The Fallacy of "Rationing" - and Some Better Arguments Against Socialized Medicine

As both Democrats and Republicans sharpen their swords and gear up for the battle over health care reform, Republicans have been searching for an argument that will sway the American people to their side on this issue. President Obama and his allies will, presumably, reference the fact that 45 million Americans are currently uninsured and suggest that opponents of his plan are keeping those Americans from being covered. That will be difficult to counter - who wants to be seen as keeping 45 million Americans from being able to see their doctors or get the treatments they need when they fall ill? If Obama can successfully tar Republicans with that brush, the bill will pass, and we'll be paying the political price in 2010 and 2012. We need effective counter-arguments, and we need them now.

It's been suggested here and elsewhere in the right-wing blogosphere and media that portraying whatever the President's final proposal is as "health-care rationing" is a good counter-arguement to this plan. The government is going to seize all the healthcare and determine how much and what kinds you get, instead of allowing you and your doctors to make the final decision. This plays into the American mistrust of socialism and love of individual freedom, and on the face of it isn't such a bad argument. But there's a hole in it you can drive a bus through.

In the end, *everything* is rationed, simply because there isn't an infinite supply of anything. It's rationing by price, done through the market, and it's taken for granted - it's just a restatement of the law of supply and demand. If "the government is rationing healthcare" is the best argument we can muster, we're hosed. All it would take is for President Obama to give a speech, and other Democrats to go around on the media circuit, pointing out that healthcare is already rationed by price, and questioning the effectiveness of the market's rationing when millions of Americans can't get affordable healthcare. The "rationing" argument will end up with a bigger hole in it than the Titanic - and the Republicans championing it will look like a pack of dogmatic obstructionists.

There are two much better counterarguments Republicans can offer:

1) Finances. We're already in debt, to the tune of $14 trillion. Just keep asking the President and Congress "How do you plan on paying for this?"

2) Fairness. Universal healthcare would be exactly that. If Republicans point out that any universal healthcare scheme would include heroin addicts, meth heads and others who brought their health problems on themselves through poor individual decisions, independents and moderates would reconsider supporting Obama's plan. Who likes the idea of their tax dollars being spent on the health of junkies?

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don't wake em up

SSSSSHHHHHHHHHH!! Don't wake up other republicans to the hole in the rationing argument. Some of them might listen.

  1. You might have a point with the rationing argument, but Obama's already making the case about healthcare being a huge reason for our growing debt. He's already moving against the 'we have too much debt argument'.
  2. The Bill O' Reilly defense. I call it that because that's his favorite way of defining the argument against healthcare reform. If 2 in 10 people are in a hopeless situation of their own making, why help out the 8 who are in a bad situation that's out of their control? Unfortunately for this argument, too many people have seen their healthcare costs skyrocket. Too many people know too many other responsible people who are suffering because of healthcare costs.

 

Is that the best you guys

Is that the best you guys have?  I don't like my tax dollars being spent on roads that allow junkies to buy drug either. Should we suspend all road and bridge repair?

The problem with your

The problem with your argument is that the drug habits of the junkies don't cause any extra damage to the roads and bridges (well, maybe vandalism, but that's aesthetic, not structural,) while drug abuse causes massive health problems.

DOA

Your argument about drug addicts is DOA. This is NOT 1993. In '93 you had a vibrant middle class that paid for its own affordable healthcare, liked their doctors, and propaganda about 'big government' controlling their way of life was effective.

Now, those people have seen their worst fears come true, except healthcare reform wasn't enacted. A corrupt insurance industry ruthless in their zest for profits has made the situation untenable.

Back then they had decent, affordable healthcare. Now, they either don't have what they used to or they don't have any healthcare plan now. As I said, this problem affects far too many people. Somebody has a neighbor, friend, relative, co-worker- you name it, they know somebody affected negatively by the current healthcare system. What you need to realize is that most people who have healthcare problems are responsible people.

Your argument is going to make them wonder why they share the same fate as drug addicts.

 

 

maybe not, but I'd rather blow up the dumburbs

where people live in order to waste my fucking tax dollars. I pay more than I get back, it's the worthless middle class suburbia that is the plague on society.

and that, my dear friend, is why you DON"T want to talk about whose bad habits are worse than other people's.

To someone who is starving...

...even rationed food is better than no food at all.

I say this not to mock your attempt to defend against socialized medicine, but to show you this line of attack probably will have little effect on the 45 million who have no health care at all.

But at least you can get your voice heard on this subject, and have your elected Congressional representatives see how you feel about the issue before they vote on the matter over at  The People Decide...if you hurry.

ex animo

davidfarrar

Good try but I agree with

Good try but I agree with Skayne's response -- I don't think fighting healthcare reform by equating all uninsured people with drug addicts is going to do it.  Sounds to me like the updated version of 'welfare queens.'

Are these examples better than Molotov's in terms of tax dollars already being spent for 'undeserving' purposes:

  • tax dollars paid to a Halliburton subsidiary to construct showers for soldiers in Iraq wherein said soldiers were electrocuted by faulty wiring, then paying them again to repair their own shoddy work
  • tax dollars needed to hire U.S. Attorneys to prosecute federal drug offenses
  • all federal prison costs -- who likes the idea of their tax dollars being spent on the care, feeding and health of criminals?

You include this:

If Republicans point out that any universal healthcare scheme would include heroin addicts, meth heads and others who brought their health problems on themselves through poor individual decisions, independents and moderates would reconsider supporting Obama's plan.

Think you might incur the wrath of independents and moderates who brought health problems on themselves by engaging in legal activities -- alcohol, smoking, poor diet, no exercise -- like diabetes, heart disease, cancer, etc.?  I'm not arguing that it makes any sense to make poor individual decisions, I just think you need to acknowledge that there are undoubtedly some moderates, independents and I'd daresay more than a few Republicans whose individual decisions have contributed to their health problems, without ever having been drug addicts.

more than just rationing

What the future system will look like is what public schools look like today.  In places with enough middle class and upper middle class people who care about their communities, the healthcare system will probably function OK.  However, in large urban areas or in rural areas or in areas with large numbers of blacks or Hispanics, single payer, government managed healthcare will be a disaster.  The rich in urban areas will go to private boutique hospitals where they will get great care and the poor will go to poorly run, understaffed with the worst employees hospitals and clinics and receive poor pay.

Socialized medicine will probably destroy healthcare as a good career choice.  Why go into a field where the government will cap pay and control working conidtions.  Socialized medicine will probably destroy the biotech and pharmaceutical industries in the U.S.  If you have a long term chornic disease that requies medical advancement, you should be very afriad of socialized medicine.

When you realize that none of the children of the politicains are going into medicine to actually treat patients but instead what to go into public policy medicine, it should tell everyone what the future looks like.

Your concerns are justified

Except if you've actually been in an inner city hospital.  Furthermore, it would be idiotic to fund medicine the way we fund schools, through local tax revenue.

because it's more satisfying to not see your patients KILL

themselves, after you are forced to release them, when you know you haven't given them the proper amount of care?

Yeah. I think I'm talking to someone who has both

1. Never worked in American Health Care

and

2. Never worked in Canadian Health Care.

Knew a guy who did both, and he swore by the Canadian system, and that's socialized.

As you might expect from the subject line, he was in psychology.

The "junkie" argument is a nonstarter

We already pay for healthcare for many of these people (go to the ER in the middle of the night).

We already pay for "socialized medicine" in many ways. There is a sign right in the ER lobby that  says treatment can not be refused based on ability to pay. Illegal aliens (at least in Texas) are well aware of this. The problem is that many of them use the ER for "primary care", which is very expensive. Why not acknowlege the situation and deal with it?

The argument against a government run universal health care program should be based on the government's lack of success in running other programs:

Medicare-bankrupt

VA hospitals-what a nightmare!

Instead of looking to private industry to help solve the problem, Obama is going for the  "big government" sloution. Of course, more voters beholden to the federal government.

Look at what Wal Mart has done with prescription prices, and what Walgreens and many supermarkets have done with in store clinics. Why not partner with these providers that are already in place?

In my opinion, we need to leave employer programs in place and let the government formalize care for those that do not have coverage. We are already paying for it through higer costs anyway. After all, if 45 million Americans don't have insurance, that means that 255 million Americans do have insurance.

 

so it's just fine and dandy by you

if my non-profit health care decides that it would rather send my husband to the hospital every god damned day, rather than pay for his prescription that a qualified specialist has said is medically necessary?

Oy. Maybe I'm in the trenches too much, but I don't think our employer programs are always the best... I know I have one of the best in the nation, too...

Huh

you go off on tangents just like someone else that used to . . .nah, couldn't be.  :)

What I am saying is that rather than build a new system, why not fund and expand existing systems run by people who know what they are doing?

I don't know about your husband's situation, but if that is happening its a good example of wasted time and money. I would fight my provider tooth and nail on that one. But if you think it would be less bureaucratic with the feds running the show, I would have to disagree.

nothing works like a former publicity agent

on bureacracy. ;-) Yeah, we got that settled out fine.

(and yeah, this is RisingTide. Jon wanted to ban me for... apparently threatening harm to political opponents. Quite puzzling, since there are any number of other reasons for banning me, including my prone to tangential nature -- and like of profanity.)

I figure so long as we give everyone the option to either choose a for-profit, non-profit, or gov't run plan, we're all good. I mean, one of the public plans IS expanding Medicare, so it's not like all of this is "let's make magic pixie health care fly out of our asses."

I don't really see many conservatives choosing the public option (my snide side wants to say "brainwashed fools", but the truth that we're loathe to admit is most of us are brainwashed, whatever politics we're on).

Well following conventional

Well following conventional wisdom, evil conservatives win big if health care reform goes through.

Why do you think Wal Mart came out with $4 prescriptons in the first place?

cause it makes more people likely to use them as a

grocery store? I don't know, but Wallmart's decently competent. Flawed system, but competent if fragile.

Without Edwards around, I fear that the only evil conservatives winning will be the insurance companies, and not the rest of the evil conservatives who run other businesses ;-) [disc: I did mention that one of my good friends sells ammo, didn't it?]

My chief problem with the rich is that they seem to have gotten much stupider in the past fifty years or so. I'd like to see a World War I, in order to thin the ranks and allow smarter people up into our aristocracy.

They are taking care of their customers

literally. They know that a large portion of those 45 million uninsured are their primary customers. And a living customer is a good customer.

a heartfelt thanks for the reminder

that not all of the poor in America live in the inner city.  Sometimes us cityfolk need the remindin'

The control argument

I like the "junkie" argument, but only if it is framed correctly.  There's a definite argument to be made here on this score - why should the taxpayer bail out individuals from their own poor choices?

I prefer, however, the "control" argument.  When the state pays for something, it always comes with strings attached.  So when the state decides it wants to pay for your health care, the state will demand, one way or another, that you change your habits as well.  Mandatory preventive care?  Definitely a possibility.  Calls for things like a special tax on fast food will become more palatable; after all, if the state pays for the consequences of all those Big Macs, why shouldn't the state tax them through the roof?  Socialized medicine will become a behavior modification tool.  We will be instructed by our benevolent government to eat only certain foods, to exercise at least this much a day, and to avoid all risky habits.  In this country, anyway, I think that's the inevitable result.

  Free health care leads to

 

Free health care leads to overuse of medical services and higher costs Whenever something of value is provided free of charge in society, it is used more. This means that the overall costs of health care will rise. Universal health care can't be reversed even if costs explode Universal health care, like any government benefit, is eventually going to be interpreted as a "right" by the public, making it politically impossible to curtail the program when it becomes too costly.

bv

 

"Who likes the idea of their

"Who likes the idea of their tax dollars being spent on the health of junkies?"

This argument is incredibly shallow and cynical.  Put aside for just one second the fact (no doubt contested by many readers here) that the 'addicted' brain is physically different from the 'normal' brain, and that alcoholism and drug addiction are generally referred to as diseases by the mainstream medical community.  If you need me to back that up, In 2004. the World Health Organization concluded, in reference to alchohol, that "dependence is as much a disorder of the brain as any other neurological or psychiatric illness."

I'm sure that nearly everyone who reads this has been connected at some point to someone with a serious substance abuse problem, and hopefully they have seen benefits of proper treatment and counselling.  The fact that we'd throw our addicted family members, friends, etc. under the bus to make a political point is dangerous and sickening.