Thursday, May 03, 2012
Intellectual Nonfeasance
The rate of cost escalation in health care seems to be
slowing down but nobody knows why.
A front page article in the Sunday New York Times of April
29 reports that health care costs rose at a rate of less than four per cent
during 2009 and 2010. This is close to a
sustainable rate and much lower than had been the case in previous years.
When asked what had caused the change, the standard answer
from the academics and gurus quoted was that they had no idea.
I take that to be a sad commentary on the performance of the
intellectual community. After all the
attention that has been given to health issues during recent years, after all
of the concern expressed over the high and rising cost of health care, and
despite the millions spent annually on research in the field of health care,
the level of understanding of the economics of health care remains at such a
primitive level that when there is a significant change in economic trends, no
one can come up with so much as a plausible theory to explain what is going on.
I attribute this to the intellectual community’s obsession
with single payer; i.e., national health insurance. Single payer would pretty much cancel out any
operation of market forces in health care and individuals in academia
apparently have been afraid to explore the subject of how those forces work for
fear that such exploration would be seen as a lack of dedication to the single
payer idea.
I call that intellectual nonfeasance.