Quote of the Day – Eyes wide shut?
In making the case for open and obvious centralized rationing, advocates claim that “we” must ration with “our” eyes open. From Beth Haynes at PJM:
That’s why Medicare needs the Independent Payment Advisory Board. Setting a cap on spending is the first step of rationing. The next is deciding who gets what medical care.
“Limited resources require decisions about who will have access to care and the extent of their coverage.” (Berwick, 1999)
As physician-blogger Dr. Richard Fogoros puts it: we can either ration overtly or covertly (“with our eyes open” or closed) — but ration we must.
The only problem with this is that a national central planner (or committee) can have their eyes wide open, yet will still be totally blind. No matter how hard you look, you can’t see a building that’s 3,000 miles away with the naked eye, can you? Centralized planners face the inevitable limitation of vision imposed by distance and the human being’s limited ability to comprehend information.
Technology increases the distance the planners can see, and allows them to comprehend more of what they see. But, contrary to the belief of the planners themselves, they’re still essentially blind. What the planners call careful, scientific decision-making I call groping blindly for solutions based on assumptions and personal preferences.
The fundamental truth forseeing the failure of Obamacare is that only individuals can ration well for themselves. Whatever centralized planners do, it’s with eyes wide shut.