Falling support for government health care

Arthur Brooks:

Regardless of how President Barack Obama's health-care agenda plays out in Congress, it has not been a success in public opinion. Opposition to ObamaCare has risen all year.

According to the Gallup polling organization, the percentage of Americans who believe the cost of health care for their families will "get worse" under the proposed reforms rose to 49% from 42% in just the past month. The percentage saying it would "get better" stayed at 22%.

Many are searching for explanations. One popular notion is that demagogues in the media are stirring up falsehoods against what they say is a long-overdue solution to the country's health-care crisis.

Americans deserve more credit. They haven't been brainwashed, and they aren't upset merely over the budget-busting details. Rather, public resistance stems from the sense that the proposed reforms do violence to three core values of America's free enterprise culture: individual choice, personal accountability, and rewards for ambition.

First, Americans recoil at policies that strip choices from citizens and pass them to bureaucrats. ObamaCare systematically does so. The current proposals in Congress would effectively limit choice across the entire spectrum of health care: What kind of health insurance citizens can buy, what kind of doctors they can see, what kind of procedures their doctors will perform, what kind of drugs they can take, and what treatment options they may have.

Meanwhile, ObamaCare would limit the ability of people to choose affordable insurance coverage through less-comprehensive, consumer-driven insurance plans. And it wouldn't allow Americans to shop for better health-care plans from out-of-state carriers.

Second, Americans believe we should be responsible for the consequences of our actions. Many citizens bitterly view the auto and Wall Street bailouts as gifts to people who took imprudent risks, imperiled the entire economic system, and now appear to be walking away from the mess.

Similarly, Americans are cold to a health-care system that effectively rewards individuals for waiting to get insurance until they get sick—subsidizing their coverage by taxing those who responsibly carry insurance in good times and bad.

On its face, the reformers' promise to provide health insurance to nearly all, regardless of pre-existing conditions, is appealing. But as most instinctively realize, if people don't have to worry about carrying insurance until they need it, many won't buy it. Already, the Census Bureau tells us that 21% of the uninsured are in households earning at least $75,000. Although there are certainly plausible reasons for this in some cases, this phenomenon will worsen under ObamaCare.

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So on the pretext of providing coverage to those who do not now have it, the legislation would give incentive to not buy coverage until they get sick. That is not whay most had in mind when they wanted to see expanded coverage. This kind of incentive will drive up the cost for those who already have it making health care even less affordable for the prudent.