CMS Takes Obama Marching Orders, Censors Pharma

0

Category : Federal Labor Law

The Centers for Medicare and Medicaid Services (CMS), on obvious marching orders from the Obama administration, has halted all mailings and communications by drug companies about upcoming health care reform. At least one company was found to be mailing its enrollees a warning that the $500 billion proposed cut in Medicare benefits would reduce services and access (no doubt entirely true).

“We are concerned that the materials sent to our beneficiaries may violate Medicare rules by appearing to contain Medicare Advantage and prescription drug benefit information, which must be submitted to CMS for review,” said Jonathan Blum, acting director of CMS’ Center for Drug and Health Plan Choices.

“We also are asking that no other plan sponsors are mailing similar materials while we investigate whether a potential violation has occurred. We are concerned that, among other things, the information in the letter is misleading and confusing to beneficiaries, who may believe that it represents official communication about the Medicare Advantage program.”

In other words, you’re not allowed to let the proverbial cat out of the bag (how the heck did it get in there to begin with?).

However, House Republican Leader John Boehner (R.-Ohio) responded to the CMS stance by criticizing actions of the Obama administration to impose what he referred to as a gag order on critics of the $500 billion in Medicare cuts proposed by the congressional Democrats. He released a statement contending, "It is outrageous that the Obama administration is trying to keep seniors in the dark about the consequences of congressional Democrats’ costly government-run health care bills."

You get what you vote for, and in this case that’s censorship and thought control from on high.

Stop Making Sense; No One Is Going to Listen Anyway

0

Category : Random Musings

If you’re been following the ongoing cyber-debates about how to reform health care, you’ve no doubt run into a lot of wishful thinking, as in, “If the government pays for health care, then it’s free.”

Wrong for all kinds of obvious reasons, most notable of which is that either you or your employer is going to have to pay for your coverage–unless you qualify under a government program because of age, disability or low income.

However, one savvy professor of health policy (and attorney) writing for the New England Journal of Medicine has figured out a quick and simple method that will provide health care for all without a huge national bureaucracy. In fact, this health care delivery vehicle already exists.

It’s called–hold the drum rolls please–Medicaid.

I can sense shivvers’ going up and down everyone’s spine just upon hearing the word, which bespeaks poverty and welfare. However, it could be aptly renamed and expanded at the same time. MediCure is available, as is MedAdvantage and all kinds of nifty titles.

Anyway, this is an idea that’s so sensible and easy to implement that no one in Washington, D.C., would ever consider it. After all, the whole point of health care reform is to create legions of bureaucrats (read: the politicians’ cronies and supporters) and put them into lifetime sinecures.

(One compelling, negative factor in Medicaid, as the author admits in his proposal, is its low payment schedule for doctors. In fact, many doctors refuse to accept Medicaid patients, forcing them to rely on emergency rooms, as the American Enterprise Institute points out.)

I strongly suggest reading “Medicaid and the Path to National Health Insurance” by Michael Sparer, Ph.D. and J.D. His plan cuts to the quick and solves a zillion problems in one stroke.

Problem is, practicality has nothing to do with politics. Money and power do.