Liberal Rationalism II

Move over, Jon Cohn. Ezra Klein points out the sublime rationality of socialism:

In 2006, adjusted for purchasing power, the United Kingdom spent $2,760 per person on health care. America spent $6,714. It's a difference of almost $4,000 per person, spread across the population. That's $4,000 that can go into wages, or schools, or defense, or luxury, or mortgage-backed securities.

And there's no evidence that Britain's aggregate outcomes are noticeable worse. But they do say "no" a lot more than we do. Their system refuses to pay high prices for medical technologies and pharmaceuticals that it judges insufficiently effective. They've forced themselves to make choice, because they have something we don't have: A global budget. They are willing to spend a certain number of dollars (well, pounds) on health care each year, and no more than that. If resources aren't unlimited, then choices need to be made. It's not quite correct to say that those choice will mean letting someone die, but they do mean putting limits on what we will spend to keep them alive.

One reason I'm a conservative is the British National Health Service. Until you have lived under socialism, it sounds like a great idea. It isn't misery - although watching my parents go through the system lately has been nerve-wracking - but there is a basic assumption. The government collective decides everything. You, the individual patient, and you, the individual doctor, are the least of their concerns. I prefer freedom and the market to rationalism and the collective. That's why I live here.

2006-2011 archives for The Daily Dish, featuring Andrew Sullivan

Why Principals Matter

Nadia Lopez didn't think anybody cared about her middle school. Then Humans of New York told her story to the Internet—and everything changed.

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register with Disqus.

Please note that The Atlantic's account system is separate from our commenting system. To log in or register with The Atlantic, use the Sign In button at the top of every page.

blog comments powered by Disqus

Video

A History of Contraception

In the 16th century, men used linen condoms laced shut with ribbons.

Video

'A Music That Has No End'

In Spain, a flamenco guitarist hustles to make a modest living.

Video

What Fifty Shades Left Out

A straightforward guide to BDSM

Just In