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National Review Praises "Rationing By Price" In Health Care

Check out this new editorial from National Review, which openly praises the rationing of health care by the private sector -- but worries about the government doing it:

But there are many good reasons to prefer rationing by price to other forms of rationing, which is why we use it for most products and services. Those reasons are not limited to efficiency, though they include it. The rationing involved in a free market is decentralized, creating more room than a bureaucratic system for people to make different trade-offs. Hence most people do not think of it as rationing at all.

It follows that it is a deep mistake to imagine the wonders of greater government involvement absent rationing. Greater government involvement necessarily means that the government will play a larger role in the allocation -- the rationing -- of care.

On the subject of Sarah Palin's fear of government "death panels," the editorial simultaneously says this is a stretch -- but also that we should be worried about the government denying care to the elderly:

To conclude from these possibilities to the accusation that President Obama's favored legislation will lead to "death panels" deciding whose life has sufficient value to be saved -- let alone that Obama desires this outcome -- is to leap across a logical canyon. It may well be that in a society as litigious as ours, government will err on the side of spending more rather than treating less. But that does not mean that there is nothing to worry about. Our response to Sarah Palin's fans and her critics is to paraphrase Peter Viereck: We should be against hysteria -- including hysteria about hysteria.

The state remains a dangerous servant and a terrible master, all the more so when it is also our HMO.

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In a better world there would be a functioning Democratic message machine that could hang this around the neck of every reform opponent.

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"Many can't go there; and many would rather die."

"If they would rather die," said Scrooge, "they had better do it, and decrease the surplus population. Besides -- excuse me -- I don't know that."

Different century, same attitude.

Indeed, it occurs to me that the National Review and WSJ editorial boards' idea of utopia looks a lot like Britain c. 1845, except with cellphones.

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"logical canyon" - What a perfect description of Sarah Palin's brain!

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Hum along now: "If living were a thing that money could buy, the rich would live and the poor would die."

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"All my sorrows, soon be over."

Things really haven't changed much, on certain levels, since the '60s.

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"Rationing by price" -- Perfectly logical. Those with the most money naturally need the most health care and those with the least money need the least health care. It just serves to keep people from taking more than they need.

I guess that explains why the insurance companies deny coverage to people with pre-existing conditions. Obviously, those people have no need for health care at all. They've already received it.

Does somebody at the National Review actually get paid to think up this idiotic crap? They should save some money and hire a third grader to do it. Nobody would know the difference.

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But there are many good reasons to prefer rationing by price to other forms of rationing, which is why we use it for most products and services.

Rationing by price works fine for products and services where we have options, i.e. transportation. Based on my income and preferences, I can buy a brand new Prius or a Hummer or an old clunker. I can get a bike or use public transportation. I can share car ownership with a family member. There are lots of options, lots of potential trade-offs.

Healthcare... not so much. If I get cancer, treatment is not so much a matter of preference as of what works. There are only a small number of treatment options, all of them expensive. Poor people can't opt for a cheaper course of treatment and expect to survive. Sure, I can choose to treat cancer with some vitamins and meditation, but I'll probably wind up dead. Which is probably just fine with the National Review.

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