Health Care: The Myth of Free Choice

By David K. Shipler
If the Supreme Court overturns the health care law, the best response would be to enact a single-payer system, possibly by expanding Medicare downward by age until everyone is covered: in other words, a tax-funded service that is clearly constitutional.

Democrats in Congress toyed with the idea, but it won’t happen, of course, because Republicans who don’t know what socialism is will scream, “Socialism!” Nor are we open to learning from other industrialized countries, which have fashioned an array of methods to finance and deliver medical care to their populations. Our pride in American exceptionalism seems to make us impervious to others’ experiences.

Therefore, as seems likely after today’s skeptical questioning by conservative justices, the United States will remain buffeted by a semi-private system that creates the illusion of free choice.