February 14, 2008
Thinking at the Margin

Today's WSJ contains the following letter from yours truly:

Your editorial "Equity and Health Care" (Feb. 4) correctly notes that President Bush's health insurance proposal would both decrease the regressivity of the current subsidy and remove the bias favoring employer-provided health insurance. However, you overlook an important aspect of the proposal.

Since Mr. Bush's health insurance deduction is a flat $15,000 per year regardless of the price of a medical insurance plan, all people (not just those with "gold-plated" policies costing more than $15,000 per year) will have an incentive to bargain for less expensive insurance. People will discover that bargaining for a policy that costs, say, $1,000 less will result in $1,000 of savings that can be spent on other goods and services.

Unlike the existing system, the amount of the health subsidy does not increase for any spending beyond the first dollar. Choosing a $1,000 less expensive insurance policy in the existing system leads to significantly less than $1,000 to spend on other things. The Bush plan is a commendable step toward reducing medical inflation by motivating consumers to bargain for less expensive medical insurance and services.

Although the Bush proposal is far from being a truly free market in medical care, I think it is one of the most economically sound policies to come out of the Bush administration (not much of a hurdle to clear, I realize). The proposal addresses the issue of affordability while simultaneously giving people an incentive to shop more carefully for medical services.

Posted by E. Frank Stephenson at 12:43 AM in Economics

The statesman who should attempt to direct private people in what manner they ought to employ their capitals would not only load himself with a most unnecessary attention, but assume an authority which could safely be trusted, not only to no single person, but to no council or senate whatever, and which would nowhere be so dangerous as in the hands of a man who had folly and presumption enough to fancy himself fit to exercise it. -Adam Smith

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