Reasonable people can agree that health-care and education are among the most vital interests in our society, and to individuals within it. But reasonable people can also agree that some folks seeking to control health-care and education are guided by unsustainable ideals. They bring with them political coalitions and interests that often end-up free-riding on the public good, and make promises to individuals which can’t be kept. They often succeed by directing as much public money as possible towards their own coalitions while keeping political power close, punishing political enemies, and bending as much public sentiment as possible toward their ideals.
We now have an enormous, hastily-passed, partisan bill seeking to further entrench many of the unsustainable portions of our health-delivery system, while adding many layers of interests, bureaucrats, and politics atop that.
At what price inclusion of some previous groups and peoples into the ‘greatness’ vision of America and its institutions?
Yes, it’s an anecdote-Walter Russell Mead: ‘I’m Calling It Kafkacare: One Reader’s Obamacare Experience‘
‘Short version: We met with our broker the second week in October. It’s nearly February. We still don’t have our coverage figured out. From now on, I’m calling it Kafkacare.’
Mead publishes a pro-Obamacare reader response.
You’ve got to get the incentives right. From The Apothecary: ‘Surprise, Massachusetts is Home To America’s Worst Performing Obamacare Exchange:’
‘Connector staff members have admitted privately that the generous flow of federal dollars was the primary motivation to rebuild the entire website. The federal government was requiring additional functionality of the site under the ACA, but it is unclear if the Connector could have saved taxpayers millions by simply building off the foundation they already had in place.’
Politically and ideologically, money and career-wise. some folks will keep pushing until it sticks.
Avik Roy At Forbes: ‘Democrats’ New Argument: It’s A Good Thing That Obamacare Doubles Individual Health Insurance Premiums’…Megan McArdle At Bloomberg: ‘Health-Care Costs Are Driven By Technology, Not Presidents’