Opinion of the court, delivered by David Lamb:
The American health care system is a lot like Former President George W. Bush: it has a soft spot for the private sector, it costs the nation dearly, and it was a lot more popular seven years ago.
It’s also similar in that it exists in a world unburdened by basic economics; where the American system has a public program—Medicare—that will use federal money to treat cancer in a retired sixty-eight-year-old who no longer pays income taxes, it has no such program to help a fifteen-year-old buy antibiotics for pneumonia, even though local and state governments have invested tens of thousands of dollars in the fifteen-year-old’s education and even though the fifteen-year-old has decades of income taxes yet to pay.
It has been five months since Mr Bush fled from Washington, and yet the United States’ health insurance system, dreamed up by depression-era businessmen in rooms full of cigar and cigarette smoke, has continued to plague Americans like a self-induced lung cancer, that is, from the inside, out.
While President Obama’s proposed health care plan broadens eligibility standards for Medicaid—the public insurance program for low-income Americans—proposes another national plan to compete with private insurers, and mandates health insurance for children, it doesn’t socialize medicine, leaving the possibility that some citizens will remain uninsured. These people, who will be between eighteen and sixty-five, and in jobs which don’t provide health care benefits—often ones that pay below the national average—will be forced to pay more for health insurance if they want it.
As long as there exist public health insurance alternatives, private companies will be allowed to charge outsized premiums to risk-heavy customers—those likely to need significant medical attention in the near future. Meanwhile younger, healthier Americans, and those employed in high-income jobs, will opt for the private plans which they will rarely use. Federal plans will, therefore, either offer insurance at uncompetitive rates or hemorrhage money. In the second and far more likely case, healthy citizens, some of whom won’t have insurance, will subsidize the care of aging and unhealthy ones, much like they do now with current Medicare policy.



