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Wednesday, January 4, 2012

Big Brother Is Watching You

Posted by on Wed, Jan 4, 2012 at 3:45 PM

Any moment now, I expect a young woman to burst into a room and fling a hammer at the screen.
  • Goldy | The Stranger
  • Any moment now, a young woman will burst into the room and fling a hammer at the screen.

It's state attorney general Rob McKenna's turn to address the crowd at the State of Reform conference in Seatac, and he's doing it via a really crappy Skype connection. I can pretty much make out every other word, and the occasional screen freezes make McKenna look even less life-like than usual. The large screen, the dim lights, and the numb, unexpressive look on the faces in the audience, remind me of Apple's famous "1984" commercial. Any moment now, I expect a young woman to burst into the room and fling a hammer at the screen, smashing it into a million pieces.

From what I can tell, McKenna's argument is that the Affordable Care Act amounts to "price controls," which he says never work. Instead, he wants to free up competition and let the Geico gecko sell us health insurance. The free market cures all, I guess. The invisible hand of God, and all that.

I'm hearing a lot of criticism (or at least, every other word of it) of our current health care system, and those ACA reforms McKenna's asking the Supreme Court to toss out. But what I'm not hearing are a lot of policy specifics about what McKenna would do instead.

"We have to ask ourselves hard questions, as a society, about what we can afford and what we cannot afford," says McKenna. True enough. But God forbid McKenna should offer his own list.

UPDATE: In response to a question from the audience, McKenna once again insisted that "the Affordable Care Act is not going to be overturned"... even though that's exactly what his lawsuit is asking the Supreme Court to do. Instead, McKenna says, the individual mandate will be tossed out.

As for how the rest of the provisions would work without the individual mandate, McKenna admits that we'll have to provide "incentives" for people to purchase health insurance, but he doesn't off any alternatives.

 

Comments (6) RSS

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Teslick 1
Health care can never truly be subject to the free market. When you or a loved one is sick, you want to be cured *now*, not shop around for cheap treatment. The issue, anyway, is the skyrocketing costs of health care year-over-year. Until you get that inflation under control, nothing else will matter.
Posted by Teslick on January 4, 2012 at 3:53 PM
2
Whoa, a thing reminded Goldy of Apple, weird
Posted by Reader01 on January 4, 2012 at 5:57 PM
3
The supreme court may not view the mandate as legally seperable from the ACA, but it is certainly possible to formulate a policy that has the same effect without a mandate.

Consider a system with a mandate to obtain health insurance and a fine of $X for not doing so. An economicly equivilent system that does not use a mandate is for everyone's taxes to go up by $X, and have a refundable tax credit in the amound of $X for anyone who obtains health insurance. While economicly equivilent, it is not a legal mandate; indeed the tax treatment is quite similiar to several existing tax provisions whose constitutionality is pretty well established.

Given that such alternatives exist, it is worthwhile asking what political considerations led to the ACA using a mandate instead of such an alternative.
Posted by David Wright on January 4, 2012 at 6:03 PM
Kinison 4
Yeah I hate Apple products too, always watching your every move. Always telling you what to like and how to like it and if a certain feature doesn't work, its clearly your problem.
Posted by Kinison http://www.holgatehawks.com on January 4, 2012 at 6:41 PM
5
Teslick, health care IS subject to the free market. Why do you think costs have gone up? Look at the business page of any newspaper and notice what drug companies are hoping to get out of the latest drug and look at what for-profit medical corporations pay their CEOs.
Posted by sarah70 on January 4, 2012 at 9:26 PM
Teslick 6
sarah70: No, what we have is an mutant hybrid of free market (private insurance), single payer (Medicare), and the uninsured with a bunch of cost shifting going on between the three.
Posted by Teslick on January 4, 2012 at 10:54 PM

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