The insight that people need food has not led us to simply deregulate the agricultural sector (though that might be a good idea for other reasons) or change the tax treatment of food purchases or make it easier for rich people to donate to food banks, which is what Mackey recommends for health care. It’s led us to solve, or try and solve, the problem directly by giving people money to buy food. And that works. These programs, as every Whole Foods shopper knows, haven’t grown to encompass the whole population or set prices in grocery stores. If you have more money, you shop for food on your own. And if you have a lot of money, you shop at Mackey’s stores. That’s pretty much the model we’re looking at in health care.
Mackey, playing to type, has offered a Whole Foods solution for health care: It makes the system even better for the rich and the young and the educated — the sort of people who shop at Whole Foods, in other words — and doesn’t do a lot for those who really need help. Mackey has learned a lot over the past few decades about how to serve them. But Whole Foods is a grocery story for people who have money, not people who need food. And the correct analogy for health care is not people who can shop at Whole Foods. It’s people who need food.
