A Piece of the Action

By Evan Falchuk

The effort to find scheming enemies of progress continues.

Harry Reid announced yesterday that people protesting at town hall meetings were there at the behest of the “insurance rackets.”

Rackets?

2008-07-15-Piece_Action

There’s a lot to criticize in the health insurance industry.  But any fair discussion has to recognize the important role government has played in the creation of the health insurance industry as it exists today.

Health insurance is one of the most heavily regulated industries in America.  State governments limit competition in their markets by mandating what insurers must cover and how much they can charge.  It’s a combination that leads to high prices, anti-competitive practices, and a market that looks like this:

  • The median market share of the largest insurer in each U.S. state is about 47%
  • The five largest insurers in each state control 75% or more of the market
  • In 23 states, the five largest insurers control 90% of the market

And so if the government is so involved in the creation of the health insurance market as it exists today, why isn’t it also to blame for its woes?

Senator Reid ought to know better.

If the health insurance companies are a “racket” – well, their partner in this racket is the government itself.

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  • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
    - Sir William Osler, MD
    The Father of Modern Medicine
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