by Gene Callahan
I heard Howard Dean on the radio yesterday morning (CBS AM, for those who care to look for a transcript — I tried but could not locate one) talking about why health co-ops won’t work. “You see,” he said (and I quote from memory — see no transcript note above), “our private health care system is inefficient — not because private enterprise is inherently inefficient, but because the insurance companies are owned by investors, so they need to take some of the premiums and pay out a return on investment. Private insurance only pays about 80 cents on the dollar to actual medical care, while Medicare pays about 97.”
Dean is apparently not aware that most “private enterprises” are owned by investors. The argument he gave is, in fact, a straight up Marxist argument for the inefficiency of capitalism. (Yes, “socialism” and “communism” get tossed around too freely in this debate, but in this case I’m merely being factual.)
So why isn’t Dean in favor of nationalizing the entire economy? Couldn’t we get bread, and computers, and automobiles more efficiently if we just cut out those useless profits? (Oh, forget that last item — I forgot that we are nationalizing the auto industry.)