Where Did My Capitalism Go?

I read this opinion piece about the current health care proposal of a public insurance system being reviewed by Congress and started to consider the main question being asked: why should private insurers fear the proposal of a public insurance system? The article had some good thoughts but, in my opinion, the author didn’t give an adequate answer to his primary question. I’ll give you my take on the issue here.

From what I can deduce, private insurers may fear the current proposal because a public insurance system would be cheaper for the insured, meaning the private insurers prices would have to be lowered in order to adequately compete. But one of the main reasons the private insurers prices are currently so high is that they need to buffer against today’s uninsured. The fact that uninsured persons still use the healthcare system without being able to pay for their care translates into an increased price for that care across the board (a cost that private insurers currently have to roll into their price). If a public healthcare system is created, those costs will decrease allowing the private insurers to better compete with the public plan. The problem then becomes the transfer of the cost for the publicly insured into higher taxes for the citizentry.

The money to pay for a public health care plan is the main sticking point: those who most need this plan are often the least able to pay for it. Given the current make up of Congress, I expect the cost of this public insurance to be pinned on the middle and upper classes in the form of increased taxes. I don’t believe in paying for the needs of others. Those who don’t make enough money to provide adequate health care for themselves should not force those who can take care of themselves into an involuntary position as social provider. The screening process for such a public program shoud be rigorous enough to determine actual need based on an inability to work and provide for yourself (something the government should have plenty of experience with by now, and yes, you can read that as a jab at welfare).

The private insurance companies should have little to fear. Ultimately, you get what you pay for, and I guarantee that the service and quality of healthcare will be worse for those under the public plan. The private insurers will remain the providers of quality care, probably at less cost to the insurer. The ones who will bear this burden are the taxpayer, mainly those who want to maintain their level of care by remaing privately insured, but find themselves in debt for the health care needs of those that choose to use the public option.