Conservatives become more inscrutable every day. They
spend half their time praising the federal government for
its miracles in Iraq (and, if they get their way, in
Iran) and the other half of their time ridiculing the
Democrats for thinking that the same federal government
can provide medical insurance for everyone.
Sean Hannity, the hottest conservative property these
days on radio and cable television, did just this one
evening in May on his Fox television program. First, he
raved about the governments efficacy in Iraq; then
he bashed the Democrats for thinking that the government,
which never gets anything right, can become
everyones health insurer.
Which is it, conservatives?
There are excellent reasons for rejecting any attempt by
the government to take over health insurance. Politicians
will begin by making grand promises, but they will end up
creating shortages and shoddy medical services and
imposing restrictions on people seeking those services.
Just examine the various plans being floated by the
would-be Democratic presidential candidates. Sen. John
Kerry, for example, promises to cut costs while extending
coverage to nearly everyone. When you hear a politician
talk about cutting the costs of a service provided in the
private sector, run in the other direction. It means
price controls, and nothing is more devastating and
disruptive than price controls. Moreover, nothing better
shows a politicians ignorance of basic economics.
The price system is essential for coordinating supply and
demand. It is what helps prevent unfulfilled demand and
unwanted supply. Prices are signals to entrepreneurs that
carry vital information about what people want and what
resources are available. Socialist economies cannot
function because they either abolish prices or so badly
distort them that they cannot perform their role.
Government control of prices is a policy deliberately
aimed at distorting those signals. Unsurprisingly, they
wreak havoc in any market. Where there are price
ceilings, there are shortages and shoddy goods and
services. Remember that, when you hear a candidate
promise to control the costs of medical services and
insurance.
Another problem with these proposals is that they
misconstrue the purpose for insurance. Were it not for
the daffy tax code, people would use medical insurance
only to prevent being wiped out financially by a
catastrophic illness or injury. Using insurance for every
routine doctor visit is like using auto insurance for oil
changes. Its not worth it unless you can get
someone else to pay the premiums. Thats what
medical insurance is designed to do today. (People still
pay the premiums; theyre just well hidden.)
So the conservatives are correct. It is futile for
government to try to make medical care widely available.
Free markets are the best route to that destination. (Too
bad President Bush does not know this.) Then why do
conservatives think the government can do something more
complex, such as turning Iraq into a modern, enlightened
polity? They seem to think the American military can work
magic. It cant.
Societies are so complex that no one can plan them, not
even the brilliant civilian and military minds that run
the U.S. government. If the Iraqis are going to have
society in which individual rights (including property
rights) are respected, in which the rule of law prevails,
and in which power is strictly limited, they are going to
have to discover those things for themselves. Liberalism
(in the original pro-freedom sense) cannot be force-fed.
Attempting it will only breed resentment and resistance.
The U.S. government is already seen as an occupier in
Iraq. This will only get worse.
The conservatives dont get it. Years ago the
quintessential conservative columnist, George Will,
pointed out a conundrum: if conservatives say that
government is incompetent when it comes to controlling
prices and wages, who will believe them when they say
that the government can do things such as overthrow
Castro? (This was written when Saddam Hussein was still a
U.S. ally.)
We can turn that question around: if conservatives insist
that the government can build a nation in Iraq, who will
believe them when they say the government cant run
the health-care system?
Sheldon Richman is senior fellow at The Future of Freedom Foundation, author of Tethered Citizens: Time to Repeal the Welfare State, and editor of Ideas on Liberty magazine. Send him email.
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