So it's time to raise the volume again, because there are facts to be discussed, specifically the facts of RomneyCare, the microcosm of ObamaCare.
The essential Robert Samuelson notes as much today. RomneyCare is bankrupting the People's Republic of Taxachusetts while exerting absolutely no downward pressure on costs. Samuelson, scion of a celebrated economics clan, notes why and whither:
The system's fundamental incentives won't change. The lesson from Massachusetts is that genuine cost control is avoided because it's so politically difficult. It means curbing the incomes of doctors, hospitals and other providers. They object. To encourage "accountable care organizations" would limit consumer choice of doctors and hospitals. That's unpopular. Spending restrictions, whether imposed by regulation or "global payments," raise the specter of essential care denied. Also unpopular.It's high time to remember these fundamentals, and to explain them to the complacent masses who will decide the next election.
Obama dodged the tough issues in favor of grandstanding. Imitating Patrick, he's already denouncing insurers' rates, as if that would solve the spending problem. What's occurring in Massachusetts is the plausible future: Unchecked health spending determines government priorities and inflates budget deficits and taxes, with small health gains. And they call this "reform"?