August 11, 2009

On Rationing

 Matthew Yglasias:

As John Holbo suggests, one of the odder elements of the health care debate is that conservative appear to have concocted a special one-off meaning of the term “rationing” to apply to government guarantees of basic health insurance coverage. They observe that insofar as the government guarantees basic health insurance coverage to everyone, the government probably can’t actually deliver an unlimited quantity of health care services without breaking the bank. Therefore, at some point someone will probably not get some service he or she might want. This is rationing and it’s evil and the solution, for unclear reasons, is for the government to deliver no guaranteed services whatsoever since … well . . it’s not clear how that’s better since either way you could still pay out of pocket.

Conservatives don’t talk about anything else in this way. The United States Postal Service provides certain kinds of guaranteed mail delivery services. It will not, however, just do anything mail-related that you might want. This doesn’t lead to “rationing” of parcel delivery services, it leads to the existence of private sector shipping companies that you can pay to do other stuff for you.

Similarly, your kid is entitled to go to a public school. They’ll teach him reading and writing and some science and history and probably Spanish or French or some such. But in the vast majority of places, you can’t have your kid taught Japanese at taxpayer expense. Again, though, we don’t live in a dystopian universe of “language rationing” in which it’s impossible to learn Japanese, you’d just have to pay someone else to do it. We of course could ban the market in private foreign language instruction, but it’s not clear why we would do that, and the existence of public sector provision of Spanish language instruction doesn’t in any sense imply a ban on the teaching of other foreign languages. What’s more, even if you’re incredibly troubled by the fact that today’s poor children don’t have the chance to learn Japanese in public school it’s still the case that eliminating public schools and lowering taxes isn’t going to leave those kids any better off. They still won’t know Japanese and now they also won’t be able to read.

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