Ezra Klein says health care rationing ain't so bad
Ezra Klein is frustrated.
Opponents of socialized medicine just won't shut up. They keep saying that government-run health care would lead to rationing, and they keep saying it like that's a bad thing. So Ezra scolds them, and us: "We Ration. We Ration. We Ration. We Ration."
Somehow, it's supposed to support his argument to repeat it four times. It's all Charles Krauthammer's fault. He said socialized medicine inevitably leads to rationing, because Britain and Canada have health care rationing, so Ezra says:
So do we. This is not an arguable proposition. It is not a difference of opinion, or a conversation about semantics. We ration. We ration without discussion, remorse or concern. We ration health care the way we ration other goods: We make it too expensive for everyone to afford... and thereby displays his own fundamental misunderstanding of the word "rationing" and his preference for the Left's impossible and immoral dream of equality of outcomes. So, believe me, Ezra, I'm just as frustrated as you are. Please forgive me if I think mine continues to be an "arguable position."
Ezra goes on to cite (by recycling a full four paragraphs from a June post) a 2001 survey that says 38 percent of Britons and 27 percent of Canadians reported waiting four months or more for elective surgery, but for Americans it was only 5 percent. But -- aha! -- the same survey says 24 percent of Americans reported that they did not get medical care because of cost, and 26 percent said they did not fill a prescription because of cost, and 22 percent said they didn't get a test or treatment. But in Britain and Canada, Ezra says, only about 6 percent said costs had limited their access to care.
Come on, Ezra. If the government makes sure that "everyone can afford" health care, the percentage of Brits and Canadians who say that costs limited their access to care should be zero percent. You just said that even with full-blown national health care, 6 percent of the people can't even afford that.
Concerning that same survey, Ezra said previously:
In Britain and Canada, in other words, they ration actively: The government tells you that the resources are scarce and you'll have to wait. In America, we ration passively: You can't afford the cost of care, and so you go without.
That's why Ezra is frustrated. He thought he had foreclosed the entire "rationing is bad" line of attack back in June. But I'm just some kind of neanderthal conservative motherfucker, so let me see if I've got this straight. If you're British or Canadian and you have to wait four months to see a doctor, you just get to suck it up and deal like a good comrade. But if you're an American and you can't afford to see the doctor -- or if you just choose for yourself not to spend the money -- you must be oppressed by the evil greedy capitalists.
Either the government doesn't have enough resources to get you a doctor appointment when you need one, or else you don't have enough resources to get yourself a doctor appointment when you need one. But either way, you have to wait or do without. As Ezra says, the Britain/Canada vs. U.S. numbers are "almost mirror images of each other." But how does that make the case for government-run health care? To say that the outcomes aren't any better if the state is running the hospital?
It doesn't. Ezra's just ticked because our side keeps talking about "rationing" like it's evil. See, one side has actual rationing -- the government decides how to allocate scarce resources. The other side has, at least to some degree, the people making their own decisions on how to allocate resources, which Ezra thinks is also "rationing." But it's not. Socialism is not the same as a free market. Allocation of resources by government edict is not a free market. What we have now in terms of health care is not a free market, but it's still not rationing. No matter how many times you repeat your argument, Ezra, it's just not.
Labels: Health Care, Journalism, Liberals






