A frequent argument for  nationalized healthcare is the comparison to auto insurance. Obamacare  advocates reason that since government requires people to purchase auto  insurance government can also require people to purchase health  insurance. The flaws in that argument are numerous.
Compulsory  auto insurance coverage is a state issue. Each state establishes minimum  bodily injury and property damage liability  coverage requirements as it deems appropriate. However, liability  insurance provides no benefits to the policyholder beyond the transfer  of risk. The auto insurance requirement serves to protect the public  from catastrophic losses the insured may cause.
While auto  liability is compulsory, drivers aren't required to purchase coverage  that protects personal interests. The state isn't concerned with how  someone replaces their vehicle or pays personal medical expenses that  result from their actions.
Antagonists may counter that banks require  collision coverage. But the banks aren't government. Banks are lien  holders with vested interests in the collateral. Thus borrowers are  required to protect their vehicles. Once loans are repaid banks have no  interest in the vehicles and the insurance requirement disappears.
Whether liability or collision, the government healthcare advocate  still argues that auto insurance is government mandated. This is a half  truth. States require drivers to carry liability insurance as a  condition of using the public roads. However, there is no actual demand  on anyone to buy auto insurance. If a person chooses not to drive a  motorized vehicle on the public roadways the auto insurance requirement  is inapplicable.
Federally imposed health insurance isn't  comparable to a state's auto liability insurance mandate. First, the  federal government is forcing  us--under threat  of fine or possible imprisonment--to buy personal insurance from a  private company. Second, you have no viable option to avoid the federal  government's imposition. Everyone will be required to carry personal  health insurance. Third, congress has no legitimate authority to force  free people to purchase products or services no matter the perceived  good or value they may bring to the individual.
The  Constitution's interstate commerce and general welfare clauses (Art.  1, Sect. 8) don't provide cover for nationalized healthcare either.  In Federalist  #41 James Madison declares that applying those clauses to areas  beyond Congress' enumerated powers is, at best, a total misconstruction.  Those powers are applicable only within the authority specifically  granted to the central government.
Providing individual medical  care or requiring individuals to buy insurance aren't enumerated  powers. Therefore, according to the Tenth Amendment, those powers are  retained by the states and the people. Via their auto insurance  requirements, states have indicated that their interest lies in  protecting the general public against loss incurred from an individual's  negligence, not in protecting a person against their own actions. Thus  health insurance and medical decisions are rights retained by the  people.
No government has a vested interest in your health or  health habits. Personal health is an individual responsibility with the  rewards and consequences of each persons decisions borne accordingly.
What about catastrophic medical expenses? Doesn't society bear that  cost for the uninsured? Yes, but only in a collectivist society. In a  free society people bear their own burdens whenever possible and seek  charitable assistance when necessary. Involving government inhibits  individual responsibility and encourages risky behavior.
Suppose government required drivers to carry collision insurance at a  government-mandated cost. The financial incentive  for safe driving is reduced. While personal expense motivates  responsible behavior the opposite is true when consequences are shifted  to third parties.
To argue for federal healthcare mandates  based on the existence of state auto liability insurance requirements is  political sleight of hand. Anyone making that case is banking on public  ignorance for their success.
Wednesday, May 26, 2010
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