I was both surprised and chagrined to see the reaction against the views expressed in an Op Ed piece in the Wall St. Journal on Aug. 12, 2009:“The Whole Foods Alternative to ObamaCare” by John Mackey, co-founder and C.E.O. of Whole Foods Market Inc. The opinion has ignited a boycott, or at least strong talk of one, by some people on the left. I thought liberals, by definition, were attuned to a marketplace-of-ideas approach. Hence my surprise. 
The reason for my chagrin is that our nation is now engaged in a civic discussion on health care reform, where all sorts of different viewpoints, expressed civilly and with some command of the facts, should be welcome. Civility is a virtue without a party. 
While I myself do not agree with much of what Mr. Mackey espoused (like the Thatcher quote about “socialism,” and the other buzz words dropped in to get unsuspecting people riled up—“new entitlement” “a government takeover of our health-care system” and more), his piece was in other respects seriously argued. It gave an interesting example of how Whole Foods provides health insurance and also subsidizes health savings accounts for its employees; it made eight counterproposals; it expressed the author’s philosophy about the root causes of poor health and the links between good food, good health and the responsibility of adults to make good choices (I strongly agree with Mackey’s responsibility point). 
Since Mr. Mackey’s proposals deserve discussion, I’ll begin with his suggestion that the IRS make it easier for taxpayers to make a tax-deductible donation to support “the millions of people who have no insurance and aren’t covered by Medicare, Medicaid or the State Children’s Health Insurance Program.” 
I had independently come up with a somewhat similar notion in “3 Wild Ideas re Health Care,” my August 10th blog. There I recommended adding a donation box on the IRS tax form by which filers could give $1 specifically to health care. It was an undeveloped brainstorm, but I thought of it as a way to raise some money and create grassroots support for health care—a national priority. Mr. Mackey he didn’t limit his thinking to a check-off box. And he left the donation amount open-ended, stressed that it be tax-deductible and allocated strictly for the uninsured. I would support Mr. Mackey’s idea, and would hope taxpayers would be generous if given such a chance. My only stipulation (and here Mr. Mackey and I may diverge widely) is that such a charitable donation must not be the sole or primary method by which nearly 46 million uninsured people in our country (35,920 of whom are American citizens according to the U.S. Census Bureau) would be covered. 
In my view, health insurance must be required if it is to be universal and fair. Elsewhere (see my blog “Collision Insurance for Health Care”) I have drawn an analogy between the requirement for auto liability insurance and the proposed requirement for health insurance. To see how well Mr. Mackey’s idea would work for the uninsured, let’s apply it to the case of car owners: Forget the required liability insurance; any driver who wished to could go without it. Mr. Mackey wants “to move toward less government control and more individual empowerment.” So what would happen when an uninsured driver got into a car accident? Well, the only money at hand would come from charity—from those good souls who made a tax-deductible donation especially to help out uninsured car owners. How well do you think that would work as public policy? If you had no health insurance, is this how you would want coverage for yourself and your family? 

 

I was both surprised and chagrined to see the reaction against the views expressed in an Op Ed piece in the Wall St. Journalon Aug. 12, 2009:“The Whole Foods Alternative to ObamaCare” by John Mackey, co-founder and C.E.O. of Whole Foods Market Inc. The opinion has ignited a boycott, or at least strong talk of one, by some people on the left. I thought liberals, by definition, were attuned to a marketplace-of-ideas approach. Hence my surprise. 

The reason for my chagrin is that our nation is now engaged in a civic discussion on health care reform, where all sorts of different viewpoints, expressed civilly and with some command of the facts, should be welcome. Civility is a virtue without a party. 

While I myself do not agree with much of what Mr. Mackey espoused (like the Thatcher quote about “socialism,” and the other buzz words dropped in to get unsuspecting people riled up: “new entitlement” “a government takeover of our health-care system” and more), his piece was in other respects seriously argued. It gave an interesting example of how Whole Foods provides health insurance and also subsidizes health savings accounts for its employees; it made eight counterproposals; it expressed the author’s philosophy about the root causes of poor health and the links between good food, good health and the responsibility of adults to make good choices (I strongly agree with Mackey’s responsibility point). 

Since Mr. Mackey’s proposals deserve discussion, I’ll discuss his suggestion that the IRS make it easier for taxpayers to make a tax-deductible donation to support “the millions of people who have no insurance and aren’t covered by Medicare, Medicaid or the State Children’s Health Insurance Program.” I had independently come up with a somewhat similar notion in “3 Wild Ideas re Health Care,” my August 10th blog. There I recommended adding a donation box on the IRS tax form by which filers could give $1 specifically to health care. It was an undeveloped brainstorm, but I thought of it as a way to raise some money and create grassroots support for health care—a national priority. Mr. Mackey he didn’t limit his thinking to a check-off box. And he left the donation amount open-ended, stressed that it be tax-deductible and allocated strictly for the uninsured. I would support Mr. Mackey’s idea, and would hope taxpayers would be generous if given such a chance. My only stipulation (and here Mr. Mackey and I may diverge widely) is that such a charitable donation must not be the sole or primary method by which nearly 46 million uninsured people in our country (35,920 of whom are American citizens according to the U.S. Census Bureau) would be covered. 

In my view, health insurance must be required if it is to be universal and fair. Elsewhere I have drawn an analogy between the requirement for auto liability insurance and the proposed requirement for health insurance (my blog “Collision Insurance for Health Care”). To see how well Mr. Mackey’s idea would work for the uninsured, let’s apply it to the case of car owners: Forget the required liability insurance; any driver who wished to could go without it. Mr. Mackey wants “to move toward less government control and more individual empowerment.” So what would happen when an uninsured driver got into a car accident? Well, the only money at hand would come from charity—from those good souls who made a tax-deductible donation especially to help out uninsured car owners. How well do you think that would work as public policy? If you had no health insurance, is this how you would want coverage for yourself and your family? 

 

 

 

Karen Sue Smith is the former editorial director of America.