We are the only nation where paper is still the mainstay in the private insurance industry.
Uwe ReinhardtWe Americans, or half of Americans, think health care is a commodity. Other countries view health care as a social service that should be collectively financed and available to everyone on equal terms. My wife and I just interviewed the German minister of health, and it was an exhilarating experience, because it was a totally different language. It was obviously important that everyone should have the same deal in health care.
Uwe ReinhardtThere are libertarian values which say private property is the overarching value, the sanctity thereof, and there are egalitarians who say health care should be shared and so on. That's fair enough.
Uwe ReinhardtWe economists, in our classes, teach students that to some degree, price discrimination is actually a good thing; that it allows you to serve lower-income people. Take Africa, with AIDS. They could never finance what an AIDS cocktail costs here, over $10,000 a year. But if you sold it to them for $300 a year, which just barely covers cost, they could probably serve quite a few of their citizens, with World Bank help. We economists say that will be beneficial. But it's a two-tier system; yes, African people pay less than we would pay.
Uwe ReinhardtThe rich are becoming richer, and the gap between the rich and the poor is getting bigger.
Uwe ReinhardtThe [Hobby Lobby Supreme Court] ruling raises the question of why, uniquely in the industrialized world, Americans have for so long favored an arrangement in health insurance that endows their employers with the quasi-parental power to choose the options that employees may be granted in the market for health insurance.
Uwe Reinhardt