We have already seen the blatant cronyism of Obamacare in its favorable treatment of the elected representatives who created it. This article points in the direction of the destruction of the entire healthcare system by the black markets and workarounds which will inevitably be spawned by a cumbersome and ultimately arbitrary scheme for the distribution healthcare services.
Socialists in the creation of their grand schemes are motivated by a desire to impose equality. We might consider the Soviet Union as an example of a system which purported to worship equality but actually resulted in a very distorted two-tier system for elitists and for the disfavored. As the system inevitably becomes more and more bureaucratically oppressive in its drive for equality the disfavored inevitably find ways into a black market or some other workaround. Not everyone in Venezuela today cannot get toilet paper.
David Halberstam, although a liberal, wrote a brilliant book entitled, All the Best and Brightest in which he described how Secretary of Defense McNamara's drive to feed data to his Whiz Kids to win the war by numbers actually resulted in subordinate military officers cooking the books, especially body counts. He noted that McNamara achieve did the same perverse results at Ford Motors. Inevitably, both doctors and patients will be motivated to give the government the data the government wants, the data the government rewards, and they will contrive the right symptoms in the right subjective diagnoses to qualify for payments. The distortions will feed on themselves and grow on themselves until the whole system, like the Soviet Union, crashes of its own ponderousness. In the meantime, grand decisions by our bureaucratic masters about what kind of health care we get or whether we get any at all will be determined on the basis of a growing dung pile of phony data.
