Should an insurance company decide what it can afford to give me?
Should a government appointed and paid panel of experts decide what they can afford to give me?
Or, and maybe this is too radical to be acceptable to Democrats, should I decide in consultation with my doctor what I want, need, and can afford?
In a blog post on the president’s speech yesterday, Paul Krugman offers a great example of how some on the left think about health-care costs:
And when people start screaming about death panels again, remember: you can always buy whatever health care you want; the question is what taxpayers should pay for. And compare this with a voucher system, in which you have insurance company executives, rather than health-care professionals, deciding which care won’t be paid for.
The ideal, then, is technocratic management where experts who “actually know about health care and health costs” are the ones who say yes and no. And the alternative is understood to be insurance companies deciding what will be paid for.
As Krugman implies, someone must make a decision about “which care won’t be paid for.” Shouldn’t that someone be the patient and his family rather than Krugman’s panel of experts?