Reprinted with permission from Kaiser Health News
ByMichael F. Cannon, Director of Health Policy Studies at the Cato Institute
Tomorrow night, President Barack Obama delivers his State of the Union address to a chamber that just voted overwhelmingly to repeal his health care law. Before you believe anything I might have to say about that, however, theres something you should know: I am a liar.
Just before the holidays, the fact-checking journalists at PolitiFact.com gave their Lie of the Year award to the claim that ObamaCare is a government takeover of health care.Backed up by the unanimous judgments of five ObamaCare supporters, PolitiFactdeclared that notion simply not true, inaccurate, and ridiculously false.
ObamaCare is not a government takeover, I learned from PolitiFact, because it uses the private health insurance system to expand health care coverage.
But wait. In my research, I found that distinction between public and private to be illusory: what difference is there between a public system where the government taxes and spends your money, and a private system where the government forcesyou to spend your money in the same way?
It is irrelevant, Iwrote, whether we describe medical resources (e.g., hospitals, employees) as public or private. What matters what determines real as opposed to nominal ownership is who controls the resources.Idetailed how making private health insurance compulsory as ObamaCare does would give government as much control over the nations health care sector as a compulsory government program.
I even quoted President Obamas health adviser Jeanne Lambrew, whoacknowledges, the government role in socialized medicine systems ranges from complete government ownership and salaried facilities and providers topublic financing of private insurance and providers (emphasis added) which is exactly how ObamaCare operates.
Were these lies too? We may never know: PolitiFact failed to consider whether the public/private distinction might be misleading.
Fortunately, others have. Left-leaning columnist Michael Kinsleywrote of ObamaCare: If the government requires insurers to accept all customers and charge all the same price, regulates all aspects of their marketing to make sure they arent discriminating, and then redistributes the profits to make sure that no company gets penalized unfairly, in what sense is the industry still private?
The Congressional Budget Officewrote that if ObamaCares minimum medical-loss ratio requirement were just 5 percentage points higher, private insurance would become an essentially governmental program.
This government takeover business wasnt the first time PolitiFact warned me about telling lies.
After Sarah Palins (in)famous death panels bombshell, Iwrote take a deep breath, now that what she said was actually quite plausible.President Obama had justproposed a government panel that, under standard principles of administrative law, would have the power to ration medical care just as Palin predicted.For support, I quoted a former Medicare administrator and other Medicare scholars.
When PolitiFactdubbed death panels their Lie of the Year for 2009, I presented their fact-checkers with this potentially exculpatory evidence.They showed no interest.
From my vantage point, the evidence shows that ObamaCare is a government takeover of health care, and Sarah Palins death panels claim was essentially true. If that makes me Liar of the Year, so be it.
But another way to look at it is this: PolitiFact has now misappropriated this award for two years in a row. Not only is each of these lies factually true, but and this is more important the people who made those statementsbelieve them to be true, which means they fall short of the dictionary definition of a lie: An assertion of something known or believed by the speaker to be untrue with intent to deceive.There is simply no factual basis and no excuse for calling themlies.
PolitiFacts Lie of the Year award has proven as conducive to civil discourse as Rep. Joe Wilsons, R- S.C., dyspeptic You lie! outburst during one of President Obamas previous addresses to Congress.Rather than continue to poison the well by dispensing another award this year, PolitiFact should just let it lie.
Michael F. Cannon is director of health policy studies at the Cato Institute and coauthor of Healthy Competition: Whats Holding Back Health Care and How to Free It.