"The 5th Avenue To Serfdom"
Love that Hayek-inspired headline on Holman Jenkins' recent column in the WSJ. He points out, vis a vis New York's Big Mommy Mike Bloomberg's move to ban the sale of gigundo sodas, that nobody thought to take away your Big Gulp until the government began to pay for everyone's health care:
Half of the city's residents allegedly are obese or overweight--a stat seemingly belied by the ladies who lunch and the impression on the subway that New York remains one of the few places in America where people have not ballooned to supersize. But by the state's own estimate, it spends $8 billion annually treating obesity-related ailments under Medicaid, which is how 40% of city residents now get their health care.Here is the ultimate justification for the Bloomberg soft-drink ban, not to mention his smoking ban, his transfat ban, and his unsuccessful efforts to enact a soda tax and prohibit buying high-calorie drinks with food stamps: The taxpayer is picking up the bill.
Call it the growing chattelization of the beneficiary class under government health-care programs. Bloombergism is a secular trend. Los Angeles has sought to ban new fast-food shops in neighborhoods disproportionately populated by Medicaid recipients, Utah to increase Medicaid copays for smokers, Arizona to impose a special tax on Medicaid recipients who smoke or are overweight. New York itself, with private money, some of it from Mr. Bloomberg's own pocket, has also tried the carrot approach, dangling direct payments to encourage beneficiary families to adopt healthier habits.
So perhaps the famous "broccoli" hypothetical during the Supreme Court ObamaCare debate was not so fanciful after all. It flows naturally from the state's fiscal responsibility for your health that it will try to regulate your behavior, even mandating vegetable consumption.
Pay for your own insurance and whether you are a lardass is between you, your insurance company and their rate-makers.
Because I am frugal and didn't go into a profession that pays in big chests of gold doubloons, I was very careful about my choice of healthcare coverage, picking Kaiser HMO in my early 20s, and paying for it myself every month ever since. They charge by age, and once you're in, you're in.
But, idiotically, Obamacare did not untie healthcare from the workplace, in an age when few people stay in jobs for a lifetime. Health problems that crop up chain many to jobs they would otherwise leave, and health care is as screwed up as it's ever been.







Two things:
First, I agree completely about private insurance. Even if you are in a "standard" profession that offers health insurance as part of a benefits package, it can pay off in the long run to get private insurance, rather than the company policy, especially if you will be changing jobs.
All the companies I worked for required me to work at least 60 days before I was eligible for insurance anyway, and a two month gap can be a big deal when you have kids, or any kind of health problem. When my husband got a new job that didn't offer insurance at all, and mine through work didn't cover him, we got private insurance. Two jobs later, and me quitting to stay home with the baby, our insurance has been the same price, what is covered has stayed the same, we haven't been one of the short-term uninsured, and the best part is the private insurance we got costs almost exactly what the company insurance would have cost at the last job that did offer insurance.
Second, is there a profession that does pay in big chests of gold doubloons? Perhaps chauffeuring people to work in your pirate?
Jazzhands at June 3, 2012 2:37 AM
France doesn't ban soft drinks.
Just sayin'.
NicoleK at June 3, 2012 2:47 AM
Well la-de-da for France. They also eat snails and frogs legs. Ban the big gulp!
Oh, and bow before the awesomeness that are donuts and gals who gave out donuts to troops almost 100 years ago.
Someone should check Bloomie's bloomers to see if he's gotten any kickbacks stuffed in there recently (perhaps covered in Entemann's frosting).
For you heathenous soda rebels:
http://www.zazzle.com/come_and_take_it_nanny_staters_postcard-239889461302506193
Sio at June 3, 2012 5:11 AM
I am on the side of of letting people die.
There are those who will never be able to be self supporting for whatever preexisting medical conditions (mental or physical) from birth or a young age.
But it is government meddling in business that tied insurance to businesses, instead of the individual, years ago. When the government decided to give businesses tax breaks for paying their employees health insurance they naturally went for it.
If the government had said each person in the household gets a up to $x or a 10% credit (whichever is less) for health insurance off their taxes, the private health care market would look like the fliers you get in your mailbox for car insurance.
Also health care costs would have some control, by the simple fact that those who bought major medical and it doesn't kick in until $20K, would be asking "How much does this MRI cost?" very often. As it is now, they don't have to care that the MRI in the hospital costs $900 but $250 over at this outpatient center.
Just my $0.02.
Jim P. at June 3, 2012 6:25 AM
My apologies for not finishing my thought on this paragraph:
There are those who will never be able to be self supporting for whatever preexisting medical conditions (mental or physical) from birth or a young age. The government should probably provide medicaid/medicare for them. Autism, MD, MS, CP, other retardation etc, can not really be helped. Juvenile diabetes should have a waiver for insurance coverage.
But once you get to 18 and generally healthy you should be able to get major medical on your own and walk into the doctor's office and pay cash for your yearly checkup, with no penalty.
As it stands if you walk into a doctor's office, the Standard & Customary rate may be 50-66% higher than the person who walked in behind you with insurance.
Jim P. at June 3, 2012 9:06 AM
I agree Jim P. My libertarian side is getting angry. Real serious disabled people and seriously long time sick people should be helped. By who is the question? Who? The are many choices government, charities, community, family, nature, business, church.
Another problem is that the bar of what is to be treated has been lowered and lowered. It is sinking so much. That the government is almost reached bottom and is looking for a shovel. Come on was it not some European country that decided that pedophilia was disability. (I have the cure for that 13g of lead from Colt medical device injected at the back of the head.)
Watched the little clip Jim P. posted. Do not know how Ron finished the answer. The basic answer again to is responsibility. The answer I would have given to "What should society do for hypothetical young man?" Easy - society should do what every it can to help. The question is what is society to the CNN (I think) reporter. To him society means government. The thing is the is what the answer to ALL problems has become - government.
Crime is rising what is the government going to do?
This country far away is having troubles what is society I mean government going to do?
An epidemic of semi serious disease - what is the government going to do?
Kids are listening to the darn rock'n'roll/hiphop/jazz/raves? What is the government going to do?
Men are doing unspeakable acts with other men? What is the government going to do?
My feelings are hurt? What is the government going to do?
People abrogate that choice to government tend to forget it solves that problem with a very limited set of tools.
Duct Tape of throw money at it. - Which works for a little while but problem comes back and in worse condition.
The hammer of force. You will do it, there in no opting out.
The wrench of laws and regulations. More of these does not always make better.
The screwdriver of decision. But that decision is not yours to make.
Sorry to rant on. Once again I have to think about being more responsible. Really should get that supplementary insurance.
John Paulson at June 3, 2012 10:17 AM
I work for Kaiser and we charge the uninsured $125 for a regular office visit, $195 for specialty care and urgent care, and $250 for the emergency room (they are supposed to pay up front at least a portion of that but many are refusing lately and we can't turn them away). I am currently being seen for some things with third party coverage (PIP on auto insurance) and see that on the invoice statements from my auto insurance Kaiser billed them $234 for my primary care visit as it's the going market rate versus the $125 we otherwise have been charging.
And I agree that people truly disabled with certain conditions and can't support themselves need to be cared for, but that encompasses far too many people and conditions than it needs to. And so many people who should be able to work in some capacity receive disability payments and really shouldn't be. My stepmom gets $1800 a month disability for having chronic anemia that requires a blood transfusion every 6 weeks. There is no good reason she can't work as she manages to do tons of housework, all the yard work including extensive gardening/landscaping, takes trips, and goes out dancing at least twice a month with friends. She even admits she has no real limitations with her condition other than tiring faster than she used to and that she could hold down a job, but said that since the government says she qualifies and is willing to pay her disability and early Medicare, there is no reason to interrupt her leisure time with a job.
BunnyGirl at June 3, 2012 2:07 PM
Amy Alkon
https://www.advicegoddess.com/archives/2012/06/the-5th-avenue.html#comment-3215557">comment from BunnyGirlThanks, BunnyGirl, for posting that. And yes, absolutely, people who are disabled shouldn't be on permanent leisure at taxpayer expense if there's some work they can do. And that it's entertaining and emotionally fulfilling work shouldn't be the criteria for whether they take a job. That they're not mooching off the rest of us and can reasonably be expected to perform the work should be.
Amy Alkon
at June 3, 2012 2:09 PM
I met a woman aat the airport the other day, we got to talking, long story short she has to take some cancer medication for the rest of her life, it costs $6000 a month, just for that one prescription, and she has over a dozen she has to take for all her various aliments.
Shes retired, doesnt work, own her homw outright, get SS and aimony from a man she hasnt been married to for over 25 yrs, and doesnt pay a dime out of pocket beyond the copay for her meds.
Given this woman desnt work I dont see why she should be getting nearly $100,000 dllars a year in 'free'(to her) medical care to keep her alive for no good reason
lujlp at June 3, 2012 3:43 PM
Drug companies were trading support for obamacare with promises to keep their business plans alive.
http://www.bloomberg.com/news/2012-05-31/drugmakers-vowed-to-campaign-for-health-law-memos-show.html
Sio at June 3, 2012 4:26 PM
It's government piracy. If Coca-Cola and Pepsi paid their protection money like Entenmann's, they wouldn't be having these problems.
(P.S.: Entenmann's are the most godawful donuts on the face of the Earth. Just sayin'.)
Cousin Dave at June 4, 2012 8:05 AM
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