by Pops » Sun 24 Apr 2016, 10:23:36
Good thread Cid, I pretty-well agree right down the line. My knee-jerk has always been toward government as protector rather than benefactor. I think capitalism is the best system but I as a consumer have little power to affect the "free market" if the market is one I am compelled to participate in by necessity. Tipping the scale toward consumers and away from monopolists and rent-seekers is the role of government.
The whole argument about ACA and our random medical system is a perfect example. We wandered into a private-insurance-oriented, for-profit, fee-for-service, job-based system that at the center rewards "procedures" rather than outcomes and profit over care. The whole point of markets is that consumer choice is the "natural selection" that determines the commercial winners. The problem is, unlike buying a new toaster, I have no choice but to seek medical attention when I cut off an arm or need a drug to survive. Drug company profits are the perfect example.
If "common industry practice" is to cancel my health policy right at the point I need it; or prevents me from accessing it to begin with; or a provider charges me, as an uninsured person, 10/50/100 times what an insurance company pays... what ability do I have to influence the market or make a choice?
So while the "liberal" aspect, the OCare-Welfare is great (like Mitt, I too take every legal benefit) the more important part, the progressive part, is that which forces health insurers to actually provide a risk pool rather than just a racket for shareholders. Everyone in the country benefits from provisions that prevent insurance cos from bumping or disqualifying someone who has the audacity to get sick. It also begins to change the system toward health- rather than sick-care by forcing coverage of preventative medicine.
There is an argument to be made about the liberal aspect, the spending part. But I'm pretty sure there isn't much argument to be made from the consumer' standpoint (if not the donor-seeking politician's) about whether insurance companies should be able to cancel someone when they actually get sick.
I think that is the role of a progressive government, stepping in where the market fails.
The legitimate object of government, is to do for a community of people, whatever they need to have done, but can not do, at all, or can not, so well do, for themselves -- in their separate, and individual capacities.
-- Abraham Lincoln, Fragment on Government (July 1, 1854)