Hayek on healthcare: Don’t be serfs, Americans!

Hayek

Hayek

I’ve only mentioned Friedrich von Hayek tangentially on The Hannibal Blog so far, although he probably deserves his own post in my great-thinker series quite soon. Hayek was one of the great liberals, properly defined. He was close intellectually and personally to my great-uncle Ludwig Erhard. His book The Road to Serfdom should be required reading.

So I was glad to see Andrew Sullivan revisit The Road to Serfdom to see whether Hayek addressed the topic of health care that so captivates America these days. Hayek did, it turns out, and I had forgotten.

(Recall that I, also with classical liberal instincts, concluded, in my amateurish way, that health care is different enough from other industries to warrant one of two clean and equally acceptable solutions: universal private insurance or universal government–ie, “single-payer” insurance. Anything, in short, but America’s current, fragmented, employer-government-individual hodgepodge.)

Here is Hayek, from Chapter 9 of The Road to Serfdom, via Andrew:

Nor is there any reason why the state should not assist the individuals in providing for those common hazards of life against which, because of their uncertainty, few individuals can make adequate provision…. Where, as in the case of sickness and accident, neither the desire to avoid such calamities nor the efforts to overcome their consequences are as a rule weakened by the provision of assistance – where, in short, we deal with genuinely insurable risks – the case for the state’s helping to organize a comprehensive system of social insurance is very strong… Wherever communal action can mitigate disasters against which the individual can neither attempt to guard himself nor make the provision for the consequences, such communal action should undoubtedly be taken.


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Why Andrew blogs

Andrew Sullivan

Andrew Sullivan

Andrew Sullivan, celebrity blogger and acerbic teller of truth, writes a long treatise on why he blogs in The Atlantic. He’s been at it far, far longer than I have, but his reasons are the same as mine. Some excerpts:

On finding a telos and a voice as a blogging virgin:

I remember first grappling with what to put on my blog. It was the spring of 2000 and, like many a freelance writer at the time, I had some vague notion that I needed to have a presence “online.” I had no clear idea of what to do…

I realized that the online form rewarded a colloquial, unfinished tone. … So I wrote as I’d write an e-mail—with only a mite more circumspection. This is hazardous, of course, as anyone who has ever clicked Send in a fit of anger or hurt will testify. But blogging requires an embrace of such hazards, a willingness to fall off the trapeze rather than fail to make the leap….

On the sense of liberation from the evil editor:

It was obvious from the start that it was revolutionary. Every writer since the printing press has longed for a means to publish himself and reach—instantly—any reader on Earth. Every professional writer has paid some dues waiting for an editor’s nod, or enduring a publisher’s incompetence, or being ground to literary dust by a legion of fact-checkers and copy editors. If you added up the time a writer once had to spend finding an outlet, impressing editors, sucking up to proprietors, and proofreading edits, you’d find another lifetime buried in the interstices. But with one click of the Publish Now button, all these troubles evaporated….

On the intimacy and authenticity of blogging:

That atmosphere will inevitably be formed by the blogger’s personality. The blogosphere may, in fact, be the least veiled of any forum in which a writer dares to express himself. Even the most careful and self-aware blogger will reveal more about himself than he wants to in a few unguarded sentences and publish them before he has the sense to hit Delete. The wise panic that can paralyze a writer—the fear that he will be exposed, undone, humiliated—is not available to a blogger. You can’t have blogger’s block. You have to express yourself now, while your emotions roil, while your temper flares, while your humor lasts. You can try to hide yourself from real scrutiny, and the exposure it demands, but it’s hard. And that’s what makes blogging as a form stand out: it is rich in personality. …

On how the new medium of blogging is likely to reinvigorate the older text media:

A blogger will air a variety of thoughts or facts on any subject in no particular order other than that dictated by the passing of time. A writer will instead use time, synthesizing these thoughts, ordering them, weighing which points count more than others, seeing how his views evolved in the writing process itself, and responding to an editor’s perusal of a draft or two. The result is almost always more measured, more satisfying, and more enduring than a blizzard of posts. The triumphalist notion that blogging should somehow replace traditional writing is as foolish as it is pernicious. In some ways, blogging’s gifts to our discourse make the skills of a good traditional writer much more valuable, not less. The torrent of blogospheric insights, ideas, and arguments places a greater premium on the person who can finally make sense of it all, turning it into something more solid, and lasting, and rewarding….

In fact, for all the intense gloom surrounding the news-paper and magazine business, this is actually a golden era for journalism. The blogosphere has added a whole new idiom to the act of writing and has introduced an entirely new generation to nonfiction. It has enabled writers to write out loud in ways never seen or understood before. And yet it has exposed a hunger and need for traditional writing that, in the age of television’s dominance, had seemed on the wane.


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