Third Dem Debate Leaves Major Health Care Questions Unanswered

For more than two hours Thursday night in Houston, 10 presidential candidates responded to questions in the latest Democratic debate. On health care, however, most of those responses didn’t include actual answers.

As in the past several contests, health care led off the debate discussion, and took a familiar theme: former vice president Joe Biden attacked his more liberal opponents for proposing costly policies, and they took turns bashing insurance companies to avoid explaining the details behind their proposals. Among the topics discussed during the health care portion of the debate are the following.

How Much—and Who Pays?

The problems, as Biden and other Democratic critics pointed out: First, it’s virtually impossible to pay for a single-payer health care system costing $30-plus trillion without raising taxes on the middle class. Second, even though Sanders has proposed some tax increases on middle class Americans, he hasn’t proposed nearly enough to pay for the full cost of his plan.

Third, a 2016 analysis by a former Clinton administration official found that, if Sanders did use tax increases to pay for his entire plan, 71 percent of households would become worse off under his plan compared to the status quo. All of this might explain why Sanders has yet to ask the Congressional Budget Office for a score of his single-payer legislation: He knows the truth about the cost of his bill—but doesn’t want the public to find out.

Keep Your Insurance, or Your Doctor?

Believe it or not, Biden once again repeated the mantra that got his former boss Barack Obama in trouble, claiming that if people liked their current insurance, they could keep it under his plan. In reality, however, Biden’s plan would likely lead millions to lose their current coverage; one 2009 estimate concluded that a proposal similar to Biden’s would see a reduction in private coverage of 119.1 million Americans.

For his part, Sanders and Warren claimed that while private insurance would go away under a single-payer plan, people would still have the right to retain their current doctors and medical providers. Unfortunately, however, they can no more promise that than Biden can promise people can keep their insurance. Doctors would have many reasons to drop out of a government-run health plan, or leave medicine altogether, including more work, less pay, and more burdensome government regulations.

Supporting Obamacare (Sometimes)

While attacking Sanders’ plan as costly and unrealistic, Biden also threw shade in Warren’s direction. Alluding to the fact that the Massachusetts senator has yet to come up with a health plan of her own, Biden noted that “I know that the senator says she’s for Bernie. Well, I’m for Barack.”

Biden’s big problem: He wasn’t for Obamacare—at least not for paying for it. As I have previously noted, Biden and his wife Jill specifically structured their business dealings to avoid paying nearly $500,000 in self-employment taxes—taxes that fund both Obamacare and Medicare.

A March to Government-Run Care

I’ll give the last word to my former boss, who summed up the “contrasts” among Democrats on health care.

As I have previously noted, even the “moderate” proposals would ultimately sabotage private coverage, driving everyone into a government-run system. And the many unanswered questions that Democratic candidates refuse to answer about that government-run health system provide reason enough for the American people to reject all the proposals on offer.

This post was originally published at The Federalist.

Democrats Debate How to Give “Free” Stuff to More People

The first night of this month’s Democratic debates provided rapid-fire exchanges on health care, made more complicated by CNN debate moderators who rarely gave candidates time to explain their positions clearly. But the overall tenor of the debate seemed clear: Promising free stuff to voters.

Health care consumed a fair portion of the debate’s first hour. Following lengthy exchanges in the first segment, another extended discussion on electability in the second segment revolved around health care—specifically the provision in Sen. Bernie Sanders’ single-payer bill that would make private health coverage “unlawful.”

Sanders and his fellow Sen. Elizabeth Warren (D-MA) sparred with other, more moderate candidates—Sen. Amy Klobuchar (D-MN), Rep. Tim Ryan (D-OH), Rep. John Delaney (D-MD), and South Bend Mayor Pete Buttigieg—about the feasibility of banning the private coverage that most Americans currently have, and like. Warren won applause from the audience, and likely from the liberal base, with her (self-)righteous anger at these criticisms, decrying Democrats’ use of “Republican talking points” about “taking away health care,” and attacking Delaney for “talk[ing] about what we really can’t do and shouldn’t fight for.”

But partisan attacks aside, the debates showed more similarities than differences, on two key fronts. First, even candidates like Buttigieg and former congressman Robert Francis O’Rourke (D-TX) said they want to move everyone onto a government-run health plan—they just want to do it in a slower and more subtle fashion than Sanders.

When Buttigieg argued that a government-run “public option” would get to single payer eventually, he meant that he would sabotage private coverage to force people into the government system over time. After all, Democrats wouldn’t support the creation of such an “option” if they didn’t think it would lead to huge enrollment, which they believe can become a self-fulfilling prophecy through policy bias.

Yet while Sanders sponsored the legislation, he obviously has not read it, calling his proposal “Medicare for All” even though it would explicitly abolish the current Medicare program. Sanders also claimed yet again that his proposal would make health care a human right, even though it would do no such thing. People would have the “right” to have their care paid for if they can find a doctor who will treat them, but they have no explicit “right” to care under his bill.

In a similar manner, Warren refused to admit, despite repeated questioning from the CNN anchors, that taxes on the middle class would go up to pay for everyone’s “free” health care. She pledged that total costs would go down, an implicit acknowledgement of the obvious fact that wealthy individuals alone cannot fund a government-run health system costing trillions of dollars annually. But she, like her California Senate colleague Kamala Harris, somehow wants to keep up the fiction that middle-class families can consume all the health care they want without having to pay for any of it in taxes.

Ultimately, one key winner emerged from the debate: Donald Trump. Moderate candidates who have little shot at winning the nomination took multiple shots at the party’s leftward lurch that the Trump campaign can easily exploit next summer and fall.

The more Democrats keep pushing farther and farther to the left—with the debate on outlawing private health insurance a prime example—the better the president’s chances of winning re-election. Given the tenor of Tuesday’s discussion, the Trump campaign should offer to host, and pay for, another debate for Democratic candidates, as soon as possible.

This post was originally published at The Federalist.