Posted by
Operation Mayhem on Tuesday, September 27, 2011 5:45:59 PM
The free market is the best
economic system we’ve been able to come up with so far. But it’s a mistake to believe that it’s a
perfect system. One commentator believes
it is a system bestowed upon us by God himself. What an idiot. The free market
system is far from perfect, and it is important for us to continue to study it
so that its limitations can be identified thereby contributing to a solution to
its weaknesses. One area worthy of
looking into is health care. There are
various aspects of health care that we can consider.
An economic model is a method
of allocating society’s resources. Take
Snickers Bars as an example: a state controlled economy would dictate how many
Snickers Bars are produced and who gets them. In a free market economy the producer would decide how many Snickers
Bars to produce based on their estimate of the market. If inventory builds up, then they stop
producing Snickers Bars and maybe produce something else like Almond Joys. If they’re flying off the shelves of stores,
then they might increase production, add another shift or even build another
manufacturing plant. Consumers would
determine the distribution. If someone
wants a Snickers Bar, then they can use their money to buy a Snickers Bar. If someone would rather have the Almond Joy,
then they don’t buy a Snickers Bar. Someone with no money gets no Snickers Bar but is encouraged to work to
make enough money to buy said Snickers Bar. It’s a pretty good system of distribution. He who wants a Snickers Bar pretty much gets
a Snickers Bar. It works pretty good for
Snickers Bars.
But is a purely free market
approach the best method of distributing health care? Is it acceptable that wealthy people receive
health care and the poor do not? First,
let’s consider the distribution of health care. Who gets health care? In a free
market system those that get health care are those that can afford it. In the United States with various state run
Medicaid programs and Medicare and employer provided insurance not to mention
more laws and regulations than one can reasonably digest, the distribution of
health care in the United States hardly represents a free market system. The result is that health care is more evenly
distributed in the United States. Most
poor inner city infants can get emergency treatment if needed.
But consider the worldwide
distribution of health care providers. To do this you don’t even have to look very far: my former primary care
physician is from Bolivia, my current primary care physician is from the
Philippines, my dentist is from Cambodia, one of my students is a certified
nursing assistant from El Salvador, etc. There are countless medical professionals trained in poor countries who
come to the United States to practice because the money is so much better. This is good for the United States. However, it is not good for the poor
countries. Bolivia has one less
doctor. Cambodia has one less dentist to
treat the impoverished people of that beautiful country.
The question is whether this is
the best distribution of society’s resources. Some may dare to submit that this is the best distribution of
resources. I curse them. It is outrageous that a third world country
like the Philippines use its limited resources to educate and train a person to
be a doctor and then have that doctor leave and go to a rich country to
practice. It’s good for the doctor. It’s good for me. But it is not good for the people that remain
in the Philippines. I submit that this
is not the most efficient distribution of health care resources.
What about research and
development? The free market model
dictates that private interests will invest in research and development with
the intention of creating a product that can be sold at a profit that over time
exceeds the cost of the research and development. Companies have invested in developing and
producing medicines for high blood pressure, high cholesterol, diabetes and
erectile dysfunction. Former Vice
President Dick Cheney walks around with a heart pump. Artificial knees, hips and other body
parts. [Last summer I was visiting my
mom. We were at the pool. We were talking about health care, and I
mentioned that they’ve got a pill for almost anything that ails you. My mom declared loud enough for everyone to
hear that they haven’t yet developed a pill that will cure her diarrhea. Hold on, mom. It’s coming.] Not only have that,
but drug companies produce these drugs in enough quantities so that everyone
who can pay for it can had it.
But few private sector
resources are devoted to drugs to fight malaria and dengue and other maladies
that are unique to third world countries. Again the question is whether this is the best method of distribution of
medical research. Some may submit that
yes, the free market economic model is the best method of distribution of
medical research that society has come up with to date. I question whether investment in cosmetic
surgery and cholesterol drugs for those who have eaten cheeseburgers and French
fries their entire lives is better than investing in producing and distributing
drugs for malaria.
How can it be made better? Examples already exist. Government investment in research and
development of treatment of AIDS has benefited untold numbers of AIDS patients
in third world countries. Former
President George W. Bush is rarely given praise for his initiative to fight
AIDS in Africa. One estimate claimed
that he may have saved as many as a million lives.
Another example is
philanthropy. Many doctors donate their
time, and many hospitals donate resources to provide health care to the poor in
third world countries. Doctors Without
Borders is a fine organization the provides medical treatment to people who
otherwise would receive none under the free market. Dennis Quaid is a good example of an
individual. He has escorted several
patients from Central America to the United States and funded needed surgery. He also funded and helped establish the Ruth
Paz Medical Center in San Pedro Sula, Honduras.
Another example is Cuba and its
production of thousands of doctors. Medical schools in Cuba train doctors from both Cuba and other
developing countries to practice in medicine with the intention that these
doctors will treat patients who otherwise could not afford treatment. Cuban doctors and Cuban trained doctors can
be found in various countries from Latin America to Africa.
The free market economic model
is the best economic model that we have. However, it is not the most efficient method of distributing health
care. That doesn’t mean that it should
be abandoned.