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In defense of the pundits ctd.

Bill O’Reilly must be taking cues from his Catholic upbringing: [Read more →]

September 18, 2009   Comments Off

Chart of the Day

September 11, 2009   6 Comments

Obama’s inconsistencies on health care

David Henderson writes, of the public option bit in Obama’s speech last night: [Read more →]

September 10, 2009   8 Comments

Through the Looking Glass: The Health Care Debate from a Doctor’s Perspective

We’ve all spent a good deal of time here at the League going over the various perspectives of the US health care debate and, indeed, many of us have brought some useful insights to bear on the discussion. However, I thought it might be helpful and interesting to get some thoughts from someone who works directly in and with the health care system on a day-to-day basis.

Luckily, it just so happens that one of the League’s Guest Authors and blogger in his own right (check out: Bleakonomy), Dan Summers, is an MD and was willing to engage in a back and forth with me over email about various facets of the debate. [Read more →]

August 20, 2009   10 Comments

Public Option? What Public Option?

Last week in the comments, E.D. noted that the more liberal and Canuck of the League’s contributors hasn’t offered much in the way of analysis around the current red hot health care debate. Earlier, I offered my own sense of bafflement over the inability for American health care debaters to have a realistic discussion about reform that actually looks at a single payer system in something approaching sensible terms and noted how many of the tropes involved in that subsection of the debate strike simply incongruous postures vis-a-vis my own life experience.And look, it’s just hard to sit down with the relatively sparse amount of free time that one has at one’s disposal and look through the particulars of the HR3200 v. Wyden-Bennet plans when neither plan’s options will be available to me.

But the broader context of the debate is something I’ve found pretty interesting to follow and in doing so I’ve noted how much the ontology of that context strikes me as largely contrived — and thereby leads to a fairly contrived debate.

Take for example the screaming dissidents of the proposed Obamacare reforms. [Read more →]

August 11, 2009   6 Comments

health care musings

[updated below]

Peter Suderman, from his new perch at Reason Magazine, dissects the looming breakdown of the public option in Obama’s push for health care reform.  At the crux of the issue lies the cost, which the CBO estimates at $1.6 trillion dollars over the next 10 years.  This is a hefty pricetag.  I’ve been following all of this and reading a good deal on the subject of regulatory capture and public choice theory, and suffice to say, I’ve had some pretty eye-opening discussions especially with brother Mark on all of this, so I’d just like to revisit health care in light of what looks to be a reform bill that – when it’s done – will probably bring the worst of all worlds together into one epic reform failure.

Mark pointed out something to me that I think is too often left out of the health care debate, which is essentially that there is a pretty striking difference between subsidizing the supply side (i.e. insurance providers) vs. the demand side (consumers of health care insurance) in that the former is more likely to become a subsidy of fewer providers, whereas the latter at least theoretically would be better for competition and leave the door open to many different providers.  Thus a health insurance voucher program would at least theoretically be less likely to unduly benefit a handful of insurance companies over the rest.

This makes sense to me, though I still worry that voucher programs would meet up with a few problems – namely pre-existing condition limits, but also the fact that we already have such an entrenched system that it seems unlikely that many new health insurance providers would be able to emerge.  The system has been anti-competitive for so long, I’m not sure how we can turn it back to a more decentralized, competitive environment.

But I wonder if we should break this out a little more.  So here’s some ideas: [Read more →]

June 29, 2009   78 Comments

(Not) Disproving Public Choice

Last week, the Blogger Still Known As Publius wrote a nice piece arguing that the potential-to-likely passage of net neutrality, a public health care option, and energy reform disprove, or at least have a strong potential to disprove, public choice theory.  Unfortunately, I must respectfully dissent. 

First, a quick primer on the relevant portions of public choice theory for the uninitiated.  Here, Publius is correct that Conor’s passing remarks provide a good summation:

I wish that progressives would realize that parties with a narrow vested interest in a legislative outcome are always going to enjoy an advantage over the diffuse interests of the populace, and especially that portion of the populace that is without power.  Community organizing is never going to change this basic fact, nor is any campaign finance reform that passes constitutional muster, nor is a bigger Democratic majority in Congress.

Although not all public choice theorists are libertarians, all (or at least almost all) libertarians are public choice theorists.  Indeed, some version of public choice theory, intentionally or unintentionally, lies at the heart of just about any of the myriad strains of modern libertarianism.* So whether public choice theory holds up to scrutiny is pretty important to both vindicating and undermining libertarianism.

Publius’ argument is that, although public choice theory should be taken seriously, the passage of net neutrality, a public health option, and/or energy reform would be inexplicable under public choice theory because the benefits of each would be spread out diffusely, while the costs would be concentrated on a handful of narrow interests. 

Unfortunately, this completely misunderstands public choice theory and also assumes that no narrow interests benefit from the aforementioned agenda, regardless of whether one thinks that agenda is still good policy. 

[Read more →]

June 16, 2009   15 Comments

follow the money

Steve Hynd writes: [Read more →]

June 15, 2009   8 Comments