Greg Mankiw, a Harvard professor who didnâ€™t have trouble with the law last week, worries about power unchecked by competition:
Most private organizations have some competitors, and this fact makes me more comfortable interacting with them. If Harvard is a bad employer, I can move to Princeton or Yale, and this knowledge keeps Harvard in line. To be sure, we need a government-run court system to enforce contracts, prevent fraud, and preserve honest competition. But it is fundamentally competition among private organizations that I trust.
My HMO, Inter-Mountain Healthcare, has competitors. I can use Blue Cross, or the University of Utah system, or a host of other insurance vendors. Our insurance guy regularly floats new options past us. We can even compete with IHC ourselves by partially self-insuring â€“ something we will likely do later this year.
This ensures that when I needed an endocrinologist, I called their Patient Advocate line and I got one a few days later. Not months. Not even weeks. A few days later, and the endocrinologist (who is eager to please IHC) called me personally. Because I have options they fight for my business.
Compare that toâ€¦ the DMV. Or trying to get your kid away from a bad teacher at your public school, or begging for a zoning variance for a garage you want to add. Or pretty much any other interaction you might have with government at any levels.
I like my HMO and if I didnâ€™t I would switch. ObamaCare may promise that, but it is a transparent lie. We will be stuck and it will suck.
This ENTIRE healthcare reform is not about helping people that don’tâ€™ have insurance. It is about switching union healthcare obligations to the taxpayers.