I want everyone to have access to health care. It sucks to hear stories about people who go bankrupt over medical costs or who suffer permanent or prolonged poor health because of the barriers to care. I want universal health care to work. I especially feel for those with expensive pre-existing conditions.
Most people point out the tough financial realities of such a government, or single-payer, program. I don’t disagree that the costs would require a significant increase in taxes from one or more sources. Depending on how much it cost, I wouldn’t necessarily be opposed to it. For example, if taxes went up 4% and everyone was covered, cool, I could live with that. If they go up 15-20% overall, that’s a tough pill to swallow, sts.
But my opposition is primarily tied to two other issues that I think are more important long-term. The first is my concern about government creep, a historical near-certainty. Imagine that the government runs health care and sees costs starting to rise; or maybe costs are going down but Congress wants to fund something else and needs to cut its health care costs to fund this other project. Meanwhile, people are pissed because their taxes are going to treat people who smoke, drink, and eat crappy all the time. So, government does what it always does and tries to “fix” this unfairness. Maybe this would result in limiting cigarette purchases, or banning them altogether. Alcohol is unhealthy, so that eventually goes down the same path. Unhealthy foods are taxed more with the idea that these taxes will go to fund the health care system. Over the course of a couple decades, small, almost imperceptible regulations that are passed in the interest of fairness lead to a situation where the government controls (more or less) what you eat, drink, and perhaps even how you act (ie. extreme sports have a higher correlation to injury and long-term health care costs, so even they are restricted). I know hyperbole and the “what-if” game is a poor argument, I’m just trying to suggest that government-run healthcare could EASILY be an invitation to the government to enter the most personal aspects of your life and freedoms.
Second, profit-motive is a very hospitable environment to medical advancements. The U.S. is unquestionably the leader in world medical breakthroughs whether that is measured by private and public research expenditures, Nobel prize awards, or published articles and research in medical journals. Today, for a company to bring a generic drug to market it costs between $600-800 million dollars. A brand new drug costs between $2-3 billion dollars. This is the cost of the research, chemistry, FDA wickets, studies, wait times, etc. The reason a company is willing to spend billions is the guarantee of patent protection that allows them to exclusively sell that drug, once it is approved, for a given number of years. (This year, Viagra loses its patent protection FYI) So, Pfizer pays $2 billion for drug X, they have a patent and sell it for whatever they want to recover the costs of development and to make a profit. Government health care necessarily uses price fixing methods to control costs, which removes the profitability of medical research by private companies. If you take away a company’s patent rights or exclusive pricing control, they don’t make money and they don’t research and develop new medicine. (By the way, this isn’t just pharmaceuticals, it’s relevant to medical devices, procedures, techniques, etc) It sucks that medicine might be too expensive for people who need it, or some jackass buys the patent and increases the price 100 fold; I agree they are playing with people’s lives. But I also know that if they didn’t get paid, they wouldn’t have invented or developed the drug in the first place.
So I don’t know, I don’t have an answer, just thoughts. But I do think two good places to start would be to look at policies surrounding patent duration and also cutting the cost of FDA approval, thought I know that’s a health and safety concern. Nevertheless…