{"id":169,"date":"2009-09-16T21:17:00","date_gmt":"2009-09-17T02:17:00","guid":{"rendered":"http:\/\/www.nathanhunstad.com\/blog\/2009\/09\/you-cant-have-it-all\/"},"modified":"2009-09-16T21:17:00","modified_gmt":"2009-09-17T02:17:00","slug":"you-cant-have-it-all","status":"publish","type":"post","link":"https:\/\/www.nathanhunstad.com\/blog\/2009\/09\/you-cant-have-it-all\/","title":{"rendered":"You can&#8217;t have it all"},"content":{"rendered":"<p>I&#8217;m sure everybody&#8217;s heard the old joke that goes along the lines of &quot;Your ideal spouse: Rich, Educated, Beautiful. Choose Two&quot; or &quot;Computer software: Fast, Easy, Affordable. Choose Two&quot;. No matter how much we want everything, it&#8217;s almost impossible to find something that has every positive aspect you are looking for. The same goes for health care reform.<\/p>\n<p> <!--more-->  <\/p>\n<p>I think <a href=\"http:\/\/www.eschatonblog.com\/2009\/09\/rubes.html\" target=\"_blank\">Atrios<\/a> hits the nail on the head here:<\/p>\n<blockquote>\n<p>Essentially we apparently need to come up with a bill which: lowers costs, preserves absurd industry profits, widens care, is affordable, has a nice round number from the CBO, is subsidized for low income people through tax credits, is mandated, is popular.<\/p>\n<p>Any plan which does all of this is a very stupid plan at best.<\/p>\n<\/blockquote>\n<p>He&#8217;s exactly right. You can&#8217;t have every single one of those in a workable system. The question is, what do we take off that list?<\/p>\n<p>If you put it to a public vote, I&#8217;m guessing that &quot;preserves absurd industry profits&quot; would be the one that most people think aren&#8217;t necessary for reform (&quot;has a nice round number from the CBO&quot; would probably be second). You can&#8217;t simultaneously have a reform that lowers costs and lets the insurance industry protect their profits. Impossible. You&#8217;ve got to choose.<\/p>\n<p>It&#8217;s not clear that insurance industry profits are doing any social good anyway. I have no problem against profits. In fact, they are a good thing. Why? Because profits lead to two benefits: more competition as people see profits in an industry and want to get a share of them, and more innovation in terms of productivity, features, service, and so forth as people try to minimize costs and maximize value better than those competitors.<\/p>\n<p>As I&#8217;ve <a href=\"http:\/\/www.nathanhunstad.com\/blog\/2009\/07\/the-free-market-worksexcept-when-it-doesnt\/\" target=\"_blank\">said before<\/a>, usually these aspects of the free market do work to increase competition, quality, and value. But for the health insurance industry, not so much. There&#8217;s little competition. There are no great innovations in insurance coverage (aside from finding ways to drop people). There&#8217;s no increase in quality. Something&#8217;s not working.<\/p>\n<p>I&#8217;m no economist, but I see insurance as creating little of value, if anything. It&#8217;s a necessary evil. And if it doesn&#8217;t work, as health insurance now does not work, something needs to be done, and that something won&#8217;t make everybody happy. You&#8217;ve got to choose what you are willing to give up.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m sure everybody&#8217;s heard the old joke that goes along the lines of &quot;Your ideal spouse: Rich, Educated, Beautiful. Choose Two&quot; or &quot;Computer software: Fast, Easy, Affordable. Choose Two&quot;. No matter how much we want everything, it&#8217;s almost impossible to find something that has every positive aspect you are looking for. The same goes for&hellip; <a class=\"more-link\" href=\"https:\/\/www.nathanhunstad.com\/blog\/2009\/09\/you-cant-have-it-all\/\">Continue reading <span class=\"screen-reader-text\">You can&#8217;t have it all<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[77],"class_list":["post-169","post","type-post","status-publish","format-standard","hentry","category-politics","tag-health-care","entry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/posts\/169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/comments?post=169"}],"version-history":[{"count":0,"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/posts\/169\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/media?parent=169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/categories?post=169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nathanhunstad.com\/blog\/wp-json\/wp\/v2\/tags?post=169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}