Deregulation
Posted on September 18th, 2008 by Jason Rosenbaum in Profits Before People|
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The Dow Jones Industrial average lost almost 450 points yesterday, closing at 10917.51, only a few points higher than when George Bush took office in 2001. (Fun fact: If you invested $100 in the Dow in 2000, you'd have $81 today.) Bear Stearns, Fannie Mae, Lehman Brothers, and now AIG have fallen, forcing taxpayers to pick up the tab.
They fell because they were allowed to buy and sell mortgages that should have never been created in the first place. They fell because banks that created these mortgages were allowed to lend vast amounts of money to people who couldn't pay them back. Most importantly, they fell because the governmentimplicitly acted as a safety net for risk, a role made explicit with the trillion dollar bailouts that have occurred over the last few months.
Conservatives have been pushing for deregulation of the financial markets for decades now, and in a large way, they have succeeded. Banks were allowed to lend to people who couldn't repay loans, and sell those loans on the open market with little scrutiny. Investors knew these loans were risky, but there was so much money in it that they always assumed the government would bail them out if things came crashing down. They assumed right, and taxpayers are now taking the hit for it.
This makes sense. When businessmen know an entity with virtually unlimited resources will foot the bill if they make a mistake, they will take on all the risk they can (and make as much money from it as possible). This is called a moral hazard, and it's what government regulation was designed to avoid.
Conservatives - most notably Senator John McCain and the insurance industry - are proposing to do the exact same thing to our health care system. They want to deregulate the insurance market and create a moral hazard that will allow the insurance industry to make as much money as possible and stick taxpayers with the bill.
Here's how it works.
First, conservatives are calling for health care to be freed of its geographic constraints, allowing folks who live anywhere in America to purchase insurance from anywhere, as opposed to the state they live in. As Think Progress explains, this will make things worse for me and you and better for the insurance companies:
Two years ago, California’s then-Insurance Commissioner John Garamendi issued a scathing report on the conservative’s reform approach, explaining that insurers could avoid the health plan rules in some states mandating that specific benefits (such as cancer testing and preventive care for children) be offered and that specific providers (such as psychologists) be covered. State rules that help small businesses purchase insurance coverage would also be in jeopardy. Real insurance reform – like prohibiting insurance companies from refusing to cover people with health problems – wouldn’t stand a chance.
In other words, allowing people to purchase insurance in any state won't let people "shop around" for a cheap policy that fits their needs. Instead, it will allow insurers to set up shop in states with favorable laws that let them make more money (and provide you less care). This idea is good for business and bad for you.
Next, conservatives want to decouple your insurance plan from your employer and tax it like any other income. They say Americans don't have enough "skin in the game" and that if people were forced to pay for their health care, they would use less. Never mind the fact that every second, nineteen people go bankrupt because of bills for needed medical care they can't pay.
To alleviate the new tax burden, conservatives would offer a tax credit in the range of $2,500 - $5,000 for people to pay for health care. The average cost of a family policy nationwide is around $12,000, with employers kicking in $8,000 of that amount. So forcing families to shoulder the entire $12,000 burden (or allowing employers to kick in some but taxing that money) and then giving families $5,000 to offset means most would be payingsignificantly more every year for health care.
And finally, here comes the moral hazard.
Conservatives will do everything they can to deregulate the insurance industry, allowing insurance companies to raise their prices, deny more care, and do everything they can to make money, because they believe the government will pick up the tab. AHIP, the insurance industry lobby, is openly advocating for expanding existing government health care programs like Medicare and Medicaid. While these programs are very efficient and enormously important to the people in them, they only insure certain people - those who can't afford to pay for health care or are older, sicker patients, both demographics that aren't profitable for insurance companies.
The insurance industry wants to bleed young, healthy, and wealthy people dry with high premiums and little coverage, and then drop them onto government rolls when they get too poor, sick, or old to be profitable.
This is the definition of a moral hazard.
We've seen what happens when this type of system is created. In the financial markets, conservatives aggressively deregulated and created incentives for the financial industry to make all the money it could on risky investments, knowing the government would bail them out if they failed. This is exactly what conservatives want to do to health care - create a system where business can make as much money as possible while leaving working people out in the cold.
It didn't work with the financial industry and it won't work for health care.
Great post, Jason. You have pointed out exactly what's wrong with the insurance industry and why they fail so miserably at financing comprehensive health care access. Keep up the good work!
I seem to be hearing from proponents of the concept of deregulation that it is a good thing, but that, in the case of the banking industry, Congress was permitted to enact policies that allowed the now-failing firms too much freedom, resulting in abuses of discretion. One proposed solution seems to be deregulation to promote competition in the market, with government oversight and strong regulations to prevent abuses such as those we saw in the mortgage industry, perhaps? Do we have confidence that Congress, or whichever executive agency they delegate to, will provide a framework in which the health coverage all Americans need will be available in a competitive market and will drive down costs and increase efficiencies? McCain's plan allows people to "shop around" and purchase insurance across state borders, but, as queried above, does it build in protections for consumers or simply allow providers to operate in states with advantageous regulatory schemes? Does Senator Obama's plan have protections that might be lacking in Senator McCain's plan, and if so, at what cost? Will it be Congress, or the executive branch who eventually decides which parts of the plans espoused by the candidates make it into law?
I see some proposals from each candidate on how to proceed, but I do not see a detailed strategy, nor do I see any of the Wisconsin candidates for Congress with a strategy for overcoming the obstacles presented by the problems facing our health care industry today (only three WI candidates for Congress have answered the questionnaire at Your Candidates — Your Health explaning how they believe the health care industry can be improved http://www.yourcandidatesyourhealth.org/profile/). We must pay close attention to the statements by all candidates this fall and make sure that we have means for holding them accountable for their promises, like getting them on the record about their thoughts on the questions posed at Your Candidates — Your Health and other sites (Science Debate 2008)inquiring into where the candidates will take our Health Policy in the future. We need answers to questions impacting the health care and research industry and its place in the American economy before we commit to any candidate in November.