Both TrumpCare and ObamaCare are disasters.
Put together by politicians who have Cadillac health care plans and zero professional experience in medicine or insurance (with tiny exceptions like Rand Paul, an ophthalmologist). It’s ironic that John McCain could not make it to the vote because he was enjoying co-pay-free surgery at the time.
And what does Trump know about these things? He doesn’t even HAVE insurance because billionaires are simply self-insured by their net worth.
TrumpCare and ObamaCare are horrifically bad compromises between government control and free enterprise, somehow managing to avoid the benefits of either school of thought!
The benefits of socialized medicine:
- It’s universal. Everyone has it and no one is left out. ObamaCare fails here, and TrumpCare leaves an even bigger “coverage gap.”
- It’s streamlined. No layering of private/public bureaucracies which just over-feed each other and drive down efficiency and transparency, and drive up costs.
The benefits of a free enterprise health care system:
- Competition. Which creates innovation and improvements. Look at the explosion of cell phone technology once government got out of the phone business.
- Cost. What are the two fastest-improving segments of health care with dramatically falling prices? Lasik eye surgery and cosmetic surgery. Why? Because they aren’t under the control of government/insurance juntas.
- The free market makes a huge effort to serve everyone (notice the dollar menu at the drive thru), and it is not incompatible with a basic social safety net for the poorest of the poor.
We end up with the worst of both systems with ObamaCare AND TrumpCare:
- We have capitalism without competition (because of government control) which leads to price gouging and a total lack of pricing transparency. Heavy regulation favors the big boys of insurance and health care chains, because no startups can afford regulatory compliance. This is known as “regulatory capture” and monopolization.
- We have “socialized” medicine without total coverage of the population; and so many layers of administration that the average person has no clue how to navigate the system.
- The “Affordable Care Act (ACA)” has universally and dramatically driven up prices for both health care and insurance. It has been the polar opposite of “affordable.”
- The truth is, it may not be feasible to administer any total-care system in a vast, continental empire of 335 million people. The necessary hierarchical layers would choke the whole thing. Poster-child examples tend to be little nations in Europe with the population of Orange County.
We have three options outside of the hideously dysfunctional non-option of ObamaCare or TrumpCare.
- Single-payer government health care. Even those who hate socialism can grant that it would be better than what we have now.
- A total free market. Don’t underestimate the power of the market to try to serve everyone, and to do it in better and better ways. The incentives are in the right place.
- Something way more creative which preserves competition and total coverage in a creative blend. That’s above my pay grade and certainly above the pay grade of your average senator.