Monday, August 17, 2009
Kathleen Parker in Town Hall, July 27, 2009
In a way, it's too bad President Obama tapped Utah Gov. Jon Huntsman to serve as ambassador to China.
The
ambassador-designee promised a Senate panel Thursday that, if
confirmed, he would press American values in China. If only the Obama
administration would press Huntsman's health care reform values here in
the U.S.
As governor, Huntsman has overseen a blueprint for the
overhaul of Utah's health care system that could be a model for a
more-rational approach to national reform. In one fell swoop, Obama
effectively eliminated one of the most qualified Republicans to
challenge his health care reform, as well as a leading contender to
spearhead a Republican coup in 2012.
Nobody ever said the
president "acted stupidly." Alas, Huntsman, whose talents include
speaking Mandarin Chinese, was also perfectly suited to the China
position.
Oh well, c'est la guerre.
In Huntsman's likely
absence -- and given that the national health care plan as proposed has
no chance of survival -- perhaps we should take a look at what he will
leave behind. Rather than dismantle Utah's health care system, Huntsman
homed in on the central problems and put mechanisms in place to fix
them.
What a stunning idea. Revolutionary in its respect for
rational human behavior, Huntsman's plan, scheduled to go into effect
this fall, begs to be admired up close. (The Obama plan, by the way,
wouldn't start up until 2013, in case you were trying to plan a
gallbladder operation. Might want to check in at the Florence
Nightingale Hospital in Istanbul.)
Many of the problems
afflicting Utah are among the same that plague us nationally. But Utah,
unlike Washington, has sought practical, consensus solutions for the
real problems, rather than a sweeping remake that puts government in
control.
One of the most crucial problems, locally and
nationally, is that most of the uninsured earn low wages and often work
in small firms. Thus, Utah has created an exchange focused on improving
insurance options for them and leaves alone those with good insurance
today. And the exchange facilitates consumer choice based on price
transparency, not government regulation and control.
One reform,
for example, creates portable coverage -- insurance policies that
workers can take with them when they leave or change jobs and that can
be paid for with pre-tax dollars. Utah consumers also can pick the
insurance program that best suits them, taking into consideration cost
and level of benefits needed. To assist, the state launched a Web site
where consumers can compare policies, pricing and financing, and sign
up electronically -- all in one place.
Not surprisingly, Utah's
plan resulted from months of research, consensus-building and meetings
among legislators, health care providers, insurers, businesses and
community members. It hasn't happened quickly, in other words -- nor is
the process over. A few problems have been resolved using the best
free-market principles, while others will be tackled down the road.
That
is to say, health care is complicated and reform takes time. Like
Obama, Huntsman recognized the abysmal condition of his state's health
care system and declared in 2005 that doing nothing was not an option.
Though they share the same goal, the two leaders have taken
significantly different approaches. Notably missing in Utah was the
rush-rush-rush mentality adopted by the Obama administration.
If the plan is so good, why the hurry?
The
House bill was delivered in mid-July and Obama wanted a vote before the
August break. If it's so great, why not give everyone time to read it
carefully and vet it publicly? The Senate's decision Thursday to
postpone consideration of the bill until the fall met with qualified
approval from Obama. Insisting that he wants to get the bill right,
Obama also said he hopes postponement isn't a tactic to kill health
care reform.
The reason for the rush is politics, of course, but
that's no excuse when so much is at stake. That Republicans have been
slow, and frankly negligent, in producing their own alternatives is
also no excuse now to ignore good ideas.
Compared to what's
being trotted around the Asylum On The Hill, Utah's bipartisan reform
project sounds downright dreamy. Simple and geared toward the consumer,
it was designed under the operating principle that Americans are
capable of making their own decisions, whereas the Obama plan presumes
that only government can solve the problem.
Government has a
place, to be sure. But as Huntsman and his team have demonstrated,
government's best role is in creating mechanisms for people to help
themselves.
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