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Wednesday, April 01, 2009
Armstrong Williams :: Townhall.com Columnist
Healthcare Reform - Too Big to Fail?
by Armstrong Williams
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The Washington press corps was busy last week stocking up on Red Bulls and Diet Cokes in anticipation of a late night following President Oba ma’s second prime time news conference in his short tenure. White House aides said privately they wanted to convey the image of a “calm, relaxed, and confident” commander-in-chief, whose baptism by fire with the financial crisis has only steeled his resolve and reaffirmed that his is the correct path.

Let’s suspend disbelief for the time being and assume last week’s 500 point market rally was a sign of better times for our embattled economy. What happens next with respect to Obama’s agenda? He has certainly bitten off more than he can chew, even if his Cabinet and aides feel they’re primed for bolder agenda items. One issue that will suck all of the political oxygen out of the room in the coming weeks and months is the president’s health care plan.

When he submitted his budget at the beginning of the month, Hill veterans were forced to ask where the health care specifics were located in such a large tome. No one could find any details. The proposal even listed an exact amount of $634 billion to be placed into a reserve fund. Again, with such a precise dollar amount, one would assume this amount was reached by having a clear plan of where and how the money would be spent. Apparently, details only complicate the otherwise smooth and rapid approval of boundless sacks of taxpayer money heaped on our national woes.

It’s not like health care wasn’t on Candidate Obama’s radar. He gave countless speeches on the matter with specific, concrete ideas. So why were none of them included in his budget submission? If I handed a potential buyer/customer/investor/taxpayer a plan with that enormous a price tag, it better include a detailed blueprint. Otherwise, it’s nothing more than a glorified wish list that hasn’t significantly moved this debate any further than Hillary Care in 1994.

When asked a similar question before a congressional hearing earlier this month, OMB Director Peter Orszag essentially said, “trust me, it’s all up here…E2 and then pointed to his head. Senate Finance Ranking Member Charles Grassley expressed his concern with the lack of details included in the budget and hoped that Mr. Orszag could explain more on how these “bold proposals” were going to be implemented and how the money would be spent. Unfortunately, Orszag’s response to the Senator’s concerns was that “right now, everything is on the table.”

With everything on the table, there is great potential for reform. There is also great potential for little-to-no action. A cardinal rule for understanding Congress is first grasping the concept that the institution always chooses the path of least resistance. If it can spend more to avoid controversy, it will. ;If tough decisions are required, then the body eagerly punts until after the next legislative cycle.

Certainly, Rahm Emmanuel appreciates this tenet. So why, then, did he allow his team to craft as its signature item an otherwise vague element known as the “public plan” option? Purportedly, the provision would force private health-care providers to compete with a more efficiently run delivery system not beholden to price fluctuations and available to all, regardless of their current health status. Gives you a warm, fuzzy feeling all over, doesn’t it? The error rate alone on Medicare payments hovers close to three percent. In real dollar terms, that’s over $10 billion every year. And somehow the White House now exp ects Americans to trust that they can competently keep health care affordable?

Sen. Grassley and his allies will have none of this new hybrid of voodoo economics, which brings us full circle in this new yet familiar vignette – Obama administration floats amorphous, costly proposal; the press fawns over its visionary approach; private market pans it; Republicans pile on. The only scene left to re-create is HHS Secretary Sebelius getting skewered by the Hill, which began last week with OMB’s Orzag.

Not to fear, President Obama has another sil ver bullet in the chamber and it’s called Health IT. Yes, even the local bicycle shop now keeps electronic files, and finally the government is about to come around to the notion. But arguing computerized medical records will slow costs is akin to saying automated kiosks at AMTRAK turned that industry around. It didn’t happen, because it doesn’t work that easily.

Just as it was a central theme last week during President Obama’s press conference, health care reform will continue to rise as the next major issue Americans want dealt with. It simply impacts too many facets of life - the budget, the economy, seniors, productivity, etc... I just hope the president’s team doesn’t take the same too-big-to-fail approach with the nation’s health system that it did with our banking system.

Truly the time has come where everyday Americans must begin to keep score of the many agenda items that this President is trying to initiate in this struggling economy that is headed fast towards a depression. We understand that our President inherited an economy that’s on the brink of financial collapse. We should be most concerned that this administration’s policies don’t make matters worse and extend this economic crisis for another 10 years. One needs to look no further than Japan to find a pattern between the policies and initiatives that this administration is pushing and what the Japanese initiated 10 years ago that still has their country trying desperately to move beyond their recession economy.

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About The Author
Armstrong Williams is a widely-syndicated columnist, CEO of the Graham Williams Group, and hosts the Armstrong Williams Show. He is the author of Beyond Blame.
 
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Empty Promises
I guess if there is no specifics in the bill... it would be another empty promise.

I know a man that told me he voted for Obama in hopes to get inexpensive healthcare. Little does he know, as a realtor that owns 9 houses and properties he will pay for many other families' health care before he gets his own "cheap" health care.

"You've paid too much for your whistle."

Healthcare
I do not believe that Obama feels that he has to disclose any plans. After all he has made a decision and everyone should just go along with what he has said. What amazes me is how many people who truly can afford healthcare are blindly following this plan for Universal Healthcare. A plan that will force us to pay for millions of illegals alone. I have a fairly wealthy aunt who is 86 years old, owns three homes, travels quite a bit even at her age and buys a new car every two years. She is one of the Obama fawners. She has medicare and a secondary insurance policy through her deceased husbands employer. I was infuriated when I heard her say that she voted for Obama because she can't afford to pay the co-pay for medications so she does not take the drugs that are prescribed for her. She can't wait until everything is free. Unfortunatley, I do not think that she realizes that her new taxes will be far more than the 4 or 10 dollar co-pay that she would need for her medication. She like many others think that the promise of something for free is great. I wonder how she will feel when at 86 chances are she will be told that under the government cost benefit analysis she is entitled to nothing as she is too old. She is probably indicative of many of the people who are so taken by the promise of Universal Healthcare.

The Only Reason for This Boondoogle
"But arguing computerized medical records will slow costs is akin to saying automated kiosks at AMTRAK turned that industry around."

They know this won't decrease the cost of healthcare This healthcare thing is just another power grab. The Democrats are convinced they know what is best for us. We couldn't possibly know how to take care of ourselves. They are going to ration healthcare and begin telling us how to live. Since 'they' are paying for our care, they will be empowered to tell us what to eat, what to drink, when to exercise, and how to live. If we are all dependant upon the government, they think they will be ensured of power forever.

Let me get this straight...
We have people in this country who are unable to afford health insurance. With the rising cost of healt care, and with the economy in the sewer, it's unlikely that they'll be able to afford it anytime soon. So the solution is put our whole health care system into the nice, safe, efficient hands of -- THE GOVERNMENT????

If I may borrow a phrase from Fred Sanford, I want to ask the proponents of national health care one simple question: ARE YOU CRAZY???

Lower Cost for Health Care
Get rid of all unions connected to the medical field. Correct the laws to lower Mal-practise law suits. Then watch the cost come down.

You are confusing 2 separate items
Health INSURANCE with Healthcare. 2 different items. Health insurance is expensive because Healthcare pricing is ridiculous. If you limit pricing and insist on competition in the Healthcare industry, Health INSURANCE companies will charge less and it would be affordable. If you eliminate or at least mitigate the risk of medical malpractice suits through a combination of legislation and HMO agreements then Health INSURANCE can and will become affordable for all. The solution is not GOVERNMENT run healthcare but rather competition in pricing. I worl for a major health Insurer and our numbers in this area proven this primise to be sound. Also, if you look at the quality of care in those countries that have government run healthcare, it is subpar and causes a lack of qualified doctors and nursing staff. Private Health Insurers want to provide lifeline care without preexisting condition to the poor at no or minimal cost but our current system will not permit it.

Universal healthcare for the elderly
will be virtually non-existent. Major reason for it: let old people die and get them off Social Security.

Deathcare - I
Government health care advocates once sang the praises of Britain's National Health Service (NHS). That's until its poor delivery of health care services became known.

A recent study by David Green and Laura Casper, "Delay, Denial and Dilution," written for the London-based Institute of Economic Affairs, concludes that the NHS health care services are just about the worst in the developed world. The head of the World Health Organization calculated that Britain has as many as 25,000 unnecessary cancer deaths a year because of under-provision of care.

Twelve percent of specialists surveyed admitted refusing kidney dialysis to patients suffering from kidney failure because of limits on cash. Waiting lists for medical treatment have become so long there are now "waiting lists" for the waiting list.

Government health care advocates sing the praises of Canada's single-payer system. Canada's government system isn't that different from Britain's. For example, after a Canadian has been referred to a specialist, the waiting list for gynecological surgery is four to 12 weeks, cataract removal 12 to 18 weeks, tonsillectomy three to 36 weeks and neurosurgery five to 30 weeks.

Toronto-area hospitals, concerned about lawsuits, ask patients to sign a legal release accepting that while delays in treatment may jeopardize their health, they nevertheless hold the hospital blameless.

Canadians have an option Britainers don't: proximity of American hospitals. In fact, the Canadian government spends more than $1 billion each year for Canadians to receive medical treatment in our country. I wonder how much money the U.S. government spends for Americans to be treated in Canada.


Deathcare - II
"OK" you say, "Sweden is the world's socialist wonder." Sven R. Larson tells about some of Sweden's problems in "Lesson from Sweden's Universal Health System: Tales from the Health-care Crypt," published in the Journal of American Physicians and Surgeons (spring 2008). Mr. D., a Gothenburg multiple sclerosis patient, was prescribed a new drug. His doctor's request was denied because the drug was 33 percent more expensive than the older medicine. Mr. D. offered to pay for the medicine himself but was prevented from doing so. The bureaucrats said it would set a bad precedent and lead to unequal access to medicine.

Malmo, with its 280,000 residents, is Sweden's third-largest city. To see a physician, a patient must go to one of two local clinics before they can see a specialist. The clinics have security guards to keep patients from getting unruly as they wait hours to see a doctor. The guards also prevent new patients from entering the clinic when the waiting room is considered full. Uppsala, a city of 200,000 people, has only one mammography specialist. Sweden's National Cancer Foundation reports that in a few years most Swedish women will have no access to mammography.

Dr. Olle Stendahl, a professor of medicine at Linkoping University, pointed out a side effect of government-run medicine: its impact on innovation. He said, "In our budget-government health care there is no room for curious, young physicians and other professionals to challenge established views. New knowledge is not attractive but typically considered a problem [that brings] increased costs and disturbances in today's slimmed-down health care."


Deathcare - III
These are just a few of the problems of Sweden's single-payer government-run health care system. I wonder how many Americans would like a system that would, as in the case of Mr. D. of Gothenburg, prohibit private purchase of your own medicine if the government refused paying.

We have problems in our health care system but most of them are a result of too much government. More than 50 percent of health care expenditures in our country are made by government. Government health care advocates might say they will avoid the horrors of other government-run systems. Don't believe them.

The American Association of Physicians and Surgeons, who published Sven Larson's paper, is a group of liberty-oriented doctors and health care practitioners who haven't sold their members down the socialist river as have other medical associations. They deserve our thanks for being a major player in the '90s defeat of "Hillary care."

http://washingtontimes.com/news/2009/mar/21/a-look-at-swede ns-way/


Three reasons for expensive health care
I am sure there are many more, but

First is the cost of all the free care given to those who cannot pay is passed to those who can.

Second is the government's involvement in health care takes a lot of competition out of the market.

Third is we demand expensive health care. When I need an MRI, I want it today and I do not want to drive very far and I want it to be in a beautiful facility with ample parking.

War
Our government can't even run a war efficiently, thanks to the Bozo's known as the federal legislative branch! We're already experinecing government run healthcare. Just look at the VA! I can say that as I'm a vet with a service connected disability. You want meddling in your personal life, just wait until idiots like Levin, Frank, Pelosi, and Reid start dictating what healthcare you get!

Denise
I've heard about all these shortcomings of Canada's and Europe's national health-care systems that you've exposed in great detail. The fact that they are a very long way from the boon they've been held up to be by their proponents is certainly no shock to ME.

You're right, anyone who would believe the nationalized health-care advocates about the blessing an American nationalized system would be, and that it will supposedly avoid the problems plaguing Europe's and Canada's, is not only a fool, but a fool who's literally taking his life into his hands.

The only reason Canada's system hasn't imploded by now is because it has a very convenient safety valve: America's health-care system. In fact, I wonder why a lot of lower-income Canadians aren't FURIOUS over the fact that Canada's nationalized system has made that country's health-care inequities between higher- and lower-income Canadians even MORE dichotomous. Better-off Canadians simply go south to get the types of medical care that are very hard to get in Canada. So the only people who are being denied, or greatly delayed, needed health-care (like hip replacement surgery) are the very ones - lower-income earners - who the Canadian system was ostensibly supposed to help.

By the way, I'll make a prediction: if our health-care system is nationalized under the Obama Administration, and all measures of the system's performance subsequently take a nose-dive, as they surely will, especially mortality rates, expect the government health-care administrators to blatantly and unashamedly LIE to the American people about those performance measures, much as the Inner Party did to the residents of Oceania of Orwell's 1984 about how well Ingsoc was really working. Just like public-school administrators do today about performance measures that are embarassing for their schools.

Computerized medical records
This idea is a crock of stuff. As I understand it, all medical records will be put on a database whereas they will be available to any medical firm. Anyone who works at any of these facilities will have access to our medical records.
I guess the privacy act is down the tubes. All americans should be concerned over this.

photonut
If the Obama Administration DOES bring about a national computer database of ALL of our medical records, I'm willing to bet it will make ONE conspicuous exception: records on abortion procedures.

Will be interesting, in that case, to see Obama explain to the American people why this ONE procedure is the ONLY one for which he accepts that there is a "zone of privacy".

THE OBAMANABLE GOD OF SOCIALISM
As government is God for Obama and the Left did you ever wonder what this deity would look like if it assumed a distinct physical shape? Well it just so happens in remote antiquity the ancient Ephesians worshipped such a god, the ideal socialist deity, the terrible Diana of Ephesus: Our Lady of the Many Breasts. Click ApolloSpeaks and take a peek at this obamanation. The site is truly appalling.

Electronic Health Records
As a physician who has cared for patients for nearly 42 years and still has an active license to practice medicine, as a fiscal conservative who doesn’t want to spend a dime on anything except the most worthwhile endeavors, as an American who loves personal freedom and strongly believes in the power of private enterprise, as a physician who knows what benefits in physical and mental health can be achieved through the combined efforts of honest and knowledgeable doctors and patients who have access to reliable health information, and as a former Board Certified Emergency Physician who cared for numerous critically ill and injured patients in hospital Emergency Departments for more than 14 years, frequently with little or no health information available, I am 100% in favor of developing a standardized framework that will allow every American citizen who wants one to have an individual electronic health record – a computerized medical record - that can be accessed by the doctors who care for them, regardless of where the doctors or the patients happen to be on the planet. Think of it like your own personal online banking account that only you have the password to, but which you can share with your doctors.

Electronic Health Records (Cont.)
I strongly applaud those who can and will use their energy and expertise to upgrade our deplorable current paper medical records and bring them into the 21st century. Developing a standardized framework for an electronic health record created by your doctor - for every citizen who wants one - is something that only our national government can and should do - like the US military and the U.S Postal Service. If done well, electronic health records will be transformational in helping doctors efficiently and effectively care for patients – whenever and wherever they may be - and will save an enormous amount of time and money which is currently wasted on needless and frequently inaccurate duplication. Like the telephone and the computer, someday we will all wonder how we ever got along without them.

refatsew
I agree completely. I’m someone who has been blessed with excellent health but I’ve moved frequently and had to go to various physicians and dentists during my career. When the doctor asks, I’m always embarrassed that I can’t remember if I’ve had certain procedures or diagnostic tests, or previous bouts with a minor ailment or not. If my records were electronically stored on the internet, with reasonable safeguards for security and privacy concerns, it would be helpful to the doctor. I actually feel I’m doing my physician a disservice by not being able to give him previous medical records. I’m not pulling my own weight in taking responsibility for my own health.

High Wages Are Making Us Victims.
There is no good reason why the government cannot pick up the healthcare tab for all Americans. High costs can be lowered by subsidizing medical colleges and flooding the market with millions of new doctors. A bright college graduate that majored in science can be turned into a family practitioner in less than six months. Surgeons can be trained in less than a year. The whole medical field is grossly overpaid. Those high wages must be brought down to Earth if national healthcare is to become a reality.

Understand This!

There is no such thing as socialized medicine. In fact, there is a "A Tale Of Two Classes". The poor seek poor medical care while the rich seek care at private clinic. Even my sister crosses the "pond" to get her own family's healthcare.

Governments' make the decisions on what treatment is allowed. They decide which medicines are permissible. Don't trust me? Ask the 6 families that lost loved ones last week in England because the treatment was denied. Not good enough? Ask the rare cancer victims, who were denied medicine because it was too expensive. One more? Ask the British woman that had to give birth on a hospital floor because the rationed beds had been out already.

refatsew
Wait, what? Only government can do that? Not on your life. They can't run the US Postal Service and it's getting wholloped by FedEx and UPS (and would be completely insolvent if we abolished laws blocking FedEx and UPS from daily mail delivery).

When I'm staring at massive, PRIVATE, databases that contain just about everything you can think of from social networking sites like Facebook, massive database auction sites like eBay and the myriad of online retailers that database hundreds of millions of products with simplicity and ease, you tell me that only government has the resources to provide a database that 5 people can design and market without much effort.

Government is never the answer to much of anything (anyone that says that is not a fiscal conservative, end of story, no arguing around it, you're a liar if you say you are). I can easily create a database that can crush anything that a government bureaucrat can do, but I know that it's futile because there are many more talented people out there than I am.

Why isn't it done now? Maybe because it will cost more than save. A few people may have a hard time remembering what procedures they've done over their lives, but that's not an excuse to burden the 100 people who can remember for the 1 who can't with the massive costs of implementing such a system.

Our costs aren't out of control because of IT problems, our costs are out of control because of government regulations and bureaucracy getting into the medical field. Lawyers are not doctors, don't let them create laws on medicine.

Obama's Health Care???
That is the least of my concerns Mr. Williams. I am not even worried about a Financial Collapse or the down payment to punish the American People because Barack's mother died. We have had too many fools in office to worry about that. Now I will tell you that the Obama Health Care Plan does have something for me to worried about and his name is Henry Waxman(D-Calif). With this maniac,Obama, Democrats, and RINO's in charge of making laws to "Clone" the American People in their image is what I am concerned about. I could care less about Health Care, these Congressman and Senators are crazy. And your President...well "we report and I will let you decide".

refatsew
You stated that with security, the database is a good thing. The concept behind this I'M sure is a good idea but what it's asking is to put complete trust into everyone who is associated with our health care system. I don't think I'm ready to do that. I would think that an individual should be able to have a choice. Our medical records are MY BUSINESS and I DON'T WANT THE GOVERNMENT MEDDLING IN MY HEALTH RECORDS

HealthCare Nightmare
Last summer, congress voted to increase pay to medical providers who accept Medicare assignment. Now, The Obama administration wants to siphon 330 billion from Medicare to help fund his universal health care plan over ten years. He also wants to pay providers based on a Medicare schedule, which is far less than billed amounts.

If this is implemented, private carriers will be put upon to cover provider loss of revenue which means premium increases for group and individual policies. There happens to be close to 47 million Medicare beneficiaries who will see benefits reduced and/or premium increases.

Prediction; these shifting policies will translate to votes against him in 2012 making him a one-term wonder.

PhotoNut-Mo
Ur Concern about On-line Patient Records doesn't interface with reality, at least in my case.. I'm Retired Military (since '78) and even tho I have had Civilian Insurance for much of the ensuing period, I have ALWAYS relied on my local VA with Very few BIG problems..I LIKE the automated records in that I don't have to carry MRI FILD, CD'as etc from place to place..In fact, I'm gonna have a total HIP repl. this month, or next.. TO EACH HIS OWN!!

Gov Health Care
Dr. Williams, government health care doesn't need a definition. Seriously, too big to fail is the least of our problems if this goes into effect. Get ready for long lines, rationing of emergency life-saving surgeries, civil servants deciding who gets medicine based on age, sex, or income levels; the more I think about it, we don't need no damn details. I'm already depressed about Obamanation socialism.

Treatment of the sick in KS prisons
I am in opposition to the confirmation of Governor Kathleen Sebelius as the Secretary of Health and Human Services. President Obama should save himself the embarrassment. Finally, a very well respected law firm will bring forth a class action suite against her for the torture and inhuman treatment of the sick and dying inmates held in the Kansas Department of Corrections. Guantánamo Bay Detention Camp will look like a five star resort compared to the tragic conditions within the KS Dept of Corrections. For more information attached or you can read at http://www.iscientiausa.com , articles: Sebelius and The Shape of Things to Come, in our New System of Socialized Medicine.
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