Does Obamacare Infringe on Our Liberty? Or Does It Give Us Even More Freedom?

What right does the government have to make you buy health insurance?

That’s the question that riles Obamacare critics the most. It’s not the premiums or the website or the dropped coverage. It’s the infringement on their liberty.

Does Government Threaten Our Freedom?You hear it all the time: “This is a free country!” That’s what everybody says. But what do they really mean? Do they know what freedom is?

It seems obvious at first. Freedom is lack of coercion. Therefore, anything the government makes you do infringes on your freedom.

But there are different types of coercion, and the government isn’t the only one doing the coercing.

Let’s say that you want your daughter to attend the best school in America. But you can’t afford the tuition. Do you really have freedom of choice? If you choose the school you want, they won’t let you through the front door. If you force your way in, they’ll arrest you.

So you “choose” a more affordable school. You wanted a better school, but they forced you to settle for a different one. Sounds like coercion to me.

Let’s consider another example. You want to retire at the age of 65. You’ve worked hard throughout your entire adult life. Unfortunately, wages haven’t risen, and the bills kept piling up. You saved as much as you could, but it’s only enough to live off for a couple years. Oh, and one more thing: Social Security and Medicare don’t exist.

If you “choose” to retire, you’ll go broke. You’ll go without preventive health care. Your chances of dying early will increase significantly.

So you have a choice: Keep working or die young.

In this case, you actually have less freedom because the government is less involved. Without Social Security and Medicare, you do not have the freedom to choose a long, healthy retirement.

Freedom requires more than the absence of laws and taxes. True freedom of choice requires the capability to make that choice — and the free market doesn’t always give us that capability.

Jobs are scarce. Most of us don’t have the freedom to work anywhere we want. We take what we can get. For many of us, that means working at a company that doesn’t pay for our health insurance. So we “choose” to buy insurance on the individual market.

Before Obamacare, the individual market charged really low rates to healthy people and really high rates to sick people. So the people who needed insurance the most couldn’t afford it. They didn’t have the capability — and therefore the freedom — to buy it.

Obamacare outlaws that kind of discrimination. It requires insurers to charge the same rates to healthy and sick people alike, and that means that healthy people will have to pay higher rates. Some of them won’t want to, so they’ll stop buying insurance. When they drop out, they leave behind the sicker people who are most costly to insure, forcing insurers to raise rates even more. It’s a vicious cycle, a “death spiral,” that results in almost everyone being priced out of the market.

Virtually no one will have the freedom to buy health insurance on the individual market.

And that’s why we have an individual mandate. If the healthy people don’t drop out, there’s no death spiral, and the insurance remains affordable for the people who need it the most.

The government gives them a freedom that the free market cannot. It gives them the capability to purchase health insurance.

If we choose not to buy insurance, we pay a penalty. As Supreme Court Chief Justice John Roberts has written, “it makes going without insurance just another thing the Government taxes, like buying gasoline or earning income.” Those taxes pay for our roads and Army and Navy and Social Security and Medicare — and those things give us the freedom to live a life that we often take for granted. Without those taxes, without those government-funded investments, we could not call ourselves a free country.

In the same way, without Obamacare, without the government making us buy health insurance, we would be condemning millions of Americans to lives without health care. We would be restricting their freedom. And what right do we have to do that?

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This op-ed was published in today’s South Florida Sun-Sentinel and Huffington Post.

An Open Letter to the One Percent

Back Cover of "Letter to the One Percent"Congratulations. You are the richest class of human beings in the history of the world. Collectively, you own 26 percent of this nation’s wealth. Add in the next richest 5 percent of Americans, and you have more money than everyone else combined. Nowhere else in the world would you be able to earn so much and give back so little.

You worked hard for that money. No one can deny that. You have been rewarded for your talent, your intelligence, your risk-taking, your creativity, and your good fortune. The notion that you should change a system that has worked so well must seem downright stupid.

But, as the philosopher Amartya Sen reminds us, “What we can see is not independent of where we stand in relation to what we are trying to see.”

From where you’re standing, things must look pretty good. In the world you live in, economic growth is strong. Unemployment is brief, rare, and softened by ample savings. Health insurance is affordable. Education is among the best in the world. Food, shelter, and transportation are never hard to come by. And retirement will surely be comfortable.

It’s not perfect. You may get fired. You may lose money. You may experience stress and sacrifice and sorrow. But you will not struggle to survive. You will not be denied the American Dream.

So it’s only natural that you believe this path is open to everyone. But this could not be further from the truth.

In the world outside the One Percent, economic growth is sluggish — and has been so, on average, for more than thirty years. For most Americans, in fact, it has been nonexistent. Unemployment is a common and devastating threat. Retirement is an uphill battle. Education is a crapshoot. Food, shelter, and transportation strain the budget. And until recently, health insurance was a luxury afforded to some but not nearly all.

You’ve read these complaints before. You’ve heard the voices shouting outside your office windows. You’ve seen the faces protesting on your television screens. But, in all likelihood, you haven’t seen the world through their eyes. And that makes all the difference.

Adam Smith, the father of modern economics, taught that we cannot know what is the right thing to do until we have looked at a situation through the eyes of an “impartial spectator.”

“In solitude,” wrote Smith, “we are apt to feel too strongly whatever relates to ourselves… The conversation of a friend brings us to a better, that of a stranger to still a better temper. The man within the breast, the abstract and ideal spectator of our sentiments and conduct, requires often to be awakened and put in mind of his duty.”

That duty is great, for you wield immense power.

A few years ago, the political scientist Larry Bartels studied the voting record of U.S. Senators on issues where the rich, the middle class, and the poor disagreed. He found that the Senators sided with the rich 50 percent more often than they sided with the middle class, and they always sided with the rich and the middle class over the poor.

In a sense, they’re protecting their own. After all, the average legislator is six times richer than the average citizen.

They also have more reasons and more opportunities to hear what you have to say. Corporations, which you own and run, spend significantly more money lobbying and have significantly more high-level government allies than their opponents. The result is that corporations win lobbying battles far more often than unions or citizen groups.

You have an obligation to use that influence responsibly. Since the 1970s, you have failed in that duty. By tilting the playing field away from the 99 Percent, you siphoned an increasing share of the nation’s resources, until the country was drowning in debt, struggling to keep up, and unable to fuel the recovery it so desperately needed. Once you had climbed the ladder of success, you pulled up the ladder so no one could come up after you.

I don’t believe you did so with malicious intent. After all, many of you are my friends and colleagues. Rather, I believe you were practicing what the late economist John Kenneth Galbraith called “innocent fraud.”

“It is innocent,” explained Galbraith, “because most who employ it are without conscious guilt. It is fraud because it is quietly in the service of special interest.”

As opposed to general interest, the interest of all Americans. There is a way to become rich without impoverishing everyone else — and we as Americans celebrate that sort of success — but that’s not what has happened in recent years.

To be clear: It is not your accumulation of wealth per se that lies at the root of our problems. It is the manner in which that wealth was accumulated: through the systematic demolition of the tax code, regulations, public spending, and labor market institutions that created the greatest prosperity the world has ever seen.

The good news is, all that wealth gives you the ability to undo the damage. You are the most powerful citizens of the most powerful country in the world. Your country needs you. You have the influence, the means, and the brainpower to turn this economy around, but you must know the facts. You must hear the cold, hard truth.

No, I’m not trying to start a class war. Quite the opposite. I’m asking you to end the class war. I’m asking you to construct an economy where everyone benefits, rather than the few at the expense of the many.

“There’s class warfare, all right,” said Warren Buffett in 2006, “but it’s my class, the rich class, that’s making war, and we’re winning.”

You probably don’t see it that way. “War” is a strong word. But that’s because it’s not your standard of living that’s been under near-constant attack for thirty-plus years. Your piece of the pie has been growing. Your voices have been heard. And that’s why you’re the ones who have to step up.

Nothing less than what Sen calls “the freedom to determine the nature of our lives” is at stake. That’s something that you have and most of the 99 Percent doesn’t. That kind of freedom only comes with a good job with good benefits in a growing economy where good schools and a safe neighborhood in a clean environment create real opportunity. Not only is that kind of freedom at the heart of the American Dream; it’s also our natural birthright as human beings. Yet it’s been slipping out of reach for more and more Americans with each passing year.

Things can get worse. Let us hope they do not. Of course, it’s one thing to hope; it’s quite another to act. But act you must. In my new book Letter to the One Percent, I explain why. To learn more, visit www.LetterToTheOnePercent.com.

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This op-ed is an excerpt from my new book Letter to the One Percent, published this month by Lulu Press, Inc.

Best of the Week: April 18-24, 2010 (sort of)

In trying to catch up, I skipped a few days during April 18-24. I can’t guarantee that these are the “best” of the week. In fact, I’m sure I missed some important ones, but I can assure you that these are all very good. — AWO

10. Falling Out — Ted Galen Carpenter
9. Precedent Suggests Afghanistan Taliban Could Win: Report — Ben Arnoldy
8. Congress Drops the Ball on Rating Agency Reform — Barbara Kiviat
7. The Economist Manifesto — Amartya Sen
6. Mind Over Meds — Daniel Carlat
5. Mortgage Deduction: America’s Costliest Tax Break — Jeanne Sahadi
4. Yes, It’s a Bailout Bill — Phillip Swagel and Resolution Authority: Missing an Umpire — Stephen Lubben
3. Al Qaeda’s Top Gun — Jeremy R. Hammond
2. Why Do Harvard Kids Head to Wall Street? An Interview with an Ex-Wall Street Recruit — Ezra Klein
1. Six Doctrines in Search of a Policy Regime — Paul Krugman, Pesos, Ponzi, and Financial Sector Profits — Paul Krugman, and Minsky vs. Krugman — Arnold Kling
BONUS: It Slices, It Dices — Steven Strogatz