Under a socialized system, a patient
with a life-threatening cancer will be
placed on a waiting list – possibly many
years long – for even an elementary
diagnosis, because the government has
prioritized its money over his life.
This prioritization is not due to the
malice of government officials; rather,
it is an economic necessity given the
incentives created by socialized
medicine. After all, there are plenty of
other people with life-threatening
illnesses, who may already have
waited for years to get treatment, and
the government only has so much money it
can spend. As the government is a
monopoly provider of healthcare,
patients have no other recourse but to
keep waiting – even if they could
afford to pay the full cost of private
treatment. Many Canadian patients
currently use the still partially
private American health care system as a
safety valve in such instances. But if
the United States government foolishly
nationalizes healthcare, this safety
valve will be gone, and both countries’
healthcare systems will lapse into a
state of dire crisis.
Contrast this dismal
state of affairs to what would happen in
a fully private system. A patient with
cancer can immediately get
diagnosis and treatment from one of a
vast multitude of for-profit healthcare
providers if he can afford to pay.
Indeed, services will tend to spring up
specifically to accommodate the
demand of patients like him. If he
cannot afford to pay, he can still
benefit from the generosity of many
private charities and price-discriminating
doctors. Furthermore, in a private
system, the rate of medical progress is
tremendously high, leading to
increasingly effective treatments and
cures for life-threatening diseases. In
a socialized system, there is no
incentive for individuals to innovate;
indeed, highly bureaucratized government
healthcare greatly discourages
innovation, seeing it as initially
costly and wasteful and failing to
recognize its long-term benefits. After
all, new drugs and treatment methods
have a high initial likelihood of
failure – and an already strained
socialized healthcare system will be
highly resistant to bearing those costs.
But in a free market, private
individuals can choose to personally
bear the risk of their innovations
failing; they will only choose to do
this, however, if they are assured that
they can profit if their innovations
succeed.
In a private healthcare
system, at least some of the
decentralized market actors will find a
way to save individuals’ lives at costs
that those individuals can afford. With
government healthcare, however, an
inevitable tradeoff between money and
lives exists. Only where genuine
consumer choice is possible can such
a tradeoff be eliminated.
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