April 26, 2007
The Democratic Debate: Universal Health Care
Posted by Gordon Smith

Hillary Clinton wants to take another shot at fixing health care in the United States, which reminded me of my recent dinner with the CEO of a major hospital. Addressing a group of mostly liberal Democrats around the table, the CEO said, "many of you think you want universal health care, but the cost of universal health care is a cost you are unwilling to pay: access and innovation."

Hillary returned to the theme when asked whether Wal-Mart were a good thing or a bad thing for America. Hillary said Wal-Mart is a "mixed blessing." Low costs are great, but Wal-Mart needs to be a leader in providing health care. This reminded me of Arthur Leff's great statement about the doctrine of unconscionability embodying "our incoherent hearts' desires."

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Comments (2)

1. Posted by Jake on April 26, 2007 @ 20:39 | Permalink

HillaryCare v.2 should prove no less acceptable than v.1 circa 1993. As the campaign ripens over the coming months, watching the Senator's labored efforts to peddle her latest healthcare scheme as a "new" idea (which it ain't) will be entertaining. Government cannot successfuly mandate both access and innovation. One wishes the Senator, rather than doubletalking her way around this iron truth, would simply explain what her Four Year Plan is.


2. Posted by Scott Moss on April 30, 2007 @ 12:34 | Permalink

I'm not sure I agree that "access and innovation" are a cost of universal care, but that's just because there's anotehr tradeoff we can make: as in Massachussetts, subsidize insurance for everyone -- but that means the cost of universal health care is more taxation and gov't spending. The point about tradeoffs remains valid, of course.

And Hillary is so right about Wal-Mart's low prices but low compensation being a mixed bad; it's kind of like the "mixed blessing" of the three brownies I had with lunch -- they taste great but make me even flabbier. What a nuanced dilemma posed by Wal-Mart and brownies.

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