Voices for Liberty in Medicine

Wayne Laugesen, long a columnist for Boulder Weekly, now works for Colorado Springs’s Gazette as “Editorial page editor.” Congratulations, Wayne! Though Wayne comes at some issues (such as abortion) from a religious perspective, usually he’s a dedicated “classical liberal” who cares first about individual rights. I’ll be interested to track his work at The Gazette.

Not coincidentally, yesterday The Gazette ran a substantive editorial endorsing liberty in medicine:

…The Blue-Ribbon Commission on Health Care Reform, appointed by legislative leaders and the governor, will present its recommendations to the Legislature on Jan. 31. …

“The majority of the commission favors a government-heavy proposal,” says Dr. Paul Hsieh, a Denver physician who has studied the new Massachusetts system. “They’re crafting it similar to the Massachusetts model.”

A year old, the Massachusetts system is resulting in rationing and shortages of care, and higher costs to taxpayers than originally expected. …

Government intervention, in fact, explains the failures of our current system. The IRS code drives most Americans to buy health insurance through employers. That means insurers don’t have to compete for consumers, because for most Americans, shopping around for a better deal involves a career change. And because health insurance has been packaged as a “free” benefit from employers, patients have spent the past half-century consuming health care without challenging the price. …

State legislators can’t change the morass of federal regulation that has led to a health care system unrestrained by the conventional market forces that control other services and goods. But legislators can improve access to health care by eliminating most of the state controls that prohibit affordable coverage. …

Brian Schwartz… proposed to the Blue Ribbon Commission a market-based health care reform package that mostly involved deregulation. …

Hsieh and Schwartz have become leaders in Colorado for liberty in medicine. Hsieh wrote an article with Lin Zinser, “Moral Health Care vs. ‘Universal Health Care’,” that explains the problems with health policy and how to fix them.

And yesterday Schwartz also had a letter published in Boulder’s Daily Camera:

…[W]e don’t have a free market in medical care or insurance. …Tax-exempt employer-provided insurance coddles insurers by tying us to our employer’s plans. Insurers are committed to satisfying customers, which are employers, not you. Hence, they can afford to be stingy and deceptive: they know that losing your premium dollars requires that you change jobs.

What “powerful and wealthy forces” oppose changing this? Labor unions. …[T]he AFL-CIO supports “single payer health care”: politically controlled medicine with government as a monopolistic insurer. This is even worse than buying it through your employer. If you don’t like what the government “health barons” offer, it’s not enough to change jobs, you must move out of state to change providers.

If you like “single payer,” don’t worry that the 208 Commission on Healthcare Reform has not recommended it. They recommend an “individual mandate,” which makes it a crime not to purchase politician-approved “insurance.” Such compulsory insurance is essentially single-payer in disguise. Strict regulations on legal insurance plans severely limit competition, so insurance companies are effectively government contractors for politically-defined insurance.

Colorado was supposed to be one of the national testing grounds for socialized medicine. Now, thanks to the work of people like Laugesen, Hsieh, Zinser, and Schwartz, the idea that we need more liberty in medicine, rather than more political controls, has become part of the public debate. While we still face a real and serious threat of more political interference in medicine, at least now liberty has a fighting chance.