Oba­macare wastes free­dom, cash

The Washington Times Daily - - Opinion -

Big gov­ern­ment is un­able to run just about any­thing ef­fi­ciently with any sem­blance of cost ef­fec­tive­ness (“Why Oba­macare is bad for Amer­ica’s health,” Com­men­tary, Mon­day).

The con­sti­tu­tional is­sue with Oba­macare be­fore the Supreme Court is the Com­merce Clause. The Obama ad­min­is­tra­tion con­tends that un­der this clause it can com­pel ev­ery cit­i­zen to pur­chase health in­sur­ance and pe­nal­ize those who refuse to do so. The counter po­si­tion is that gov­ern­ment can’t im­pose that re­quire­ment be­cause the Com­merce Clause does not ap­ply to an in­di­vid­ual’s decision to pur­chase or not pur­chase health in­sur­ance.

Oba­macare will cre­ate nu­mer­ous bu­reau­cra­cies at all lev­els of gov­ern­ment that will do noth­ing more than in­crease the cost of the over­all pro­gram while putting non­med­i­cal peo­ple in charge of the qual­ity of care de­liv­ered. Cur­rently, there is some de­gree of care ex­er­cised by the pri­vate in­sur­ers be­cause there are profit and com­pe­ti­tion mo­tives in­volved: The in­di­vid­ual has a choice in the plan and provider he chooses, or he may opt out of in­sur­ance.

Mo­nop­o­lies — and Oba­macare will be a gov­ern­ment mo­nop­oly — are nei­ther ef­fi­cient nor cost ef­fec­tive.

The prob­lem with gov­ern­ment is sim­ple: Com­pe­ti­tion and no profit mo­tive mean there is no in­cen­tive to be ef­fi­cient. NASA may be the only agency that was run pretty well in re­cent his­tory, and that was be­cause it was gen­er­ously funded and the bulk of the work was done by con­trac­tors.

Some con­tend Oba­macare is a power grab by the ex­ec­u­tive branch to con­trol a ma­jor por­tion of the U.S. econ­omy and the lives of cit­i­zens. If the Supreme Court doesn’t strike down Oba­macare, gov­ern­ment will be able to dic­tate any­thing it wants. I hope the Supreme Court up­holds the Con­sti­tu­tion — and our in­di­vid­ual free­doms. JOHN TERINO Fair­fax

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