Medicare for All

Senator and Progressive-Democratic Party Presidential candidate Bernie Sanders (I [sic], VT) has the canonical version of Medicare for All; the other Progressive-Democrat candidates have only slightly varied versions of it.  Here’s Sanders on his Next Big Idea for health care provision and health care coverage:

You will have a card which has Medicare on it, you’ll go to any doctor that you want, you’ll go to any hospital that you want.

Right.  Been there, done that.  Both claims were straight up lies then, too.  There is a major difference, though, between Sanders’ two lies and ex-President Barack Obama’s (D) two lies: Sanders would make private insurance illegal—both the selling and the possessing.  That, though, only potentiates the power of Sanders’ lies.

As The Wall Street Journal mentioned on the other side of the link,

The point of Medicare for All is to cut reimbursement rates to Medicare levels, which government can now set so low only because private commercial reimbursement rates are so much higher. Cutting reimbursement rates would “probably reduce the amount of care supplied and could also reduce the quality of care,” CBO says.

Not could—would.  Reducing availability cannot help but reduce quality, if only from denying it altogether to many who need it or would merely benefit from it.  But that’s not the only pathway: that reduction in availability will flow, at least in large part, from that reduction in reimbursement rates.  As a result of that, those doctors and hospitals whose talents and skills warrant higher pay will limit their practices to the bare minimum.

That’s not out of personal greed, either: costs of care delivery go up markedly as the number of patients go up.  Absent meeting costs with fees charged, these providers would have no choice but to limit their costs by limiting their services and the numbers of potential patients served.

There’s another cost path, too: the more complex or difficult, or even merely rare, a medical problem, the more expensive it is to provide services for dealing with it.  Capped reimbursements will limit the availability of that care. And—lower reimbursement rates again—lower the quality of those providers willing to provide the care.

Socialism and Good Intentions

Carol Roth, in her op-ed for FOXBusiness, said that Socialism begins with good intentions.

No, socialism does not.  Perhaps the first attempts did, but with its unbroken history of wealth concentration, power concentration, and utter failure—even for those in the concentrated top—before us and well known, that much is clear.  On the contrary, those proselytizing for and instigating socialist regimes have as their sole goal the accretion of wealth and power to themselves—and this time it’ll be different, this time they’ll pull it off.

Roth’s piece had a number of internal contradictions that illustrate the origins of socialist regimes, even though she seems to have missed them.

The first is her quote from Margaret Thatcher:

The problem with socialism is that eventually you run out of other people’s money.

Those pushing socialism know this a priori, though.  They have no concern for the future, just the current seizure of all that OPM.  They’ll get theirs, and to hell with anyone else.

Then she wrote,

Socialism is quite like robbing Peter to pay Paul….

That’s not starting out with good intentions.  Unless it’s a Good Thing to rob someone, especially if it’s someone you don’t like.

And this bit:

Socialism starts out with noble intentions, preying on the envy of the population….

It’s noble to “prey on” the base instincts of the poor?  It’s noble to take advantage of others’ envy, to encourage the weak immorally to act out that envy?  How does that “logic” work, exactly?

Socialism, in each of its iterations over the last 100 years has not started with good intentions.  It has started with the greed of the few with the skill to peddle snake oil.  Socialism accelerates downhill from there.

The EU Blows Things out of Proportion

…again.  This time it’s over the US’ decision to implement all of the Helms-Burton Act, to stop waiving Title III of the Act.  Helms-Burton, you’ll recall, is a law passed in 1996 that pressured Cuba and its trading partners to not traffic in Cuban government-appropriated -stolen private property, property that was seized by that government over the course its power-grabbing in the days following Fidel Castro’s successful rebellion.

Title III created a private cause of action, allowing private citizens whose property had been confiscated by the Cuban government to sue those trafficking in that property for monetary compensation for the loss, plus court and attorney costs associated with the suit.  The Title also contained within it authority for the President to waive the Title for six-month periods.

The EU is up in arms over this.

The EU considers the US move to be “contrary to international law” and “will draw on all appropriate measures to address the effects of the Helms-Burton Act, including in relation to its WTO rights,” according to a statement from the EU’s top diplomat, Federica Mogherini.

Because it’s contrary to international law and a violation of WTO rights for persons whose property has been stolen to go into court in order to be compensated for the loss ensuing from the theft.  No, the EU and a few member nations simply are worried about the inconvenience of protecting justice:

[A]ctivation of the Title III provision could bring about dozens, if not hundreds, of lawsuits and also generate trade conflicts between the US and European countries such as Spain, France and Britain. It is also likely to negatively affect the already lagging levels of foreign investment in Cuba.

That last is especially risible.  The point of Helms-Burton is to pressure the Cuban government to cut it out and make its victims whole.  Negatively pressuring Cuba’s reception of foreign investment is a valuable tool in gaining the compensation.  Beyond that, if European companies lose money as a result of the suits, that’s on them for trafficking in stolen goods in the first place, and their beef is between them and the Cuban government, not between them and the victims of the crimes.

And there’s the matter of perspective.

The US State Department has certified some 6,000 claims worth some $8 billion (€7.14 billion) in current values. Another 200,000 claims have yet to be certified, but could have a value amounting to tens of billions of dollars.

Tens of billions.  The level of trade between the US and the EU (because Spain and France, and Great Britain so far, cannot conclude trade agreements apart from the EU), even in the present parlous trade environment, is $1.1 trillion (€1.23 trillion).  The Europeans are raising their misguided tempest deep inside a teacup.

The Helms-Burton Act is summarized here, and the Act itself can be read by following the first link in that cite.

Progressive-Democrat Hysteria

Now illustrated by House Speaker Nancy Pelosi (D, CA).

She says that Attorney General William Barr lied to the Senate in Wednesday’s Senate hearing because he refused to say what Progressive-Democrats want him to say.  This was emphasized by Senator Mazie Hirono (D, HI), who spent nearly all of her question-time in that hearing smearing Barr (with charges of lying) instead of asking him questions.

Pelosi also gleefully has called Senate Majority Leader Mitch McConnell (R, KY) the grim reaper (following McConnell’s statement that he’d have to be the Grim Reaper if the Pelosi persisted in sending up her bad and partisan Progressive legislation).

Because not saying what Progressive-Democrats demand be said, not doing what Progressive-Democrats demand be done, is somehow dishonest.

The Progressive-Democrats’ FUD-raising behavior would be risible and worth ignoring, were it not for how dangerous Party is with its control of the House.

Drug Pricing

Amazingly, there’s an actual debate going on over whether consumers should be allowed to see drug prices in drug advertising.

Stacie Dusetzina, Vanderbilt University School of Medicine’s Associate Professor of Health Policy and the Ingram Associate Professor of Cancer Research, argued—in all seriousness—in a recent Wall Street Journal example of the debate (see the link) in favor of the following points:

  • disclosure of list prices may deter some people from seeking treatment
  • disclosing prices could backfire by creating an artificial sense of “value” due to a high price tag
  • the idea behind the proposal is to shame manufacturers into lowering list prices or limiting price increases by requiring them to disclose just how high their prices are

Wow.  In reverse order….

No, the idea behind the proposal is not to shame or to limit price increases by requiring manufacturers to disclose just how high their prices are. The idea is competition.  The idea is to limit price increases or to lower prices by forcing manufacturers to compete in an open, free market environment.  This, just incidentally, also will force intermediaries and pharmacies as end-sellers to compete on pricing in a similarly open, free market environment.

No, disclosing prices won’t create an artificial sense of “value” from a high price.  Dusetzina must really think Americans are stupid to pay artificially inflated prices simply because the prices are high.  That may be the case for luxury cars or fancy purses or other objects of ego-driven conspicuous consumption, but it’s most assuredly not the case for the working man or woman—which is to say the vast majority of us—buying necessities or even the merely nice-to-haves.  If we were stupid enough to buy the higher priced good or service just because it was more expensive, grocery store prices would be much higher than they are now.

No, disclosure of list prices won’t deter many of us from seeking treatment at all.  What it will do is let us see the lowering prices make getting treatment more affordable.  Besides, even for those few of us who do defer or avoid treatment because of those prices; that’s our choice, not Government’s to make for us, not even indirectly by manipulating our accesses.

Price information—especially price information available before any decision to buy or not to buy—is critical to competition.  And it’s that competition that will drive drug prices to their natural levels—the cost of producing and marketing them—and not a penny more.  Even the profit margin that competitive companies legitimately can collect will be eaten into by that competition.  Look at those grocery stores, again.

Hiding price information is absolutely antithetical to free markets and low prices.