The End of Private Insurance

Remember my praise of Rudy Giuliani’s federally-based health care plan, especially in contrast to John Edwards and Barack Obama’s backwords company-centered plan?

Giuliani is not just on the side of the angels, he’s on the side of history. At it becomes cheaper and cheaper to sequence a person’s genome, we will either face a situation where insurance companies only provide insurance to people they know will be healthy or, atlernatively, only people who believe they will be sick will buy insurance. (In other words, just like now, or worse.)

The solution, however it comes, will have to be risk-pooling at a national level. Giualini’s plan starts us down that road. Edwards and Obama, by contrast, offer only a tired repeat of the old industrial state.

2 thoughts on “The End of Private Insurance”

  1. Are they tired old repeats, or just an attempt at being cautious (remembering, perhaps, the spanking Hillary got in the early 90s)?

    On another topic, how long do you suppose it'll be before they have to start limiting access to genetic information in the same way (hopefully more stringently) that they currently limit access to credit information?

  2. “Are they tired old repeats, or just an attempt at being cautious (remembering, perhaps, the spanking Hillary got in the early 90s)?”

    Both.

    Many people suspect that corporations are able to print money, and assume that employer-provided healthcare is somehow cheaper for them than socially provided healthcare. Hence the cautiousness.

    The backwardness should go without saying. Further warping the employment — to say nothing of the health care — market away from maneuverability is perhaps the only way the current system could be made worse.

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