HealthSource, RhodeMap, and the Way Government Plans

You may have seen Ian Donnis’s report that Governor-elect Gina Raimondo intends to replace Christine Ferguson as the head of HealthSource RI, Rhode Island’s ObamaCare health benefits exchange:

The leading candidate to replace Ferguson is Anya Rader Wallack, the president of Arrowhead Health Analytics in Fall River, Massachusetts, and a former policy director and deputy chief of staff for former Vermont governor Howard Dean. Rader Wallack declined comment when contacted by RIPR.

Ms. Rader Wallack may now have the dubious distinction of making an embarrassingly telling comment even before she’s taken office in Rhode Island.  Avik Roy quotes her in Forbes, in an article about the (inevitable) collapse of Vermont progressives’ single-payer-healthcare fantasy:

If there’s one quote that sums up the whole episode, it’s the one from Anya Rader-Wallack, declaring that “we can move full speed ahead…without knowing where the money’s coming from.” Green Mountain Care attempted to offer Vermonters more generous coverage than they currently had, but couldn’t figure out how to convince doctors and hospitals to accept pay cuts, nor workers to accept tax hikes.

That quote sums up HealthSource RI’s story pretty well, too.  As reported on the Current, Ferguson chose not to follow through with a more-detailed projection of its likely effects on the local healthcare market, and the consequences for HealthSource and the state budget could be devastating.

But this is how an organization (in this case, government) plans when everybody making decisions profits simply by being active and bears no real personal risk for failure.  It’s also how people plan when they feel like they can always take other people’s money and pass laws to force people to behave as the plans require.  We see this with RhodeMap RI, too, especially with its Growth Center plans, which have explicitly drawn purposes for land that the government does not own (and whose owners have not been consulted).

The plan for Middletown, for example, makes the particularly chilling suggestion that government operatives should include private commercial property in their planning “because properties on that side of the road may redevelop before the town-owned property does,” and the government needs to “send a message about the desired character of future development.”

That presumption shines a bright light on the illusion that we can simply assign ever-greater responsibility in our society to government, trusting the really smart people who take government jobs simply to figure out the best way to accomplish their goals.  Like novelists, they plan out a plausible reality, and where they write themselves into a corner, they assume that some literary device, some mix of regulatory demands and money confiscation, will solve the problem.

When the author’s power is infinite and the consequences for failure are borne by others, there really isn’t a reason to find evidence that a scheme will actually work.  Full speed ahead!… until the crash, followed by a new six-figure job in another state.

Disclaimer: The views and opinions expressed in The Ocean State Current, including text, graphics, images, and information are solely those of the authors. They do not purport to reflect the views and opinions of The Current, the RI Center for Freedom & Prosperity, or its members or staff. The Current cannot be held responsible for information posted or provided by third-party sources. Readers are encouraged to fact check any information on this web site with other sources.

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