States’ right approach – US Healthcare
Interesting approach to reforming healthcare in the US. It is my opinion that healthcare should be at best an individual issue (with direct subsidies to the poor) and at worst a state rights issue. It is good to see two Senators – Wyden and Brown- Democrat and Republican respectively, are pushing the states’ rights approach.
Wyden and Brown become Senate’s odd couple in The Washington Post
In short, the legislation would allow states to opt out of the federal health law in 2014 instead of 2017, provided they meet minimum coverage benchmarks. The argument, Wyden said, is that the bill would give both conservatives and liberals a chance to prove their theories on how best to run health care. Conservative-leaning states antagonistic to the bill’s individual mandate provisions can try more market-based models. And the more liberal states that considered the overhaul insufficiently bold can give the public option a shot.
Unless of course the US Supreme Court or the lower courts rules the entire law unconstitutional. I think the court in Virginia has already said so about some parts of the law – the part where govt forces every individual to buy private insurance.
Republicans have been fighting it. But they may be overplaying their hand. If I were Obama’s adviser I would just ask him to extend Medicaid to all who wants insurance. This would be perfectly constitutional. But this would be the worst nightmare for anyone wanting a smaller govt, especially in Washington.
India should pay a bit more (understatement) to our states’ right. We are only seeing the beginnings of various command and control mandates from Delhi. These mandates, fueled by ivory tower activists, pushing one rights based something after another, are busy shoving one law after another down the throat of states. There are no provisions for states to experiment and customise solutions to fit their needs. It is all one size fits all. Recipe for disaster.
Education, food, agriculture, etc. are state issues and should be left to the state to decide how to deal with them. Infact some of these are individual rights issues. State should experiment, especially with empowering of individual with direct subsidies to the deserving. Central govt should have no say in these matters.
