Publisher's Note: One of the most significant things you can do to promote Liberty is to support our mission. Please make your gift to the 2024 Year-End Campaign today. Thank you! —Mark Alexander, Publisher

August 5, 2014

Big Gov’t Worked Better in the Industrial Age; Not So Much in Digital Era

Earlier this week, I was thinking of writing a column about the lying and duplicity of Obamacare backers who argued that the difference between provisions providing subsidies in states with state-run health exchanges and providing no subsidies in states with federal exchanges resulted from inadvertence or a typographical error. Typical among them was MIT health care expert Jonathan Gruber. The folks at the Competitive Enterprise Institute found video of him in 2012 arguing that all or most states would create their own exchanges because they wouldn’t get subsidies if they let the federal government run their exchanges. That was just a “speako” (the oral equivalent of a typo), Gruber replied.

Earlier this week, I was thinking of writing a column about the lying and duplicity of Obamacare backers who argued that the difference between provisions providing subsidies in states with state-run health exchanges and providing no subsidies in states with federal exchanges resulted from inadvertence or a typographical error.

Typical among them was MIT health care expert Jonathan Gruber. The folks at the Competitive Enterprise Institute found video of him in 2012 arguing that all or most states would create their own exchanges because they wouldn’t get subsidies if they let the federal government run their exchanges. That was just a “speako” (the oral equivalent of a typo), Gruber replied.

And Phil Kerpen of American Commitment published New Republic health care maven Jonathan Cohn writing in 2010 that “a state could opt out of the exchanges” but added that it’s “not something I’ve looked into that closely.”

Yet people like Gruber, Cohn and columnist E. J. Dionne attacked the D.C. Circuit’s Halbig v. Burwell decision, which, quoting the statute’s language, ruled that subsidies can’t be paid in states with federal exchanges, as “judicial activism,” based on a typo.

And White House Press Secretary Josh Earnest, not evidently a legal scholar, explained, Congress wanted to give lots of people lots of money, so who cares what the law says?

But on reflection I decided that there’s something other than blatant dishonesty and political hackery going on here. It’s something that discredits Obamacare in particular and big government enterprises generally more than run-of-the-mill partisan dishonesty.

Cohn in 2010 and Gruber in 2012 evidently really believed that almost all states would set up their own exchanges because their residents would get more money than if the feds ran the exchange.

That’s how federal powers have increased over the years. Congress can’t order states to adopt policies, but it can dangle money in front of them if they meet certain conditions. That’s how we got the 21-year-old drinking age even though the 22nd Amendment recognizes states’ powers to regulate alcohol.

As Cohn notes, that’s how Medicaid, passed in 1965, worked, too. Forty-nine states signed on by 1972. Only Arizona held out until 1982.

So why did 36 states refuse to create their own health exchanges? One reason is that Obamacare turned out to be massively unpopular. Another is that conservative policy experts argued it would weaken the law.

Most important, setting up health exchanges is hard to do. Government doesn’t handle information technology well, here or around the world.

The State Department’s visa system is currently offline for weeks, keeping businessmen, tourists and exchange students from entering the country. The FBI had to abandon a massive IT project after spending hundreds of millions of dollars.

These bureaucracies did a good job of delivering passports and maintaining files in the industrial age. But they can’t keep up in the information age. Moore’s Law says that computer capacity doubles in two years or less. Government procurement cycles are a lot longer than that.

Governors and legislators had reason to fear that state health exchange IT wouldn’t work well (as it hasn’t in about half the states that tried), and they would get blamed. And blamed for being associated with an unpopular law.

All of which suggests a broader lesson. Government was reasonably good at replicating the bureaucratic processes of large corporations in the industrial age. But it’s not very good – it’s often downright incompetent – at replicating the IT processes of firms such as Walmart and Amazon.

Markets work better than government ukase in the information age. The Medicare Part D prescription drug program, with many market components, has produced high satisfaction and costs lower than projections. Obamacare has not done as well.

Obamacare required states to expand Medicaid or lose all Medicaid funds. In June 2012, the Supreme Court ruled 7-2 that that violates the Constitution. Once they had a choice, some Republican states chose more Medicaid money. But 21 states have said no thanks to the extra funds, and three are debating the issue. Only 54 percent of Americans are receiving Medicaid programs Obamacare promised to give – or impose on – everyone.

This is not what Obamacare boosters like Gruber and Cohn expected. They thought Obamacare money would be too tantalizing to resist. But for many or most states it wasn’t.

The Obamacare cheerleaders failed to understand that in this information age most Americans mistrust big government policies.

COPYRIGHT 2014 THE WASHINGTON EXAMINER
DISTRIBUTED BY CREATORS.COM

Who We Are

The Patriot Post is a highly acclaimed weekday digest of news analysis, policy and opinion written from the heartland — as opposed to the MSM’s ubiquitous Beltway echo chambers — for grassroots leaders nationwide. More

What We Offer

On the Web

We provide solid conservative perspective on the most important issues, including analysis, opinion columns, headline summaries, memes, cartoons and much more.

Via Email

Choose our full-length Digest or our quick-reading Snapshot for a summary of important news. We also offer Cartoons & Memes on Monday and Alexander’s column on Wednesday.

Our Mission

The Patriot Post is steadfast in our mission to extend the endowment of Liberty to the next generation by advocating for individual rights and responsibilities, supporting the restoration of constitutional limits on government and the judiciary, and promoting free enterprise, national defense and traditional American values. We are a rock-solid conservative touchstone for the expanding ranks of grassroots Americans Patriots from all walks of life. Our mission and operation budgets are not financed by any political or special interest groups, and to protect our editorial integrity, we accept no advertising. We are sustained solely by you. Please support The Patriot Fund today!


The Patriot Post and Patriot Foundation Trust, in keeping with our Military Mission of Service to our uniformed service members and veterans, are proud to support and promote the National Medal of Honor Heritage Center, the Congressional Medal of Honor Society, both the Honoring the Sacrifice and Warrior Freedom Service Dogs aiding wounded veterans, the Tunnel to Towers Foundation, the National Veterans Entrepreneurship Program, the Folds of Honor outreach, and Officer Christian Fellowship, the Air University Foundation, and Naval War College Foundation, and the Naval Aviation Museum Foundation. "Greater love has no one than this, to lay down one's life for his friends." (John 15:13)

★ PUBLIUS ★

“Our cause is noble; it is the cause of mankind!” —George Washington

Please join us in prayer for our nation — that righteous leaders would rise and prevail and we would be united as Americans. Pray also for the protection of our Military Patriots, Veterans, First Responders, and their families. Please lift up your Patriot team and our mission to support and defend our Republic's Founding Principle of Liberty, that the fires of freedom would be ignited in the hearts and minds of our countrymen.

The Patriot Post is protected speech, as enumerated in the First Amendment and enforced by the Second Amendment of the Constitution of the United States of America, in accordance with the endowed and unalienable Rights of All Mankind.

Copyright © 2024 The Patriot Post. All Rights Reserved.

The Patriot Post does not support Internet Explorer. We recommend installing the latest version of Microsoft Edge, Mozilla Firefox, or Google Chrome.