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  • Tom Schmitz

Patients with Pre-existing Conditions Have the Right to a Free Market Healthcare System

Patients with pre-existing conditions have the right to the benefits of a free market, liberated healthcare system, and the government has taken this right away from them. We cannot trust a monolithic, government-controlled healthcare system to provide an adequate, sustainable solution for patients with pre-existing conditions.

Washington politicians advocate for government coercion to address the problem of pre-existing conditions, while libertarians advocate for the free market to provide voluntary solutions. Further, libertarians believe that patients with pre-existing conditions have the right to the incredible benefits that can only be enjoyed in a free market healthcare system.


Patients with pre-existing conditions will benefit from plummeting healthcare costs in a free market system.


In a free society, healthcare costs will be driven down beyond what most of us can imagine. This is the consistent result whenever the free market is allowed to operate in any industry. Intense competition forces lower and lower prices for the consumer, forces companies to become more efficient, forces companies to innovate, causes quality to increase, and causes companies’ profit margins to become razor thin if they want to survive. A free market eliminates burdensome barriers to entry which drive up costs. A free market eliminates subsidies and demands efficient use of resources. In a government-controlled healthcare system, patients with pre-existing conditions can expect to see the costs of their healthcare continue to soar in accordance with the coercion and control that government inflicts upon the market.


LASIK eye surgeries are a good example of what will happen to healthcare costs in a free society. LASIK costs have largely been driven by free market pricing mechanisms and voluntary consumer spending. From 1992 to 2013, after adjusting for inflation, free market mechanisms drove down LASIK prices by 70%. For that same time period, 1992 to 2013, after adjusting for inflation, medical care prices in our government-controlled healthcare system went up 125%. Keep in mind that there are still burdensome government regulations in place for LASIK eye surgery, and if those were eliminated, the cost would be driven down even further. The astonishing healthcare cost reductions that will be achieved in a free market would be shocking in the current matrix of our government-controlled healthcare system. Patients with pre-existing conditions will enjoy this benefit of the free market along with all other healthcare consumers.

In a free society, patients with pre-existing conditions will immediately have the option of taking potentially life-saving experimental medications and treatments.


In a free society, the FDA will no longer be able to forcibly prevent patients with pre-existing conditions from obtaining the medications and treatments they want to pursue. In a free market system, patients with pre-existing conditions will be able to take any medication they want and pursue any treatment they want without government interference. This is especially urgent for patients with life-threatening conditions whose access to experimental medications may be a matter of life and death.


The government has no right to forcibly prevent anyone from taking a medication or pursuing a course of treatment. Individuals own their bodies and have the right to make these decisions for themselves. Our transition to a free market healthcare system will include uninhibited patient freedom of choice, which necessitates the FDA being immediately transitioned to an advisory agency, then responsibly phased out. In a free market, patients with pre-existing conditions will be able to pursue potentially life-saving experimental treatments and medications without the government stopping them.


In a free market, healthcare industry innovation will be unleashed to meet customer demand from patients with pre-existing conditions.


Unfortunately, we have no idea what wonderful, incredible things would be happening in a free market healthcare system to meet demand from patients with pre-existing conditions because we do not have a free market healthcare system in the United States.

The government regulates, controls, and subsidizes nearly every aspect of our healthcare industry. Government controls the education requirements and licensing requirements for nearly every type of healthcare provider. Government regulates and controls hospitals, healthcare facilities, medical supplies, and medical equipment. Government increasingly regulates and controls health insurance companies and dictates what contracts are allowed between insurance companies and customers. Government destroys market forces in healthcare through massive, endless subsidies which destroy pricing mechanisms and incentives for consumers to balance cost and value when making purchasing decisions. The most harmful institution in all of government, the FDA, exercises complete control over our access to pharmaceuticals and potentially life-saving treatments.

The scope of government control over our healthcare is staggering, extensive, and all encompassing. All of the harmful government involvement in our healthcare system listed above would not exist in a free society.

The market always adapts to meet consumer demand quickly and efficiently, and this will be no different when meeting consumer demand from patients with pre-existing conditions. The free market will adapt to meet the needs of those with pre-existing conditions in ways we can imagine and in ways we cannot imagine.

The wonderful innovations of unrestrained free market activity are often unpredictable and unforeseeable. Breaking out of the matrix of government-controlled healthcare, the sky is the limit for healthcare industry innovation in every sector to meet the market demand from those with pre-existing conditions. The liberated healthcare industry will have unrestrained freedom to innovate. Our current healthcare paradigm would be transformed by market forces to meet the needs of those with pre-existing conditions.

The United States healthcare system has some “remnants of the free market” in place. One of these mechanisms is that there are many hospitals and treatment centers in the United States that focus on market demand from patients paying out of pocket for healthcare services. Often, these patients are escaping from failed government-controlled healthcare systems in their own country. It is foreseeable that the free market would unleash innovation and growth from these types of healthcare providers who would be focused on market demand from patients with pre-existing conditions who are paying out of pocket for care.

Advances in medical technology will be dramatically expedited in a free market healthcare industry, providing invaluable benefits to those with pre-existing conditions.


Advances in medical technology will develop much faster on all fronts once the healthcare industry is not stifled by burdensome government regulations and controls. This is a critical interest for patients with pre-existing conditions.

As an example, the FDA places incredible burdens on the pharmaceutical industry. Costs to get a medication through FDA approval and into the hands of patients in need are astronomical and can total hundreds of millions of dollars. The regulations mandated by the FDA before a medication can reach store shelves are astonishing in their volume and complexity. FDA approval for a new medication, from start to finish, can take years.

In the absence of these harmful, burdensome regulations, the healthcare industry will achieve innovation much faster on all fronts, and patients with pre-existing conditions will be primary beneficiaries of this innovation.


Government mandating that private health insurance companies cover patients with pre-existing conditions is the catalyst for full authoritarian government control over the American healthcare system.


Mandating that private insurance companies must cover patients with pre-existing conditions is obviously not financially viable for those private health insurance companies. For some politicians, perhaps that is the point. For other politicians, they are wish thinking and in denial of the basic economic consequences of such a mandate.


One result of mandating that private health insurance companies cover patients with pre-existing conditions is that the government must then subsidize the private insurance companies or those private insurance companies will go out of business. Along with subsidies, as always, will come conditions for those subsidies and increased government control over these private companies. The unavoidable conclusion of this cycle of coercion is that these private health insurance companies will essentially become arms of the state.


If government mandates that private health insurance companies must cover patients with pre-existing conditions but does not subsidize these private health insurance companies, the companies will go out of business, private health insurance as a whole will eventually go under, and one way or another, individuals will end up on some form of government health insurance which will lead to fully government-controlled healthcare. The government mandating that private health insurance companies provide coverage for patients with pre-existing conditions will expedite the authoritarian government takeover of healthcare, which will be a disaster.


In a government-controlled healthcare system, patients with pre-existing conditions will have little to no control over their healthcare decisions, and they will be at the mercy of a monolithic bureaucracy to provide for their healthcare. There will be rationing of care with treatment decisions being made by bureaucrats. Patients with pre-existing conditions will be waiting in line for treatment and surgeries, and they will have no way to escape the government system when it proves unsatisfactory and fails. Healthcare quality and innovation will decline on all fronts due to the absence of market forces and competition. Healthcare costs will spiral even further out of control due to a lack of any market pricing mechanisms.


It is important to note, there is a significant problem with advocating for the status quo of government control of our healthcare system while at the same time not advocating for patients with pre-existing conditions receive a subsidized “ticket” into that system. Patients with pre-existing conditions do not have viable options in our government-controlled healthcare system because of the government coercion and control that has stifled the free market. It would be callous to advocate for the status quo government control over the healthcare industry, government control which is the reason patients with pre-existing conditions don’t have viable options, and to also advocate for patients with pre-existing conditions not having a subsidized way to access that system. At the same time, as described above, the government mandating that private health insurance companies cover patients with pre-existing conditions will inevitably lead to the full government takeover of healthcare.


Fortunately, this is a false dilemma, and we don’t have to accept either of these unacceptable scenarios. The answer is to reject statism and the murky, unnecessary dilemmas it presents, and to embrace freedom. The answer is to remove government coercion and control from our healthcare system entirely, to leave individuals alone to interact with each other voluntarily, and to let the free market work to provide solutions for patients with pre-existing conditions.


The false dilemmas presented by statism are common. When the government starts exerting control in any industry, there will be negative effects. The more coercion and control the government exerts over a market, the more negative effects and unintended consequences there will be. Washington politicians often advocate for more government coercion to fix the problems which have been created by government coercion in the first place. This mindset leads to a downward spiral of ever-increasing coercive impulses that can never be satisfied.

The healthcare system is a perfect example of this problem. We have been subject to statute upon statute and regulation upon regulation for decades, yet our healthcare system is in crisis with costs soaring completely out of control, and with millions of Americans’ access to healthcare hanging in the balance. The solution is to stop attempting to fix multiplying problems caused by government coercion with more and more government coercion. We need to move in the opposite direction. We need to remove the government from the healthcare industry entirely and let free people solve problems and meet consumer demand voluntarily.


The Free Market will build sustainable, natural, voluntary solutions for patients with pre-existing conditions, as opposed to fragile government solutions rooted in compulsory taxation, debt, and coercion.


In a free society, the market will build a sustainable structure of options for patients with pre-existing conditions. Freedom will allow for natural, voluntary ways for society to care for people with pre-existing conditions, instead of them being thrown into a monolithic, fragile, government-controlled system.

In a government-controlled healthcare system, everyone, including patients with pre-existing conditions will be utterly dependent upon the state for their healthcare. This state-controlled system will be funded by compulsory taxation and deficit financing, and with our nation over 27 trillion dollars in debt, this is precarious to say the least. An economic collapse or a collapse of the American dollar are unfortunately legitimate concerns due to our astonishing, ever-increasing national debt and wanton, out of control spending by Washington politicians. An economic collapse or a collapse of the American dollar would have catastrophic consequences for a government-controlled healthcare system and especially for those with pre-existing conditions who rely on that system.


The American people are the most charitable people in the world.


The American people give more money to charitable causes than any nation on earth. In a free society, levels of spending on charity will only increase. Americans will be more prosperous and wealthy, and they will have more resources to provide to charitable causes, including indigent patients with pre-existing conditions. In addition, people will know that they must personally get involved in helping indigent patients with pre-existing conditions, they will no longer be able to vote for the state to help, do nothing further, and believe that the problem has been resolved.

The burden of proof should be on those who advocate for government takeover, not those who advocate for healthcare freedom.


There is an automatic presumption among some that the burden to prove that a free market healthcare system will be superior or preferable to an authoritarian system is upon those who argue for freedom. But it is the government that is the aggressor, the initiator of force against peaceful people. The default should be a free society and people being left alone to interact with each other voluntarily. The burden should be upon those who wish to prove that a coercive, government-controlled healthcare system is preferable or superior to a free market system.

Individuals who want to be free from the government-controlled healthcare system aren’t even allowed to opt out. Any attempt to simply say "no thanks" to the government-controlled healthcare system and form a free market system are shut down with force, and with criminal penalties.

I trust the innovation of free people, a free society, to provide solutions for patients who have pre-existing conditions. I do not trust an authoritarian state program rooted in coercion, where patients with pre-existing conditions are denied their freedom, and where these patients will be at the mercy of a government-controlled system, with no recourse when that system fails.

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