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The recession is a mental disorder, according to John McCain's economic adviser Phil Gramm, and the ranks of the uninsured are a category error:
Mr. Goodman, who helped craft Sen. John McCain's health care policy, said anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort. (Hospital emergency rooms by law cannot turn away a patient in need of immediate care.)"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care."So, there you have it. Voila! Problem solved."Yep, problem solved. If you can't afford a doctor, but the census bureau stops describing you as uninsured, voila! Your problem is solved! And if you're getting your wages garnished because you fell ill and had to be rushed to the emergency room but the census bureau puts you in a different category, voila! You problem is solved! And if you have cancer, and you go to the ER, and they refer you to a hospital for scheduled treatment, and the hospital turns you away because you don't have insurance, I bet they can call John Goodman and, voila! Problem will be solved.This is what we call a Kinsleyan gaffe: A mistake that reveals the truth. John McCain's health care plan is, by the admission of his own advisers, not particularly interested in the problem of the uninsured. It doesn't try and cover them or address their plight, and for a very simple reason: Conservatives in general are not interested in the problem of the uninsured. And why should they be? Health care is a market good, and not everyone can afford every market good, and if you distort the market thus to ensure universal access, you'll probably do more harm than good. There's even an "Anti-Universal Coverage Club" over at Cato for conservative brave enough to admit this truth. "To achieve 'universal coverage,'" they say, "would require either having the government provide health insurance to everyone or forcing everyone to buy it. Government provision is undesirable, because government does a poor job of improving quality or efficiency. Forcing people to get insurance would lead to a worse health-care system for everyone, because it would necessitate so much more government intervention. In a free country, people should have the right to refuse health insurance.The right tor refuse health insurance, and the right to be unable to afford it. At the same time, the "uninsured" are a potent political category, and conservatives worry that their favored reforms will be overwhelmed by societal sympathy for this category. So give John Goodman his credit: He really has solved the problem. If you stop counting the uninsured, then they stop being much of a political problem for you. After all, they don't vote, they're not organized, and they certainly don't give money. And if you don't believe their existence poses a moral or substantive dilemma -- in fact, if you believe them to be necessary to the functioning of an efficient and responsive system -- then voila! The problem really is solved.
