
MY DARLING D-I-L SHOOTS A 20-GAUGE SHOTGUN TODAY FOR THE FIRST TIME.
And she's rather good at it, if I do say so.
New Year, Conservative Opinion
Faith-Filled Living In Fear-Filled Times (Pt. 8) from River Crossing on Vimeo.
A RERUN SERMON FROM THIS PAST SUMMER. It's my favorite from Pastor Mike Atkins at River Crossing in Jackson Hole, Wyoming on What Is the Fear of the Lord? I need to hear this more than once or twice or even three times. Everything he says here is worthy of deeply meditating on as we go into the last days of 2013 and then into the New Year....God Bless.The unraveling of the Affordable Care Act presents a historic opportunity for change. Its proponents call it "settled law," but as Prohibition taught us, not even a constitutional amendment is settled law—if it is dysfunctional enough, and if Americans can see a clear alternative.
This fall's website fiasco and policy cancellations are only the beginning. Next spring the individual mandate is likely to unravel when we see how sick the people are who signed up on exchanges, and if our government really is going to penalize voters for not buying health insurance. The employer mandate and "accountable care organizations" will take their turns in the news. There will be scandals. There will be fraud. It will go on for years.
There is an alternative. A much freer market in health care and health insurance can work, can deliver high quality, technically innovative care at much lower cost, and solve the pathologies of the pre-existing system.
The U.S. health-care market is dysfunctional. Obscure prices and $500 Band-Aids are legendary. The reason is simple: Health care and health insurance are strongly protected from competition. There are explicit barriers to entry, for example the laws in many states that require a "certificate of need" before one can build a new hospital. Regulatory compliance costs, approvals, nonprofit status, restrictions on foreign doctors and nurses, limits on medical residencies, and many more barriers keep prices up and competitors out. Hospitals whose main clients are uncompetitive insurers and the government cannot innovate and provide efficient cash service.So the choice is clear, Obamacare is on life-support and our federal tenders may not pull the plug for years. But we can move on and push for the most innovative companies in the country, and world, to find creative solutions that will leave the humongous federal beast our rear-view mirrors.
We need to permit the Southwest Airlines, LUV +0.21% Wal-Mart, WMT +0.18%Amazon.com AMZN +0.57% and Apples of the world to bring to health care the same dramatic improvements in price, quality, variety, technology and efficiency that they brought to air travel, retail and electronics. We'll know we are there when prices are on hospital websites, cash customers get discounts, and new hospitals and insurers swamp your inbox with attractive offers and great service.The Affordable Care Act bets instead that more regulation, price controls, effectiveness panels, and "accountable care" organizations will force efficiency, innovation, quality and service from the top down. Has this ever worked? Did we get smartphones by government pressure on the 1960s AT&T T +0.75% phone monopoly? Did effectiveness panels force United Airlines and American Airlines to cut costs, and push TWA and Pan Am out of business? Did the post office invent FedEx, FDX +0.70% UPS and email? How about public schools or the last 20 or more health-care "cost control" ideas?
Only deregulation can unleash competition. And only disruptive competition, where new businesses drive out old ones, will bring efficiency, lower costs and innovation.