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Mar 14

Obamacare Will Predictably Precipitate A Major Doctor Shortage And Rationing of Care

Obama and the Congressional Democrats are trying to seize control of and transform healthcare in America which parallels their Marxist doctrine. By doing so, they will ultimately dismantle the best healthcare system in the world, precipitate a mass exodus of physicians from the practice of medicine and drive our country to bankruptcy in shorter order.

There already is a physician shortage in this country partially based on rational personal decisions made by those who might have contemplated careers in medicine. With implementation of Obamacare, there will be many reasons for doctors to either work less or flee medical practice altogether. This combined with an inevitable precipitous increase in consumption of medical care by previously “uninsured” Americans and illegal aliens will result in a supply and demand imbalance, fostered by unwise government intervention.

The result: healthcare rationing, poor quality care and long waits to receive care.

The Doctor Shortage
Investors Business Daily     03/04/2010

Health Reform: Democrats promise their plan will improve care at lower cost while thinning the ranks of the uninsured. How will they do this with fewer doctors?

America's population is 305 million. If the Democrats are correct about the number of uninsured, roughly 260 million are covered by a health care plan. When the insured — and the uninsured who use the traditional method of paying out of pocket — are sick, they are treated by 800,000 physicians.

It would be foolish to believe that today's already stretched doctor-patient ratio will remain stable. In the near future we will have fewer doctors treating a growing population.

Physician search firm Merritt, Hawkins & Associates estimates that by 2020 we'll need 90,000 to 200,000 more doctors than we'll have then. As alarming as that estimate is, it could be low.

Last August, our IBD/TIPP Poll found that 45% of doctors would consider leaving their practices or taking early retirement if the Democrats' version of reform were to become law.

Last month, 26% of physicians responding to a Web poll on Sermo.com, which calls itself "the largest online physician community," said they had been forced to close, or were considering closing, their solo practices.

Reasons include "low and delayed reimbursements, problems with management companies, and a lack of business/practice management education," as well as high malpractice insurance costs.

Not every doctor who told these polls that he or she would consider leaving the field will do so. Some will go into group practices and others move on to positions at hospitals and in the military. Another group will change nothing.

Even if half followed through with their threats, our care will suffer. If the Democrats' plans become law, fewer than 700,000 physicians would be available to treat a patient population growing in size, aging in years, shunning medical education and receiving "free" health care or insurance coverage from the government in increasing numbers.

The result will be longer wait times to see a doctor and a decline in the high quality of care Americans are accustomed to as overworked physicians try to keep up.

To see how this works in reality, look at the Canadian and British government health systems that encourage unnecessary doctor visits with the illusion of free care. Both have long, and sometimes deadly, wait times. Neither provides treatment as high in quality as what's found in the U.S, where the system is supposedly broken.

With demand for doctors already outstripping supply, the last thing we need is to aggravate the situation with poorly thought-out public policy.

Washington has meddled in health care too much already.

http://www.investors.com/NewsAndAnalysis/Article.aspx?id=522956

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Jan 10

Obama’s Cost Cutting Measures

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Jan 1

Obamanocare: Severe Restrictions of Rights and Choices And Almost No Way Out Of It

Instead of having options to tailor your health insurance plan to you specific needs, under the Obamanocare legislation it will be essentially one plan fits all. You are a 62 year old man but guess what? You will be forced to pay for maternity coverage.

No need for mental health coverage or physical therapy? Too bad! Once again you will be unnecessarily paying for it - and subsidizing the benefits of others.

Your rights to choose regarding your healthcare will be severely restricted. You will ultimately be paying far more in insurance premiums and taxes yet receiving fewer benefits, limited choices for treatments, and have to wait longer and not necessarily see the doctor of your choice.

And these are just a few of the myriad disastrous issues that we will be facing.

ObamaCare: No exit
By Scott Gottlieb                       December 21, 2009

Perhaps the most common question I'm asked about ObamaCare is: "Will I be able to buy my way out of it?" The answer is: "Not unless you're very rich."

The plan before the Senate creates a set of 50 state-based insurance "exchanges" that are established as markets for health plans. Consumers must buy policies from their employers or through the exchanges — but, either way, their choice of coverage is limited to one of four basic insurance plans that the government sanctions.

Private insurers will still compete to offer policies but must model their coverage on one of these four templates. In short, the Senate bill explicitly standardizes health benefits and then establishes elaborate mechanisms (including subsidies and penalties) to pay for them.

Here's the rub: While these four plans vary from low- to high-cost options, the benefits offered under them are pretty much the same. The difference between the cheaper and pricier plans is mostly the amount of cost sharing (e.g., you pay less for insurance if your co-pays are higher).

In effect, the plan creates a single national health-insurance policy. Consumers' only real option is to trade higher co-pays for lower premiums. But we'll all get the same package of benefits established by a series of new agencies and an "insurance czar" seated in Washington.

Once the exchanges are in place, the individual market — the ability to go directly to an insurer and buy a health-care policy — will disappear. You'll have only two places to buy insurance, in the exchanges or through your workplace.

As for health plans offered by employers, "no health-insurance policies could be issued (other than grandfathered plans) that don't meet the actuarial standards set for these plans" sold in the exchanges. The government will "define the essential health benefits" that all plans must eventually offer, not only those sold in the exchanges but also plans offered by employers. But like other elements of today's private coverage, the grandfathered plans also disappear in short time. While the bill allows some employer plans to continue as they are today, that's only so long as the policy doesn't change — and natural market forces will ensure that most such policies must change within a few years after the bill becomes law.

All of which brings us to the question of whether you'll be able to spend extra money to add benefits that exceed the government's basic package or opt out of that plan entirely. The bill doesn't address this question directly — yet I can say with great confidence that it will be costly and in some cases impossible.

The bill leaves these issues in the hands of the bureaucracies that will write the law's enabling regulations. And it's clear both what the spirit of the Obama plan and the habits of these bureaucracies will produce.

The overriding goal of this reform is to turn health insurance into a more "egalitarian" benefit that's the same for everyone, regardless of income, personal preference or need. So rules written under President Obama to implement the Obama plan are a sure bet to intentionally curtail anyone's ability to wrap around this national coverage with a supplemental policy or to contract privately with doctors to pay your way out of its limitations.

This is exactly what the bureaucracy's done with Medicare. Doctors accepting Medicare can't contract privately with Medicare patients to bill for services that Medicare doesn't cover. Nor can patients buy added coverage to help plug Medicare's gaps. (The "Medigap" that many seniors now buy are tightly regulated by the government to limit how much they expand on Medicare's basic benefits; they mostly just help defray co-pays.)

In short, beneficiaries are trapped inside the Medicare insurance scheme, just as they'll soon be trapped inside the ObamaCare exchanges. Doctors can't offer benefits not covered by the government plans, and patients can't buy extra insurance to make up for many gaps.

These restrictions were designed into Medicare for a reason: Progressives don't want it to be easy for rich seniors to buy their out; they fear that if the well-off can leave the federal plan, it will become a lower-end benefit. That is, it will wind up like Medicaid, whose enormous problems are largely ignored by politicians because poor Americans don't have the political power to force improvements.

The very rich, of course, will be able to buy their way out of ObamaCare. Many of the best doctors will go cash only, opting entirely out of the Obama program, to cater to a wealthy clientele. But only the truly affluent will have the cash to escape.

The vast rest of us will be locked inside the new system — stuck with the same collection of government-decreed medical benefits.

URL    http://www.nypost.com/f/print/news/opinion/opedcolumnists/obamacare_no_exit_l9njng7Izk9KYNuzdvOeOP

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Dec 28

Ten Important Issues You Need to Know Regarding The Democrats’ Healthcare Reform Legislation

The following article enumerates 10 immensely important issues related to the healthcare legislation in its present iteration. This is not what America needs or wants but instead, what Congressional Democrats and Obama insist on imposing on us. Meanwhile, Obama and Congress will still have their own gold plated healthcare plan with innumerable choices all subsidized at the taxpayers’ expense.

As we have iterated myriad times, this is not about healthcare. This is about increased government power, control and regulation of our lives and restrictions of our rights and freedoms. If we don’t become more vociferous, passionate and actively fight this legislation in a united fashion, the government will relentless continue to further diminish and suppress our rights, freedoms and choices.

We must do whatever it takes to reclaim our country!


10 Lumps Of Coal In The Health Care Bill
By Betsy McCaughey

For most Americans, the health reform bill that Senate Majority Leader Harry Reid is pushing to pass will be worse than coal in their stockings. Herewith, the Top 10 List of Things You Don't Want From Health Care Reform This Christmas — But Will Get Anyway From Congress.

1. Higher premiums: If you pay for your own insurance, your premiums will cost 10% to 13% more than if the bill didn't pass, according to the Congressional Budget Office. Insurance won't be more affordable. Sixty percent of the newly insured are being enrolled in Medicaid, the public program for the poor.

2. A cost you can't afford and can't avoid: Though moderate-income families will get subsidies, buying insurance is mandatory. A family earning $54,000 will be expected to pay $9,000 (17% of pre-tax income) for the premium, co-pays and deductibles, according to the CBO. If you don't enroll, the IRS will find you and penalize you (Senate bill, p. 345).

3. A one-size-fits-all health plan: Your benefit package will be prescribed by the Secretary of Health and Human Services. Whether you choose basic, silver or gold, and whether you pay for it yourself or qualify for a subsidy, your benefits are the same.

Gold plans simply collect more up front and give you a lower co-pay or deductible. It's unclear how possible it will be to buy supplemental insurance. The goal is to discourage health consumption and differences based on ability to pay.

4. A sin tax on your generous plan at work: This is another equalizer to discourage some people from getting more than others. The Senate bill puts a 40% tax on Cadillac plans (p. 1,980). About one-fifth of employer-provided plans fall into that "luxury" category. The CBO predicts that employers will downgrade your coverage to avoid the tax or reduce your take home pay.

5. Government controls on your doctors' decisions: The Senate bill bars doctors from participating in the private insurance system unless they implement whatever regulations the secretary of health and human services chooses to impose to "improve health care quality" (p. 149). That broad phrase encompasses everything in medicine.

This would be the first time in history that the federal government is given power over how doctors treat privately insured patients

6. Hospitals closed to seniors: The House and Senate bills slash payments to hospitals and other institutions that care for seniors. The chief actuary for Medicare, Richard Foster, warns that cuts in the House bill are so severe that some institutions may face severe losses or end their participation in Medicare (Centers for Medicare & Medicaid Services, 11/13/09 report). Some seniors won't know where to go.

7. Bare-bones hospital care: Patients of all ages (and all incomes) will suffer when hospitals are in financial distress. Hospital budget cuts will mean shortages of nurses, equipment and cleaning staff. The president's chief health advisor, Dr. Ezekiel Emanuel, argues that hospitals in the U.S. offer more privacy and comfort than hospitals in Europe, and this "abundance of amenities" drives up costs (Journal of the American Medical Association, June 18, 2008).

8. Future Medicare cuts: Look out baby boomers, the Senate bill establishes an Independent Medicare Advisory Commission to make automatic spending reductions in future years while insulating Congress from the political fallout. You won't get as much care as people in Medicare currently get.

9. A new social agenda: Money is allocated for adult preparation activities, including lessons on positive self-esteem and relationship dynamics, friendships, dating (and) romantic involvement (Senate bill, p.612). There are also giveaways to immigrants. The Senate bill hands low-income legal immigrants government subsidies as soon as they get here, instead of waiting the five years Medicaid requires (Senate bill, p. 274).

10. A tell-all relationship with every doctor you see: What happens in your doctor's office must be recorded in an electronic data base that can send the information to insurers and other medical offices (Senate bill, p. 62-66). Every doctor you see will have access to your medical history. See a psychiatrist? Your foot doctor will know about it.

These congressional tidings bring no comfort or joy. We must save ourselves from Congress' power now that it has gone astray.

• McCaughey is a former lieutenant governor of New York state and founder of the Committee to Reduce Infection Deaths.

http://www.investors.com/NewsAndAnalysis/Article.aspx?id=516146

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Dec 15

Healthcare Reform Legislation: Good Enough For the American Public But Not Good Enough For Congress

We have stated many times in previous posts that Obama and the Democrats in Congress want to impose a healthcare system on an unwilling American public that is the polar opposite of what these politicians speciously claim it to be. There will be severe restrictions on choices and availability of care with governmental rationing. Waiting times will be longer while the quality of care will plummet yet the total cost borne by each individual will significantly increase both through more expensive premiums and usurious taxation.

Congressional Democrats and Obama claim that their healthcare legislation establishes a great system for the American people. If it really is so fantastic then why are they refusing to agree to amendments that would force them to use the same healthcare system as they want to impose on us? The answer is because they know this system will be disastrous – limiting choice, rationing and restricting care, creating prolonged waiting times before receiving care and being far more costly for significantly inferior quality. Why should they have to give up their privileged premium care that is subsidized by the American taxpayer and provides them with myriad choices?

This whole healthcare reform is all about government control and nothing more. As Investors Business Daily put it:

“… health reform's purposes were advertised as cost containment and near-universal coverage. But what Democrats are set to enact will spend trillions dramatically increasing insurance premiums, and leave millions still without insurance.

In other words, their push for health reform has been based on lies. The real purpose: to gain control of America's health system.

And on top of the lies is the hypocrisy the American people have come to expect from their politicians: continuation of the nearly 50-year-old loophole providing senators and House members with a wide choice of private health plans.”

We need to continue fighting to stop this legislation as well as vigorously work at ousting these arrogant, imperious members of Congress who are ruling us rather than representing us!

Reform For You, But Not Congress
Investors Business Daily 12/04/2009

Hypocrisy: If the $2-trillion-plus government health care plan that Congress has come up with is so great, why do lawmakers refuse to live under it themselves? Their designs have been based on lies from the start.

The left thinks Sens. Tom Coburn, R-Okla., and David Vitter, R-La., have shot themselves in their feet. After unveiling last week their amendment that would force Senate and House members to cover themselves with any government health plan that passes into law, Sen. Sherrod Brown, D-Ohio, a champion of the public option, proceeded to ask if he could sign on as a co-sponsor. Liberal Sen. Ron Wyden, D-Ore., said he might want to, as well.

"Coburn and Vitter weren't counting on that kind of support," gloated Nation magazine Washington correspondent John Nichols. "If they're smart, the rest of the Democratic caucus will follow Brown's lead and sign on for the public option."

Well, when it comes to feathering their own nests, congressional Democrats are smart. And they're not about to subject themselves to anything less than the taxpayer-subsidized, gold-plated array of private coverage choices they've enjoyed for nearly a half century in the Federal Employees Health Benefits Program.

Coburn and Vitter's idea of politicians living under a government plan "was opposed unanimously by Democrats during interviews on Thursday," the Hill newspaper reports. The paper also noted opposition from senior Republican senators such as National Republican Senatorial Committee Chairman John Cornyn of Texas and Minority Whip Jon Kyl of Arizona, who asked: "Why would I want to put my family in that, let alone anybody else's family?"

Senators and representatives from both sides of the aisle know how good they have it under the FEHBP, the world's largest group health program. The reason Congress' own health care works so well is that it's based on consumer choice and market competition — the opposite of what it's trying to impose on everybody else.

Members of Congress and millions of federal workers may choose from hundreds of private fee-for-service plans, HMOs or preferred provider organizations, with no federal worker living anywhere enjoying fewer than a dozen options.

FEHBP members can easily switch plans if they become dissatisfied; that puts competitive pressure on insurers to provide quality and value. Surveys show that members love their coverage, which is why almost all federal employees join the program.

The FEHBP is shielded from state regulation and Uncle Sam subsidizes premiums by more than 70%. Canadian physician and Manhattan Institute senior fellow Dr. David Gratzer, whose opposition to government-run health care comes from first-hand experience, observes that "the federal government's role in the FEHBP is to pay the bills," unlike the fiscally doomed Medicare program, of which "Washington is the designer of benefits."

Today, instead of the federal takeover Democrats are rushing to enact, lawmakers could give Americans the kind of high-quality health care choices they enjoy. A simple system of vouchers would allow recipients to choose any health plan on the market. The system could be means-tested, with Medicare giving "larger vouchers to poorer and sicker seniors and smaller vouchers to healthy and wealthy seniors, using current health-risk-adjustment mechanisms and Social Security data on lifetime earnings," says Michael F. Cannon, director of health policy studies at the Cato Institute.

Vouchers "would contain Medicare spending, and are the only way to protect seniors from government rationing," according to Cannon.

"The FEHBP is an excellent model for designing a system based on broad personal choice," argues Robert Moffit, the Heritage Foundation's director of health policy studies. "There is no reason," he adds, "why a reform of Medicare could not establish a similar structure for national plan options," including integrating private retiree health insurance into the system.

But instead of such common-sense reform, Americans are staring at thousands of pages of new regulations on their personal medical treatment, including a government-run option that will devastate the private coverage most Americans have and like. The inevitable result, as independent studies warn, is thousands of dollars more to pay in health premiums.

In last year's presidential campaign, health reform's purposes were advertised as cost containment and near-universal coverage. But what Democrats are set to enact will spend trillions dramatically increasing insurance premiums, and leave millions still without insurance.

In other words, their push for health reform has been based on lies. The real purpose: to gain control of America's health system.

And on top of the lies is the hypocrisy the American people have come to expect from their politicians: continuation of the nearly 50-year-old loophole providing senators and House members with a wide choice of private health plans.

http://www.investors.com/NewsAndAnalysis/Article.aspx?id=514427

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Dec 6

Ah, Yes … Our Compassionate Government Has Our Best Interests in Mind

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Dec 3

Mammogram Recommendations Touted By Government Panel Grossly Irresponsible, Morally Corrupt and May Be the Basis to Ration Their Use

The U.S. Preventive Services Task Force (USPSTF) has issued new recommendations regarding obtaining mammograms that are irresponsible, shocking and not evidenced based but are concordant with requisite rationing for Obamanocare. The following editorial assesses this morally corrupt pronouncement.

Rationing's First Step
Investors Business Daily  11/18/2009

Health Care: A government task force has decided that women need fewer mammograms and later in life. Shouldn't that be between patient and physician? We have seen the future of health care, and it doesn't work.

We have warned repeatedly that the net results of health care bills before Congress will be higher demand, fewer doctors, more cost control, all leading to rationing. New recommendations issued by the U.S. Preventive Services Task Force (USPSTF) regarding breast cancer and the necessity for early and frequent mammograms do not convince us otherwise.

Just six months ago, the panel, which works under the Health and Human Services Department as a "best practices" study group, was shouting its concern about a Centers for Disease Control and Prevention study showing a 1% drop in the number of women regularly undergoing such screening and prevention.

The task force was saying that women older than 40 should get a mammogram every one to two years. It found that frequent screening lowered death rates from breast cancer mostly for women ages 50 to 69. But that was then, and this is now.
"We're not saying women shouldn't get screened. Screening does save lives," Diana Petiti, task force vice chairman, said of the recommendations published Tuesday in Annals of Internal Medicine. "But we are recommending against routine screening."

Now the panel recommends that women in their 40s stop having routine annual mammograms and that older women should cut back to every two years. The concern allegedly is that too frequent testing can result in increased anxiety, false positives, unneeded follow-up tests and possibly disfiguring biopsies. Preventing breast cancer and saving lives almost get lost in the new analysis.

"I have a particular concern in this case about who was involved in this task force," says Rep. Charles Boustany, R-La., who was a heart surgeon in private life. "There are no surgeons or oncologists who deal directly with breast cancer or even radiologists. ... I've seen far too many young women develop late-stage breast cancer because they didn't have adequate screening."

Little, if anything, has happened medically in the last six months to cause such a shift. A lot, however, has happened politically as a health care overhaul has limped forward on life support. The Congressional Budget Office has been busy pricing these various bills, a process that includes screening and prevention.

As we have warned, the growing emphasis seems to be on cost containment rather than quality of care. About 39 million women undergo mammograms each year in America, costing the health care system more than $5 billion.

"The American Cancer Society continues to recommend annual screening using mammography and clinical breast examination for all women beginning at age 40," says Otis Brawley, its chief medical officer. "Our experts make this recommendation having reviewed virtually all the same data reviewed by the USPSTF, but also additional data that the USPSTF did not consider."

Daniel Kopans, a radiology professor at Harvard Medical School, says: "Tens of thousands of lives are being saved by mammography screening, and those idiots want to do away with it. It's crazy — unethical, really."

This, sadly, appears to be the future of medicine under government-run health care. Aside from taxes on insurers, providers and device manufacturers, we'll be up to our eyeballs in cost-effectiveness boards that will decide who gets what tests and treatments, when and if. These are only recommendations for now, but they are the shape of things to come.

URL   http://www.investors.com/NewsAndAnalysis/Article.aspx?id=512837

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Nov 29

Scientifically Unfounded Recommendations Regarding Mammograms is the Inaugural Move In the Implementation of Rationing By Our Malignant Government

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Nov 21

Obamanocare Mandates A Government Commission That Will Ration Care and Restrict Treatment Options

Despite inexorable denials by Obama, Pelosi and Congressional Democrats, the basic fiscal tenet of Obamanocare is rationing of healthcare. Plain and simple. Ignore the prevarications about rationing, cost savings, compassionate care, keeping your own doctor who will make the healthcare decisions along with you, etc. These are all part of the nefarious scheming intended to deceive the public about their ultimate goal of government control of healthcare, transfer of wealth and further aggrandizement of government power.

The following editorial from The Wall Street Journal, delineates some of the inimical dictates of the legislation.

The Rationing Commission
Meet the unelected body that will dictate future medical decisions.

As usual, the most dangerous parts of ObamaCare aren't receiving the scrutiny they deserve—and one of the least examined is a new commission to tell Congress how to control health spending. Democrats are quietly attempting to impose a "global budget" on Medicare, with radical implications for U.S. medicine.

Like most of Europe, the various health bills stipulate that Congress will arbitrarily decide how much to spend on health care for seniors every year—and then invest an unelected board with extraordinary powers to dictate what is covered and how it will be paid for. White House budget director Peter Orszag calls this Medicare commission "critical to our fiscal future" and "one of the most potent reforms."

On that last score, he's right. Prominent health economist Alain Enthoven has likened a global budget to "bombing from 35,000 feet, where you don't see the faces of the people you kill."

As envisioned by the Senate Finance Committee, the commission—all 15 members appointed by the President—would have to meet certain budget targets each year. Starting in 2015, Medicare could not grow more rapidly on a per capita basis than by a measure of inflation. After 2019, it could only grow at the same rate as GDP, plus one percentage point.
The theory is to let technocrats set Medicare payments free from political pressure, as with the military base closing commissions. But that process presented recommendations to Congress for an up-or-down vote. Here, the commission's decisions would go into effect automatically if Congress couldn't agree within six months on different cuts that met the same target. The board's decisions would not be subject to ordinary notice-and-comment rule-making, or even judicial review.

Yet if the goal really is political insulation, then the Medicare Commission is off to a bad start. To avoid a senior revolt, Finance Chairman Max Baucus decided to bar his creation from reducing benefits or raising the eligibility age, which meant that it could only cut costs by tightening Medicare price controls on doctors and hospitals. Doctors and hospitals, naturally, were furious.

So the Montana Democrat bowed and carved out exemptions for such providers, along with hospices and suppliers of medical equipment. Until 2019 the commission will thus only be allowed to attack Medicare Advantage, the program that gives 10 million seniors private insurance choices, and to raise premiums for Medicare prescription drug coverage, which is run by private contractors. Notice a political pattern?

But a decade from now, such limits are off—which also happens to be roughly the time when ObamaCare's spending explodes. The hard budget cap means there is only so much money to be divvied up for care, with no account for demographic changes, such as longer life spans, or for the increasing incidence of diabetes, heart disease and other chronic conditions.
Worse, it makes little room for medical innovations. The commission is mandated to go after "sources of excess cost growth," meaning treatments that are too expensive or whose coverage will boost spending. If researchers find a pricey treatment for Alzheimer's in 2020, that might be banned because it would add new costs and bust the global budget. Or it might decide that "Maybe you're better off not having the surgery, but taking the painkiller," as President Obama put it in June.

In other words, the Medicare commission would come to function much like the National Institute for Health and Clinical Excellence, which rations care in England. Or a similar Washington state board created in 2003 to control costs. Its handiwork isn't pretty.

The Washington commission, called the Health Technology Assessment, is manned by 11 bureaucrats, including a chiropractor and a "naturopath" who focuses on alternative, er, remedies like herbs and massage therapy. They consider the clinical effectiveness but above all the cost of medical procedures and technologies. If they decide something isn't worth the money, then Olympia won't cover it for some 750,000 Medicaid patients, public employees and prisoners.

So far, the commission has banned knee arthroscopy for osteoarthritis, discography for chronic back pain, and implantable infusion pumps for pain not related to cancer. This year, it is targeting such frivolous luxuries as knee replacements, spinal cord stimulation, a specialized autism therapy and MRIs of the abdomen, pelvis or breasts for cancer. It will also rule on routine ultrasounds for pregnancy, which have a "high" efficacy but also a "high" cost.

Currently, the commission is pushing through the most restrictive payment policy in the nation for drug-eluting cardiac stents—simply because bare metal stents are cheaper, even as they result in worse outcomes. If a patient is wheeled into the operating room with chest pains in an emergency, doctors will first have to determine if he's covered by a state plan, then the diameter of his blood vessels and his diabetic condition to decide on the appropriate stent. If they don't, Washington will not reimburse them for "inappropriate care."

If Democrats impose such a commission nationwide, it would constitute a radical change in U.S. health care. The reason that physician discretion—not Washington's cost-minded judgments—is at the core of medicine is that usually there are no "right" answers. The data from large clinical trials produce generic conclusions that rarely apply to individual patients, who have vastly different biologies, response rates to treatments, and often multiple conditions. A breakthrough drug like Herceptin, which is designed for a certain genetic subset of breast-cancer patients, might well be ruled out under such a standardized approach.

It's possible this global budget could become an accounting fiction, like the automatic Medicare cuts Congress currently pretends it will impose on doctors. But health care's fiscal pressures will be even stronger than they are today if ObamaCare passes in anything like its current form. And that is when politicians will want this remote, impersonal and unaccountable central committee to do the inevitable dirty work of denying care.

The only way to take the politics out of health care is to give individuals more power to control medical dollars. And the first step should be not to create even more government spending commitments. The core problem with government-run health care is that it doesn't make decisions in the best interests of patients, but in the best interests of government.

URL   http://online.wsj.com/article/SB10001424052748703792304574504020025055040.html?mod=djemEditorialPage

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Oct 20

Democrats Plan To Ram Their Healthcare Legislation Down The Sore Throats of Angry Americans

We vehemently oppose the Democrats’ actions on healthcare reform and even more egregiously, their contemptuous and dismissive responses to an angry American public strongly against the legislation. Obama and Congressional Democrats have stated in no uncertain terms that they will impose this healthcare reform on us no matter what.

We have dissected this reform in previous editorials. This bill is ostensibly about healthcare but in actuality IT IS NOT. It will not lower costs, increase quality, or provide universal coverage which is the Democrat’s mantra. Instead, it will result in skyrocketing insurance costs far in excess of what would occur if nothing were done at all as well as massive increases in taxes. It will also lead to rationing, long waits, poorer quality of care, loss of confidentiality or our healthcare records, withholding of care and therapeutic options, increased morbidity and mortality of Americans, etc. Shall we go on?

In its essence, this bill is a naked, corrupt power grab by the Federal government, comprising an additional 17% of our economy under its control for a sum total of 43%. Its covert intentions are to steal additional freedoms and rights from us and make us more subservient and under greater government control. If you have scrutinized what legislation is available for public examination, read fact supported commentary and parsed the Democrats’ ideology, you will realize unequivocally that these conclusions are not paranoid rants. THEY ARE FACT BASED REALITY.

WE MUST RELENTLESS FIGHT AGAINST PASSAGE OF THIS LEGISLATION!!



The following is an extremely important and trenchant editorial posted in the October 19th edition of Investors Business Daily that sums up the current dire situation:

Dems Go Nuclear

Health Care: Democrats seem set to use the "nuclear option" to ram their government health takeover into law. Bipartisanship already looked dead; now it looks extinct.

The health care revolution the Democratic Congress has planned — with its inevitable medical rationing, thousands of dollars in increased insurance premiums, and coverage of illegal aliens — may get placed on the familiar fast track used to spend hundreds and hundreds of billions of taxpayer dollars this year.

Instead of the 60 votes needed in the Senate if proper parliamentary rules were followed, passing this reshaping of the medical system as a "budget reconciliation" measure would mean only a simple majority was needed.

House Ways and Means Committee Chairman Charles Rangel, D-N.Y., accused of cheating on his taxes, last week held a hearing to let the House version of the health reform bill be passed this way. As the Washington weekly Human Events reports, Democratic leaders "have apparently invoked the 'nuclear option' to shut out Republicans and ensure the bill is passed before the end of the year."

So all those "town hells" during the summer, where senators and congressmen were given an earful about passing secretly written thousand-page bills without reading them, will be ignored.

In the age of the Internet, Congress refuses to post for computer access the most consequential legislation in history, as far as its effect on human lives (and deaths) is concerned, before voting on it.

The people will have to wait until it's all signed, sealed and delivered before finding out exactly how this government-imposed monster will devour health care as Americans have known it for all their lives.

And why? Because both congressional Democrats and the White House are afraid of the power of the people. Just as they are both afraid to give the opposing party a seat at the negotiating table.

Rangel didn't allow Republicans to offer amendments in committee. Why not? Fear that Democrats might be embarrassed by having to reject a Republican amendment to protect Medicare, for one thing. And fear in general that the people might catch wind of a few bipartisan ideas that sound more sensible than their big government solutions.

The magnitude of what Congress is about to do is staggering. The federal government is about to begin dictating Americans' behavior regarding the most intimate and vital area of life — health.

You play ball with Uncle Sam and pay thousands and thousands of dollars for far more expensive insurance than what you're now used to, or you get slapped with fines. And as yet we don't know how heavy those fines will be — or if noncooperation with the new system will mean more than fines.

Doesn't Congress owe it to us to provide time to mull this over before it takes force?
Shouldn't the exact wording of this radical transformation of our medical system be available on the Internet for weeks before a floor vote takes place?

And shouldn't medical experts, health care providers and legal analysts get the opportunity to read every word of such a bill carefully, then give their well-considered analysis to concerned Americans?

Apparently not, according to those now running Washington.

To them, this is a rare opportunity to take a giant step toward single-payer, European-style socialized medicine. And they have no intention of letting the people stop them.

URL: http://www.investors.com/NewsAndAnalysis/Article.aspx?id=509361

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