Friday, October 30, 2009

Jeffrey Miron on healthcare reform

Public option: Treatment worse than the disease - CNN.com
The other possible objection to the cash transfer approach holds that, if left unregulated, private health insurers would deny coverage based on pre-existing conditions. Thus, some people might get no health insurance at all.

This outcome is unlikely, however, assuming health insurance is unregulated. In that case, insurers would set higher premiums for the unhealthy, but they would cover anyone willing to pay a sufficiently high price. Thus, the question is whether society should compensate those who face higher prices because of their health status?

The answer is no. Advocates for such compensation would suggest that it is basic fairness for society to insure people against the bad luck of being born with lousy genes. Many differences in health status, however, arise from behavior: heart disease from overeating, lung cancer from smoking, and cirrhosis from drinking, to name a few. If society compensates everyone for differences in their health status, it is often rewarding unhealthy behavior, perhaps even encouraging it.
Words fail me.

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