Acton Institute Powerblog

Civilizing Discourse on the Public Option

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In this week’s commentary I argue that the shape of the debate over the public health care option over the next four years should focus on the critical role played by mediating institutions of civil society: charities, churches, and voluntary organizations.

While President Obama’s health care speech last week was in part intended to dispel myths about the proposed health care reforms, it perpetuated some myths of its own. Not least of these is the idea that “non-profit” must mean “governmentally-administered,” or that we do not already have non-profit competitors for profit-driven corporations in the health insurance industry.

The president ended his speech by appealing to the compassion of the American public, and I support this wholeheartedly. But compassion is apparent most obviously in those deeds we undertake voluntarily and selflessly. It’s apparent in efforts like healthcare sharing ministries (HCSMs), which would face elimination under proposals for a federal health insurance mandate.

To be sure, there is deceit, half-truth telling, and rumormongering running rampant in this health care debate. But this goes not only for the opponents of the president’s plans but also for his supporters, an accusation popularized by Joe Wilson’s shameless outburst at the president.

From the transcript: AUDIENCE MEMBER: You lie! (Boos.).

For exhibit A, see this Facebook video of Robert Reich, who says that the public option’s “scale and authority” and “bargaining leverage” do not amount to a governmental subsidy: “The public plan would not be subsidized by the government or have the government set the rules for anyone.” Of course, as I note in the commentary, relying on governmental bureaucracy and authority is most certainly a form of subsidy.

And why wouldn’t groups other than the government have this “scale and authority” or “bargaining leverage” to negotiate lower prices? Because their power doesn’t ultimately lie in the threat of coercion and they can’t arbitrarily raise taxes to increase revenue. This is of course the same reason that so many corporations and businesses go rent seeking; the government’s coercive regulatory power is the ultimate trump card. A gun is a great bargaining tool.

For a more thorough fisking of exhibit B, check back with the PowerBlog later.

Jordan J. Ballor Jordan J. Ballor (Dr. theol., University of Zurich; Ph.D., Calvin Theological Seminary) is a senior research fellow and director of publishing at the Acton Institute for the Study of Religion & Liberty. He is also a postdoctoral researcher in theology and economics at the VU University Amsterdam as part of the "What Good Markets Are Good For" project. He is author of Get Your Hands Dirty: Essays on Christian Social Thought (and Action) (Wipf & Stock, 2013), Covenant, Causality, and Law: A Study in the Theology of Wolfgang Musculus (Vandenhoeck & Ruprecht, 2012) and Ecumenical Babel: Confusing Economic Ideology and the Church's Social Witness (Christian's Library Press, 2010), as well as editor of numerous works, including Abraham Kuyper Collected Works in Public Theology. Jordan is also associate director of the Junius Institute for Digital Reformation Research at Calvin Theological Seminary.

Comments

  • Good post Jordan. The level of misinformation, disinformation and abysmal ignorance (Exhibit B) is so appalling that Joe Wilson’s comment “You lie”, is trivial and Sarah Palin’s characterization of government health care as “evil” is an understatement. I can only think of Peter Kreeft’s statement in his book “Love is Stronger Than Death”, that when God is dead, Death is god.