I have to hand it to the Republican presidential candidates — they don’t flinch at throwing people under the bus to support a principle while they stand safely on the curb. Rudi Giuliani, John McCain, and Fred Thompson are all cancer survivors with great health insurance. But in the free market health care system they advocate, their fellow survivors usually can’t get coverage until they’ve been cancer-free for 10 years, if at all, and only then at an inflated premium. Their answer–tax breaks to pay for private coverage–mean nothing to those who have no access. But it’s the principle of the thing; we can’t have the government involved in the system.
Insurance companies make their money by cherry picking, selling only to those in the lowest risk groups to maximize their profits. Some states require them to broaden their pool and regulate their rates, but the companies often respond by pulling out of the state completely, leaving more people uninsured than before. So in most states if you’ve ever had a serious illness or have a chronic condition that requires ongoing treatment, good luck getting anyone to cover you. They can’t make enough money off of you. So you’re left with charity care, if you’re lucky enough to get it, or going without if you’re not.
The Republicans are ok with that. What are their free market answers? McCain says he’d “work with the states” to insure coverage. Guiliani says he’s aware of the problem and is debating how to address it. Thompson says nothing at all. None are willing to admit that fixing this mess is going to take government regulation at a minimum, and optimally active government participation.
This affects real people’s lives, lives very unlike those of Guiliani, McCain and Thompson. They can take health care for granted. The rest of us can’t.
I dare the candidates to apply for coverage under a pseudonym, but with their own medical histories, then publish the rates, along with their plans for working it into a real-world budget. Then we’ll see if they believe a tax credit will cover it.
It should be an eye-opener.
Via the LA Times