Guaranteed Healthcare

Market theorists have been telling us for years that the competitive marketplace will keep prices under control, as well as fix problems of access and quality of health care.  This statement by senior fellows of the Hoover Institution in 2006 reflects market ideology which has framed health care policy for three decades:

“Greater reliance on individual choice and free markets are the solutions to what ails our health care system . . . A handful of policy changes that harness the power of markets for health services have the potential to give patients and their physicians more control over health-care choices, create more health insurance options, lower health costs, reduce the number of uninsured persons— and give workers a pay increase to boot.”

Conservatives in government, free market stakeholders, and their
lobbyists won a big one last week. Even after the House gave
overwhelming bipartisan support to the Medicare Improvements for
Patients and Providers Act (HR. 6331) by a vote of 355-59 (including
129 Republican votes), the Senate fell two votes short of the 60 votes
needed to overcome a presidential veto. Presidential candidate Obama
voted in favor of the bill; McCain was a no-show. The bill would have
cancelled a physician pay cut of 10.6 percent, reduced overpayments to
private Medicare plans, improved coverage of mental health and
preventive services under Medicare, and added consumer protections for
enrollees in private plans. President Bush planned to veto the
legislation because of payment reductions to private plans and the
improved benefits, claiming that they would “reduce access, benefits
and choices for many of the 2.25 million enrollees in Private Fee for
Service (PFFS) plans. Robert Hayes, President of the Medicare Rights
Center, called this “a craven submission to the insurance industry”.