Glenn Reynolds’ latest USA Today column highlights why the Anything But Affordable Care Act, aka the ABACA, is destined for failure:
In his excellent book, Two Cheers For Anarchism, Professor James Scott writes:
One need not have an actual conspiracy to achieve the practical effects of a conspiracy. More regimes have been brought, piecemeal, to their knees by what was once called ‘Irish Democracy,’ the silent, dogged resistance, withdrawal, and truculence of millions of ordinary people, than by revolutionary vanguards or rioting mobs.
Simply put, people, making decisions based on their own self-interests, are saying no to the ABACA. They’re saying no because it’s a rip-off. It’s a rip-off because it was designed by politicians, whose highest priority was passing a bill, not cutting families’ health care costs.
While the political class worries about ‘the art of the possible’, families worry about doing what’s right for their families. The fact is that politicians ignored their constituents when they wrote this bill in Harry Reid’s and Nancy Pelosi’s offices. By making this federal legislation, President Obama eliminated the states’ experimentation, which is the strength of the US’s federalist system.
Top-down, government-centric systems don’t work because they implement a system that isn’t individualized. Does anyone think that a nation that loves its iPhones and individualized apps would accept a system where their health insurance and health care choices are made for them?
It’s possible that something called the Affordable Care Act will still be in place a decade from now. If it still exists, which isn’t guaranteed, it won’t look anything like the system that’s currently in place.
That’s because Americans aren’t satisfied with accepting conventional wisdom. When we see difficulties, our initial instinct is to fix them.
Now, as February draws near, things don’t look much better. Far fewer than half the number needed by March 31 have signed up. And, as it turns out, most of the people signing up for Obamacare aren’t the uninsured for whom it was supposedly enacted, but people who were previously insured (many of whom lost their previous insurance because of Obamacare’s new requirements). “At most,” writes Bloomberg’s Megan McArdle, “they’ve signed up 15% of the uninsured that they were expecting to enroll. … Where are the uninsured? Did hardly any of them want coverage beginning Jan. 1?” It looks that way.
Based on public sentiment, this would’ve been the right time to let a good crisis go to waste. It’s pretty apparent that the people are speaking with a loud, passionate voice that they want this system scrapped. They aren’t sending mixed signals on this. They aren’t sounding an uncertain alarm. They’re saying that a) they don’t want to return to the previous system and b) they’re rejecting President Obama’s top-down system.
What they’re saying with exceptional clarity is that they want to design a system that a) puts them first, b) puts doctors, not politicians and bureaucrats, in charge of the health care system, c) lowers health care costs and d) lets them create their own network of health care providers.
The Anything But Affordable Care Act is 0-for-4 on those merits. That’s why it’s destined for failure.