If it's in the News, it's in our Polls. Public opinion polling since 2003.

POLITICAL COMMENTARY

Mandatory Shortages

A Commentary By John Stossel

Governments create problems. Then they complain about them.

"A public health crisis exists," says Kentucky's government, citing a report that found "a shortage of ambulance providers."

Local TV stations report on "people waiting hours for medical transportation."

"Six-year-old Kyler Truesdell fell off his motorcycle," reported Channel 12 news. "The local hospital told (his mother) he should be transported to Cincinnati Children's to check for internal injuries." But there was no ambulance available. Kyler had to wait two hours.

Yet Kyler's cousin, Hannah Howe, runs an ambulance service in Ohio, just a few minutes away. "We would've (taken him) for free," she says in my new video. "But it would've been illegal."

It would be illegal because of something called certificate of need (CON) laws.

Kentucky and three other states require businesses to get a CON certificate before they are allowed to run an ambulance service. Certificates go only to businesses that bureaucrats deem "necessary."

CON laws are supposed to prevent "oversupply" of essential services like, well, ambulances. If there are "too many" ambulance companies, some might cut corners or go out of business. Then patients would suffer, say the bureaucrats.

Of course, Kentucky patients already suffer, waiting.

It raises the question: If there's demand, then who are politicians to say that a business is unnecessary?

Phillip Truesdell, Hannah's father, often takes patients to hospitals in Kentucky, "I drop them off (but) I can't go back and get them!" he told me. "Who gives the big man the right to say, 'You can't work here'?!"

Government.

Phillip and Hannah applied for a CON certificate and waited 11 months for a response. Then they learned that their application was being protested by existing ambulance providers.

Of course it was. Businesses don't like competition.

"We go to court, these three ambulance services showed up," recounts Howe.

"They hammered her, treated her like she was a criminal," says Truesdell. "Do you know what you're going to do to this company?! ... To this town?!"

"It wasn't anything to do with us being physically able to do it. (They) just came through like the big dog not trying to let anybody else on the porch," says Howe.

Three other ambulance companies also applied for permission to operate in Kentucky. They were rejected, too.

Truesdell and Howe were lucky to find the Pacific Legal Foundation, a law firm that fights for Americans' right to earn a living.

Pacific Legal lawyer Anastasia Boden explains: "Traditionally we allow consumers to decide what's necessary. Existing operators are never going to say more businesses are necessary."

One Kentucky ambulance provider who opposed the new applications sent me a statement that says "saturating a community with more EMS agencies than it can ... support (leads) all agencies to become watered down."

Boden replies: "That's just absurd. We now recognize that competition leads to efficient outcomes."

It's not just ambulance companies and people waiting for ambulances who are hurt by CON laws. Thirty-five states demand that businesses such as medical imaging companies, hospitals and even moving companies get CON certificates before they are allowed to open.

Boden warns: "Once you get these laws on the books, it's very hard to get them off. Monopolies like their monopoly. This started back in the '70s with the federal government."

But the feds, amazingly, wised up and repealed the mandate in 1987, saying things like, "CON laws raise considerable competitive concerns (and) consumers benefit from lower prices when provider markets are more competitive."

Unfortunately, politicians in Kentucky and many other states haven't wised up.

When Virginia tried to abolish its CON law, local hospitals spent $200,000 on ads claiming competition will force hospitals to close. Somehow, hospitals operate just fine in states without CON laws. But the Virginia scare campaign worked. The state still has a CON law.

In health care, and all fields, it's better to see what competition can do rather than letting the government and its cronies decide what to allow.

John Stossel is author of "No They Can't! Why Government Fails -- But Individuals Succeed." For other Creators Syndicate writers and cartoonists, visit www.creators.com.

COPYRIGHT 2019 BY JFS PRODUCTIONS INC.

DISTRIBUTED BY CREATORS.COM

See Other Political Commentaries.

See Other Commentaries by John Stossel.

Views expressed in this column are those of the author, not those of Rasmussen Reports. Comments about this content should be directed to the author or syndicate.

Rasmussen Reports is a media company specializing in the collection, publication and distribution of public opinion information.

We conduct public opinion polls on a variety of topics to inform our audience on events in the news and other topics of interest. To ensure editorial control and independence, we pay for the polls ourselves and generate revenue through the sale of subscriptions, sponsorships, and advertising. Nightly polling on politics, business and lifestyle topics provides the content to update the Rasmussen Reports web site many times each day. If it's in the news, it's in our polls. Additionally, the data drives a daily update newsletter and various media outlets across the country.

Some information, including the Rasmussen Reports daily Presidential Tracking Poll and commentaries are available for free to the general public. Subscriptions are available for $4.95 a month or 34.95 a year that provide subscribers with exclusive access to more than 20 stories per week on upcoming elections, consumer confidence, and issues that affect us all. For those who are really into the numbers, Platinum Members can review demographic crosstabs and a full history of our data.

To learn more about our methodology, click here.