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 intelligent and rational 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

"Observe that the 'haves' are those who have freedom, and that it is freedom that the 'have-nots' have not." Ayn Rand

"The virtue involved in helping those one loves is not 'selflessness' or 'sacrifice', but integrity." Ayn Rand

For "a human being, the question 'to be or not to be,' is the question 'to think or not to think.'" Ayn Rand

10 November 2019

Comments on Medicare-for-All

Elizabeth Warren's plan to nationalize the health care system in the USA has a price tag of $52 trillion according to her no-doubt reliable cost accounting.  She has claimed repeatedly that billionaires will pay all the taxes to pay for it.  The middle class will pay nothing, so she says.

The total wealth of American billionaires is estimated to be about $2.4 trillion.  If every last penny of that wealth were confiscated by Warren's socialist government, the tax on the billionaires would cover about 4.6% of cost of the first 10 years of her Medicare-for-All program.  Now, mind you, who is then going to pay that same 4.6% of more of the next 10 year period of her Medicare-for-All?  When those American billionaires sell off all their assets to pay their confiscatory taxes, will those who buy up the assets manage them as well and generate as many jobs and as much GDP growth?

Other portions of the costs are to be paid by having the states transfer their Medicaid payments to the federal government.  Companies will have to turn over what they are paying into employee health plans to the federal government.  Companies will lose the ability to tune their health insurance costs to their industry, location, and profitability.  Many more companies will fail without this flexibility, causing a loss of jobs and a loss of GDP growth.  Still, these sums will fall far short of providing the $52 trillion costs of Warren's plan.  Who do you think is going to make up the huge difference?

Both Warren and Sanders plans will shut down the private health insurance markets.  This means they will put 2 million Americans in that industry out of work.  Do either of their plans cost estimates include putting these 2 million Americans on unemployment insurance payouts and other welfare programs?  When 2 million Americans lose their jobs, how many will become alcoholics or other drug users?  How many will commit suicide in their despair and depression?  Have we learned nothing from the human disaster that occurred in part as Obama acted to destroy the coal mining industry and the jobs of those who transported coal, burned coal in power plants, and ran the retail and services industries of the towns that depended upon coal production?

Medicare-for-all will result in lower quality medical care for everyone.  Innovation, medical care giver training and intelligence, equipment, and facilities will all deteriorate more and more over time.  Bureaucrats will be in charge of deciding who will live and who will die.  And every American will lose the sole ownership of their minds and bodies.  When someone else gets to dictate how you will act to maintain your own mind and body, then you have lost your most critical property right.  You are no longer sovereign.  You are a slave.

2 comments:

Humberto Charles said...

Your quoted cost in the first paragraph is $52 billion. It should be quoted as $52 trillion.
You correctly quote the cost in paragraph 3.
Your points are well taken. This is more voodoo than Reaganomics was ever accused of.
I disagree that these changes will make one a slave; they will merely make the country more British. (Been there, done that. No thanks. The system we have now is many times better and more efficient than NHS.)

Charles R. Anderson, Ph.D. said...

Thank you for alerting me on that transfer of trillion into billion.

The point about slavery is that slavery is the condition in which someone else claims ownership over one's mind and body. A free man holds 100% ownership of his mind and body. To the extent one does not have that 100% ownership, one is enslaved. I was very much enslaved when I was conscripted into the Army and sent to Vietnam. I know what it is to be enslaved. I am also enslaved by virtue of being an employer and having to pay extensive taxes as such, forced to do much paperwork, and put at risk in many ways that make it easier for government to take advantage of the great majority of people who are employees. Is it possible for government to make me and others slaves to a greater extent than it presently does. Yes, it is. If you have a cold and are not dying of pneumonia, this does not mean that you are not sick.