Senate: Go Ahead and Keep Your Insurance if You’re That Stupid

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Category : Federal Labor Law, Random Musings

The Kennedy plan to take over health care and remake it in the image of himself has–snare drums please–sailed out of committee with a resounding majority party vote in favor. In short, the Democrats steamrollered a bill through committee with nary a concession to opponents, living or dead. What else is new?

So, now we bring you Kennedycare!

I spent good parts of the morning reading through a summary of the bill (which will have to be reconciled with a competing bill being written in the Finance Committee, and then presumably with whatever far-left “solution” comes out of the House), and the disingenuousness of it all was what struck me most.

The whole thing is blatantly and patently designed to kill off private health insurance in America. It sets up all kinds of impractical standards that no for-profit insurance plan could ever reach without going bankrupt and then feigns to let insurers off the hook with a throw-in line, “Existing health plans are exempt from the requirements specified….”

Of course, it exempts them because it wants the private plans to be compared to the “Public Option” (not fully explained in the bill, deliberately). Once that comparison is made, the public will rush to the better equipped public plan. Goodbye health care as we know it, folks.

Then, I love this line, which is so condescending as to be an affront to all of us: “If individuals like their current coverage, they can keep it.”

Sure, we’ll all keep our horse-driven buggies (private insurance) when our neighbors are driving supercharged Cadillacs (the public plan).

If the Democrats want to socialize medicine (“if” haha), they should have the guts to admit it. Don’t play us all like a bunch of fools.

The next stage of this charade will take place sometime after the 2010 elections (assuming Democrats retain a filibuster-proof majority) when the cry goes out that the only way to balance the public health plan’s budget is to take over the whole system. Voila, socialized medicine, signed, sealed and delivered in the name of “affordable (haha) health care” and “universal access.”

Obama to Us: Health Care Reform=No Health Care

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Category : Uncategorized

Dear Mr. and Ms. Patient,

It has come to my attention that in order for you to enjoy success as patients in the new era of health care reform, you must start working now to prevent illnesses that might befall you. Do not, under any circumstances, eat or drink too much. Fast food might as well be considered illegal. Exercise three, four, five times a day, even if it means taking time off from work. It goes without saying that you should not smoke. The government has data that demonstrates how you have become fat, lazy, and a huge burden on our healthcare system. Your non-compliance threatens the very fiber of our economy. Even employers realize this, and are using calculators to figure your financial burden to them.

Now, in the unfortunate circumstance where you might become sick, you will need to develop symptoms that follow a few simple rules. Do not, under any circumstances, develop symptoms that fall outside federal protocols developed based on comparative effectiveness research data. If you do, your doctors will face pay cuts, litigation, limited resources due to lack of funding for cost-ineffective technologies, and the scourge of discharge planners. Does the term “leper colony” mean anything to you?

Rest assured, if you fall into one of the areas studied under the guise of comparative effectiveness research and I apply all of the 153 quality care measures deemed necessary, according to the President I will not receive a cut in pay and you will receive exemplary care. Further, my nurse coordinator will be more than happy to answer your calls, see you in the hospital, answer all your questions and service your symptoms. After all, Mr. Peter F. Orszag, an economist and Director of the Congressional Budget Office, feels they are equivalent to my specialist care and will serve as “productivity enhancements,” saving $110 billion. See how patriotic you’ll be?

Also, do not be a surgical case that has any risk of failure. After all, “Complicated Patient” is the new scarlet letter as we work to cut even more costs. Fortunately, thanks to the new multitudes of guidelines for care that we must follow, I will be carefully interviewing you to assure that you fit into one of several pre-determined renumeration bins called “bundles.” Please don’t confuse me with more than one major disease since there is currently no way to handle this circumstance. I would suggest you pick the disease that bothers you most.

Unfortunately, after years of clinical practice I have observed several clever patient stunts, like failure to respond to medications, unusual unforeseen infections, having a rare disease, and the like. I strongly recommend against these shenanigans as we move forward. It is in your best interest to not require long hospital stays, dear patient, or else.

I wish you the best as we move forward in this exciting time. Please feel free to contact my automated pool of nurse coordinators if you have questions. They’ll each open your message, play a little “hot potato” with each other, and then contact you as our information technology system streamlines communication.

Stay healthy!

Sincerely,

Dr. Wes

Single-Payer Fix: Talking Billions, Forgetting Trillions

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Category : Federal Labor Law, Random Musings

A group going by the name of Progressive Democrats of America (PDA) has solved the Riddle of the (Health Care) Sphinx, or so it proclaims.

The PDA folk claim that, by just extending Medicare to all Americans (thereby jettisoning, one would presume, all other current health care delivery systems), the country could–bugles blaring, drums rolling–create 2,613,495 million new, permanent, good-paying jobs; boost the economy by $317 billion in increased business and public revenues; add $100 billion in employee compensation;  and infuse public budgets with $44 billion in new tax revenues.

First, as for these “new, permanent, good-paying jobs,” you don’t just pick up doctors, nurses or skilled technicians off the street, and just about every study out there shows that there is already a complete dearth of these professionals to suddenly cover the estimated 47 million Americans who lack health insurance. In Massachusetts, under its new so-called universal health care plan, most of the newly insured can’t find a doctor–and can’t afford the premiums (which the state has found itself paying or subsidizing).

But what is most disturbing about this proclamation of health heaven just over the horizon is the disingenuous financing figures–just $44 billion (or $63 billion–the distinction between these figures is not entirely clear)  more than what is currently being spent on health care in America, and you get this single-payer nirvana.

Sounds like a bargain, huh? Problem is, the PDA people never say how the government will transfer the other $2.1 trillion (yes, with a T) being spent yearly on the current, mostly private system, a sum which includes  insurance premiums, co-pays, deductibles, out-of-pocket expenses, and so on.

The group’s  obvious point is, “How could anyone object to spending about $44 (or $63) billion when we’ve bailed out all those banking, stock market and mortgage sleazeballs for several hundred billion?”

It would be hard to so object if it were the only factor, but it would be harder still to find a way to transfer the current $2.1 trillion being spent on health care. Remember, a lot of that money is money that taxpayers are paying themselves–and which they don’t want to pay under any so-called “health care reform.” The public wants out-of-pocket expenses to disappear, and then to be able to walk into any doctor’s office on whim and get treated–without any inconvience, waiting time or personal money spent.

The public, in short, wants a pipe dream, and sites like this, which make insuring the whole country seem like it costs less than one day in Iraq, only contribute to the daydreaming American public’s fantasies.

As the PDA site proclaims, this $63 billion–they waffle back and forth with $44 billion–is one-sixth the size of the bailout for CitiGroup and half the bailout size for AIG.

Unless my math (and PC calculator) are faulty, if you divide $2.1 trillion by 300 million people, that comes out at $7,000 per person each year. Hardly free–and certainly a lot more than $66 billion, or $220 per person per year. Hell, I’ll write a check for $220 now if I can get that seamless, faultless health care system everyone dreams of.

Unfortunately, this being the real world, it’ll cost each of us $6,780 more a year–and that’s just to get Medicare.