Tuesday, December 15, 2009

Matt Welch is the editor in chief...

...of Reason magazine, the libertarian publication. Reason's motto is "Free Minds and Free Markets." (I used to be a subscriber.) Welch has an interesting piece in the upcoming January issue with the title, "Why I Prefer French Health Care: The U.S. system’s deep flaws make socialism more tempting." Say what?

Here are some of the more interesting tidbits:

To put it plainly, when free marketers warn that Democratic health care initiatives will make us more “like France,” a big part of me says, “I wish.”

For a dozen years now I’ve led a dual life, spending more than 90 percent of my time and money in the U.S. while receiving 90 percent of my health care in my wife’s native France. On a personal level the comparison is no contest: I’ll take the French experience any day. ObamaCare opponents often warn that a new system will lead to long waiting times, mountains of paperwork, and less choice among doctors. Yet on all three of those counts the French system is significantly better, not worse, than what the U.S. has now.

And it’s not like the medical professionals in France are chopped liver. In the U.S., my wife had some lumps in her breast dismissed as harmless by a hurried, indifferent doctor at Kaiser Permanente. Eight months later, during our annual Christmas visit in Lyon, one of the best breast surgeons in the country detected that the lumps were growing and removed them.

What’s more, none of these anecdotes scratches the surface of France’s chief advantage, and the main reason socialized medicine remains a perennial temptation in this country: In France, you are covered, period. It doesn’t depend on your job, it doesn’t depend on a health maintenance organization, and it doesn’t depend on whether you filled out the paperwork right. Those who (like me) oppose ObamaCare, need to understand (also like me, unfortunately) what it’s like to be serially rejected by insurance companies even though you’re perfectly healthy. It’s an enraging, anxiety-inducing, indelible experience, one that both softens the intellectual ground for increased government intervention and produces active resentment toward anyone who argues that the U.S. has “the best health care in the world.”

But as you look at the health care solutions discussed in this issue, ask yourself an honest question: Are we better off today, in terms of health policy, than we would have been had we acknowledged more loudly 15 years ago that the status quo is quite awful for a large number of Americans? Would we have been better off focusing less on waiting times in Britain, and more on waiting times in the USA? It’s a question I plan to ask my doctor this Christmas. In French.

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