I was having a conversation with a friend about healthcare reform. He says that he wishes reforms meant the total dismantling of the health insurance industry. It got me to thinking. Is there any precedence for this in democratic societies or are these type of actions considered strictly totalitarian?
Edit: I realize what a radical notion it is. But I'm still curious to if its ever been done.
Gah! Completely forgot about Prohibition! And we all know how that turned out.
It may be not dismantling an industry, but the state nationalizing an entire sector of the industry or service at once have not been unfrequent in France during the last 150 years (this may be kind to what your friend has in mind):
Each among these was done under democratic governments. There are other examples, but I can't find sources for these right now
Sources :
Disclaimer : I'm not an historian, and my sources here are just legal texts found thanks to wikipedia datas and some archeological excavation through french legal archives found on the net.
Would the end of slavery in the United States count for this?
A good example that would be similar to an end to the current Health Care system was the American Savings + Loans crisis. Like Healthcare, S+Ls operated in an environment full of government regulations. Changing those regulations will have big effects on the industry. The US government wrote the regs which built the S+L industry up, and when it crashed, it wrote laws that changed it drastically. It also took over many failing S+Ls and sold off their assets.
A great deal of Healthcare dollars come from Federal programs like Medicaid, Medicare, Veterans Programs, etc. They also have quite a number of regulations governing care, etc.
S+Ls grew quickly in the early 1980s due to a number of financial regulations being loosened. Rules were made to specifically benefit this one type of bank.
Later, when the S+L Crisis hit in the late 80s(which happened for a slew of reasons, not needed to be discussed here), the government drew up another set of regulations which made the business far less favorable. This was on top of many, many S+Ls going under. They went from about 3200 S+Ls to 1600.