Monday, September 30, 2013

OBAMACARE VERSES FREE ENTERPRISE

To provide affordable health care by any means has been a huge problem in all societies. Some countries have found solutions, which invariably involve government intervention of some sort. Obamacare is the attempt of the American people to solve the problem. It is hybrid system mimicking social security; government supervised and subsidized insurance but mainly privately paid by those who can afford it.

The problem of providing health cares is that free enterprise does not work for anything that has a required demand, which removes the free choice option. We all grow old and suffer sickness and accidents. Public schools and prisons are other social programs or systems where circumstances remove the element of free choice. Children have to be educated and we have to protect ourselves from wrongdoers.

As a veterinarian, I have had clients say that I should do everything possible to save their pets no matter what it costs. There is a strong client doctor relationship. Physicians do not have this same “billing” relationship with their patients; they most often have a third party payer standing between them and their patients. In addition, they have a drug companies, and hospital corporation acting as in independent billing system. Medical devices manufacturers, ambulance services medical laboratories and malpractice lawyers are standing ready to reap the benefits of your illness; vulture medical beneficiaries. Each one of these parties is standing ready to capitalize on an unfortunate situation for which you have no choice.    


These disinterested non-empathic beneficiaries have a single motive: profit. Medical monopolies, hospitals the only one in town for example or many hospitals owned by the same corporations with the non-contested power to set prices, insurance companies with the power to dictate; thus, mold their coverage and  premiums to “earn” a profit; preexisting conditions, age discrimination,  and physicians ordering tests to pay for the new multimillion dollar x-ray scanning instrument. There is no competition, there is no option to modify demand; there is not free market. Logarithmic increases in pre-Obamacare medical care costs prove beyond any doubt that free enterprise does not work in medical care. With all those hands in the pot at the “end of the rainbow”, no wonder it was so hard to get a law passed. Why would we want to return to that imbalanced world?

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