When it comes to healthcare, you don’t know a damn thing about transportation costs, storage costs, opportunity costs, legal liability issues, human anatomy, medical innovation, doctors costs, medical practitioners costs for utilities, rent, people, medical refrigeration, the cost of existing regulations, ligaments, medical business models, or prescription drug manufacturing, the reality of drug approval to name just a few of the many facets of an industry you supposedly know how to steer.
You are not an expert. Even the experts know they are not experts. They will spend their entire lives just grappling with one sub-facet of one of these facets, and their work still won’t be done.
To claim to empirically know how to ensure the best outcome for everyone in any issue is folly.
How can the democons who passed a healthcare law even being to understand how to service 330 million people, ensure better, cheaper healthcare when they are clueless?? How can the republicons pass a healthcare law when they are clueless?
Now the left wants to go with medicare for all which is nearly bankrupt, ripe with fraud, and the same lack of knowledge.
The only way industries like medicine actually work? Millions of people – most of whom will never speak to each other – do what they’re best at. All of those individuals face the same incentives we all face, and their individual work somehow comes together to generate the industry we know as medicine.
This critique of central planning is not unique. It’s an old one. But this critique applies to any other kind of society-wide (or even city or township-wide) policy-making as well. Policy has a methodological problem.
Policymaking as we know it leans on the idea that we should make decisions on “all the available data.” It says we should use all the available data as our guide for what is best for the greatest number of people. It’s…. well… bullshit.
And the Federal Governments policymaking surrounding healthcare past and present is a failure.