RealClearPolitics - Washington 'Shall' Control Your Healthcare

So curl up by a fire with a fifth of whiskey and just dive in.

But drink quickly. In the new world, your insurance choices will be tethered to decisions made by people with Orwellian titles ("1984" was only 268 pages!) like the "Health Choices Commissioner" or "Inspector General for the Health Choices Administration."

You will, of course, need to be plastered to buy Pelosi's fantastical proposition that 450,000 words of new regulations, rules, mandates, penalties, price controls, taxes and bureaucracy will have the transformative power to "provide affordable, quality health care for all Americans and reduce the growth in health care spending . . . ."

It's going to take some time to deconstruct this lengthy masterpiece, but as you flip through the pages of the House bill, you will notice the word "regulation" appears 181 times. "Tax" is there 214 times. "Fees," 103 times. As we all know, nothing says "affordability" like higher taxes and fees.

The word "shall" - as in "must" or "required to" - appears over 3,000 times. The word, alas, is never preceded by the patriotic phrase "mind our own freaking business." Not once.

To vote for the bill, a legislator must believe a $1 trillion price tag is "revenue neutral," or that it alleviates any of the pain higher costs bring to the average American. This would require alcohol.

Real competition, as far as anyone can tell, is antithetical to the authors of this bill. Remember, you can purchase oranges from Florida and whiskey from Kentucky, yet you're prohibited from buying health insurance from anywhere outside your state . . . so sayeth Nancy Pelosi.

Instead of creating a new market with interstate trade, what we get is the institution of the pleasant-sounding "Health Insurance Exchange," which exists, it seems, only to accommodate a non-competitive, government-run insurance option.

Now, finding a name for a state-run program without offending the lingering capitalistic sensibilities of bourgeoisie has been problematic. So Pelosi went with the innocuous "consumer option" - known for a fleeting moment as the "competitive option" and popularly as the "public option." Whatever your preference is, it's the option that leads to a single-payer insurance program.

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