Some will argue that a government-run health system can work, and that the problems only prove that we need a full-scale socialized medicine program, like the UK’s National Health Service or Canada’s type of universal health care. In this country, it could be instituted by expanding Medicare to everyone over 55, thus in effect becoming a single-payer system. If that is done, we will be on our way to a two-tiered medical system. The wealthy will go to concierge doctors and the fine hospitals not in the system, and the rest of us will go to second-rate hospitals and be forced to see those doctors who have not opted out of serving Medicare patients.
Moreover, the country will go broke sooner rather than later, as coverage for all over 55 will quickly become the single most expensive entitlement program existing, without funds to pay for it. And can you imagine the people who run the failing U.S. Postal Service creating the bureaucracy that will administer Medicare for all?
While Republicans are polling lower than ever as a result of the government shutdown, it should be kept in mind that as ObamaCare evolves, the Obama administration and the Democrats will quickly lose the confidence of the American people. In the National Journal Ron Fournier writes, “Beyond Obamacare, the Democratic Party’s reputation for competency is as stake. The cost of the [Obama Care website] site is already $394 million, a massive amount compared to private-sector CMS work, and sure to grow.”
So bring it on. And what conservatives should do is offer their own meaningful alternatives, such as those proposed by Tom Miller in the latest National Affairs. Miller writes that our debate has to be not just about Obama Care, but “must be understood as part of a larger debate about the future of the country.” And that requires serious proposals for market-based systems that deal with the problems of the uninsured, and that address the issues of the “cost, quality, complexity, and accountability of the options [Americans] have in the current health-care system.”
Saying no to ObamaCare is not enough. It is time that our politicians go beyond that and offer serious alternatives to fix our healthcare system.