Suggestions on Health Care

I have noticed a pattern lately in the articles that I have been linking to (and displaying in my sidebar) – many of them (4 out of 10 currently) deal with the issue of health care. I would like to post on all four eventually but for now I would like to discuss my thoughts on some of the general principles that I am seeing in the health care discussion.

The idea of a single payer system spells economic disaster to me.

The idea of forcing everyone to purchase insurance seems fine on the surface with the typical caveats that we subsidize that cost for low income people. On the other hand, I think that people should be able to choose to not purchase insurance if they have enough personal wealth – with the understanding that they will be fully financially liable for any care they receive. This may sound backwards since the wealthy would be the most able to purchase insurance, but imagine that I am a very healthy millionaire (I am healthy, but I do not have even a fraction of a million dollars in net worth) – there is no reason to force me to purchase an insurance policy if I am willing and able to assume the costs of my health care. Perhaps I have to sign away any right to declare bankruptcy in the face of medical bills.

There are two major things that any attempt to fix our health care system must address if they are to have any hope of success.

The first is to make people sensitive to the costs of health care. Right now most of us are only sensitive to the costs of health insurance. Once we have insurance (whether our own, through an employer, or Medicaid/Medicare) we cease to be cost-conscious because most of the cost is already paid. (High deductible plans have the advantage of keeping the consumer cost conscious.)

The second crucial change that must be made is to find ways to encourage healthy lifestyles and preventive care.

If we address these two changes the entire problem would become more manageable because we would have better health and less being spent on elective procedures. We might even hope to have fewer lawsuits driving up the cost of health care as people become more involved in making their decisions of what procedures they undergo.

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Vouchers vs Credits For School Choice

I enjoyed reading Scott’s thoughts on Funding School Choice. (The series that lead to his post can be found at the National Review Online – parts 1, 2, 3, 4) I am wondering if we have much to gain right now by discussing a new funding option for school choice. I would like to have seen this discussed earlier, or it might be good to open discussions again after the November vote.

The idea of tax credits to fund parental choice in education seems to have some positive attributes – like not having the money go to the government and then get redistributed. On the other hand, as Scott notes, this does not help those who pay little in taxes which is where vouchers have more merit. I would love to hear some perspective from other people (especially from some voucher opponents) on the relative merits of tax credits for education.

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Near-Sighted Legislation

The senate is scheduled to vote today on whether to debate the bill to make two new seats in the House of Representatives and give them to give Utah and D.C. My opinion on this can be found in an editorial at National Review Online (no, I didn’t write it, but it expresses the same position I hold). The one new thing I learned from that article was that the bill does not specify that Utah gets the second seat, but that it would go to "the state that stands next in line to receive a seat through the normal process of apportionment. " (currently Utah) I guess I did know that, but I did not realize the wording.

When I wrote about this issue in July I made much the same argument as NRO and stated that Utah had nothing to gain by pushing for a new representative with so little time before the next census. Representative Chris Cannon (R-Ut) points out that we do have something to gain – money. Sending a new representative earlier gives earlier seniority and allows for more pork money to be sent home from Washington. Unfortunately sending pork money home is exactly the way to buy votes for re-election.

I’m sure this sounds un-American of me but if the purpose of a representative is to send more pork home then we should reduce the size of the house to 250 or less rather than increase its size by 2. What we need in this country is not more money being passed around after filtering through the capitol. This only ties us to greater dependence on the federal government and gives more power to what was supposed to be a relatively weak central governing body.

UPDATE: The bill failed. But Senator Hatch promises to keep pushing for it until we pass his flag burning amendment. If we got him a recording contract in Nashville would he retire from the Senate?

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Bowling for Primaries

I have been thinking about the comments by Bradley when I wrote about the primary election power struggle between the states and the parties. Last night the thought occurred to me that the parties could simply pick a new way of awarding delegates. They could set three dates on the primary calendar. Whatever states held primaries or caucuses on or before the first date would have 10% of all delegates allocated among them. States who held their primaries after the first date but before the second date would have 20% of the delegates split among them. States between the second and third dates would would split 30% of the delegates and states holding primaries after the third date would split the remaining 40% of delegates.

The parties could then invite states to participate in a given window based on population and/or a lottery but the states would then be allowed to set their primary dates wherever they chose. If we imagine that the first date for 2008 was February 4th then “Super Duper Tuesday” (or whatever it’s being called now) states would be competing for 20% of the delegates in choosing the party nominees. When states choose when to have their primaries they have to balance the value of being influential in the early stages against the larger pool of delegates to by split by those who come later.

Questions? Comments? Rebuttals?

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New Attorney General

I guess this means that I should abandon that thin sliver of hope that some post-hypnotic suggestion would cause Bush to name Senator Hatch as the new Attorney General and give us an easy way to put him out to pasture.

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Prosecuting Religious Beliefs

On Friday I saw the news from the first day of the Warren Jeffs trial. Connected to the particular story that I read was audio of Jeffs teaching youth classes in his polygamous community. I was curious to hear the words and voice of a man as twisted as Jeffs has been portrayed in the media. I was surprised to find a man whose voice and tone were so mild an unpretentious. I had expected someone more commanding and authoritative, but I found someone who was earnest and soft-spoken. (This should not be taken as an endorsement for any of the doctrines of his church.)

As I learned more of the details of the case being prosecuted I was surprised to learn that polygamy was not even an issue in this case. The bride was 14 at the time she married her 19 year old cousin as his first wife. One of my brothers is almost that much older than his wife, so the age difference is of little concern. Nor have I seen any indications that the husband took a second wife at any point. I started to wonder if the prosecution is wasting time on a case that they expect to lose.

This realization got me thinking about the slippery slope we get on the moment that we start legislating against belief and not actions. I am convinced that Warren Jeffs honestly believes in the doctrines of his church – after all, he grew up with that belief system. I think of Alma 1: 17-18

. . . now the law could have no power on any man because of his belief. And they durst not steal for fear of the law, for such were punished; neither durst they rob, nor murder, for he that murdered was punished unto death.

We can’t try to stamp out a belief in the practice of polygamy. We can enforce the laws against the practice of polygamy, but this trial is set up as an attempt to dampen the beliefs of those who engage in polygamy – that is not something that the law is equipped to do, nor is it something that the law should attempt to do.

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Libertarianism

Early in my political study I flirted with the ideas of libertarianism. I was highly disenchanted with the Republicans and skeptical of the chances that the Democrats could right their party which, at the time, lacked a specific direction. I had taken the worlds smallest political quiz and though my score varied at times I was consistently conservative on the economic scale so I was not a “Statist” (big government) but I had enough movement to score as a Republican, a Libertarian, or a Centrist. I have since concluded that part of the reason I scored as a Libertarian at times is that the quiz is made by Libertarians and the questions are worded so that if you are borderline you are likely to score as a Libertarian.

So why do I bring up this old information? Because I was surprised to learn about some other people who have traveled a similar path of considering Libertarianism. The difference is that Scott is much more articulate in stating Why I Am Not a Pure Libertarian. I think the explanation is beneficial for Libertarians or anyone who is exploring their own political leanings. (This also explains why I agree with Scott such a high percentage of the time.)

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No to Newt

Over at Oval Office there is a discussion about the implications of a potential presidential run for Newt Gingrich. I have to agree with the assessment that:

My take on the idea of Gingrich getting into the race at this point is that he would split the party’s votes further than it is already. . . But he wouldn’t draw from Giuliani’s support. It looks to me like those Republicans who have decided to support Hizzonner are sticking with him.

That is a scary scenario to me. The only serious candidate (meaning, not those like John Cox or Tom Tancredo) that I like less than Newt in the Republican field is Rudy. I was happy early this year when the conventional wisdom was that Newt would not choose to run if Fred Thompson ran. Now I am hoping that Newt will choose not to run and I think the best thing that could happen would be for Mitt Romney to win convincingly in Iowa so that most of the other candidates drop out. I really don’t think that Rudy can get support from more than half the Republican primary voters so if the field is narrowed to two early Rudy won’t get the nomination. (I pick Mitt partly because he has the financial backing to stand toe to toe with Rudy.)

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Our Crisis in Foreign Policy

Frank does a good job discussing One Lesson From Two September 11th Events. He is completely right to ask:

What will it take for America to learn a similar lesson–that if we expect to be respected and not feared, that we must give respect? Why does America think it is better than the rest of the world, and that we don’t have to abide by the same rules and morals when dealing with the rest of the world? If we learned and practiced this one simple lesson, we would once again have the respect of nearly everyone. As it stands, they would spit on us if they didn’t think we’d drop a smart bomb on them for it.

Our crisis seems to be that the loudest voices in foreign policy seem to be those on the right who think that war is good for our popularity here at home (they’ve been proven wrong since we went to Iraq) and those on the left who think that spreading our money around the globe will make us popular internationally (they were proven wrong on September 11th, 2001). The fact is that both courses to action lead us to be resented. If our foreign policy was not bad enough, our domestic policy does the same thing as we insist from both camps that we must have the highest standard of living in the world. The fact is that we need to work hard and respect others and just take the standard of living that results from our hard work.

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Half of the Story

In explaining why Utah politics has become totally dominated by the Republicans the Deseret Spectacle only covered one half of the story. He covers the back room machinery of the Religious Right. It would be foolish to argue that this didn’t happen, or even that it was unrelated to our current unfortunate predicament. There is another side to this tale that should be told. Ignoring this half of the story could prevent Democrats from regaining their seat at the political table in Utah.

While the maneuvering on the right has been going on since “roughly 20, 25 years ago,” there was another contributing factor which began even earlier. Fully 75 years ago we had a president, who was a Democrat and who is still highly revered for pulling us through the Great Depression. During his tenure he established many government programs which grew our government to a size and scope that had previously been unimaginable in this country. Ezra Taft Benson published The Proper Role of Government in 1968 advocating smaller government. The positions he espoused are generally highly regarded in Utah, especially after 30 years ago when our economy was doing poorly as a result of our expanded government (after the economic growth of war had run its course). This made the social environment ripe for influence by conservative movements – that’s where the explanation of the Deseret Spectacle picks up the story.

If Democrats are to hope to regain a viable voice in Utah politics they must recognize that the image of moral relativism that has been plastered on them by the Jerry Falwell’s is the most obvious deterrent to becoming relevant in Utah, but possibly not the most damaging. They must find ways to tackle issues such as preserving the environment, improving education, and economic equality among our citizens without always turning to expanded government programs.

So long as Utah Democrats remain blind on this issue they will never talk themselves back into relevancy here. In fact, while they are busy shouting that their goals are not actually immoral, the Republicans are able to maintain power even while they are fiscally so liberal that they are alienating many who can see through the cheap label that the Democrats are fighting to remove. Unfortunately for those few, the Democrats do not appear to offer a more fiscally responsible alternative.

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