Chaos on Capitol Hill: All Politics Is Loco

Translation: The money has gone to state governments in fiscal trouble because of declining revenues and (in some cases) profligate spending. This insulates public employee union members from the painful effects of recession that are being felt by almost everyone else, with the added political benefit of channeling money to unions, which in turn channel some of it to Democratic politicians.

Obama was also content to let Waxman and Edward Markey write the House cap-and-trade bill. To get needed votes, they gave away carbon credits to politically connected businesses rather than sell them by auctions whose revenues Obama planned to use to finance health care. And they included potentially embarrassing provisions, like one regulating the efficiency of candelabra base lamps. Better be prepared to face the federal candelabra inspectors.

Such are the people whom we are asked to trust to reshape the provision of health care. They are struggling to amass the votes to establish a government health insurance plan whose transparent purpose is to drive private insurers out of business and impose one-size-fits-all health care on the bulk of Americans. They already inserted into the stimulus package a provision funding "comparative effectiveness research," which purports to show what treatments are medically effective and cost-effective.

But comparative effectiveness research is, if not junk science, not a fully developed intellectual enterprise. Medicine is an art as well as a science, and comparative effectiveness research may too often compare apples and oranges. Meanwhile, as Europeans know, the most effective way to squeeze out costs, as Obama promises, is denial of care. Hip replacement at 60? Hey, that's expensive, and you're too old.

Polls show that most voters -- and increasing numbers of independents -- are queasy about vastly increased government spending and more concerned about bolstering the economy than about reshaping health care or addressing projected global warming. They've noticed that the stimulus package hasn't delivered the promised results. Do they want to turn over the health care and energy sectors to a president inattentive to details and congressional leaders in disarray?