“End-Of-Life”, Bureaucrats and Freedom – More Straight Talk
The Senate Finance Committee, which is drafting its version of health care legislation, will not include the “end of life counseling” provision found in the House bill.
Sen. Chuck Grassley (R-Iowa) said in a statement. “We dropped end-of-life provisions from consideration entirely because of the way they could be misinterpreted and implemented incorrectly.”
You see, these provisions being written into law won’t be implemented by our lawmakers, but instead by the bureaucracies the law establishes. Yes, unelected, unaccountable bureaucrats will interpret and implement the law and you, dear drone, are expected to bow to their interpretation and implementation. That’s reality.
Of course that’s the case not only with that particular provision but with the entire legislation being proposed. It is going to be a government bureaucracy that decides what this all means and how it should be implemented.
Now, Grassley sort of tries to make that point but still exempt what he’s working on from it:
“The bill passed by the House committees is so poorly cobbled together that it will have all kinds of unintended consequences, including making taxpayers fund healthcare subsidies for illegal immigrants,” Grassley said. The veteran Iowa lawmaker said the end-of-life provision in those bills would pay physicians to “advise patients about end-of-life care and rate physician quality of care based on the creation of and adherence to orders for end-of-life care.
“Maybe others can defend a bill like the Pelosi bill that leaves major issues open to interpretation, but I can’t,” Grassley added.
The charge, of course, is that the House bill is loaded with poorly written legislation open to bureaucratic interpretation which will have many unintended and negative consequences. The implication is that Grassley and crew are carefully cobbling their version together to make clear how everything must the interpreted and implemented thereby avoiding all the negative and unintended consequences found in the House bill.
To which I say, “nonsense”. We’re talking about an attempt to take over a very complex system that goes far beyond “insurance” reform. Anyone who believes that Grassley and the Senate Finance Committee’s version will avoid negative unintended consequences needs a reality check badly. Certainly it may be marginally better than the monstrosity the House is touting, but it is still an overt government power grab that will have dire consequences down the line.
What’s even more disturbing, of course, is the fact that you have a senior Republican involved in doing this, meaning of course that he has swallowed the premise that the Democrats have offered, i.e. that the solution involves more government, not less.
And, of course, that’s exactly the opposite of what Republicans, philosophically at least, are supposed to stand for. Dale has outlined the direction Republicans and those who believe in liberty and free markets should be demanding we go.
Is there a workable model out there that Republicans should be offering? You bet there is. Dale talked about it, and so has John Mackey, the CEO of Whole Foods:
* Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs).
* Equalize the tax laws so that employer-provided health insurance and individually owned health insurance have the same tax benefits.
* Repeal all state laws which prevent insurance companies from competing across state lines.
* Repeal government mandates regarding what insurance companies must cover.
* Enact tort reform to end the ruinous lawsuits that force doctors to pay insurance costs of hundreds of thousands of dollars per year.
* Make costs transparent so that consumers understand what health-care treatments cost.
* Enact Medicare reform.
* Finally, revise tax forms to make it easier for individuals to make a voluntary, tax-deductible donation to help the millions of people who have no insurance and aren’t covered by Medicare, Medicaid or the State Children’s Health Insurance Program.
It may not be the total free market answer most libertarians would like to see, but it is a far better approach than what Democrats and Republicans out there are offering now.
Here’s the bottom line, as stated by Mackey:
Rather than increase government spending and control, we need to address the root causes of poor health. This begins with the realization that every American adult is responsible for his or her own health.
The solution is to make them responsible by giving them that responsibility, not having government further usurp it and make decisions for them. The most fundamental aspect of freedom and liberty is individual responsibility. The system we have now, as well as the one that is being proposed, works against that fundamental requirement and thereby lessens both our freedom and our liberty.
That’s what people protesting these proposed laws are finally realizing. This isn’t just about health care – its about our freedom.