McCain has trotted out a warmed over Bush plan for health care. As I understand it, he wants to sprinkle some free market fairy dust on the current mess and hope for the best. I can think of at least two reasons why a market model doesn’t work very well for health care.
First, there is just no transparency. Try to do some comparison shopping as to what a given procedure will cost you. By and large, the various hospitals hold on to their pricing lists tighter than the Coke formula. I suppose this one is fixable if you really want to make hospitals post apples-to-apples pricing lists. The more serious drawback to a market approach to health care financing is that it’s a transaction you can’t really walk away from. And, to make mattes worse, sometimes there is an emergency such that you can’t even go shopping for the best price.
When is the last time McCain had to buy health insurance on the free market? I mean, he could since he left his first wife to marry into a beer fortune. But that option isn’t open to everybody. But, near as I can figure, as the son of an admiral and the grandson of an admiral, and a military man turned Congressman, he’s been covered by the military and then the Congress since forever. No wonder he doesn’t get it.