An Internet hub for moderates, centrists, and independents, with domestic and international news, analysis, original reporting, and popular features from the left, center, and right

Healthcare, Chess and Unintended Consquences (Guest Voice)

Guest Voice posts do not necessarily reflect the viewpoint of TMV or its many writers.

Healthcare, Chess and Unintended Consquences

by Average Joe

In the flap over an Op Ed article penned by the CEO of Whole Foods, John Mackey rehashes a right wing idea I blogged about after the CPAC convention in March. This idea has been widely touted as one of the conservative alternatives to any Democratic plan to overhaul healthcare. I first heard of this plan several years ago when I was a consulting engineer represented by the American Council of Engineering Companies (ACEC). The plan, in a nutshell, would allow groups to organize across state lines in healthcare insurance pools. The newest twist on the idea is health insurance co-ops which would do the same thing. Conservatives may want to rethink this concept.

If, as in chess, conservatives think a few moves in advance, they might find some decidedly unconservative ramifications to the idea.

One of the ramifications of this idea will be the dismantling of the state power to regulate insurance companies. Beyond the constitutional questions the plan raises, there will be a serious regulatory void left by state insurance officials.

With a Congress, Senate and White House in Democratic hands, conservatives should ask themselves who will write the new national regulations to take place of the states.

The result of this plan will most certainly be to replace the states with a giant big brother bureaucracy in Washington. This kind of shifting of regulation violates a basic conservative principle. In general, conservatives feel state and local government works better than any Washington based government.

One alternative to Washington regulating the insurance industry might be allowing insurers to pick the state where they would like to be based and regulated. The result would be a mass exodus from high regulation states to low ones. This exodus would be similar to the previous exodus of the credit card companies. Again, another conservative principle of free unfettered markets will be violated by this seemingly innocuous deregulation. This conservative solution will pick winning and losing states in the health insurance industry. By voting for this kind of solution, conservative lawmakers might be shipping thousands of jobs to other states.

Many conservative solutions in Washington go around the mountain suggest a “free market like” alternative only to please conservatives. This alternative to a public healthcare option may be another around the mountain solution. This is one of those solutions which may sound good to conservatives on the surface. If you will pardon the pun, the cure (a private system) might be worse than the disease (a public system).

Conservatives might also be guaranteeing a liberal checkmate in a few moves by supporting a co-op or private plan which crosses state lines.

Average Joe is works as a civil engineer and lives with his wife and daughter in north Alabama. He writes for the American Silent Majority. www.americansilentmajority.com is a moderate political blog with an aversion to the left and right wing.

  • tidbits
    Average Joe -

    It's always good to read someone who goes beyond the rhetoric of the day and has a sense of real consequences. Thank you for this very well reasoned perspective.
  • How coops would be regulated is a good question to bring forward. However, I see it as a detail to be discussed and worked out rather than as a problematic show-stopper.

    For instance -- the author suggests constitutional problems with the coop plan, yet to my knowledge there is nothing in our constitution that prohibits several states to agree to a regional regulatory plan. And in terms of constitutionality, regional approaches are much closer to the founding intent than a national plan.
  • HansBader
    There is no "constitutional problem" in letting people buy insurance across state lines.

    In fact, the constitution's interstate commerce clause lets people buy stuff across state lines UNLESS Congress passes a law allowing states to ban that -- as it has stupidly done in an archaic insurance law supported by big and powerful health insurers that use regulation to crush cheaper and smaller competitors. (You can by groceries across state lines. Why not insurance?)

    Repeal that stupid law, and people will be able to buy cheaper insurance. If any barriers remain, preempt the state laws that are obstacles using Congress's preemption powers under Article VI of the Constitution.

    Congress has been preempting state laws that inhibit competition for decades. ERISA is a classic example.

    But rather than building on this, Obama wants to gut ERISA, reducing choice and increasing costs in employer-sponsored health insurance.
  • Leonidas
    People can go to hospitals across a State line, why not buy insurance across one. The Constitution does not get in the way, just big government and a group of utterly stupid regulations that have led to increased healthcare costs.
  • vwcat
    the problem with the conservative idea of thing like state lines and their beloved tax cuts is that it does absolutely nothing for those most in need. But, that is the point, isn't it.
    Having things the conservative way does not address the fact that the costs are obscene, it does nothing for those thrown off for pre-existing conditions or those who have desperately needed care turned down. It does nothing to get the insurance agent and the executive out from between you and your dr.
    The whole 'government is so evil' is simply old fashioned and out of touch with reality.
    Reality has proven that it is not gov. but, corporations and their bloated, over paid and over fed CEOs - the modern day version of a robber baron - who is evil and needs to stay out of our lives and quit interfering as well as pulling their ongoing shell games on the public.
    Government is not evil. CEOs and big business are.
    And CEOs are far more sinister then any gov. employee could ever dream of being.
    And it is the robber barons and CEOs that along with conservative ideology that wreck the global economy and almost landed us in a second great depression. And you want to trust them with your health care and your life?!??
blog comments powered by Disqus
© 2005-2009 The Moderate Voice | Site design by Elegant Themes | Site customization, hosting, and security by Enxit Group, LLC