This doc has the right Rx

Anil gets several magazines that I trash without review. Medical Economics is not one of them. As a former slave to the medical workforce and wife of a practicing physician, I find this mag to be quite useful. This month’s News&Views has a very well written article on patient responsibility and healthcare.

My favorite part of the article has to be this:

At the heart of the debate lies a fundamental question: Is healthcare a right or a privilege? The Declaration of Independence refers to our inalienable rights to life, liberty, and the pursuit of happiness. But, over time, Americans who’ve come to take for granted an expanding number of entitlement programs have added other “rights” to this list, including the right to healthcare.

The problem with that expectation is that, when everything is labeled a right, then the concept itself loses any meaning. It’s like the student who highlights the entire page of a book, thereby losing all distinction between what’s crucial and what’s incidental.

There’s another problem with calling healthcare a right. It imposes an obligation on the government to fulfill that right—something our government is neither economically nor functionally equipped to do. In contrast, the Bush administration reform plan would shift at least part of the healthcare burden from employers and government back to the consumer. By coupling a high-deductible policy with a tax-free health savings account, policy makers believe that Americans will become more efficient and discerning consumers of healthcare. Part and parcel of this cost-savings approach is price transparency, objective measures of quality, and tort reform.

I felt a warm sensation when I read that. (Where would be my business.) It seems that there are people who get it.

~ by Miche on December 19, 2006.

7 Responses to “This doc has the right Rx”

  1. The devil’s in the details.

    “In contrast, the Bush administration reform plan would shift at least part of the healthcare burden from employers and government back to the consumer.”

  2. Bush & Co. make many things a screwy mess, but the patient should be the consumer. Medicare is my husband’s most timely payor, but I know, from pillow talk only, that gov intervention screws taxpayor, doc and patient. Or maybe Anil was telling me that he was gonna f me hard and then I misconstrued his meaning? hmmmm, I think I need to go back to the source- give me 7 minutes…

  3. Hey, while I fully agree that the patient should be the consumer, and enjoy hearing about your pillow talk as much as the next guy, I question BushCo. making anything better.

    That was one of the things Steve Gordon and I talked about today (technically yesterday but I’m still awake so I’ll call it today).

    We need to firmly and unequivocally distinguish between Libertarian free market solutions on healthcare and Republican
    corporate-government partnership solutions.

    That’s a larger subset of what I’ve been saying on many other issues.

    Failure to do so makes possible, on the one hand, Eric Dondero, and on the other, left-libertarians who see themselves as Leftists and also see Libertarians as Far Right conservatives.

    Read this yet?

    http://mises.org/story/2099

  4. I don’t really think that the doc said anything untrue.

    This is crucial for progress in the area of healthcare reform, since, to date, the bad effects on health of certain lifestyle choices—poor diet, overeating, smoking—have done little to alter peoples’ behavior. If, on the other hand, consumers were forced to shoulder more of the financial burden of their lifestyle choices, finally, perhaps, they’d be motivated to pursue healthier choices.

    And that would be the start of real reform.

    I think it very libertarian to expect people to take responsibility for their choices. His Bush comment may distract from the message, but the message is still choice/responsibility.

  5. These are good:

    http://ruwart.com/Healing/chap5.html

    and

    http://mutualist.livejournal.com/

    what do you think?

  6. Hey that’s weird….my latest reply disappeared

  7. Oh, I see it’s awaiting moderation, didn’t notice that before…

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