news story / By Ron Ross

Many Questions, Few Answers

(Sept. 17, 2009)  There are many reasons why support for President Obama’s health care plan has declined as the details have become clearer. I suspect that Mr. Obama and his advisors were afraid this would happen. That’s probably why they wanted to rush it through Congress (even though most of its provisions don’t become effective until 2013).

Their central dilemma is this — voters want more than vague outlines of what Obamacare will mean to them. Unfortunately for reform proponents, however, whenever there is talk about specifics a firestorm of controversy and partisan division erupts. In other words, the proponents can’t be vague and they can’t be specific.

In his campaign for the presidency Mr. Obama did an excellent job of selling himself, but he has failed to truly sell anything else. It’s becoming clear he is not a good salesman, teacher, or persuader. He has attempted to sell what’s unbelievable. That’s not good salesmanship. If I were one of his supporters I would be extremely frustrated with him. The recurrent problem with selling Obamacare is that there are far too many aspects that, to put it mildly, strain credulity.

The so-called “public option” is a prime example of why everyone ought to be extremely skeptical of Obamacare. In a Labor Day speech the president said “I continue to believe that a public option will improve quality and bring down cost.” On an almost daily basis, however, the public option has been an on-again-off-again proposition. This might cause a person to wonder, is it important or isn’t it? In his speech to the joint session of Congress Mr. Obama said that the public option is simply “a means to an end.”

Although none of the specifics of Obamacare are clearly defined, the idea behind the public option is that it would supposedly be a way to add a new kind of competitive pressure to private health insurance companies. The public option would be a new government-run, government-owned health insurance company.

I’ve been studying economics for almost 50 years. I have never before heard of anything vaguely resembling the case being made for the public option. I would be interested to see an example of a government-run, government-owned institution that puts competitive pressure on private companies, causing them to provide lower prices and better service. Is it the existence of the U.S. Postal Service that causes UPS and FedEx to keep costs low and service high? Where are the examples of government institutions being run more efficiently than private companies? The experience most people have is just the opposite.

There are already well over a thousand health insurance companies in existence. It would be hard to argue that our health insurance problems stem from a lack of competition. In some states there are only a handful of available companies. That’s primarily the result of burdensome regulations, mandates and limits on interstate competition. Economists have called competition the “patron saint of consumers.” More competition is definitely a good idea, but attempting to make the government a competitor is a weird way to accomplish that objective.

I have no idea where this totally novel idea came from or why anyone thinks it would work. It’s an idea I had never even heard of until a few months ago. Nevertheless, it has become a make-or-break issue for many Obamacare proponents. The proponents need to explain exactly how it would work and why it is of such paramount importance.

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