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Thursday, June 18, 2009
Ross Mackenzie :: Townhall.com Columnist
Conversation: For the Nation's Medicine, a HICA Moment
by Ross Mackenzie
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What was the biggest suprise of Election Day?



So tell me again why you aren't a doctor.

Because my father - an Edinburgh-trained general physician and surgeon - urged his son against it. He foresaw the day, now rushing at us, when the federal government would be setting rates, approving procedures, and broadly regulating the medical profession.

President Obama and congressional Democrats want to extend medical insurance coverage to everyone, drive down health-care costs, and raise the quality of care. They're talking about a "public option" plan to show the way by competing with private-sector insurance plans. What's the matter with that?

All three cannot be done. And the "public option" - the government plan - inevitably will become the only option, hence the only plan.

But the president isn't saying that. In his remarks to the American Medical Association, he told the nation's doctors, "The public option is not your enemy; it is your friend."

Sort of like, I'm from the government, and I'm here to help you. Thoreau had it right when he wrote, "If I knew for a certainty that a man were coming to my door with the conscious purpose of doing me good, I would run for my life."

At the AMA, the president talked about people like you, who dismiss his proposals as "socialized medicine" or nationalized care. The hour for reform and change is at hand. Instead of being part of the problem, why don't you become part of the solution - and join the debate?

OK. For openers, try on these quotes:

1) Liberal economics columnist Robert Samuelson: "It's hard to know whether President Obama's health care 'reform' is naive, hypocritical, or simply dishonest. Probably all three. The president keeps saying it's imperative to control runaway health spending. He's right. The trouble is that what's being promoted as health care 'reform' almost certainly won't suppress spending and, quite probably, will do the opposite."

2) The conservative Heritage Foundation's Robert Moffit, on the president's AMA speech: "He reiterated the key elements of his health policy agenda: a new government-run health plan to compete with private health plans in a government-run national health insurance exchange. It would include a government mandate on employers to offer government-approved coverage, as well as a government mandate on individuals to buy government-approved insurance."

3) Professor Scott Harrington of the University of Pennsylvania's Wharton School: "In reality, equal competition between a public plan and private plans would be impossible. The public plan would inexorably crowd out private plans, leading to a single-payer system. ... Health-care providers and other Americans should recognize this reality and be prepared for the consequences."

YOU obviously agree with those observations. Why?

For a number of reasons. Government estimates of the costs of things - in this case, $1.5 trillion over the next decade alone - always are notoriously wrong on the low side.

Not always.

Yes, always. Way low.

Next, there's medicine and there's inferior government-run medicine - just as there's the car business and (soon) the government-run car business, education and public (i.e. government-run) education. Where - anywhere - is government-run medicine better in terms of quality and efficiency of delivery than the private medicine available throughout the United States? If there were even a single example, it would be page-one news every day.

So?

So Obama and his rubber-stamp congressional lefties are hell-bent to Europeanize the nation's health care with state-run (yes, socialized) medicine. To borrow from two old songs, Give 'em the ol' razzle-dazzle and Promise 'em anything, but give 'em socialized medicine. Waits will grow longer, costs will go up, and quality of care will go down. It doesn't make any sense. Continued...

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About The Author

Ross Mackenzie lives with his wife and Labrador retriever in the woods west of Richmond, Virginia. They have two grown sons, both Naval officers.

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Medical Advances
"What happened when people did not have health insurance or have someone paying for their healthcare needs, back then? Well, most likely some died. But certainly not everyone died, or the population would not have increased would it?"

Actually, they did die. In massive numbers"

They didn't die from lack of medical insurance, though. Given the state of medical care then, a goodly number died from up-to-date medical care that was worthless. The reason people live longer today is because medical care has advanced in its abilities. This is part of the reason it is more expensive. Other major reasons include higher costs for a medical education and extraordinary costs for malpractice insurance. People cite longer lifespans for some countries with medical care (Germany, say) while ignoring lower rates for others (male lifespans in Scotland, for instance)

The idea that a big government solution will fix this prompts the question; what private enterprise taken over or dominated by government has ever been cheaper or more efficient? Go ahead and think. I've got time.

Hal Donahue
"Do you really like having a low wage insurance clerk deciding what medical care and treatment you may have? Ask the elderly if they care to give up Medicare."

Actually Hal, the computer makes the payment determination in virtually all cases. As long as the doctor's office uses the right procedure code and diagnosis code, no problem. But the government computer will be programmed either by the lowest bidder, or by a programmer who can't find work in the private sector.

If I could, I'd refuse Medicare Part A in a heartbeat. They won't let me, but I won't sign up for Part B since my insurance doesn't require me to do so. And I refuse to use my VA eligibility (Svc Connected) and the Tri-Care I'm supposedly signed up for (Hal's wonderful military/government supplied medical care) can go to hell, I don't use that either. I pay for perfectly good health insurance, and let those who need welfare use Medicare, VA or Tri-Care.
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