By James Oliphant, Los Angeles Times
WASHINGTON - If there is one thing in the proposed congressional healthcare overhaul that sets Michael Cannon's libertarian teeth on edge, it's the requirement that all Americans get health insurance.
"The federal government does not have the power to force you to purchase a private product," said Cannon, a health policy analyst at the Cato Institute, a free-market think tank in Washington.
But with Congress poised to do just that, the mandate for near-universal coverage is generating opposition not only from libertarians like Cannon, who object to the guiding hand of government regulation in almost any form, but from some liberals -- and even from some members of the insurance industry, which stands to gain millions of customers.
Both the House and Senate versions of the healthcare revamp contain a requirement that everyone have health insurance, through a job, the government or the private market.
In theory, the justification seems simple: A large number of people pay relatively modest premiums, creating a pool of money big enough to take care of those who need help.
Having people of all ages participate is especially important with healthcare, analysts note, because the major medical problems that result in big claims are found disproportionately in middle-aged and older Americans. If younger, healthier people go without insurance, premiums for the others would be driven higher.
But even as right-wing critics talk of legal challenges, critics on the left complain that Americans will be locked into buying a product that threatens to become ever more expensive -- especially if, as seems likely, the final bill does not contain a government-run insurance program to compete with private firms, the so-called public option.
"We'd like to see the individual mandate stripped," said Jim Dean, chairman of the liberal Democracy for America, which was founded by his brother, former Vermont Gov. Howard Dean.
More:
http://www.commondreams.org/headline/2010/01/02-0