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0 of 3 Premium Clicks used this month SUBSCRIBE Print + Online Subscriber Activation | Register x Forgot Password | Need an Account? e-edition | subscribe | newsletter | deals Home News Latest Stories 10 things to know for Thursday 10 things to know for Wednesday Kaleidoscope Pizza will donate Oct. 21 proceeds to ACCESS Emergency services Hitchhiker arrested after allegedly trying to stab Central Point man who gave her a ride Crime, Courts and Emergency Services Emergency services Hitchhiker arrested after allegedly trying to stab Central Point man who gave her a ride Sign of frustration The curtain drops on Southwest Oregon fire season Emergency services Politics and Elections Ward 4 Q&A: George Schroeder Ward 4 Q&A: Michael Zarosinski Ward 4 Q&A: Donna Lane Ward 4 Q&A: Andrew Watson Ward 3 Q&A: Don Libby Education Boys & Girls Clubs bursting at the seams Phoenix High School restores homecoming parade EP school district launches new app Striving to make the grade Fresh produce goes home with Jackson Elementary families Environment Fear of orphaned cubs nixes new spring bear hunt Josephine County ballot measure would ban commercial and government pesticide use Low water exposes Emigrant Lake's past Wagner Creek work would restore streambank Deer-killing disease won't taint meat for hunters State news Nation - World Obituaries Marc Lee Sprang Margaret Jones John David Locke Merlin Wayne Fjarli Margaret Jones Weather Photo Galleries Since You Asked Videos Web Cams Mail Tribune 100 Sports Latest Stories St. Mary’s boys fend off Challengers Kings of the King PREP FOOTBALL STATISTICS Injury-prone Panthers continue to forge ahead Royals’ Guthrie apologizes for post-game T-shirt Varsity 541 College Sports Young Ducks impress early Petersen’s Dawgs return to Autzen To prepare for sack-happy Utah, OSU stressing execution Thompson is CCC’s preseason player of year THE PICK Pro Sports Royals’ Guthrie apologizes for post-game T-shirt Guthrie helps Royals take 3-0 lead in ALCS Americans try task force to solve Ryder Cup Klinsman: Top Americans shouldn't play in MLS Errant throw gives Giants triumph over Cards Community Sports LOCAL EVENTS LOCAL RESULTS Business Latest Stories Umpqua Holdings more than doubles net earnings Business Resource Fair has answers Erickson's Navy contract extended Lithia's 3Q profit not enough for investors Urban Minx founder ready to pass baton Real Estate News Lithia buys Clovis dealership Rental vacancies increase Jackson County real estate sales, prices continue rebound Pallet Wine Co. expands in downtown Medford Medford's Pixel Productions moves to new quarters People In Business Transportation Business Resource Fair has answers Erickson's Navy contract extended Lithia buys Clovis dealership Agriculture Umpqua Holdings more than doubles net earnings Harry & David will hold hiring fair Thursday Ranchers offer livestock exchange 1-800-Flowers CEO: Labor shortage an issue for Harry & David Pallet Wine Co. expands in downtown Medford Opinion Latest Jim Brock: U.S. Ebola cases could have been prevented Letters to the Editor, Oct. 16 Our View: Bearnson, Stine, Lane for Medford council 'Redskins' petition seeks to end annoyances Granlund cartoon: Gas prices drop Editorials Our View: Bearnson, Stine, Lane for Medford council Our View: No clear favorite for county commissioner, position 1 Our View: It's time to legalize marijuana Another View: Congress must act on firefighting budget Our View: Talbert is the right choice for commissioner Letters to the Editor Letters to the Editor, Oct. 16 Letters to the Editor, Oct. 15 Election Letters, Oct. 14 Election Letters, Oct. 13 Letters to the Editor, Oct. 12 Guest Opinions Infill is the answer to growth issues Guest Opinion: Who’s really to blame for 2014 wildfires? 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Wehby goes after Merkley in Medford debate ... Boles fire arson suspect pleads not guilty ... Sign of frustration ... Wehby goes after Merkley in Medford debate ... Boles fire arson suspect pleads not guilty ... The right to health care exists: debate is over how to provide it Supporters of Obamacare are celebrating that the law is not an unmitigated disaster, just a mitigated one. By Michael Gerson MailTribune.com By Michael Gerson Posted Apr. 8, 2014 @ 2:00 am By Michael Gerson Posted Apr. 8, 2014 @ 2:00 am » Social News Supporters of Obamacare are celebrating that the law is not an unmitigated disaster, just a mitigated one. As enrollment closed (for most) on March 31, the system passed 7 million exchange signups. What some are taking as a triumph of governmental competence was actually an emergency rescue by private-sector volunteers after a laughable failure of government to construct and run its own system. This has hardly been a confidence-builder when it comes to public faith in bureaucracy. But never mind. And never mind that the actual goal was not 7 million exchange signups; it was insurance enrollments, which are likely to be significantly fewer. And never mind that the number of the previously uninsured seems a remarkably small portion of these signups — well under half. (Health wonk Bob Laszewski estimates that only about 27 percent of Americans eligible for Obamacare subsidies have enrolled in the system.) And never mind that even including the Medicaid expansion, the most optimistic estimates of reductions in the number of the uninsured are much less than what the Congressional Budget Office projected before the rollout began. And never mind that all these decreases in the uninsured seem small in comparison to the amount of money spent, displacement caused and political capital expended. And never mind that the proportion of younger and healthier enrollees to those with pre-existing conditions is still being determined, and that many analysts expect double-digit health insurance premium increases in many state exchanges (particularly those with limited insurance competition). And never mind that health care cost inflation has suddenly spiked to a 10-year high. The Obama administration is pausing to bow at mile two of a marathon. And supporters, naturally, are grateful for some reason, any reason, to cheer. But the whole story of Obamacare has been a cycle of overpromising and disappointment. And advocates seem determined to continue it. Still, some conservative critics of Obamacare — those advocating repeal and, well, nothing — are inhabiting their own ideological daydream. President Obama did not invent a right to health care, just a right to a highly regulated form of health insurance. Americans had jury-rigged a system long before. Under a federal law from the 1980s, hospitals taking Medicare can't deny emergency treatment based on ability to pay. Medicare and Medicaid provide insurance to the elderly and poor. This combination of emergency room care and health entitlements amounts to a guarantee of a certain kind of health care — often provided late in disease progression, after a long wait in line, by harried, overwhelmed doctors trying to navigate in (or game) a system of wage and price controls. Conservatives need this to sink in: America already has a right to a certain minimum of health treatment, which is not going away. It is an expression of compassion and decency. But it is not well designed or efficient. And it leaves millions of people with an inferior quality of care. Obamacare seeks to replace this patchwork approach with a cumbersome system that covers relatively few of the uninsured at a high social and economic cost. Reform conservatives — the term that an intellectual movement advocating policy alternatives seems to have coalesced around — also generally believe that the extension of health insurance coverage is superior to the entitlement/emergency room system. But the Burr-Coburn-Hatch bill, and the proposal advocated by health policy expert James Capretta, would use a much simpler mechanism of refundable credits to enable more people to buy catastrophic health insurance plans — which are both more affordable and put some downward pressure on the consumption of routine health services. (These plans would also cover people with pre-existing conditions.) Both left and (responsible portions of) right want to solve a problem that leaves tens of millions without health insurance. The left's answer, embodied in Obamacare, is to tell sellers what to sell and buyers what to buy, and to subsidize buyers to purchase products they would not otherwise want and penalize them for not doing so. The right, as Yuval Levin, editor of National Affairs, puts it, "hopes to achieve efficiency by setting off a massive competition among private players to provide people with the product they want at the lowest possible price. And it wants to use public resources to make achieving that goal attractive to private players, by subsidizing people to function as consumers." Conservatives have serious alternatives to Obamacare. But the only way to credibly offer them is to recognize that access to some form of health care is a right in America — and was so, long before Obamacare. Michael Gerson is a Washington Post columnist. By Michael Gerson MailTribune.com By Michael Gerson Posted Apr. 8, 2014 @ 2:00 am » Comment or view comments Reader Reaction » STAY INFORMED Email NewsLetter Sign Up Today Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. calendar Connect with MailTribune.com Facebook Twitter RSS Back to top Reader Services Reader Services Home Subscriptions Subscriber controls Contact us Submissions Photos Events Letters to the editor Corrections Announcements Obituaries Story ideas Since you asked Alerts Email Alerts RSS Feeds Text Alerts Advertise Media Kit Home Products and services Ad rates Advertising contacts Mail Tribune Daily Tidings The Nickel Shop Our Valley Blogs Stay Informed Email newsletter Sign Up Today Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. Your privacy is important, read our privacy policy. © Copyright 2014 Local Media Group, Inc. All Rights Reserved. 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