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The Moral Hazard of Big Governments

If you tried to buy a homeowners’ insurance policy for much more than the actual value of your home, no one would sell it to you.  The reason is that having such a policy would enable one to prosper financially were the home somehow to be destroyed.  This creates for you, what is called a “moral hazard“.   You have a significant financial incentive to do something wrong.  It is anathema for the insurance industry designed to protect against risk to enable such a risk.

So what if you were a government bureaucrat in possession of the power to help a business to prosper financially by doing something wrong?  Imagine if you had the power to wave your pen and deliver one million new clients to a purveyor of a particular product.  Some might say you have a moral hazard.   Just as insurance companies have a duty not to create that risk, so do those in charge of taxpayer funds.

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In New York, some public employees concerned about side effects, and their civil liberties, are protesting because Dr. Richard Daines, New York State health commissioner has mandated that they receive the h1n1 vaccines or be fired.   Did the Governor order this?  No, an unelected bureaucrat essentially placed the order with the vaccine manufacturers.

In Missouri, prior to 2002, all mandated vaccines were voted into law by Legislators.  In that year, the appointed Director of the Department of Health added to the list of mandated vaccines, a compound against Chicken Pox.  With one stroke of the pen, a single bureaucrat created a demand for fresh orders for hundreds of thousands of doses of the vaccine, annually.  One can speculate about the profit in those orders.

In Texas, Governor Perry, usually a solid conservative got loopy over the Gardasil fervor and mandated that girls in his State receive the controversial vaccine against a sexually transmitted disease.   Girls as young as nine years old now have the State forcing upon them conversations about promiscuity and sexually transmitted disease.

At least in the case of Perry, the moral hazard is mitigated somewhat, because voters have the recourse to oppose the elected office holder in his re-election or pursuit of higher office.  What if he is term-limited and has no other aspirations?  It is cliché’ to contemplate how many politicians take the revolving door into the lobbying or “consulting” industry.  In the case of the bureaucrats in New York and Missouri and no doubt in hundreds of other political entities, the only check against the moral hazard is a serious legal investigation.  Consider the moral hazard that was presented to Illinois Governor Rod Blagojevich.   The power to appoint a US Senator was a “valuable thing” indeed.  He stands accused of contemplating many options including personal enrichment.  Indeed, it is axiomatic that power corrupts and absolute power corrupts absolutely.  So why would we entrust a single bureaucrat or even a single Governor with such a moral hazard?  Moreover, one of the greatest culprits feeding the voracious appetite of government is the effect when one bureaucrat seizing power becomes the envy of his or her counterparts.   Even today, Health and Human Services Secretary Kathleen Sebelius urged Americans to get vaccinated declaring “we will push the vaccine out as quickly as we get it off the production lines.”  Note the choice to use a personal pronoun.  Is she an employee?

As a correlative axiom cautions, “We do not get the government we want, we get the government we deserve”.  If we do not want to see our politicians and bureaucrats corrupted then it is up to us to ratchet their powers up or down according to common sense.   For the first 190 years of Missouri history, lawmakers, just as in virtually every other State, debated and enacted vaccine mandates based on science and the severity of the threats.  Now the Health Director has the power.  Logic would dictate that it is far more difficult to corrupt scores of politicians simultaneously than it would be to corrupt one bureaucrat.

Maybe the word “corruption” is too strong.  One can imagine that more than one health official has traveled to a conference at a warm clime at a nice hotel, with lots of corporate lobbyists hosting nice meals and displaying their latest products in the vendor spaces.  The discerning official who expresses skepticism will always be less popular.  The “go along Charlie” will continue to receive the best invitations.  Is that corruption?

A wise man once told me that anytime anything happens in politics, you can know that someone planned it that way.  Perhaps these moral hazards exist because there is an industry that profits from them.   If we wish to avoid moral hazards in our government then we need to recognize them when we see them and demand lawmakers take action.  More than a Governor or bureaucrat, the State Legislatures are the branch of government closest to the people.   When the question is as important as deciding which compounds will be forced into our bodies, that power ought to reside with the people over whom we have the greatest control; the Legislators.  Leaving such power with unelected bureaucrats creates a moral hazard. The act of undoing the risk belongs to us.

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Greatest Threat to American Health Care: Beltway Fever

As Congressional leaders debate omnibus health insurance reform proposals, American consumers face the threat of dramatic changes to health care delivery that 100% misses the point. The entire debate is a quintessential study in “lipstick” on a pig.

The “pig” is the federal government intrusion into health insurance at all.   Let me restate, the health care marketplace is so fouled up BECAUSE of government involvement, not because of too little government involvement.

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Americans are frustrated and the tea partiers are an expression of this because people see both parties as totally tone deaf, failing to limit the central role of the federal government.  So while the statists want to expand the role of government into a total single-payer plan, the rudderless GOP proposes a “market-based” government role in which government empowers people.  Huh?

The fact is, there is no more proper Congressional role in health insurance than there is in car, home or life insurance.  Insurance regulation is properly handled at the state level.  So how did we get here?

The fateful machinations happened in the forties, when price and salary controls put in place by an increasingly socialistic government forced businesses to look for creative ways to attract and compensate their employees.  The result, a loophole of sorts where employers could gift their employees with health insurance and deduct the premium as a cost of doing business.   Voila!  Just like that, the camel’s nose was under the tent and the negative ramification have perplexed patients and policy-makers ever since.

Now you have perverse questions like:
Why should my employer pick my health care?
How come a state imposed health insurance mandate only effects individual and small employer plans and leaves 60% of the market place untouched?
And my favorite:  Why on earth should corporations enjoy the deduction while individuals who pay out of pocket are buying insurance with post-tax dollars?

The answer is simple.  Get the federal government out of the business of manipulating the marketplace at all.  Generations of Congressional leaders of both parties have refused to give up the football.  Now is the time.

The point man for the Republicans is Congressman/Dr. Tom Price (R-GA).   While he is right on point with some of the major principles for reform he completely misses the point that Americans are screaming “The Federal Government should not be doing these things!”  True courage would have a bi-partisan group of Congressional leaders assembled in front of the Capitol, locking arms, and admitting that the government screwed up the market by getting involved and the cleanest fix is to butt out.  Americans should demand no less.

With due respect to Dr. Price, it is often hard to see the forest for the trees, no matter how well-educated one is.  He has the right ideas, mostly.  The virulent beltway fever however has afflicted his thinking along with most of the rest of the GOP.  So as a former law-maker I suggest a simple tool whereby Republicans might have a chance of winning back the country.  If the Democrats are proposing an expanded federal government role, Republicans should start from a point of eliminating the federal government role.  As long as Democrats are promising free lunch and Republicans are offering free bread and water Republicans and our Country will lose.

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