Friday, September 26, 2008

Resistance to Federal Assistance

Yesterday FMP received the following comment to the post Among These are Life, Liberty and the Pursuit of Happiness from our reliable reader, Anonymous:

How can we expect to be "free market" physicians when we don't allow those currently treating our wives and children to do the same? I know it is uncomfortable to talk about this, but by giving in to using social (programs), we are exacerbating the problem rather than solving it. We cannot use these programs now, but expect others not to use them or not accept their payment when we are the ones providing care and paying taxes. Just a thought that we all should consider.

(It is FMP's understanding that Anonymous was referring to medical students who personally may not approve of expanding medicaid and other welfare plans, but nevertheless accept aid from those programs for their families while they are in medical school. Should they utilize a program they personally disagree with?)

The comment raises an important question. As Free Market Physicians, what is our responsibility regarding national and state welfare programs that we don't approve of? In a time when we may disagree with the expansion and universal establishment of federal health care programs, should we deny ourselves federal aid that we otherwise qualify for?

As Anonymous acknowledged, the subject is indeed a little bit sensitive. But let's look at it from a market perspective.

All along we have argued that, like all other markets, the medical market is best governed by the consumer. Low prices and high quality products are achieved, not by government intrusion, but by consumers actively selecting the products that best suits them. With that understanding, let me compare our current discussion with another market movement.

There are those that believe that "Corporate America," or the big national businesses- the Walmarts of the industry, have been unethically driving local businesses and producers out of the market. They are saddened by the loss of culture and personality in small communities when the big national stores arrive. Apparently, people cannot resist the attraction of low prices. As the locals forsake their neighbors' businesses to shop at the retail outlets, local industry dies.

We free marketeers probably see nothing wrong with the situation. We may have sympathy for the local loss. But we argue that the consumer has been presented with a choice. The consumer knows best what his or her needs are and has evidently chosen lower prices because that value trumps other values. The consumer apparently values lower prices and convenience more than he or she values local industry and personality.

Let's go back to the medical market and the enticement of federal aid. In each community a medical market is available with variety of prices and services. The medical care may vary and the prices and means of paying vary. Involved in the market are such commodities such as health insurances, cash-only practices, and government-paid health care.

The decision of which of the products or programs to use is ultimately at the discretion of the consumers. That's us. This is our opportunity to choose a product based on our personal values. In my case, the values that should determine my purchase include the following:

I want my family to receive the medical care it needs.

I would like doctors who view me as an equal and who counsel, not dictate, treatment options.

I don't believe in taking anything I haven't earned.

I rely on myself, my family, and my God before I look to the government for aid.

I do not believe that paying taxes is patriotic.

I would like use my resources to help those around me- not to have those goods confiscated by the government to help those around me.

It is plain to see that my values rule out certain options on the market. Based on my values, I will choose a medical plan and product that best suits me. Other people with other values will choose the plan that best suits them. There are those whose chief value is taking care of their family, but they have no means to do so. I will not criticize their decision to accept federal aid.

In our market decisions, let us always beware of the bargain. It appears to be human nature to purchase an item marked as "on sale," even if we had no intention of buying it in the first place. Even more provocative are those things marked as "free."

The federal government is advertising "free" health care. It will be aggressively advertising it in the presidential election. Let us buy our health products and services wisely, based on our values. With consideration, I think we will find market options that suit us much better than any federal plan.

Rusty Scalpel

1 comment:

Tom Bombadil said...

I wonder if Anonymous is opposed to ALL forms of welfare? It seems to me that there will always exist a need for some form of welfare programs to help those passing through difficult times in their lives. Otherwise we would not see welfare programs existing in such institutions as churches, for example.

Is it the welfare programs that offend Anonymous or those abusers of the welfare programs? In some welfare programs the user is required to do some form of labor for the help he/she receives. Is it fair to compare an abuser of the welfare program, someone who sees it as a free meal ticket, to someone who is actively bettering themself to an end that will benefit the institution to which the welfare program belongs. Isn't this a fair trade?

And why would participating in a welfare program necessarily bind the participant to future payback into the system? Why does Anonymous think it necessary to avoid using welfare programs in order that he may refuse assistance to those who will inevitably need his help in the future but are participants in a welfare program. Couldn't he discriminate between those who are using the welfare program in a manner that is beneficial from those who abuse it? Or couldn't Anonymous pass the goodwill along by providing free services to others or must he/she feel obligated to help future participants in the welfare program because of his/her past participation?

That's a lot of rhetoric.