Healthcare and Economic Realities
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With passage of last week’s bill, the American people are
now the unhappy recipients of Washington’s disastrous
prescription for healthcare “reform.” Congressional leaders
relied on highly dubious budget predictions, faulty market
assumptions, and outright fantasy to convince a slim
majority that this major expansion of government somehow
will reduce federal spending. This legislation is just the
next step towards universal, single payer healthcare, which
many see as a human right. Of course, this “right” must be
produced by the labor of other people, meaning theft and
coercion by government is necessary to produce and
distribute it.
Those who understand Austrian economic theory know that this
new model of healthcare will cause major problems down the
road, as it has in every nation that ignores economic
realities. The more government involves itself in medicine,
the worse healthcare will get: quality of care will diminish
as the system struggles to contain rising costs, while
shortages and long waiting times for treatment will become
more and more commonplace.
Consider what would happen if car insurance worked the way
health insurance does. What if it was determined that
gasoline was a right, and should be covered by your car
insurance policy? Perhaps every gas station would have to
hire a small army of bureaucrats to file reimbursement
claims to insurance companies for every tank of gas sold!
What would that kind of system do to the costs of running a
gas station? How would that affect the prices of both
gasoline and car insurance? Yet this is exactly the type of
system Congress is now expanding in health insurance. In a
free market system, health insurance would serve as true
insurance against serious injuries or illness, not as a
convoluted system of third party payments for routine doctor
visits and every minor illness.
While proponents of this reform continue to defy all logic
and reason by claiming it will save money, I worry about
cataclysmic economic events. Already investors are more
reluctant to buy US Treasuries, fearing that the healthcare
bill, along with other spending, will cause government debt
to explode to default levels. I had the opportunity last
week to address my concerns with both Treasury Secretary
Timothy Geithner and Federal Reserve Chairman Ben Bernanke,
especially about the potential for the coming serious
inflation. I am not optimistic that these important decision
makers truly understand what is coming, why it is coming,
and how best to deal with it.
The Federal Reserve finds itself in an unprecedented and
unenviable position. To keep up with government spending and
corporate irresponsibility, it has increased the monetary
base by nearly $1.5 trillion since September of 2008. Excess
bank reserves remain at historically high levels, and the
Fed's balance sheet has ballooned to over $2 trillion. If
the Fed pulls this excess liquidity out of the system, it
risks collapsing banks that rely on the newly created money.
However, if the Fed fails to pull this excess liquidity out
of the system we risk tipping into hyperinflation. This is
where central banking inevitably has led us.
The idea that a handful of brilliant minds can somehow steer
an economy is fatal to economic growth and stability. The
Soviet Union's economy failed because of its central
economic planning, and the U.S. economy will suffer the same
fate if we continue down the path toward more centralized
control. We need to bring back sound money and free markets―yes,
even in healthcare―if we hope to soften the economic blows
coming our way.
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