Also available at mises.ca
Universal health-care may not be a “right,” but it is part of the
civic culture. Ergo, if one wishes to live in “Canada,” the territorial
monopoly in charge has the right to extract wealth from you in exchange
for services rendered incapable on a free market. Whether or not this
argument is valid is irrelevant to the fact that capital investment is
necessary for a sustainable health-care system. However, government by
definition cannot engage in capital accumulation. Therefore the
long-term functionality of a state-controlled health-care system can be
described as destructive, whereas the idea of “universal access” can be
separated from the state apparatus and deemed sustainable.
First – why capital accumulation is necessary for an organization
like health-care. Health-care is knowledge-based and dependent on
accesses to technologies. This access is in the form of capital. Society
accumulates capital when individuals save and/or invest a portion of
their income. The reasons why are unique to the individual, however
individuals often act as groups to achieve common goals. Businesses that
successfully serve the public will find it easy to obtain capital for
expansion – the unsuccessful go out of business. The government only
distorts this process by taxing capital gains or by interfering with
interest rates, leading to the current situation where capital
consumption is a serious problem.
Second – the government cannot accumulate capital because it taxes.
Capital implies saving, something the government cannot do. Capital
investment is the result of entrepreneurs using price signals to
allocate resources for consumer demand. “Government investment” is an
allocation of resources based on a politician or bureaucrat’s own
preferences. Capital requires consumers voluntarily giving up funds for
entrepreneurs to invest. “Government investment” requires forcing
consumers to give up their funds, thus acting as a parasite on the
productive elements in society. Forcible seizure of wealth is
detrimental to an individual’s own valuation because he must resort to
the arbitrary wishes of a third party before he can act for his own self
interest.
Therefore – capital goods are impossible in a command-and-control
system which all governments are based on. A universal health-care
system must be a by-product of voluntary association or else the entire
system will slowly destroy itself. The private sector allocates
resources based on a production structure in tune with consumer demand.
The government is fundamentally destructive, allocating resources based
on the preferences of bureaucrats out of touch with the knowledge
revealed in price signals. A efficient, sustainable health-care system
should be regulated by the superior “checks and balances” of a free
market; not an arbitrary authority from history. The idea of “universal
access” is part of a civic culture that need not be defined by a
territorial monopoly. Canadians don’t need to resort to using violent
means to achieve this peaceful end. Not only is the free market capable
of supplying “universal access,” it would be superior to the
government’s unproductive methods.
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