Obama’s war of choice…

Mark Steyn puts this health care bill in a new light:

But, for the sake of argument, let us concede the president’s current number of 30 million. In order to do something for the 10 percent of the population outside the current system, why is it necessary to destabilize the arrangements of the 90 percent within it?

Well, says the president, not so fast. Lots of people with insurance run into problems when they change jobs or move to another state. Okay, In that case, why not ease the obstacles to health-care portability?

Well, says the president, shuffling his cups and moving the pea under another shell, we’re spending too much on health care. By “we’re,” he means you and you and you and you and millions of other Americans making individual choices over which he casually claims collective jurisdiction.

And that, ultimately, gets closer than anything else he says to giving the game away. For most of the previous presidency, the Left accused George W. Bush of using 9/11 as a pretext to attack Iraq. Since January, his successor has used the economic slump as a pretext to “reform” health care. Most voters don’t buy it: They see it as Obama’s “war of choice,” and the more frantically he talks about it as a matter of urgency the weirder it seems. If he’s having difficulty selling it, that’s because it’s not about “health.” As I’ve written before, the appeal of this issue to him and to Nancy Pelosi, Barney Frank, et al., is that governmentalization of health care is the fastest way to a permanent left-of-center political culture — one in which elections are always fought on the Left’s issues and on the Left’s terms…

via Where Is Obama’s ‘Center’? by Mark Steyn on National Review Online.

read my lips, “No federal dollars will be used…”

This just in from the Associated Press:

WASHINGTON – A bipartisan House coalition voted Saturday to prohibit coverage of abortions in a new government-run health care plan that Democrats would establish to compete with private insurers.

The 240-194 vote on an amendment by Rep. Bart Stupak, D-Mich., was a blow to liberals, who would have allowed the Obama administration and its successors to decide whether abortions would be covered by the government plan. Sixty-four Democrats joined 176 Republicans in favor of the prohibition…

The amendment would bar the new government insurance plan from covering abortions, except in cases of rape, incest, or where the life of the mother is in danger. The Democrats’ original legislation would have allowed the government plan to cover abortions, if the Health and Human Services secretary decided it should.

But wait just a minute… didn’t Obama just recently promise the American people that (and I quote):

[N]o federal dollars will be used to fund abortions?”

So… maybe I’m just a bit confused… if there were no provisions providing tax dollars to be spent on abortion, why did Congress just have to vote on an amendment to REMOVE said provision?

These are the questions that make you really think…

via House votes strict ban on abortion subsidies

Will there be doctor shortages?

Allysia Findley has written an interesting piece in the WSJ — discussing a point often missed in the health-care debate:  Doctor shortages:

Mr. Obama wants to provide insurance for an additional 30 million Americans, but recent experience in Massachusetts shows that universal coverage will result in an even greater physician shortage and longer waiting times for patients.

Because Massachusetts’ Commonwealth system served as the model for the universal coverage Mr. Obama wants to implement nationwide, a few results of its health-care experiment are worth noting. A 2008 Physician Workforce Study by the Massachusetts Medical Society found that the percentage of residents having difficulty getting care rose to 24% from 16% between 2007 and 2008. Since 2006 when the Commonwealth system was implemented, internal medicine and family practice went from having labor market conditions that were considered “soft” or unstressed to being the only two specialties with labor market conditions classified as “severe” or experiencing the highest possible degree of stress.

This is stunning to say the least:  AFTER the government stepped in to the health care arena — promising that MORE PEOPLE would get better care, the percentage of residents having difficulty getting care rose 8%.  In other words, when markets were able to act more efficiently, a higher number of people were able to access more care.  Under the new government-mandated Massachusetts program went into effect, more people had trouble accessing care than before.

This raises the obvious question:  what kind of health care system do you want, a private system that restricts access based on cost (but treats more people)… or a public system that doesn’t “limit” care, but ultimately treats FEWER people.

I’d rather see the most people get the most care… but that’s just me.

via Obama’s Doctor Shortage – WSJ.com.

the ‘virtues’ of government medicine

For everybody who thinks that universal medical care is some sort of ‘right’ we are all entitled to have our fellow citizens pay for… maybe you should take alook at this table… think about its implications… and then ask yourself again why you think MORE PEOPLE will be better off under a government system.

Turns out our free-market system ensures we have 3X the number of CT scanners, 5X the number of MRI machines… and have much lower fatality rates for heart attacks, and certain forms of cancer than our government-controlled health system competitors (i.e. Canada and Great Britian)

[HT] Government Medicine Kills by Deroy Murdock on National Review Online.

Or, for those of you who don’t think that “conservative blogs” are even less legitimate than say, one of John Edwards lovechildren, then I have the link for you:

http://www.ncpa.org/pub/ba649#_edn12

an (un)educated citizenry?

I was skimming through my usual RSS feeds and was pleasantly surprised to find this insightful article on The Corner blog.  Mr. Finn, in his article, points out just how difficult a public debate on health care can be when the background knowledge required to fully understand the debate extends over so many fields of study.  Here’s his main point:

What I’m most struck by, however, is the enormous amount of background knowledge — across multiple disciplines — that one must possess in order to understand this debate. It’s almost a litmus test of cultural literacy. Consider, for starters, just three short paragraphs from President Obama’s address to Congress last week:

I am not the first President to take up this cause, but I am determined to be the last. It has now been nearly a century since Theodore Roosevelt first called for health care reform. And ever since, nearly every President and Congress, whether Democrat or Republican, has attempted to meet this challenge in some way. A bill for comprehensive health reform was first introduced by John Dingell Sr. in 1943. Sixty-five years later, his son continues to introduce that same bill at the beginning of each session.

Our collective failure to meet this challenge — year after year, decade after decade — has led us to a breaking point. Everyone understands the extraordinary hardships that are placed on the uninsured, who live every day just one accident or illness away from bankruptcy. These are not primarily people on welfare. These are middle-class Americans. Some can’t get insurance on the job. Others are self-employed, and can’t afford it, since buying insurance on your own costs you three times as much as the coverage you get from your employer. Many other Americans who are willing and able to pay are still denied insurance due to previous illnesses or conditions that insurance companies decide are too risky or expensive to cover.

We are the only advanced democracy on Earth — the only wealthy nation — that allows such hardships for millions of its people. There are now more than thirty million American citizens who cannot get coverage. In just a two year period, one in every three Americans goes without health carecoverage at some point. And every day, 14,000 Americans lose their coverage. In other words, it can happen to anyone. [Emphasis added throughout.]

I’ve marked a few of the many terms, concepts, people, and formulations that demand background knowledge.

He goes on to ask several interesting questions to explain just why this statement is not quite as straightforward as one might expect:

  • Who were Theodore Roosevelt and John Dingell Sr. (and Jr.), and what’s the relevance of their past experience to our present debate? How does the past shape the present?
  • What are key differences between Democrats and Republicans? Why did Obama invoke both? Is it coincidental that he also named Roosevelt and Dingell?
  • How does “insurance” work? What do insurance companies do? What do employers do in this realm? What does it mean to be “self-insured”? What is “coverage”? “Bankruptcy”?
  • What’s an “advanced democracy”? How many are there? What are some others? What’s the point of Obama’s comparison of the U.S. with other countries?
  • Some other essentials: What are Medicare and Medicaid? Where did they come from? How do they work? Who is covered by them?
  • What’s the federal deficit, and why are some people concerned about its size?
  • What is the congressional legislative process, and why is it unusually complex in this instance?
  • What is “health care reform,” and what’s the significance of adding the word “comprehensive” to that phrase?

This post reminded me of a conversation I recently had with an old college friend of mine.  We were having dinner and the conversation eventually landed on the topic of health care… and I asked my friends a question: Listening to Obama, do you think we have a health care problem or a health insurance problem?   The reason I asked was because it seemed to me that nobody in washington really is able to explain which of these problems they are trying to solve.  Obama speaks of both… but often without explaining the different policy prescriptions that are designed to address each specific problem.  I argued that nearly everyone in this country gets basic care… and therefore it didn’t seem to me that we had much of a health CARE problem… but even in the above Obama quote, Obama still maintains that he is enacting health CARE reform… and is causing alot of un-necessary confusion in the process.

I hope this helps you understand just how difficult this debate can be… and why tensions are high.

via Health Care and an Educated Citizenry by Chester E. Finn Jr.

A Health-Care Question…

Thomas Sowell pretty much NAILS it on the head… If this health care plan is so great and its benefits so apparrent… why do we have to wait until 2013 to start enjoying it?

One plain fact should outweigh all the words of Barack Obama and all the impressive trappings of the setting in which he says them: He tried to rush Congress into passing a massive government takeover of the nation’s health care before the August recess — for a program that would not take effect until 2013.

Whatever President Obama is, he is not stupid. If the urgency to pass the legislation were to deal with a problem immediately, then why postpone for years the date when the legislation would go into effect — specifically, until the year after the next presidential election?

If this is such an desperately needed program, why wait for years to put it into effect? And if the public is going to benefit from this, why not let them experience those benefits before the next presidential election?  If it is not urgent that the legislation go into effect immediately, then why don’t we have time to go through the normal process of holding Congressional hearings on the pros and cons, accompanied by public discussions of its innumerable provisions? What sense does it make to “hurry up and wait” on something that is literally a matter of life and death?

If we do not believe that the president is stupid, then what do we believe? The only reasonable alternative seems to be that he wanted to get this massive government takeover of medical care passed into law before the public understood what was in it.Moreover, he wanted to get re-elected in 2012 before the public experienced what its actual consequences would be.

via Listening to a Liar by Thomas Sowell on National Review Online.

Native Americans and the Public Option

We already have a “public option” health care system in this country… and look how that’s working out:

Unfortunately, Indians are not getting healthier under the federal system. In 2007, rates of infant mortality among Native Americans across the country were 1.4 times higher than non-Hispanic whites and rates of heart disease were 1.2 times higher. HIV/AIDS rates were 30% higher, and rates of liver cancer and inflammatory bowel disease were two times higher. Diabetes-related death rates were four times higher. On average, life expectancy is four years shorter for Native Americans than the population as a whole.

Rural Indians fare even worse, as data from Sen. Baucus’s home state show. According to IHS statistics, in Montana and Wyoming, Indians suffer diabetes at rates 20% higher, heart disease 12% higher, and lung cancer rates 67% higher than the average across all IHS regions in the country. A recent Harvard University study found that life expectancy on a reservation in neighboring South Dakota was 58 years. The national average is 77.

Maybe Obama could prove his concept works on the Indians before embarking on this huge experiment for the rest of us.