Yasser Arafat’s intifada after walking away from the historic and generous Israeli peace offer brokered by Bill Clinton in 2000.

Moreover, neither is the Trump administration required to lay out its strategy vis-à-vis the PLO in public—and thereby let the PLO develop its resistance to it—before it has presented its plan to Israel and the PLO nor is it required to negotiate with the PLO through the press.

Palestinians call move “reckless”

Reckless? What’s reckless is the PLO’s support for Hamas’ terrorist attacks against Israel.  What’s reckless is the PLO’s paying bounties to surviving families of terrorists killed in PLO and PLO-supported terror attacks.  What’s reckless is PLO’s support for Hezbollah.

Aaron David Miller of the Wilson Center:

They [the Trump administration] are dismantling the traditional American architecture to create a two-state solution

That traditional architecture has worked so well over all these years.  No, it’s time to stop wasting time and resources on that obvious failure and try something else.

Beginning with encouraging the PLO to become interested in peace.

A Change in Tone?

Recall the start of President Donald Trump’s response to the People’s Republic of China’s economic conflict with us, when he began imposing tariffs on PRC goods over their continued theft of American companies’ intellectual property.

Vice President Wang warned US business chieftains there would be corporate casualties. President Xi told others that Beijing would “punch back” at the US.

Now we’re getting sweet words.

Liu He, President Xi Jinping’s economic-policy chief, told visiting American business representatives that US companies’ China operations won’t be targeted in Beijing’s trade-brawl counterattacks. “We won’t allow retribution against foreign companies,” Mr Liu said[.]

We promise.

Sure.

No, this is not a change in tone.  It’s smoke-blowing and just a change in tactics.  The PRC still is requiring foreign companies—especially American companies—to take on a majority partner as a condition of doing business in the PRC.  Sure, the government is making noises about only requiring a minority partner (49% ownership), but they’ve enacted nothing.

The PRC still is requiring foreign companies—especially American companies—to install backdoors in their operating system software and their software products so the government can enter and poke around to its heart’s content.

The PRC still is hacking into American businesses and our government facilities to steal our companies’ and government’s secrets.

On the other hand, that last may indicate that the change in tone is serious.  The PRC may have gained enough confidence in its hacking chops that it doesn’t feel the need to demand the surrender of our secrets; it may be confident that it can steal them at will.

Either way, there’s no reason to take Liu at his word.  Actions matter.

Nike

Nike makes shoes, among other things.  It also has chosen to use Colin Kaepernick in its new Just Do It campaign.  You recall Kaepernick: ex-49er quarterback who’s the instigator and leader of the NFL players’ campaign of contempt for our national anthem and our flag and of insult for the generations of our veterans who’ve fought, been maimed, and died for our freedom, including these players’ right to be stupid and to engage in contemptible and insulting behavior.

But wait—aren’t the players protesting police brutality, discrimination, and other social injustices?  That’s certainly their claim.  However, if their claim were accurate, they’d protest police brutality, discrimination, and other social injustices instead of attacking our anthem, flag, and veterans.  They’d also go into the neighborhoods where these things are occurring and actively help the locals, as many of the players who aren’t behaving so contemptibly and insultingly are doing.

Further, even if that had been their message at the outset, it’s clear that their message has been not understood that way by much, if not most, of their audience.  They would, then, clarify by changing their message delivery in order to have their message better understood.  Instead, the players have continued their delivery unchanged in the slightest.  From that, it’s clear that either their message never was what they claimed it to be, and they’ve been attacking these symbols and defenders all along, or they’ve walked away from their message and now are simply engaged in a toddler’s ego trip of out-stubborning those who disagree with them.

The players know all of this; in particular, Kaepernick knows all of this; and Nike knows all of this.  Yet,

Nike has said it “opposes discrimination of any type and has a longstanding commitment to diversity and inclusion.”

Too bad that doesn’t apply to our anthem, our flag, or our veterans.

I’ve bought my last Nike product.  I’m Just Doing It.