The healthcare market can’t function like a free market. Those who think it can are capitalist utopians.
Republicans voted yesterday to move forward the process on an unformed version of the Trumpcare healthcare bill. The concept behind Trumpcare (also known as “Obamacare repeal”), as expressed by Republicans, is to make the healthcare market function more like a free market. Cut down on regulations and make end users pay more for their own healthcare, the argument goes, and there will be more competition and lower prices.
There’s just one problem: the healthcare market can’t function like a free market. Those who think it can are capitalist utopians who haven’t learned from history—the flip-side of communist utopians.
Whenever communists are faced with the inevitable failures of communism and radical socialism—whether it be that of the Soviet Union, Mao’s China, Khmer Cambodia, or present day examples like Cuba, North Korea, and burning Venezuela—they just as inevitably respond with one phrase, “True communism has never been tried.” No amount of data-points, no amount of evidence of human nature will ever convince them that communism doesn’t work. Nor will they be convinced that even if “true communism” hasn’t been tried, the many failures of revolutionary movements to implement true communism prove communism is fundamentally impossible to implement.
So it is with free market dogmatists. If high quality healthcare could be provided to the vast majority of people on the free market at reasonable prices, then you could look around the world for examples of a free market healthcare system working. If government regulations and universal healthcare distribution fundamentally destroys prosperity, then there would be no examples of prosperous countries with universal healthcare. American conservatives are hostile to the idea of explicitly looking to other countries (particularly “socialist” European countries) for guidance—“American Exceptionalism” and all—but looking at the world and at history is at least a good means to learn what works and doesn’t work in human civilization. It’s actually a very conservative thing to do to consider what works in practice, rather than relying on idealistic theories. After all, how do we know that communism doesn’t work?