Why Healthcare in the US is So Expensive, and What Can Be Done About It

Healthcare_s640x427The passage of ObamaCare, and the ongoing debate over it, is the culmination of over 80 years of ever-increasing government involvement in the healthcare industry. It is also the culmination of about 50 years of obviously increasing healthcare costs.

The following is a copy of an email that I sent to talk-show host, Bill Handel, on KFI AM 640 radio in the Los Angeles area:

Dear Bill,

You have observed the indisputably bad state of American healthcare, with its poor performance and high, constantly rising costs, and concluded that the USA would be better off embracing a socialized healthcare system more like that of France. You have implied that these are our only two options. But I am sending you this email to let you know that there is a third alternative; one that is vastly superior to the two that you have considered.

The healthcare system in the US, today, is NOT anywhere near a free market. Over the past 80 years, the Federal and state governments have interfered/regulated, (used government compulsion) in the healthcare industry at an ever-increasing scale. In the 1930s and -40s, the Federal government decided to exempt group and employer-provided health care plans from taxation, thus creating a tax incentive for such plans. Over time, with the help of government acts, laws, and union collective bargaining, these plans developed into the type of plans we have today. What we have today, with the support of government, are healthcare plans that act somewhat like insurance, except that this “insurance” is used for just about every common illness, injury, or other health issue. This system of “everyday insurance” insulates the patient from the cost of the treatments he receives. The patient no longer has to make a cost/benefit analysis for treatments, nor be concerned with getting the most value for his money. He simply pays his premium, then gets the most out of the coverage he can. At best, the price/service competition among doctors that keeps their prices in check, is shifted from appealing to patients to appealing to health plan providers. The patient, instead of having hundreds of doctors competing for his continued business each visit, has a few health plan providers competing for his long-term allegiance. It is much more of a hassle to switch health plan providers than to switch doctors, so competition is limited. Continue reading

Wealth is Created by Action Based on Rational Thought

One little bit of high-tech wealth brought to you by a lot of human thought.

One little bit of high-tech wealth brought to you by a lot of human thought.

Wealth consists of the life-promoting goods and services that people have access to. Wealth, (beyond fruit) does not grow on trees. Luxury homes do not spring up from the earth by themselves. Seasoned pork roasts do not fall from the sky. Wealth must be created by human activity.

But what kind of human activity generates wealth? Is it desiring? Does simply wanting a new car make it appear? Despite what most Keynesians will tell you, I’m afraid that it will not. (1) People have to act to create wealth. But what kind of action? If you flail your arms about mindlessly, will that create wealth? Obviously not. What is needed is action based on rational thought: That is, taking stock of one’s surroundings and the actual needs of oneself and/or others, then figuring out how to use one’s surroundings to create what is needed for the promotion of such human life, (i.e. wealth.)

To provide food, people need to think about how to plant and harvest, how to hunt, how to maintain livestock, how to store crop yields without spoilage, how to keep and prepare meat safely, etc. If no one thinks at all, everyone starves. But is all that’s required to reach today’s level of wealth, minimal, routine, low-level thought? Continue reading

A Facebook Debate on the Right to Abortion

The following exchange is taken from the comments on a post on the Objectivism for Intellectuals Facebook page. Rather than using the name of my interlocutor here, I will refer to her as “Her.” Irrelevant portions of the debate have been omitted.

Her:  So, being against abortion is irrational? I had no idea murder was a faith-only immorality.

Me:  It’s not murder if an embryo or fetus doesn’t have rights as an actual, independent human being. The religious “basis” for considering embryos to have rights is that they have already received a “soul.” This “soul” is a mystical construct with no basis in reality. There is no rational basis for a soul that can be separated from a developed and functioning brain. The mother is an actual, independent human with rights. The embryo is not.  Continue reading

Dr. Burzynski and Hank Rearden: Real Life Mimicks Atlas Shrugged…Again

atlasshruggedIn the novel, Atlas Shrugged, the great steel tycoon, Henry “Hank” Rearden and his assistants create a metal alloy that’s stronger, lighter and cheaper to produce than steel. For this great achievement, the government subjects Rearden to every form of business obstruction it can muster. This includes a propaganda campaign, new laws and attempts to badger Rearden into selling the rights to the metal to a government institution.

In the real world, Dr. Stanislaw Burzynski and his team developed a cancer treatment that’s more effective (for some cancers), safer to administer and that produces much milder side-effects than radiation and traditional chemotherapy. For this great achievement, Dr. Burzynski was subjected to a harrowing, multi-year ordeal of interference by the FDA and state government.

This incredible, real-world progression of events is meticulously and compellingly documented in the 2010 film, “Burzynski,” currently available on Netflix streaming.

While the documentary is a searing indictment of the FDA, it is less compelling in its attempt to implicate the competitive drive of big pharmaceutical companies as the motive power behind the persecution of Burzynski. The evidence for this connection is relatively scanty. But it is certainly possible that there is some influence there, and it is definitely true that the FDA’s persecution of Burzynski served to insulate “big pharma” from competition. This would be another real-world parallel to Atlas Shrugged. There the politically connected steel baron, Orren Boyle, is involved in the government persecution of Hank Rearden, in order to eliminate his more able, productive and efficient competition.

But the lesson to draw from “Burzynski” is not that the pharmaceutical industry needs to be more heavily regulated, or that the FDA needs more “oversight.” The lesson is that the FDA needs to be abolished. Companies of all kinds will always want to remove obstacles and competition from their paths, but without the FDA regulatory machinery, they would have no way to do this by legalized force. They would only be able to overcome competition through superior efficiency and customer service. (Any coercive methods would be criminal.)

Moreover, the regulatory institutions of the state give politicians and bureaucrats the power to violate the decisions of individuals and private companies in the name of “the public interest.” This distorts economic decision-making, cripples market efficiency, and leads to pressure group warfare as described by Ayn Rand in Capitalism: The Unknown Ideal:

‘So long as a concept such as “the public interest” (or the “social” or “national” or “international” interest) is regarded as a valid principle to guide legislation—lobbies and pressure groups will necessarily continue to exist. Since there is no such entity as “the public,” since the public is merely a number of individuals, the idea that “the public interest” supersedes private interests and rights, can have but one meaning: that the interests and rights of some individuals take precedence over the interests and rights of others.

‘If so, then all men and all private groups have to fight to the death for the privilege of being regarded as “the public.” The government’s policy has to swing like an erratic pendulum from group to group, hitting some and favoring others, at the whim of any given moment—and so grotesque a profession as lobbying (selling “influence”) becomes a full-time job. If parasitism, favoritism, corruption, and greed for the unearned did not exist, a mixed economy would bring them into existence.

‘Since there is no rational justification for the sacrifice of some men to others, there is no objective criterion by which such a sacrifice can be guided in practice. All “public interest” legislation (and any distribution of money taken by force from some men for the unearned benefit of others) comes down ultimately to the grant of an undefined, undefinable, non-objective, arbitrary power to some government officials.

‘The worst aspect of it is not that such a power can be used dishonestly, but that it cannot be used honestly. The wisest man in the world, with the purest integrity, cannot find a criterion for the just, equitable, rational application of an unjust, inequitable, irrational principle.’

In this case, the “public interest” coincides with the short-range “protection” of the major pharmaceutical companies, since their “partnership” with the FDA represents the “established system” of “ensuring the safety and efficacy of drugs.”

If the US were to institute a system of government that only protects the individual rights of citizens from the coercion and fraud of others, its people would be much better off than with the FDA.

—–

Related Posts:

America Before The Entitlement State

19th-Century Capitalism Didn’t Create Poverty, But Reduced It

How to Show That Taxation is Robbery

QuickPoint 2: Altruism Supports Coercion…

What Caused the Financial Crisis: It Wasn’t Capitalism or Deregulation

Dr. Burzynski and Hank Rearden: Real Life Mimicks Atlas Shrugged…Again

atlasshruggedIn the novel, Atlas Shrugged, the great steel tycoon, Henry “Hank” Rearden and his assistants create a metal alloy that’s stronger, lighter and cheaper to produce than steel. For this great achievement, the government subjects Rearden to every form of business obstruction it can muster. This includes a propaganda campaign, new laws and attempts to badger Rearden into selling the rights to the metal to a government institution.

In the real world, Dr. Stanislaw Burzynski and his team developed a cancer treatment that’s more effective (for some cancers), safer to administer and that produces much milder side-effects than radiation and traditional chemotherapy. For this great achievement, Dr. Burzynski was subjected to a harrowing, multi-year ordeal of interference by the FDA and state government.

This incredible, real-world progression of events is meticulously and compellingly documented in the 2010 film, “Burzynski,” currently available on Netflix streaming.

While the documentary is a searing indictment of the FDA, it is less compelling in its attempt to implicate the competitive drive of big pharmaceutical companies as the motive power behind the persecution of Burzynski. The evidence for this connection is relatively scanty. But it is certainly possible that there is some influence there, and it is definitely true that the FDA’s persecution of Burzynski served to insulate “big pharma” from competition. This would be another real-world parallel to Atlas Shrugged. There the politically connected steel baron, Orren Boyle, is involved in the government persecution of Hank Rearden, in order to eliminate his more able, productive and efficient competition.

But the lesson to draw from “Burzynski” is not that the pharmaceutical industry needs to be more heavily regulated, or that the FDA needs more “oversight.” The lesson is that the FDA needs to be abolished. Companies of all kinds will always want to remove obstacles and competition from their paths, but without the FDA regulatory machinery, they would have no way to do this by legalized force. They would only be able to overcome competition through superior efficiency and customer service. (Any coercive methods would be criminal.)

Moreover, the regulatory institutions of the state give politicians and bureaucrats the power to violate the decisions of individuals and private companies in the name of “the public interest.” This distorts economic decision-making, cripples market efficiency, and leads to pressure group warfare as described by Ayn Rand in Capitalism: The Unknown Ideal:

‘So long as a concept such as “the public interest” (or the “social” or “national” or “international” interest) is regarded as a valid principle to guide legislation—lobbies and pressure groups will necessarily continue to exist. Since there is no such entity as “the public,” since the public is merely a number of individuals, the idea that “the public interest” supersedes private interests and rights, can have but one meaning: that the interests and rights of some individuals take precedence over the interests and rights of others.

‘If so, then all men and all private groups have to fight to the death for the privilege of being regarded as “the public.” The government’s policy has to swing like an erratic pendulum from group to group, hitting some and favoring others, at the whim of any given moment—and so grotesque a profession as lobbying (selling “influence”) becomes a full-time job. If parasitism, favoritism, corruption, and greed for the unearned did not exist, a mixed economy would bring them into existence.

‘Since there is no rational justification for the sacrifice of some men to others, there is no objective criterion by which such a sacrifice can be guided in practice. All “public interest” legislation (and any distribution of money taken by force from some men for the unearned benefit of others) comes down ultimately to the grant of an undefined, undefinable, non-objective, arbitrary power to some government officials.

‘The worst aspect of it is not that such a power can be used dishonestly, but that it cannot be used honestly. The wisest man in the world, with the purest integrity, cannot find a criterion for the just, equitable, rational application of an unjust, inequitable, irrational principle.’

In this case, the “public interest” coincides with the short-range “protection” of the major pharmaceutical companies, since their “partnership” with the FDA represents the “established system” of “ensuring the safety and efficacy of drugs.”

If the US were to institute a system of government that only protects the individual rights of citizens from the coercion and fraud of others, its people would be much better off than with the FDA.

—–

Related Posts:

America Before The Entitlement State

19th-Century Capitalism Didn’t Create Poverty, But Reduced It

How to Show That Taxation is Robbery

QuickPoint 2: Altruism Supports Coercion…

What Caused the Financial Crisis: It Wasn’t Capitalism or Deregulation

Ayn Rand on Politicians, Ideas and Compromise

Quote

“Commentators often exhort some politician to place the interests of the country above his own (or his party’s) and to compromise with his opponents–and such exhortations are not addressed to petty grafters, but to reputable men. What does this mean? If the politician is convinced that his ideas are right, it is the country that he would betray by compromising. If he is convinced that his opponents’ ideas are wrong, it is the country that he would be harming. If he is not certain of either, then he should check his views for his own sake, not merely the country’s–because the truth or falsehood of his ideas should be of the utmost personal interest to him.”

–Ayn Rand, “Selfishness Without a Self,” Philosophy: Who Needs It

America Before The Entitlement State

This article by Yaron Brook and Don Watkins should be seen by all Americans, and indeed, everyone else. It describes how people dealt with sudden injuries, deaths and the various disasters that can befall people, before government welfare programs and Social Security:

America Before The Entitlement State

Here’s a video reading of a part of an essay from Capitalism: The Unknown Ideal by Ayn Rand:

—–

Related Posts:

19th-Century Capitalism Didn’t Create Poverty, But Reduced It

How to Show That Taxation is Robbery

QuickPoint 2: Altruism Supports Coercion…

The Nature of the Morality of Rational Egoism: Short Notes

19th-Century Capitalism Didn’t Create Poverty, But Reduced It

Here’s an article by Yaron Brook and Don Watkins on the near-laissez-faire capitalism of the 19th Century:

Capitalism In No Way Created Poverty, It Inherited It

—–

Related Posts:

How to Show That Taxation is Robbery

QuickPoint 2: Altruism Supports Coercion…

Why “Anarcho-Capitalism” is Wrongheaded

The Nature of the Morality of Rational Egoism: Short Notes

The False Freedom of “Equality of Opportunity”

In mainstream discourse in the US, “equality of opportunity” is taken as an uncontroversial rallying cry for both “conservatives” and “modern liberals.” It’s typically seen as a more reasonable alternative to the openly socialist “equality of results.”

Don Watkins, of the blog, LaissezFaire, has written two posts exposing the fact that “equality of opportunity,” taken literally, is just as irrational and unjust a notion as “equality of results.” (If it’s not taken literally, then it’s an extremely vague term and shouldn’t be used.)

What matters for the justice of a society is not “equality of opportunity” but the absence of initiated coercion.

Just Say “No” to Equality of Opportunity

Who Needs Opportunity?

—–

Related Posts:

On Fairness and Justice: Their Meanings, Scopes, and How They Are Not the Same

How to Show That Taxation is Robbery

QuickPoint 2: Altruism Supports Coercion…

The Social Metaphysics of Communism: MiG Pilot

MiG_PilotThe book, MiG Pilot, is the true story of a Soviet pilot who defected to the United States in 1976. As a MiG-25 pilot, Lieutenant Viktor Belenko was among the most elite officers of the Soviet military. Like all Soviet military men of the period, he was thoroughly indoctrinated in Communist ideals and fed misinformation about the West his whole life. Yet through many years of observation and logical thinking, he came to see that there was something deeply wrong with the USSR. The rampant drunkenness, dishonesty and economic stagnation he witnessed eventually drove him to fly his MiG-25 to Japan, seeking asylum in the United States–the very heart of the “Dark Forces” he had been taught to fear.

The following incident is from Lt. Belenko’s time as a MiG-25 pilot stationed at Chuguyevka in Southern Siberia. Belenko’s thoughts at the time are represented in {green braces.} Again, I stress that this book is nonfiction; as in, this actually happened:
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