Megan McArdle makes a very good general point in her post on the illusion that socialism will reduce health-care costs:
We have been trying to control health care costs since the 1970s made it clear that Medicare was going to get really, really expensive. And any idea that you care to name, from comparative effectiveness research to healthcare IT to preventive medicine . . . these have all been on the table for more than thirty years, under one name or another. They haven’t happened.
The answer that those promising magical cost reductions need to ask is “Why haven’t they happened?” and “What has changed to make them feasible now?” But when I ask this question, I get angry demands that I put forward my plan for cost control, rather than merely critiquing everyone else’s. This seems rather like demanding that I put forward my design for a perpetual motion machine before I am allowed to point out problems in the US energy market.
I was reminded of this style of argumentation by Harry Angstrom’s comments in my previous post, where he makes this exact argument. In thinking about it, I realized that a lot of debates with leftists often come down to this type of, “I have an idea and you don’t, therefore I must have the best plan,” argument.
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