Health care reform: Deja vu all over again

Eleven years ago, I wrote a brief history of health insurance for the Journal of Psychology and Christianity (“Managed care: It’s like deja vu all over again,” 1998, vol. 17, 131-141) as a part of special issue on managed behavioral health care.

I thought of that article this past week while reading various news reports about President Obama’s push to enact some version of health care/health insurance reform. I argued in that paper that managed care was one on many private sector arrangements designed in part to avoid government run national health insurance (NHI).

managed care

Obama says health care reform will lower costs, however, the Congressional Budget Office says reform as envisioned will spike the deficit by over 200 billion during the next decade.

For some reason, Democrats want us to believe this:

Democrats insisted the budget analysis ignores savings and Obama’s pledge not to add red ink to the federal ledger.

For about 100 years, the debate has come and gone. When a politician or anyone really says, buy now or else you lose your change, I worry. We needed the bailout now, we needed to bail out GM now, and now health reform now

President Obama urged Congress yesterday to push past their growing doubts and pass a comprehensive health-care reform package this year, saying that a better opportunity to remake the nation’s health-care system may not arise for generations.

Here is more on the CBO estimates. If you can read this and believe the current plans will be cost neutral, then you have more faith than I do.

The concern I have at this point in history, is that the private sector seems to have rolled over and may expect that NHI is truly inevitable this go around. The hope to offset more federalization of health care probably rests with conservative Democrats and resistance to two main policy points: one, the increases to budget deficit as noted and two, the proposed inclusion of abortion in any federal plan.