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Forced Purchases of Health Care Will Crush Many
Forced Purchases of Health Care Will Crush Many
Jan 29, 2026 9:36 AM

Today, the Wall Street Journal published a letter I wrote to the editor opposing mandatory health insurance. This solution would burden the poor beyond their means, and it would deny the principle of subsidiarity by sacrificing family economic decisions to the priorities of federal legislators. Here is the text of the letter:

“Sen. Ron Wyden’s plan to make every uninsured American buy health insurance makes about as much sense as would forcing every poverty-stricken and starving Haitian to buy food (“Wyden’s Third Way,” The Weekend Interview, June 20). Sure, having every American insure himself would save us all money from unneeded emergency room visits, but there are bigger things in the way of universal coverage than just imposing a legal mandate.

Requiring every American to buy health insurance would make millions of families change their economic priorities in ways that would lead to unfortunate consequences. Almost everyone believes that getting health insurance for themselves and their families is a high priority, but virtually no one thinks that es before food and housing. Even if the government passes the Healthy Americans Act or some other sort of mandate, and succeeds in making everyone buy insurance, the victory will be Pyrrhic. The needs e before insurance for the 15% of Americans will still exist, but the money they use to meet these needs won’t.

According to research done by the Kaiser Family Foundation, National Public Radio, and the Harvard School of Health, health insurance costs individuals an average of $4,800 annually. The cost for families to get insurance is even higher, at around $12,000 annually. These kinds of costs would push many people over the edge financially. How does Sen. Wyden propose that we pay for more people who will be unable to afford food, housing and education if they have to pay for health insurance? Effective health-care reform would be better plished by other means. Sen. Wyden’s own proposals to switch America from employer-based to individual health-insurance markets, for example, would do a great amount of good by petition and innovation without making life harder for the people having the most difficult time getting insurance.

Matt Cavedon

Cambridge, Mass.”

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