Tag: market-based reform

What Do The Economist’s Bloggers Think a Free Market Is, Anyway?

A correspondent for The Economist, whose initials are M.S., posts this on the Democracy in America blog:

[T]he new health-care-reform law passed in March is an entirely private-insurer, free-market-based reform. If someone were to refer to it as a “government takeover of the health-care sector”, that person would hold a factually incorrect ideological belief.

I wonder what convinced M.S. that the new health care law is an entirely free-market-based reform.  Was it the expansion of the government’s Medicaid program to another 16 million Americans?  Was it the 19-million-plus other Americans who will receive government subsidies to purchase private health insurance? Was it the new price controls that the law imposes on health insurance?  Or the price and exchange controls that it will extend to even more of the market?  Was it the dynamics those regulations set in motion, which will reduce variety and innovation in health insurance?  Was it the mandates that require private actors to spend their resources according to the wishes of the state?  Or the new federal regulations that will shape every health insurance plan in the United States, whether purchased through the employer-based market, the individual market, or the new health insurance “exchanges”?  Was it the half-trillion dollars of (explicit) tax increases over the next 10 years?  

I wonder what it is about this law that M.S. thinks is consonant with the principles of a free market.  Perhaps we have a different idea of what “free” means.

M.S. lists other “factually incorrect beliefs,” including:

that the Clinton plan would deny patients their choice of doctor, and that the health-care-reform bills in Congress at the time involved government “death panels” that could decide to withhold care from elderly patients on a cost-benefit basis.

I won’t dredge up the Clinton health plan.  But I have previously demonstrated that, when Sarah Palin claimed that President Obama wanted to give a government panel the power to deny medical care to the elderly and disabled based on cost-effectiveness criteria, the president had in fact proposed a panel with the power to do exactly that.

I agree with M.S. about this much: “once people are exposed to false information, it’s extremely difficult to convince them it’s false.”

The Myth of ‘Market Failure’ in Health Care

One argument in favor of a government overhaul of the health care system is that the free market had its chance, and failed when it comes to providing the best possible care.  But as David Goldhill discovered while researching for the September cover article in The Atlantic, the United States has anything but a free-market health care system.

He explains his findings below:

For real market-based reform, see Cato’s new Policy Analysis, “Yes, Mr. President: A Free Market Can Fix Health Care.

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New Podcast: ‘El Salvador’s Choice’

El Salvador is becoming an economic success story in Central America, says Cato scholar Juan Carlos Hidalgo.

Since 1992, the country has undertaken an aggressive program of liberalization that has transformed its economy and yielded major improvements in various socioeconomic areas. In a new study, Hidalgo explains how El Salvador “is showing the rest of the region how economic freedom can pave the way for development and how globalization offers great opportunities for developing countries that are willing to implement a coherent set of mutually supportive market reforms.”

In today’s Cato Daily Podcast, Hidalgo explains how despite recent economic reforms, next week’s election in El Salvador could end with a  government that has great admiration for the policies of Hugo Chavez that would turn El Salvador away from market-based reforms.

A third of the [voting] population is under thirty. So that means many young voters don’t remember El Salvador as it was during the early 1990’s… Young people have trouble paying for their cell phone bills, have trouble paying their gas bills and have trouble paying for tuition in colleges. What they don’t remember is fifteen years ago they didn’t have cars, their parents didn’t have cars, their parents didn’t have any cell phones and their parents lived in shanty towns….

…Even though they talk about emulating the socialist revolution in Venezuela, they haven’t been explicit about dismantling democratic institutions in El Salvador.