I'll be the first to admit we have problems with our current system of health care. From exponential increases in costs to long lines in the ER because it's the only option for the uninsured, it is clear that there is room for improvement. Unfortunately, the left has claimed this issue, and their idea of "improvement" is the standard formula of bigger government, payed for by "someone else" (a standard liberal trap - eventually "someone else" becomes "you"). So what's wrong with that?
As a matter a principle, I have no problem with guaranteeing health care for everyone. In order for this to work though, it must involve the free market, which is the only way to keep prices down, and must ultimately give power to the individual, not the government (or a government-sponsored monopoly, as with your local cable company).
Handing the keys to our health care system over to the governement is not the answer. It sounds good (which is all that's required to appeal to the left), but a deeper look reveals a number of potential problems.
1. It ignores the root of the problem - rising costs. Think you won't have to pay for health care premiums out of your paycheck any more? Think again - they'll still come out of your check, just from the line marked "Federal Income Tax" rather than "HMO". There's no free lunch, especially when the government gets involved. As with everything else, health care costs are a function of supply and demand - this is simple logic. Turning the system over to the government does nothing to change this equation. The costs will continue to skyrocket unless supply increases and/or demand decreases.
How could supply increase? One way this could happen is by making the system more efficient, through technology such as the electronic medical record. A more efficient system can handle larger numbers of patients more quickly, effectively increasing supply. Unfortunately, the Federal government is not exactly known for efficiency, and layers of bureaucracy will only hinder these efforts. Just look at the mess that is Medicare Part D for an example of government "efficiency" when it comes to health care.
So it's pretty clear that government-run health care would do nothing to increase supply. What about the demand side? Proponents of these ideas usually point to the large numbers of uninsured that go to the ER because it's the only way they can get treatment. It's true that a system in which all are insured would reduce this, but I have a hard time believing that this one group will outweigh an entire system that has no incentive to control spending whatsoever - after all, if the governement is paying for it, who cares if a procedure costs $1000 at Clinic A and $2000 at Clinic B? Clinic B is a few minutes closer, so I'll go there - after all, I'm not paying for it, and for that matter I probably don't know there's a price difference anyway.
2. Do you want your health care run by the same institution that ran FEMA during the Katrina mess? Or, perhaps a more relevant example is the new Medicare Part D plan, which is so confusing some pharmacies have advertised that they have an "expert" available to sit down with you and explain it. If you think your HMO plan is confusing, just wait until the same organization that gave us the IRS owns your health care. Imagine hiring a professional "health plan expert" to navigate the depths of your government-run plan, just as many do with today's tax code. After all, a government-run health plan would be written by congress, which is basically nothing but a bunch of lawyers. That's why our tax code is the way it is, and will probably never change... why would health care turn out any differently?
3. It gives the government, and more specifically whichever party is currently in power, too much say over what is and isn't covered. The left should be particularly concerned about this one. If you're a liberal, think about this - what happens when conservatives are in control and decide that abortions, birth control, etc. should not be covered? When you turn control over to the governement, you turn your health care into a political football. Sure, the party you like may be in power now, but history says the other party will eventually take their place, at which point your health coverage is subject to opinions and values vastly different than yours.
4. It paves the way for a "big brother" type government that takes away individual freedoms in the name of keeping health care costs down. Let's think about what will happen to this governement program 10, 20, or more years down the road as costs continue to rise. One logical solution would be to use the power of legislation to cut costs by discouraging or even outlawing "risky" activities that statistically lead to higher health care costs. In a free market, if my neighbor is overweight, sits in front of the TV all day, and eats Big Macs as a midnight snack, that's his business, or at least the business of his insurance company which generally doesn't have the power to regulate such things. But in a system where we are all in the same government-run health care pool, funded by tax money, his lifestyle is very much my business since I'll be paying for his triple-bypass surgery. Under this regime, it would be easy to justify the erosion of personal freedoms such as what to eat, how much to exercise, etc. in the name of keeping health care costs down. This last point is the one that really frightens me, not only because I consider individual freedom a core value, but also because I believe it would happen much easier and with less of a fight than most people think. Sadly, there are too many people who don't mind having freedoms stripped away, as long as it saves them some money or makes them feel good about the cause of the day.
So considering all of that, is "health care for all" a hopeless cause? Not at all... as I mentioned earlier, I have no problem with guaranteeing health care for all American citizens. Here's a hypothetical system that I could support (just off the top of my head - not based on any real plan I've heard of):
Everyone gets a voucher for a health care plan. They can choose from any of the plans that are available today, as well as those offered by other states (which is currently prohibited in most cases). This allows the free market to come into play. Each plan is still free to set its own rate. If you choose a plan that is cheaper than average, you get a portion of the difference as a refund. If you choose a more expensive plan, you pay the difference.
Of course that's just a very rough outline, but it solves the problem of the uninsured without opening the door to any of the problems described above. There are probably other solutions that are equally as good or better. Hopefully sanity will prevail and we won't hand the keys over to the government... but unless a fix happens soon, I fear that more and more people will believe that government is the only answer and we will and up taking the "easy road" of public health care.