The Democrats’ health care legislation, as is or in very similar form, cannot be passed. Every choice point they encounter from this stage on leads to an internal contradiction or a dead end. To use a mathematical metaphor, their situation is overdetermined: there are too many conflicting restrictions; there is no solution to their dilemma. (To use a liberal metaphor: It’s a slam dunk!)
Democratic proponents of health care reform have the following major goals:
(1) Create a federal public health insurance option to “compete with” private insurers, or
(2) Set up state cooperatives to “compete with” private insurers on a state-by-state basis;
(3) Prevent discrimination by insurance companies based on preexisting condition—i.e., forbid insurance companies from “providing insurance”;
(4) Limit the ratio of high-to-low insurance premiums by age group.
Whether pursuing any of these goals is the government’s business—and it isn’t—Democrats need to enact some combination of these proposals in order to fulfill their aim of turning us into Canada; the Congressional Budget Office estimates that this will cost about $1 trillion.
Democrats have proposed numerous bad ideas for paying for their legislation, all of which lead to intractable circumstances that they cannot tolerate politically with the general electorate, even if they were able to figure out a way to cobble together, rush through, or force the votes in Congress to pass them, including: read more »