Conservative and liberal experts generally agree on the nature of the problem with American health care financing: There is a shortage of incentives for efficiency in our methods of paying for coverage and care, and therefore costs are rising much too quickly, leaving too many people unable to afford insurance. We have neither a fully public nor quite a private system of insurance, and three key federal policies—the fee-for-service structure of Medicare, the disjointed financing of Medicaid, and the open-ended tax exclusion for employer-provided insurance—drive spending and costs ever upward.
Adding to the problem:
Even putting aside the fact that Social Security and Medicare are going broke and taking the rest of the government with them, these frantic forced analogies are preposterous. The new law (ObamaCare) is a ghastly mess, which began as a badly misguided technocratic pipe dream and was then degraded into ruinous incoherence by the madcap process of its enactment.
Obamacare is an unmitigated disaster—for our health care system, for our fiscal future, and for any notion of limited government. But it is a disaster that will not truly get underway for four years, and therefore a disaster we can avert.
This is the core of the case the program’s opponents must make to voters this year and beyond. If opponents succeed in gaining a firmer foothold in Congress in the fall, they should work to begin dismantling and delaying the program where they can: denying funding to key provisions and pushing back implementation at every opportunity.
If we are going to meet the nation’s foremost challenges—ballooning debt, exploding entitlements, out of control health care costs, and the task of keeping America strong and competitive—we must begin by making Obamacare history. We must repeal it, and then pursue real reform.