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Healthcare and Economic Realities

Tuesday, March 30, 2010 – by Ron Paul

Dr. Ron Paul

With passage of last week's bill, the American people are now the unhappy recipients of Washington's disastrous prescription for healthcare "reform." Congressional leaders relied on highly dubious budget predictions, faulty market assumptions, and outright fantasy to convince a slim majority that this major expansion of government somehow will reduce federal spending. This legislation is just the next step towards universal, single payer healthcare, which many see as a human right. Of course, this "right" must be produced by the labor of other people, meaning theft and coercion by government is necessary to produce and distribute it.

Those who understand Austrian economic theory know that this new model of healthcare will cause major problems down the road, as it has in every nation that ignores economic realities. The more government involves itself in medicine, the worse healthcare will get: quality of care will diminish as the system struggles to contain rising costs, while shortages and long waiting times for treatment will become more and more commonplace.

Consider what would happen if car insurance worked the way health insurance does. What if it was determined that gasoline was a right, and should be covered by your car insurance policy? Perhaps every gas station would have to hire a small army of bureaucrats to file reimbursement claims to insurance companies for every tank of gas sold! What would that kind of system do to the costs of running a gas station? How would that affect the prices of both gasoline and car insurance? Yet this is exactly the type of system Congress is now expanding in health insurance. In a free market system, health insurance would serve as true insurance against serious injuries or illness, not as a convoluted system of third party payments for routine doctor visits and every minor illness.

While proponents of this reform continue to defy all logic and reason by claiming it will save money, I worry about cataclysmic economic events. Already investors are more reluctant to buy US Treasuries, fearing that the healthcare bill, along with other spending, will cause government debt to explode to default levels. I had the opportunity last week to address my concerns with both Treasury Secretary Timothy Geithner and Federal Reserve Chairman Ben Bernanke, especially about the potential for the coming serious inflation. I am not optimistic that these important decision makers truly understand what is coming, why it is coming, and how best to deal with it.

The Federal Reserve finds itself in an unprecedented and unenviable position. To keep up with government spending and corporate irresponsibility, it has increased the monetary base by nearly $1.5 trillion since September of 2008. Excess bank reserves remain at historically high levels, and the Fed's balance sheet has ballooned to over $2 trillion. If the Fed pulls this excess liquidity out of the system, it risks collapsing banks that rely on the newly created money. However, if the Fed fails to pull this excess liquidity out of the system we risk tipping into hyperinflation. This is where central banking inevitably has led us.

The idea that a handful of brilliant minds can somehow steer an economy is fatal to economic growth and stability. The Soviet Union's economy failed because of its central economic planning, and the U.S. economy will suffer the same fate if we continue down the path toward more centralized control. We need to bring back sound money and free markets- yes, even in healthcare- if we hope to soften the economic blows coming our way.




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  Posted by Don on 04/10/10 01:58 AM

I see a couple of comments have been directed at me so I feel compelled to respond.

To John R. I stand by my contention that car and health insurance are very different. If you pay your car insurance and worst case scenario you total the car....you still get money back for the cars value. If you pay your health insurance and die suddenly or quickly, the healthy insurance company doesn't have to pay a thing. They profit from quick sudden deaths. I don't know about you but I don't like a company whose interest is in the person dying quickly.

And regarding VA military services. I know very little first hand how they work. I do know that active duty military get pretty decent health care. i know Vets get FREE healthcare. The reason I suspect the waits are so long is because the Vets want to use the FREE health services. If they are willing to endure the wait, what does that say about the cost of the system?

To Robby DI agree there are plenty of lawyers out there looking to make a quick buck off malpractice cases. I'm for tort reform myself. The problem i have with most of the tort reform proposal is the idea of a "cap" on the money rewarded to victims families. I think it a dangerous precedent to put a set monetary value on a human life. That has dangerous consequences that should be considered too.

  Posted by Robby D on 04/05/10 06:01 PM

Don wrote "Some unethical doctors have a tendency to milk the system and do as many tests and procedures the patients health insurance will allow. Some rationalize this behavior by saying they are providing the "best" care for the patient. I believe that some are deluding themselves, milking the system, and fattening their bank accounts. Dr. Ron Paul MUST see this, but he fails to address it in this column. "

You somehow left out the reason is they do this to protect themselves from monsterous malpractice lawsuits, something that was mentioned in real reform.The tidy little profit scenario is calculated and pooled, to lower your premium. Do you really think you pay in enough for your car insurance if you used it regularly and maxed out the limits? much less health insurance? Really?

I see this administration as the final nail in the coffin. Once we finally have to face the music, it will, if not already, be too late to save whats left of our dollar, much less our way of life. I was watching bloomberg and they said today that oil was up on good news of the recovery, well so is gold and silver and everything else. Spend away congress, keep the gas pedal to the floor, as it is already hopeless.

  Posted by John Ramos on 04/02/10 11:12 AM

Dr. Paul makes clever and ingenious compositions to elaborate against big government's ploys to render our own American citizen into a serf. Concordantly while most believe obamacare is the doom to all, this is only the beginning of the screaming to commence from farmer John.

Dr. Paul, in his debate in the 2008 primaries, cited that in order to fix the exponentially leaping cost of healthcare, housing, and many other gripes you have to solve the monetary system first. With the fiat problem this country has, and it is a whomping five trillion plus, there is no possible solution until we can control, as citizens, the bubbling muck the Federal Reserve has become.

Not only will Obamacare cast nuclear amounts of high taxes down our throats, which more is coming, but Washington is looking to extend its spending efforts towards foreign aide as well.

@Don ...

You say that Dr. Paul's analogy of healthcare to car care was not straightforward enough for you, yet you explained the implicit conjectures derived from his theory in your post. In other words, you basically described what he was trying to implicate.

If car insurance were like what our healthcare is going to become, what could you expect? Everything about cars will diminsh just like doctors expertise and quality will diminish to cover the inevitable cost to keep the beaucratic sarge running. If one wants to know how health care will run in the United States, look in your own backyard.

Your own military has socialized heathcare paid by the taxes of the American citizens. It is operated with the same prinicple as socialized medicine. Ask any military official and I guarantee more than half will tell you that the program needs a reform, because of how ridiculous the clinics can get. For example, normal wait to see a doctor is--unless called prior--by waiting excessive hours early in the morning to just get an APPOINTMENT! Then normal appointments range from 2-4 weeks, depending on how swamped they have been.

Now multiply that situation in the civilian sector where there are over 350 million people living in the United States with nationalized healthcare. See the "Game over" yet?

One last thing about healthcare, with this bill they have just placed another burden onto an already overwhelming budget. The Government tacks on a near 1 trillion dollars to have 90-95 of American with "Healthcare."

First I thought it was supposed to cover everyone, but that is for someone else to debate. Secondly, not only do we as taxpayers front this bill, but we also front the bills to...streets, roads, casinos, schools, toll roads, hospitals, military, wars, bailouts, welfare, social security, medicare, medicade, and now health care to add to the Christmas list of joy. Sooner or later the monumental bill for debts will become due and the politicians will have to answer to someone, hopefully its for the federal conviction of treason.

  Posted by Jason D on 04/01/10 10:41 PM

Yes, Don. I agree 100. Eliminating the private insurance would solve the insurance problems. I wouldn't need a billing administrator(s), paperwork would decrease and perhaps we could lower our fees to our patients. I fund their executives by sending them premiums and hope that I don't get sick. I think there is a distinction between the greed of corporations and the innovation of what small businesses can do. Small businesses like yours and mine.

  Posted by Don on 04/01/10 08:24 PM

That's ironic. I think Walmart is a great example of reasons why free markets don't really exist. This will be blasphemy to this forum and I wonder if it will get read. A completely, unregulated free market leads to oligopolies. A few big corporations get the lion share of the market and then crowd out most of the medium to small competitors. When only a few corporations dominate an industry, not unlike Aetna, Blue Cross Blue Shield, Humana it's not very difficult for them to manipulate the market. The perfect example is now. One of those big medical insurance companies could freeze or lower it's premiums and companies would flood to them. Instead, by curious coincidence, all the big corporations are RAISING premiums. That doesn't seem very Free Market to me.

Reply from The Daily Bell

Thanks, Don. We hope many people read your missive. They are welcome to respond.

  Posted by Jason D on 04/01/10 06:41 PM

Ron Paul did have an answer, but it's too late now...

Click to view link

I was too young to comprehend the difference when there were no health plans. As I open up my daughter's BCBS premium increase today I think, "surprise, surprise"...I'm starting to believe those that say this country will never be the same again.

There are too many people who don't want it to be prosperous anymore. I'm just hoping that it's not as bad as they say it will be. Free markets do work. Ask anyone that's ever shopped at Walmart.

  Posted by Frank Deviney on 04/01/10 04:22 PM

We all realize that something needs to be done concerning the cost of Health care, I just disagree with the need to rush the bill through instead of taking it step by step. Why not try to reduce the fraud first. At the same time, why can't insurance companies sell accross state lines? Everyone knows that competition lowers costs if there is abundant supply. Can tort reform also lower the costs? Our company just received its notice that our premiums are going up 38.9 for 2010. Where are we saving money with lower premiums? How can we insure and additional 30 million people and not have a tremendous increase in taxes as well as premiums?

Reply from The Daily Bell

Taxes will be raised, obviously.

  Posted by Don on 04/01/10 01:56 PM

I love the arena of ideas. In this article Dr. Ron Paul offers much criticism of the Healthcare Reform laws, but I find it curious that a doctor offers no alternative solutions. Did he favor the status quo where tens of millions of Americans had to use the hospital Emergency Room at it's primary means of health care? Or does he have a plan that he's failed to mention in this column.

I must admit that I was not familiar with the Austrian Economic Theory (I suspect I am not alone...but Austrian Economic Theory does sound very smart). I had to google it. In short, it's a theory that believes an economy functions best when there are fewer restrictions, a laissez faire approach to the economy.

If he had just written "laissez faire", I think many more would understand it's a dog eat dog approach to healthcare he appears to advocate (so Austrian Economic Theory does sound better).

I find his comparison of car insurance to medical health insurance very disingenuous. Medical health insurance and "retail" insurance are very different. I have car insurance. I hope to never use my car insurance. I know that if I do my premiums will go up. If my car gets destroyed I will get money for the unfortunate event. I have health insurance. I don't want to use it but since every person who has ever lived has gotten sick at some point I am sure I will have to use the health insurance from time to time.

If I die suddenly or accidentally without a long hospital stay. Bingo, the HEALTH INSURANCE COMPANY makes a tidy little profit. Is that the incentive I want for my health insurance company? Is that the incentive you want for your health insurance company?I am a healthcare professional.


I am not an MD like Dr. Ron Paul but I'd be surprised if he didn't notice how doctors get paid. Doctors get paid more, the more tests and procedures they do. Some unethical doctors have a tendency to milk the system and do as many tests and procedures the patients health insurance will allow. Some rationalize this behavior by saying they are providing the "best" care for the patient. I believe that some are deluding themselves, milking the system, and fattening their bank accounts. Dr. Ron Paul MUST see this, but he fails to address it in this column.

There needs to by an incentive system in place where doctors are rewarded for good, responsible healthcare services and not just the number of tests they do. Unless that problem is solved healthcare costs will continue to skyrocket.

Regarding the last part of Dr. Paul's column I agree whole heartedly that the debt is a big problem. It's a hard problem with no easy answer. I certainly can't answer it here in an internet blurb. I'm disappointed with Dr. Paul's take on health care reform and can't wait for his ideas.

  Posted by MetaCynic on 03/31/10 10:45 AM

Recently the multimillionaire premier of Newfoundland, Danny Williams, raised eyebrows for having heart valve surgery performed in the U.S. That's not exactly a vote of confidence in Canada's single payer system!

If, as we are repeatedly assured by the propagandists, the Canadian system is so great and treatment there is immediately available on demand, then why did Premier Williams come here for his surgery even though he could use his political clout to jump to the front of the queue in any hospital in Canada?

The libertarian, John Stossel, had a 20/20 special program which looked into Canada's single payer system. What he unsurprisingly uncovered was rationed care and waits so long that dying Canadians who could afford to do so worked through American brokers to receive prompt care in the U.S. He also pointed out that the Cuban hospital to which the useful idiot and publicity hound, Michael Moore, brought a bus load of uninsured Americans for "free" care, was really a hospital reserved for Cuba's political elite!

Contrary to Moore's insistence, it was not typical of the medical treatment that average Cubans receive. The people's hospitals looked more like filthy jails.

My brother-in-law, a military veteran, recently moved from one region of the U.S. to another. He had to wait three months for the single payer V.A. system to assign him a primary care doctor. In the mean time he suffered from the lack of vital prescription medication. Any service perceived to be free will be swamped with demand resulting in shortages, rationing and degraded quality. This is economics 101 which most people have yet to learn.

  Posted by Ron Rutter on 03/31/10 01:47 AM

Glenn Williams is not at all correct in his comments about Canadian health care. One would wonder if he has an agenda.

  Posted by MetaCynic on 03/30/10 11:55 PM

Proponents of a single payer health care system point out that individuals in Europe aren't bankrupted by medical expenses as they are in the U.S. What they fail to grasp is that entire European countries, starting with Greece, are heading for bankruptcy because of unfundable health care and pension promises.

Their citizens' angry demonstrations against spending cuts cannot alter the fact that the economies of minutely regulated and heavily taxed welfare states are unable to produce the wealth necessary to honor politicians' promises of cradle to grave security. The U.S. has embraced this folly just as the European welfare model is starting to crack up in the current economic storm.

Reply from The Daily Bell

Good point.

  Posted by John Acord on 03/30/10 06:46 PM

The road we are heading to is Communism not Fabian socialism.

  Posted by Bill on 03/30/10 05:15 PM

Our health care system is in need of reform. What we received was an EXTENSION of the current system which is already heading towards bankruptcy. However, the Democrats made an effort whereas the Republicans put all of their effort into keeping the status quo. The insurance and drug companies are the big winners yet again. Not surprising in that they have bought most of our congressmen's votes. Power is a powerful addiction.

  Posted by Chris Kelly on 03/30/10 04:29 PM

Our democrat leaders in Congress actually had the nerve to call it a "jobs bill", which of course is the main thing it does... create federal jobs. This is the lure of all the policies and memes of Statists: they lead to job security for those who will avail themselves of the Federal largesse.

So as a libertarian currently working for a large federal organization, I find myself in a self-contradictory position. Nevertheless I've learned that if I want at least "to my own self be true", I cannot accept these kinds of jobs in future, even if they are the only ones appearing on Monster and Dice.

Beltway bandits love the Warfare State. It's sad. But the good news is, it's my last week here! Maybe I'll become a humble subsistence farmer like my ancestors. Anyone wanna buy some home grown veggies?

Reply from The Daily Bell

Good luck! Godspeed ... Hope you find something much better.

  Posted by Glenn Williams on 03/30/10 01:22 PM

Once again Dr. Paul has hit the nail on the head, why doesn't our government want to listen? I have relatives that live in Canada and also in England where they have had socialized medicine for years. They both claim long wait times for any type of medical care they need. God forbid if they need any type of surgery, they have to wait months for.

The quality of care is also not the type that we as U.S. citizens are used to. How do we hope to keep well qualified doctors from fleeing, if we pay them a socialized wage.

It seems to me that we are heading down the road to a Socialist country, it didn't work for the USSR nor did it work for Yugoslavia, and if we don't learn from history then we are doomed to repeat it. Wouldn't it be great if Dr. Paul would run for president and get elected.

  Posted by C Oswin on 03/30/10 01:02 PM

This health care bill is not so much about care of health, It is more about the people in power caring for their perks power and privilege.

Anyone receiving a government paycheck, subsidy or grant will be highly unlikely to vote for a candidate interested in downsizing government. Also anyone dependent on someone being paid by the government, who can vote will probably vote for more government. Take the number of people receiving government money and multiply by 2,3,4,5?, who knows.

Dependency is not a form of love or caring it is the antithesis (opposed) to love.

  Posted by LarryCTX on 03/30/10 11:54 AM

Ever since Vladimir Lenin dispatched Julius Hammer, father of Ormand Hammer who was Al Gore's mentor, to the U.S. to establish the Communist Party USA each Democrat administration has moved us farther left.

The Liberals (Communists) have also gained dominance in or basic cultural entities. They control the entertainment industry, the unions, education, and of course the media. This makes them a very effective propaganda arm of the Communists and they have been at it a long time.

When someone like Ron Paul comes along, someone who believes in and adheres to the principles of our founding, he looks like a kook by comparison. Yet, his logic is unassailable.

Benjamin Franklin warned that a Representative Republic would be hard to keep and he was right on target. (Oops! Is that inciting violence?) Since Evil appeals to our human nature while Goodness appeals to our spiritual nature, Evil has the easier chore.

Once public scorn of Evil is dampened or eliminated life becomes a cake walk for Evil. We've seen that. Communism is evil and now has goodness in a corner. We all know which has the better long term outcome. Let's fight our way out of this corner with all our might. We and He shall overcome!

  Posted by John Acord on 03/30/10 08:24 AM

The demographics are against a permanent or even a semi-permanent return to fiscal responsibility in the USA. The country simply has far too many unproductive inhabitants completely incapable of contributing anything of value to an increasingly technological civilization.

Tens of millions of so-called "americans" live in public housing , receive assistance checks, food stamps, public charity, occasional unproductive jobs, and now cradle to the grave medical care.

We cannot blame this entirely on the Great Community Organizer but it is certainly is acccelerating under his tuteledge. Ron Paul and his accolades can complain and huff and puff but that is all they can do. The demographics of the American democracy is increasingly against them. Their supporters are simply too few and cannot win elections necessary to reverse the inevitable destruction of American civilization. The USA is rapidly on its way to becoming another banana republic. The Great Anglo-Saxon Republic is no more.

  Posted by Gary J. Mallast on 03/30/10 08:13 AM

As someone in desperate need of a job, I have noticed that Obamacare has already resulted in John Deere and Caterpillar announcing probable layoffs due to the taxes and expenses imposed by it. Likewise, as someone in intense daily job hunting I have notice that the number of jobs posted on the main job sites like Click to view link, Click to view link, Click to view link, etc., has declined visibly this week and when they haven't declined they tend to be the same openings repeated over and over.

Meanwhile I and thousands of others have to somehow survive with thousands of jobs being destroyed daily by government destruction of real capital and the real savings which brings it about. Economics, as Ludwig von Mises pointe out is ultimately not about things or numbers, it is about people.

"Brother can you spare a (silver) dime?"

Reply from The Daily Bell

Sorry to hear of your difficulties. Please keep us informed.

  Posted by Benjamin on 03/30/10 06:31 AM

"I had the opportunity last week to address my concerns with both Treasury Secretary Timothy Geithner and Federal Reserve Chairman Ben Bernanke..."O/T:

If Andrew Jackson were alive today, I wonder what he would say to those two? And how would he feel about his face on the twenty dollar bill? Maybe someone should ask him. They say his ghost haunts the White House :-)

Anyway, it's always nice to hear again what Dr. Paul has to say about this very serious matter. I do take issue with one thing, though, and that is that coverage itself, be it provided as an individual (insurance) or social burden. Not a good idea _at all_, as humans are destined to make claims at one point or another.

That is why, I think, the problem exists at all. In order to meet that demand, more people need to be covered, leading to many states today requiring employers to provide it. But in straining limited capital that much more, it became nessecary to allow more minor claims to be covered, since people increasingly could not afford them out of pocket.

On top of that, the cost of living itself is forced to go up in order to maintain enough coverage and the amount of welfare needed as the result of it, at the expense of employment and/or Click to view linkpare this to fire insurance, or even automobile insurance. While claims are destined to be made, what they cover is quite unlike a human being's health, thus it is not inevitable that claims will be made by all/most policyholders.

That is why those forms of insurance work and why providing them don't have the same impacts as having health insurance. True, they are required by law but that is only because your house or car present a potenital liability to someone else. Your eventual failing health/human vulnerability, on the other hand, is a liability to no one.This is what the issue is telling us. The invisible hand is punishing malinvestment. I believe that if this can be seen and accepted by more people, we'll be one step closer to abolishing the central banking system. Or at the very least, it's powers will be more limited.