Solutions. We all want them. Here are some broad strokes to some problems we face.
Health Care
I reject the idea of a “Health Care Crisis.” A crisis as such simply doesn’t exist. Go to any hospital, urgent care center or what have you, and you will receive the care you need. Nobody is turned away.
What we do have is a problem of payment, which is tied to our insurance, which is tied to our employment. Note the two-step linkage; this is also a problem.
Solution:
1) Revoke, amend or repeal the federal legislation which encourages receiving health care through an employer. HIPAA only went a small way towards portable health insurance; we need to completely decouple health care from employers altogether. (Doing so would also reduce the overhead of running a company.) This probably means losing the pre-tax exception on health care premiums, and it means people begin paying the true cost of their health coverage. This would be painful, but with a transitory period (say, 24 months) it would be doable.
2) Now that insurance is truly portable– like auto insurance– and costs are more transparent to the consumer, we can work on what insurance is for. Namely, health insurance is for emergencies. Heart attacks, cancer, broken bones and that sort of thing. Insurance companies can also offer additional plans for those willing to pay more. The point is, for the millions of healthy people and families out there (whose demand is currently hidden by the ‘pools’ of employees in company insurance plans), plans with low premiums and high deductibles will be offered. This is true insurance and differs greatly from current plans, which are more akin to pre-paid medical care. Interestingly, plans like HSAs would probably transition quite well.
3) In no case is additional federal involvement needed, except perhaps to allow (under the Commerce clause) insurance companies to operation across states. This legislation shouldn’t vary much from the fundamental rules which govern interstate banking.
4) Medicare and Medicaid can be modestly expanded to cover basic premiums for citizens who do not work, similar to other government plans which cover auto insurance.
There. We end up with a health care system which is available to all without government managed care (so-called ‘Death Panels’).
The Middle East
If I were suddenly made King of the United States, I would adopt a simple plan for the middle east. The plan is simple, and one that we westerners are good at: ignorance.
The problem with the middle east, you see, is oil. They have lots of it, and currently we need it. We pay through the nose for it, too– not only at the gas pump, but in military involvement in silly places. These conditions need to change, and the only way to do that is for the United States to become sovereign in its energy needs.
Conservation is good, but doesn’t solve the fundamental problem: we simply require unholy amounts of energy. Therefore, we must produce more. More oil (gasp!) for the near-term (1–7 years). For the medium-term (7–30 years), we need nuclear power. We have about 100 nuke plants today. We should have 500. This would produce cheap, clean energy for our entire nation– not to mention the construction, engineering and other ancillary jobs. You want an effective ‘stimulus’ bill? Take half that $787 Billion and build nuclear plants.
Now, that we’re independent of the middle east, we have a free hand to act in a manner that is meaningful to us and clear to the rest of the world. If we then choose to continue supporting Israel, we can do so without fear of the oil weapon.
They can drink their oil. And, if they happen to develop nuclear weapons, we can deal with that threat as a sovereign nation, instead of as a dependent client state.
For the long term, we need to develop technologies which allow us to preserve our hydrocarbon supplies, rather than burning them. Oil is far too useful as a chemical feedstock for us to be burning it.
Perhaps one of these future technologies would be space-based solar power, but we need cheaper access to space for that to work.
The Environment
We’ve made some silly moves recently with regard to the environment, the most noteworthy of which is the politicization of ‘climate change.’ This is not a venue for me to discuss my views on this matter, but I will say that changes such as this have occurred and will continue to occur regardless of what we do– I’m sure the Polar Bears will survive.
I do fully agree that dumping billions of tons of CO2 in our atmosphere is a bad idea. Since much of this CO2 comes from burning hydrocarbons, shifting to a nuclear-centric power grid could only have good effects for our environmental impact.
We should also consider National Oceanic Preserves– places where fishing is not allowed, and where marine life can find refuge for breeding and migration. Ultimately, these areas will also help support existing fisheries and species diversity.
Education
The federal government should not be involved at all in primary education. Universities, as research institutions, can very much use federal dollars. Educational assistance programs– Pell Grants, Student Loans and such, should be eliminated. Yes, I know all about the costs of college– and the primary reason for these increasing costs is the availability of government money. Think of the housing bubble, but applied to classroom seats. The myth that everyone needs or deserves a world-class education is a fantasy. At some point, if we continue on our current course, the economic benefit of a college degree will be outweighed by the debt of acquiring such. What will happen then?
Best to get out now and let the bubble deflate.
National Debt
This is the Mother of All Problems. Our debt load limits our flexibility and saps future capability. My personal inclination, if I were King, would be to follow the path of cutting business regulation (see the Health Care comments above) and eliminating most corporate income taxes. For citizens below a certain income level, mortgage payments and perhaps even rent payments would be entirely tax deducible.
Corporations which provide funds to support National Parks, Preserves and other such spaces would be allowed certain exemptions in their operations. (This would be extended to corporations like Google, which uses tremendous amounts of electricity.) In short, I would do everything possible to encourage long-term economic growth. Short term ‘solutions’, like raising taxes, only damage long-term growth trends and make the debt more difficult to pay off.
Paying off the debt would increase the strength and buying power of the dollar. As this occurs, I would require a general import tariff– perhaps 5–10%- to hold ultra-cheap goods at bay. My goal is not protectionism, but to level the playing field so US manufacturers have a competitive chance.
That’s the short story, ladies and gentlemen.