Option D: Code Name "Rush"
President Bob Warwick, Independent:
Option D is a start. If we really want to reduce costs,
however, we must adopt more of a market-based approach -- one
in which the user of medical services pays his own costs.
Except for the historical quirk resulting from tax policy
during World War II that taxed employers if they paid market
wages directly but not if they paid them indirectly in the
form of medical insurance, there is no reason that medical
care should be tied to employment. Indeed, if the same people
who use medical care had to pay doctors' bills and insurance
premiums they would use medical care more judiciously.
Additionally, insurance policies sold directly to consumers
would have to take into account the needs of individual
purchasers (just as cars, clothing, food and just about every
other consumer good must) rather than the "one size fits all"
approach provided by employers. This would improve quality
while controlling cost.
President Chris Garver, Republican:
The problem is one of education.
We have to make the public understand first that medical care
should be a budget item the same as food, clothing and shelter
and second that they're ultimately paying for "employer paid"
medical care and aren't necessarily getting a very good deal.
The government needs to give the people credit for
intelligence. We are all capable of making decisions and the
government doesn't always have to be subsidizing us. We were
self-sufficient for years before the government started
playing parent. We can--and should--be taking care of
ourselves and our families now and in the future.
President R.C. Alexander, Republican:
Tell me one thing you get from the government that you would
pay more for. That goes for health care. Look at it. Paper is
killing the system. Funny thing happened when they deregulated
natural gas. There was more of it. Get the government out of
health care and the problem will take care of itself...
President David E. Nowicki, Republican:
Financial resources at risk will always motivate people to be
careful and well informed consumers of medical care.
When
someone else is paying the bills, there is little incentive
for individual responsibility. Medical savings accounts and
high deductables for those who can afford it, subsidies for
those who can't - htis is the skeleton of a plan.
When the
American public gives up its decision making to MBA's, our
society will be faced with "value of life" issues. These
ethical concerns are far beyond our society's demonstrated
tolerance for discussion of profoundly complex principle-based
issues.
President John Negley, Republican:
I like the idea of having money saved for future medical
expenses. If you are young and healthy you can have the money
saved for a time when you really need it.
President Ron Bouterse, Independent:
The common thread among all your options is that there isn't a
single solution that will fix all the problems. I like the
idea of the health care spending account, but is it a solution
to the entire health care problem? Of course, not. Let's not
try to make a perfect system in one major change (the fatal
flaw of the Hillary option), but let's make some sensible
changes (spending accounts, free market bidding, govt payments
to HMOs who will then taken on those without insurance, etc.)
and see how those work. The problem has arisen over the last
25 years so it may take several years to turn it around.
President Linda Nicholson, Independent:
It is not the responsibility
of the government, Federal,
State or Local, to
provide me with health care or the
funds
to pay for it. Those responsibilities
are mine. The
government's role, if it
has one, is to create or protect an
economic environment which allows me
the opportunity to
provide for my own needs.
Lower my taxes so that I can keep
more of my income, and allow me
to use tax shelters such as
Medical IRA's,
and I can pay my medical bills without
relying
on government programs.
President Chris Randolph, Republican:
This option is the best because it help to
establish self-
responsibility. In this
day and age everyone is saying "What
can the
government do for me?" As my parents taught me,
one
must take responsibility for one's actions. If
you know as
you age your health care costs will rise
and do not save for
it, you should pay the consequences.
The government should
have to pick up the
slack for your irresponsibility.
Option E: Code Name "Dr. Jack"
President Roger Locke, Independent:
A Dr. Jack plan, if properly written, could be a boon to both
the sorely afflicted and to those paying the absurd medical
costs for the last few months of life.
President David Cooper, Independent:
Dr. Jack is the most American of all the options. Those who
have terrible suffering should be allowed to choose to end it.
All the "universal" plans tend to ration health care.
President F. Gary Knapp, Democrat:
Sadly, I can't find my view on this issue represented by any
candidate or any of your policy options. I would prefer to
GREATLY reduce the role of government in personal decisions
like many types of healthcare decisions. I would divide
vaccinations and (b) those that treat private health issues,
i.e. like cancer and obesity. I would create something like a
single payor plan to handle the public health issues and
something between a free market and a "Hillary" proposal to
handle private health issues. This clearly has a downside -- I
will bear the full costs of how my genetic bad luck and my bad
habits affect my health. If I am poor I may not be able to
purchase a coronary bypass or have life extending procedures
in old age. But I like this better than everybody pays for
everybody's health problems. The government has a clear
interest in controlling infectious diseases like tuberculosis,
AIDS, rubella, etc. Even if these result from the
irresponsible behaviors of individuals, the fact that they can
be communicated to others makes this a public concern.
Click here to return to the Executive Decision index page.
Copyright ©1996 by The Atlantic Monthly Company. All rights
reserved.