December 17, 2011, 8:33 AM
Ron Wyden, Useful Idiot
I was too busy and too overstretched to weigh in on this earlier, but Sen. Ron Wyden did indeed do a bad, bad thing in his joint proposal with Paul Ryan. Ezra Klein explains why; and the devil isn’t in the details.
What Wyden did was to give cover to the fundamental fallacy of right-wing attempts to dismantle Medicare: the claim that market competition is the key to reducing health care costs. We have overwhelming evidence on this — and it just isn’t true. Looking both within the United States and across countries, if you ask which systems are best at cost control, the ranking looks like this:
Government provision as well as financing (socialized medicine) > single payer > market competition
Why doesn’t the market work here? Ken Arrow explained it all half a century ago. Patients by and large don’t have the information to evaluate medical treatments; in any case, they mainly buy insurance rather than medical care directly; and insurers profit not by providing the most cost-effective care, but by trying to insure people who won’t need care.
And it’s not as if market competition hasn’t been given a try; in this country it has been tried over and over, by politicians who won’t take no for an answer.
full-
http://krugman.blogs.nytimes.com/2011/12/17/ron-wyden-useful-idiot/?smid=tw-NytimesKrugman&seid=auto