This Is Fascism?
Robert Levy’s column “A Form of Fascism” (Jan. 13) makes the fallacious argument that the Affordable Care Act embodies the essence of this sinister form of government.
To begin with, his definition of fascism is only a partial one, used in a purely economic context. Webster gives a much fuller one, as follows: “A political philosophy or regime that exalts nation and race and stands for a centralized autocratic government headed by a dictatorial leader, severe economic and social regimentation, and forcible suppression of opposition.”
Mr. Levy’s faith in a profit-driven fee-for-service model is undermined by empirical data. The United States spends twice as much per patient and gets key health care outcomes that compare unfavorably with other developed nations. We incur annually about $60 billion worth of health care fraud.
Health care economics are unique because the normal laws of supply and demand don’t always work. Building more hospitals doesn’t necessarily mean lower costs. Since the government pays a large part of the costs, it is proper that it should have a role in determining whether more facilities are viable.
It has been the GOP’s incessant claim that progressives champion government interference while they support state and local control. If that is true, then how do you account for the special session of Congress that the GOP called to overrule a decision in the Terry Schiavo case, a private end-of-life decision that only a family should make?
In recent years the GOP has been the party of “No,” honing its skills for destructive obstruction. It needs to become more involved in crafting solutions rather than constantly harping about problems. Here, Gov. Pat McCrory has all the tools he needs to do that. Let us hope that he does.
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