What is the best way to secure good health care service?
1. A very big book of rules and procedures that health care providers of all types and training can access every time a health issue arises for anyone of America’s 300+ million citizens, or
2. An open market place where the American with the health issue chooses where to go and whom to see and what to pay?
That is the question. We can embellish the question with lots of references to past experience with the big book approach – written rules and procedures covering everything imaginable, but why bother? All you need do is ask yourself this question – do I look forward to calling, visiting, explaining, filling out forms, talking with or otherwise interacting with anyone at any government bureaucracy?
Here is one other, very simple way to address this question – can you imagine what the functioning of a smart phone, say an Apple I5, would be if it were the product of the department of health and human services (HHS)? If the operating software were designed by the FCC? An operating manual put out by the IRS? Do you realize that the I5 is so intuitive to use, it doesn’t come with a manual?
There are a few things government must do (the constitution spells out eighteen) – there are many things it cannot do. For almost two hundred years America had a balance between who best to provide products and services. It has lost that balance. Mostly in the last 40 or 50 years.