Among the issues most commonly discussed are individuality, the rights of the individual, the limits of legitimate government, morality, history, economics, government policy, science, business, education, health care, energy, and man-made global warming evaluations. My posts are aimed at thinking, intelligent individuals, whose comments are very welcome.

"No matter how vast your knowledge or how modest, it is your own mind that has to acquire it." Ayn Rand

12 May 2010

Obama Chooses NHS Admirer to Head Medicare

Obama has chosen Dr. Donald Berwick to be the new head of the Center for Medicare/Medicaid Services.  Berwick gave the talk shown in the video below in 2008 in the United Kingdom and bowed in praise to the altruists' shrine of the British National Health Service (NHS).  He loves the political system of rationing health care and redistributing the costs from those not poor and not unhealthy to the poor and the unhealthy.  He claimed that health care decisions made in the free market are made in the dark, while those made in the bowels of a gigantic government are made democratically in the public light.  That huge government makes democratic decisions in the light of day is certainly laughable in the light of understanding how ObamaCare came to be.  The backroom deals with big companies to gain their support or at least to prevent their opposition, the backroom deals to enlist the aid and enthusiasm of labor unions, the backroom deals to get the votes of certain reluctant Senators, the willful trampling of the well-expressed opposition of the People, and the order to pass the bill so we would find out what was in it, all make a lie of the Berwick idea that the political process is democratic and performed in open daylight.

On the other hand, health care decisions made in a free market are made where they matter in the light of day.  First, the government does meddle extensively with the free market in medicine, with many limitations on health insurance due to state mandates and many government limitations on competition between hospitals and among doctors, such as severe limits on their numbers.  The government has also stacked the cards in favor of having employers choose the health care insurance options for their employees, thereby reducing the employee's choice in the matter.  Still, the employee does evaluate his own compensation package in choosing employers and the employer will sometimes offer multiple choices.  The market, if it were free, would offer more choices.  But, even after all this, the decision that really counts is one made by the individual, who can decide which compensation plan best meets his individual needs.  In the Berwick and Obama system, bureaucrats will make many more of these decisions than they now make.  Dr. Berwick thinks this is great.  Listen to him:

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