The Affordable Care Act as a Cause of Death

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The Affordable Care was passed in 2010. It took the law a few years to become fully implemented. Lifespans of Americans began declining in 2014 and continue declining today. Count on this trend to continue into the future.

Declining lifespans are explained away as being due to things like suicides and drug overdoses. These are what might be described as up line causes and are in no way root causes. The cause of decreasing lifespans is the structure of the healthcare market in the United States.  With the advent of the Affordable Care Act, personalized medicine has disappeared. What we have instead is mass market medicine. Mass market medicine is the child of lobbyist inspired legislation designed to increase the portion of GDP that is devoted to healthcare. It is also filled with skimming operations that enrich the insurance industry, pharmaceutical industry and to a lesser degree providers.

The level of genuine healthcare in the United States is severely diminished and as a result lifespans are declining. It will get much worse. It is impossible that the trend will reverse as long as this bill is law of the land. Citizens are not concerned enough to complain, so the bill is not likely to be repealed.

What about Medicare for all? That will not be any better and will probably be worse. There is no way to provide quality healthcare and feed the insurance and pharmaceutical industries at the same time. In today’s world, all legislation is for profit. The Affordable Care Act is on the books for the purpose of enriching the parties which hired the lobbyists to make sure the bill was passed. The same parties with massive political power will also write the provisions of any Medicare for all bill. Citizens will end up serving a government run healthcare system, just as they are doing now under the Affordable Care Act.

Does it have to be this way? No it doesn’t. However as long as American’s believe that this type of bill is passed for their benefit, nothing will change. American’s believe that having health insurance constitutes having healthcare. No one is getting genuine health insurance. What they are getting is life management and herding. Does anyone mind? Is anyone aware? It is easy to exploit folks who are unreasonably trusting and who wish for others to think for them.

What would constitute real government healthcare for American citizens?  There are many services provided by government that are not skimming operations disguised as benefits.  How often do you hear complaints about the costs of fire departments or road construction? There are no automatic skimming operations packed into the legislation that provides these types of things.

Any decent health care bill would have to eliminate all skimming operations in order to be of value.  In any country the majority has a clear right to insist that government guaranty access to quality healthcare for everyone. Free market healthcare would provide the optimum net level healthcare, but that idea has already been rejected. Free markets, despite their overwhelming benefits, are not trusted. With these thing people are prone to opt for collective solutions. A society can only do what the majority agree to do.

I am citing a system that provides an outcome very close to the optimum a free market system would provide while providing full benefits to all who have no means to pay.

1.) Give everyone in the country a plastic healthcare card that can be used to pay for all healthcare, healthcare products and related services.

2.) Providers are never advised as to the financial well being of patients.

3.) Doctors don’t know who pays and who doesn’t so price competition would be present.

4.) Low income payers could be subsidized. A maximum healthcare expense would be possible.

5.) Those who can’t pay get a statement showing services provided but no balance due.

6.) All who pay, would pay far less than the insurance premiums they are paying now.

7.) Those who are in the class that now pays lobbyists to write legislation for profit would pay their entire healthcare expense.

There is no such thing as free healthcare. Enslaving doctors is not a reasonable solution. Having all doctors work for the government is not a solution. There is no one in the United States who is getting free healthcare. They never will. Even citizens in countries deemed as democratic socialist, pay for healthcare. There are many ways for a service to be provided but free is not possible.

What I just described is a very efficient way for a government to guarantee quality healthcare for everyone.  The key is to eliminate the skimming operations packed into these types of bills.  Also, a decent healthcare bill needs to be inspired and written by ordinary citizens.
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About Fantasy Free Economics

James Quillian independent scholar,free market economist,and teacher of natural law. Who is James Quillian? Certainly I am nobody special, Just a tireless academic and deep thinker. Besides that, I have broken the code with respect to economics and political science. Credentials? Nothing you would be impressed with. I am not a household name. It is hard to become famous writing that virtually no one in the country is genuinely not in touch with reality. But, if I did not do that, there would be no point in my broking the broken the code. If you read the blog, it is easy to see that there are just a few charts, no math and no quantitative analysis. That is not by accident. Given what I know, those items are completely useless. I do turn out to be highly adept at applying natural law. Natural law has predominance over any principles the social science comes up. By virtue of understanding natural law, I can debunk, in just a few sentences , any theory that calls for intervention by a government. My taking the time to understand the ins and outs of Keynes General Theory is about like expecting a chemistry student to completely grasp all that the alchemists of the middle ages thought they understood in efforts to turn base metals into goal. Keynesian theory clearly calls for complete objectivity. Government can only make political decisions. Keynesian techniques call for economic decisions. So, why go any further with that? Fantasy Free Economics is in a sense a lot like technical analysis. Technical analysis began with the premise that it was impossible to gain enough information studying fundamentals to gain a trading advantage. Study the behavior of investors instead. Unlike technical analysis, I don't use technical charts. What I understand are the incentives of different people and entities active in the economics arena. For example, there is no such thing as an incentive to serve with life in the aggregate. In the aggregate, only self interest applies. It is routinely assumed otherwise. That is highly unappealing. But, I am sorry. That is the way it is. I can accept that because I am genuinely in touch with reality. Step one in using Fantasy Free Economics is for me to understand just how little I really know. A highly credentialed economist may know 100 times what I do based on the standard dogma. Compare the knowledge each of us has compared to all there is to know and we both look like we know nothing at all. There is always more than we don't know than what we do know. I am humble enough to present myself on that basis. Why? That is the way it is. I am not bad at math. I have taught math. What I understand is when to use it and when to rely on something else. Math is useless in natural law so I don't use it. While others look at numbers, I am busy understanding the forces in nature that makes their numbers what they are. That gives me a clear advantage.
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