Competition and Healthcare – Is Capitalism the Right Mechanism?

The government is the right institution to pay for and hold the healthcare industry accountable (single payer).  Competition is useful in many areas but not in who should collect and pay for health coverage which we all need.  A single payer system is the most streamlined and will provide the greatest simplicity and uniformity.

In any specialized or emergency healthcare sector the effectiveness of competition breaks down.  You are at the mercy of the provider when you get the bill.  It is absolutely necessary that the government educates itself and oversees those that provide these services.

Capitalism is not great with dealing with the elderly, the sick, the poor, preexisting conditions etc.  That’s one reason why the role of the state is important in our society.  Setting up a caste system around medical services is not who we are and goes against an industry built around compassion and helping others. 

Bureaucracy

A bureaucracy is a group of people communicating and working around a set of standards.  Its why your McDonalds burger is similar wherever you go.  It is also why we have clean air and water.  It is neither good or bad.  Communication, learning, and accountability can all be stressors.  You can work to improve the system, even then some will complain because problem solving effort is required in the change once they have one system down.

In time the bureaucracies get more efficient at enforcing and overseeing existing rules and the entities they govern get trained on what to do.  This can lead to decreasing funding for an agency and seeing not much immediate effect but it is the thought process and mentality that are important.  Crippling an enforcement agency can also lead to unpreparedness in a disaster and shortcuts gradually taken more and more by companies.

The Size of Government

The non-military part of the government is less than a quarter of what the government spends.  Most of the money goes to the military or seniors (which we would spend privately anyway if the government wasn’t).  It is not the fault of the government that the industrial revolution happened resulting in a much more urban/suburban culture and industrialization.  This required the government to greater plan cities, oversee worker safety, empower laborers with management, manage increased globalization, and rule on what we put into the sky, earth, and waterways.

We all want less stressors, but it is human innovation that has dictated the size of the government.  The more problem solving the government does the better it is, no shortcuts. 

A Proactive government is empowering. It means if you do your homework and propose a better way, it will be implemented.  Unfortunately, the burden of proof is always on the non-cynical caring person such as the safety net, taxes, helping other countries, and making peace.

Government Cynicism

If someone asks you what do you “really think” of this stressor?  You are supposed to be cynical but if you want to be anything in life, you will be the one putting stress on others.

If you buy into your family, your holidays will be better.  If you buy into a team, your team will exceed expectations.  If you buy into your government, you will have peace and be able to work positively on things that matter.

Many arguments against the government that take on a cynical tone involve cherry picking, twisting facts, taking things out of context, and making mountains out of molehills. Human beings within the government are as tempted and make mistakes as any of us, but the role of government as the conscience and guider of civilization is extremely important.

The stressor isn’t big government its innovation.  A proactive government is empowering.