Over the past 3 or so months, I have been hit by many healthcare reform proponents using a very consistent message that makes me think MoveOn.org penned a script to use when confronted with rational opposition.  They all use the highway system as an example of a central government success story and want to apply it to the healthcare reform debate.

I see two issues with this.  First, what similarities are there between building and maintaining highways and imposing a centralized approach to healthcare services?  It’s not size relative to the economy.  Highway infrastructure accounts for less than 1% of GDP while healthcare is upwards of 16%.  It’s not employment, only 600,000 work in the government highway system versus the 14 million plus that work in the healthcare industry.  Maybe it’s in the rate of innovation of the two sectors?  No.  Actually, there is no rational reason for using the highway system as an example.

Second, how could anyone look to the US highway system as a great example of success in centralized government manipulation?  I’m not even sure where to start.  How many of you have been driving home during rush hour to see the highway crew block off one or two lanes for a mile or so and have no one out there working?  How much over budget was the Big Dig of Massachusetts?  Well, they did finish it on time… NOT!  How many stories are there of payoffs and corruption within the highway construction industry?  Answer:  Too many.

What about the fact that most roads are locally managed and most commercial traffic flow over local roads, not highways.  Let’s not forget that government highways may be a monopoly within long distance transportation by automobile, it is not a monopoly of all transportation (private rails constitute the majority of goods transported, air freight is a large business that circumvents the highway system, barges also are a reasonably good transporter outside the highway system for the central part of the US).  I’m also very impressed with the myopic view these people have when they use the highway system as an example.  Do they not read about the crumbling infrastructure of our national bridges and tunnels?  Is that what they want our healthcare system to turn into?

What seems lost on some are the vast differences between these two systems.  Our highway infrastructure is long lasting (20-60 years between replacement cycles), static in the area of innovation (possibly due to government regulations), and not a monopoly of all transportation.  Our healthcare system and the proposed reform policies are completely different.  Innovation within the current healthcare system is enormous and funded by private enterprises on the order of 10 to 1 over government funds.  All medical services have a variable cost component that is significantly above zero unlike our highway system where an extra truck or two are hard to notice on the wear and tear of the infrastructure.   Oh, and let’s not forget that the proposed reform policies are attempting to turn the entire healthcare industry into a monopoly, not just a very small fraction of the medical care infrastructure.

I think it says a lot about their position when the best example of centralized government manipulation is the US highway system.  Remember this note the next time you hit a pothole.