From ABC News’ White House Correspondent Jake Tapper’s questioning:
ORSZAG: It includes a lot. I mean, again, if — look, if health care costs grow at the same rate over the next four decades as they did over the past four decades, Medicare and Medicaid go from 5 percent of the economy today to 20 percent of the economy by 2050. That is the core driver of our entitlement problem.
If we succeed in bending that curve, we will have done more to improve the long-term health — fiscal health — of the nation than any other single thing we could do. Which is not to say other things aren’t important, but what I’m saying is, over the next two months we have an opportunity, our best shot, at addressing that problem, and that’s what we want to do. (emphasis added)
I am pretty concerned about what health care reform means for the country. I have a lot of thoughts on it and want to post more in-depth, but I thought this quote from a WH press conference would be a good start.
This quote has nothing to do with ’socializing’ health care in the United States. It does have a lot to do with the Obama Administration’s recent foray into health care industry meetings. The OMB has cited studies out of Dartmouth reporting that regional health care costs differ dramatically with no tangible results. The belief of the Administration is that if costs can be lowered to the cost of the low-cost region, the cost of care will drop without diminishing the quality of care.
That is the basis for the bolded portion of the quote. I think it is interesting that in a quote about health care, the meaning of health has to be clarified to fiscal health. In particular, he is talking about fiscal health to the year 2050. Will Obama’s policy help actual health care over the next four decades? That does not seem to be a concern of this policy.
It seems to me that it takes several key assumptions to accept the conclusion that regional cost differences can be eliminated and the quality of not care will be change. It is pretty common that health care procedures are the most expensive during their initial use, as companies attempt to recoup R&D costs. If some of the regional discrepancy comes from introducing new procedures, do we want to eliminate those costs?
Philosophically, this issue stands as extremely interesting to me. In a competitive industry there are strong incentives for efficiency. To maximize profits a firm needs to minimize costs. Government, on the other hand, is no model citizen for efficiency. If cost savings are really the way out of the entitlement mess that we have created for ourselves, shouldn’t we maximize the incentives for a competitive industry to flourish?
For instance:
Hospital A in Region 1 is providing services at cost X.
Hospital B in Region 2 is providing services at cost Y.
X
Therefore A has an incentive to move to Region 2 and sell it's services at a lower cost, thus making a higher profit than Hospital B. It seems if this discrepancy can be resolved the greenback would have induced these savings long ago, unless entrenched government policies are preventing those changes. Chiding from the Obama Administration does not seem like the solution. I'm guessing that government intervention and tax incentives are not aligned to create a low-cost market for health care. Just a guess. Maybe we should try that first?
Recent Comments