By Ann Coulter

The Democrats all-new opt out idea for health care reform is the latest fig leaf for a total government takeover of the health care system.
Democrats tell us theyve been trying to nationalize health care for 65 years but the first anyone heard of the opt out provision was about a week ago. They keep changing the language so people cant figure out whats going on.
The most important fact about the opt out scheme allegedly allowing states to decline government health insurance is that a state cant opt out of paying for it. All 50 states will pay for it. A state legislature can only opt out of allowing its own citizens to receive the benefits of a federal program theyre paying for.
Its like a movie theater offering a money back guarantee and then explaining you dont get your money back but you dont have to stay and watch the movie if you dont like it. Thats not what most people are thinking when they hear the words opt out. The term more likely to come to mind is scam.
While congressional Democrats act indignant that Republicans would intransigently oppose a national health care plan that now magnanimously allows states to opt out other liberals are being cockily honest about the opt out scheme.
On The Huffington Post the first sentence of the article on the opt-out plan is: The public option lives.
Andrew Sullivan gloats on his blog Imagine Republicans in state legislatures having to argue and posture against an affordable health insurance plan for the folks as OReilly calls them while evil liberals provide it elsewhere.
But the only reason government health insurance will be more affordable than private health insurance is that taxpayers will be footing the bill. Thats something that cant be opted out of under the opt out plan.
Which brings us right back to the question of whether the government or the free market provides better services at better prices. There are roughly 1 million examples of the free market doing a better job and the government doing a worse job. In fact there is only one essential service the government does better: Keeping Dennis Kucinich off the streets.
So naturally liberals arent sure. In Democratic circles the jurys still out on free market economics. Its not settled science like global warming or Darwinian evolution. But in the meantime theyd like to spend trillions of dollars to remake our entire health care system on a European socialist model.
Sometimes the evidence for the superiority of the free market is hidden in liberals own obtuse reporting.
In the past few years The New York Times has indignantly reported that doctors appointments for Botox can be obtained much faster than appointments to check on possibly cancerous moles. The papers entire editorial staff was enraged by this preferential treatment for Botox patients with the exception of a strangely silent Maureen Dowd.
As the Times reported: In some dermatologists offices freer-spending cosmetic patients are given appointments more quickly than medical patients for whom health insurance pays fixed reimbursement fees.
As the kids say: Duh.
This is the problem with all third-party payor systems -- which is already the main problem with health care in America and will become inescapable under universal health care.
Not only do the free-market segments of medicine produce faster appointments and shorter waiting lines but they also produce more innovation and price drops. Blindly pursuing profits other companies are working overtime to produce cheaper better alternatives to Botox. The war on wrinkles is proceeding faster than the war on cancer declared by President Nixon in 1971.
In 1960 50 percent of all health care spending was paid out of pocket directly by the consumer. By 1999 only 15 percent of health care spending was paid for by the consumer. The governments share had gone from 24 percent to 46 percent. At the same time IRS regulations made it a nightmare to obtain private health insurance.
The reason you cant buy health insurance as easily and cheaply as you can buy car insurance -- or a million other products and services available on the free market -- is that during World War II FDR imposed wage and price controls. Employers couldnt bid for employees with higher wages so they bid for them by adding health insurance to the overall compensation package.
Although employees were paying for their own health insurance in lower wages and salaries their health insurance premiums never passed through their bank accounts so it seemed like employer-provided health insurance was free.
Employers were writing off their employee insurance plans as a business expense but when the IRS caught on to what employers were doing they tried to tax employer-provided health insurance as wages. But by then workers liked their free health insurance voters rebelled and the IRS backed down.
So now employer-provided health insurance is subsidized not only by the employees themselves through lower wages and salaries but also by all taxpayers who have to make up the difference for this massive tax deduction.
How many people are stuck in jobs they hate and arent good at rather than going out and doing something useful because they need the health insurance from their employers? Im not just talking about MSNBC anchors -- I mean throughout the entire economy.
Almost everything wrong with our health care system comes from government interference with the free market. If the health care system is broken then fix it. Dont try to invent a new one premised on all the bad ideas that are causing problems in the first place.
Ann Coulter is a columnist and author of Guilty: Liberal Victims and Their Assault On America.