Volume 14, Issue 34: August 21, 2012
- Healthcare Gridlock Is Coming
- Stop-and-Frisk Isnt Worth a Police State
- Will U.S. Policy in Syria Be a Bipartisan Quagmire?
- Lighthouse Readers Survey
- New Blog Posts
Get ready for healthcare gridlock. Once the new healthcare law fully takes effect, all Americans will be entitled to a long list of preventive services with no out-of-pocket costs, but the healthcare system won’t have enough doctors to provide them. The shortage will create longer waiting periods that some patients will be able to cope with better than others. Lower income patients will be worse off, according to Independent Institute Research Fellow John C. Goodman.
“As physicians increasingly have to allocate their time, patients in [health] plans that pay below-market prices will likely wait longest,” Goodman writes in an op-ed for the Wall Street Journal. “Those patients will be the elderly and the disabled on Medicare, low-income families on Medicaid, and (if the Massachusetts model is followed) people with subsidized insurance acquired in ObamaCare’s newly created health insurance exchanges.”
Many patients who can afford to do so will sign up for concierge caremedical practices in which patients pay a retainer fee for more personalized and responsive service, such as same day or next-day appointments. Physicians who open a concierge practice typically take about 500 of their patients with them, leaving behind 2,000 former patients to find a new doctor. (Those figures come from MDVIP and the Centers for Disease Control and Prevention, respectively.) “So in general, as concierge care grows, the strain on the rest of the system will become greater,” Goodman continues. “We will quickly evolve into a two-tiered health-care system, with those who can afford it getting more care and better care. In the meantime, the most vulnerable populations will have less access to care than they had before ObamaCare became law.”
Why the Doctor Can’t See You, by John C. Goodman (The Wall Street Journal, 8/14/12)
Medicare Drama More Hype than Reality, by Thomas R. Saving and John C. Goodman (USA Today, 8/16/12)
See John C. Goodman at these exciting upcoming events:
- Competitive Enterprise Institute’s “Book Party for John C. Goodman’s Priceless”, 8/22
- Patrick Henry College’s World Magazine Event, 8/23
- The Paul Festival, 8/24
Priceless: Curing the Healthcare Crisis, by John C. Goodman
Last year, the New York Police Department stopped and frisked more than 685,000 people. Although the main rationale for the policy is to keep illicit firearms off the street, the searches dont turn up manyonly one gun per two hundred searches. Complaints of unfair searches are common, with young African-American and Hispanic men bearing the brunt disproportionately and women accusing policemen of using the search policy as an excuse to grope them. Some people claim that the stop-and-frisk policy has helped reduce violent crime, but cities that dont use tactics similar to New Yorks have also seen violent crime fall. But even if the NYPDs tactics lowered crime, they would still be highly objectionable, according to Independent Institute Research Editor Anthony Gregory.
If your chances of being robbed have declined, but your chances of being stopped, harassed, or even brutalized by police have risen, are you better off? Gregory writes in the Huffington Post. If the number of people stopped, frisked, arrested, imprisoned, beaten, and shot by police has risen, can it really be said that communities are safer?
New York has seen a 600 percent increase in police searches since Michael Bloomberg became mayor, but the policy is indicative of a broader problem in American society, according to Gregory: a growing political deference to law enforcement that has contributed to an increase in the aggressiveness and even lawlessness of police departments. Looking around our society, we see frightening trends: The militarization of police, officers disciplining children violently, family pets summarily shot in mistaken midnight raids, a hundred SWAT-style home invasions a day, and the largest per capita prison population on earth, Gregory writes. Now, citizens of Americas most famous city must contend with fears of being stopped, forced to produce documentation, and potentially groped or otherwise harassed without warrant. The American colonists of the late eighteenth century fought a revolution over less.
Do We Want a Stop-and-Frisk Society?, by Anthony Gregory (Huffington Post, 8/15/12)
As noted in last weeks Lighthouse, U.S. intervention in Syria runs the significant risk of getting the United States bogged down in an Iraq-style quagmire. A U.S. occupation may be even worse in Syria, however, because Syrian society may be more divided than Iraq was after the fall of Saddam. Unfortunately, elements of both the American left and right are beating the war drums. In his latest op-ed, Ivan Eland, director of the Independent Institutes Center on Peace & Liberty, examines this trend.
Joining the pro-intervention chorus of Sen. John McCain and the neoconservatives of the GOP are former Clinton administration officials William Perry and Madeleine Albright, former Obama State Department official Anne-Marie Slaughter, and New York Times columnist Nicholas Kristof. The muscular left often couches its motives in the language of humanitarian causes, as compared to the interventionists of the right, but the net effect would be the same: the sacrifice of U.S. blood and treasure without making Americans more secure.
So far, President Obama has resisted pressures to do more than impose economic sanctions on the Assad regime and provide nonlethal communications equipment to Syrias rebels. But with Americas prestige now on the line after those earlier policy moves and the advocacy of Assads ouster, the post-election road to an ill-advised escalation may be open, no matter who wins the plebiscite, Eland concludes.
Left and Right Call for Escalation in Syria, by Ivan Eland (8/16/12)
No War for Oil: U.S. Dependency and the Middle East, by Ivan Eland
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From The Beacon:
Can Entrepreneurship Be Copied?
John Goodman (8/20/12)
College Officials Excuses Costing Students and Taxpayers
Vicki Alger (8/20/12)
Absentee Ballots Create a Market for Votes
Randall Holcombe (8/20/12)
Healthcare Entrepreneurs: Unleash the Innovative Caregivers
John C. Goodman (8/15/12)
Mrs. Obama Guilt-Trips Olympic WunderkindOver 300-Calorie Sin?
Mary Theroux (8/14/12)
Hapless Jetskier Criminally Charged for $100 mm Airport Security Systems Total Failure
Mary Theroux (8/14/12)
Homo Homini Lupus Est
Robert Higgs (8/14/12)
How Third-Party Payers Crush Entrepreneurs
John C. Goodman (8/13/12)
From MyGovCost News & Blog:
Government Power of No Trumps Citizens Right to Know
Lloyd Billingsley (8/20/12)
The Household Burden of the National Debt
Craig Eyermann (8/17/12)
Dollars and Census: Quest for New Classifications All About Federal Spending
Lloyd Billingsley (8/16/12)
U.S. Governments Ethanol Boondoggle Raising Food Prices Worldwide
David Theroux (8/16/12)
You can find the Independent Institutes Spanish-language blog here.