Back when Congress and the pundits were debating the
Affordable Care Act, some warned of the dangers of rationing of
healthcare. The defense was that nothing
was written into the law about rationing, implying that it would therefore never
happen. This got me thinking.
During World War II, more so in the UK than in the US,
rationing happened by allotment.
Citizens were issued ration books allowing them a limited amount of
certain resources, such as gasoline and food.
This rationing was government imposed, and is what most people think of
when they think of rationing, but it is not the only form rationing can
take. Rationing comes not necessarily by law or decree. It may happen
naturally in response to an imbalance of supply and demand.
When supply is small and demand is high, what normally
happens in a capitalist economy is that the price goes up. Think about gold or diamonds or Super Bowl
tickets. Supply is small and the demand
is high. Fewer can afford to pay the
price. Rationing by price solves the imbalance.
There is also rationing by first-come, first-served. Think about concert tickets. With a limited number of tickets, people line
up, sometimes for days with tents and sleeping bags, to get a chance at the
best seats. Those who care less might be
shut out, even if they could afford the price of the tickets.
Sometimes goods or opportunities are rationed by a
queue. You sign up and wait your
turn. Waiting lists develop for season
tickets, the newest smartphone, a popular book or an organ transplant. This has been reported as being the case for
certain, more common healthcare procedures in Canada and the UK. People wait in line.
Rationing may occur by privilege or prestige. Not everyone is invited to the Inaugural
Ball, the Academy Awards or other major celebrations. You must be on the list. Space is limited and many people would like
to attend. Those who arrive uninvited
are crashing the party and are asked to leave.
Finally rationing may be by qualification. Many more people apply to Harvard than are
accepted.
Rationing happens in many ways every day and we don’t even
notice. When you hear someone
confidently declare about any product or service that rationing is not a
possibility, don’t believe it. Most rationing
doesn’t happen because we plan it or even want it; it results from an
imbalance. The only way to avoid it is
to make that imbalance go away, which is not always possible.
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