Free Markets, Free People


Prepare for the new ObamaCare messaging

Ben Smith at POLITICO reports that Democrats are switching their messaging strategy when it comes to the ObamaCare legislation (and I’d guess one of the strategies is not to call it “ObamaCare”).  Seems they’ve conceded the argument that it will lower the deficit and cost less.  Facts are stubborn things and few have bought into the claims given the justification for them given by Democratic leaders.

So now they’ll go more nebulous instead.  Call it the medical care “hope and change” approach.  Now instead of lower deficits and less cost, they’re going to tout the law as a way to “improve” health care.

As one slide in the presentation – available here – says, “Many don’t believe health care reform will help the economy.”  That’s absolutely correct.  And, unlike Washington DC, most in flyover country passed their "Common Sense 101” course years ago while holding a job or running a business, raising a family and managing a household.  Most of them can spot a scam fairly easily and this was always in that category given the machinations necessary to make it “bend the cost curve down”.  Immediate taxes and delayed benefits were the first sign some game was afoot.  “Doc fixes” and half a trillion Medicare cuts that would never happen plus some double counting used to claim deficit reduction were the second.  And a new and extensive bureaucracy promised health care would be much more complicated and expensive.  Of course everyone loved the new individual mandate as well, not to mention the billions of dollars in mandates shifted to the states.

So this is the pig they’re trying to sell as “improved” as in “this law improves health care”.

How?

One slide says, “Tap into individual responsibility to blunt opposition to the mandate to have individual insurance.”  It then says, “Those who choose not to have insurance and use the emergency room for routine care are increasing the cost for the rest of us who have insurance.”

Interesting slide for the group most singularly responsible for attempting to make more and more people dependent on government throughout it’s history.  Suddenly it’s about “individual responsibility” while defending one of the biggest government takeovers of an industry in our history.

Oh, and, as pointed out with MassCare – ObamaCare’s little brother – the use of emergency room facilities went up with their mandated insurance law:

When the Bay State passed its health-reform law in 2006, 9 percent of non-elderly adults lacked insurance; that’s now down to 5 percent. The law didn’t reduce expensive emergency-room use as predicted. Instead, emergency-room visits have climbed by 9 percent, or about 3 million visits, from 2004 to 2008.

And, of course, so have costs with health care now consuming 35% of the state’s budget as compared to 22% before the law’s passage.  All predicted (back to Common Sense 101) and all coming true as expected.

Last, but certainly not least, Democrats will use a little class warfare to "please” voters, one assumes:

image

Obviously anyone with the cognitive ability to open a box of crayons knows that the rich can’t pay for all of this by any stretch.  Another in a long line of lies about “paying for” this monstrosity.  The second part of the slide is just a flat out lie.  Remember, ObamaCare is based on the primary care physician.  And that’s a medical care area that has a shortage now and that shortage is going to get worse:

The number of U.S. medical school students going into primary care has dropped 51.8% since 1997, according to the American Academy of Family Physicians (AAFP).

That’s right, dropped 51.8% since 1997.  So tell me again about that “unprecedented number of new healthcare providers” being trained?  Because I don’t know who they are, but they aren’t the supposed foundational specialty on which ObamaCare is based according to the AAFP.

And those doctors who are in primary care are cutting their hours.  Why?

Payment issues may have played more of a role. The overall decrease in hours coincided with a 25% decline in pay for doctors’ services, adjusted for inflation. And when the researchers looked closely at U.S. cities with the lowest and highest doctor fees, they found doctors working shorter hours in the low-fee cities and longer hours in the high-fee cities.

Yup, no pending crisis at all – aided and abetted by a government that has decided it will “lower costs” even though it is no longer going to emphasize that point to the proles.

And what about nurses?

In the July/August 2009 Health Affairs, Dr. Peter Buerhaus and coauthors found that despite the current easing of the nursing shortage due to the recession, the U.S. nursing shortage is projected to grow to 260,000 registered nurses by 2025.  A shortage of this magnitude would be twice as large as any nursing shortage experienced in this country since the mid-1960s.

Amazing what they try to put past you, isn’t it?  Which brings us to the irony of the day:

image

Yup – keep those claims “small and credible” like the lies about more health care providers – and for heaven sake “don’t over promise or ‘spin’ what the law delivers’ – like lower cost, the ability to keep your plan and your doctor and, of course, control over your own health care.

Because we wouldn’t want to see this new and “improved” law repealed or neutered, would we?

~McQ

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23 Responses to Prepare for the new ObamaCare messaging

  • Perhaps when they say “unprecedented numbers” they actually mean the numbers of new people being trained are so small that those numbers are “unprecedented.” 

    Spinning the reality to meet their perception.

  • For several years, the left has been in full post-modern “there is no truth and falsehood, there is only the narrative” mode.

    It’s essential in carrying on this debate to understand this point. Arguing directly with the left is utterly fruitless because they don’t consider themselves dishonest or disingenuous no matter how much they bend or break the truth. That’s simply because the post-modern view of truth is completely different from the Enlightenment view of truth. Pointing out a lie means nothing to them; they just consider the lie “a different viewpoint”.

    However, the average person still hews to an Enlightenment view of the truth, so proclaiming the post-modern lies of the left can still be useful. Just remember that the audience is not the left themselves. They’re beyond reclamation. The audience is the mushy middle who doesn’t know what to believe. They are close to a tipping point on the current version of collectivism that is the faith and practice of the current Democratic party. We need to push them over it so they won’t trust the collectivists again for a generation at least.

    • That’s simply because the post-modern view of truth is completely different from the Enlightenment view of truth. Pointing out a lie means nothing to them; they just consider the lie “a different viewpoint”.

      That describes Erb’s arguments very well.

  • “Nursing shortage” .. my ass.  There is massive age discrimination in the nursing field.  It’s almost impossible for for nurses over 50 to get a job, unless they take a pay cut.

    • My brother in law is an RN (he also wants full bore socialized medicine, and he voted for Obama) and he’s convinced  the insurance companies are at fault for medical costs). He doesn’t realize that the real driving factor is the wages he earns. Due to the lack of price controls inherent in our current system and in any socialist system, health care providers are overpayed. The government can enforce price controls, but the effect will be reduced supply and hence poor service.

      Doctors are overpayed, as are nurses. The alternative the government offers is massive rationing. The solution is the free market, but that doesn’t do anything for Democrats, so it will be fought tooth and nail.

      • He doesn’t realize that the real driving factor is the wages he earns. Due to the lack of price controls inherent in our current system and in any socialist system, health care providers are overpayed. The government can enforce price controls, but the effect will be reduced supply and hence poor service. Doctors are overpayed, as are nurses.

        You’re joking, right?  Wages for doctors and nurses are a very small percentage of overall healthcare costs.  The cost of treatments and equipment, malpractice insurance and overall all far outstrip personnel costs.  Besides, who would go through med school and take on over a hundred thousand dollars in debt for 50K?

        • 1) Lawyers seem to take on 100k of debt for low salaries.
          2) Doctors make way more than 50K – you could pay them 100k and save money.
          3) Foreign doctors are swarming in the USA, why don’t they go home? Because doctor pay here is very, very high.

          • 1) He’s talking about nurses
            2) See above
            3) Compared to where they came from, where they work for two chickens taken in barter?
            Lawyers take low salaries? On what planet?

      • I find US healthcare to be very overstaffed. Too many receptionists, nurses, etc.
        My kids dentist office seems overrun with staff – I’d say there are 5 staff for every kid in a chair being worked on – that seems very high to me. I will start shopping around since I don’t think 15 minutes of work by dental assistants should cost $270. (sealants for 4 teeth.)

  • I hate this insistance that $200K per year is “RICH”

    THAT IS NOWHERE NEAR RICH

    The threshold of the American Dream keeps getting lowered and lowered.

    • Sorry, I think 200k is doing pretty well unless you live in NYC.
      Now, if you make 200k for a few top earning years that were preceded by lower incomes, then I’d say you aren’t “rich.”
      Actually, is rich more like wealthy which is more related to assets not income?

    • Greed was never part of my dream. I always thought the American dream consisted of more than making enough money to buy $6,000 shower curtains or a three car garage filled with Ferraris.

  • “The threshold of the American Dream keeps getting lowered and lowered.”

    That’s the whole purpose of the Liberal Narrative.  Equal opportunity is no longer the goal – Equal Outcome is!

    • Yup.  And we all know that the surest way to get equal outcomes is for EVERYONE to be miserable.

      Of course, they really don’t mean “equal” since I’m sure our enlightened  progressive class masters like Kerry and Gore and Baracky will manage to have all the luxuries they seek to deny us. Funny how that works.

      • Sorry that I can’t give an exact citing for this, but a Polish-Russian revolutionist is crsdited for saying
        …behind the socialist idal was a new form of exploitation for the benefit of the office holders and mangers of the socialized state.”.

  • Basically they are still operating under the delusion that we don’t like it because they failed to educate us.  But it really wasn’t their failure to educate it was us being too stupid to understand this was all for our good.

    In my world it wasn’t their failure to educate it was their intentional cover ups.   It looks like there are more who read it and don’t like it than those who read it and like it.

  • This is WONDERFUL set of admissions by the Obami and Deemocrats!
    The snow-ball effect is just beginning, and it will gather mass and momentum quickly.
    The whole Collective is unraveling like a cheap golf-ball without a cover…which is not a bad metaphor.

  • McQObviously anyone with the cognitive ability to open a box of crayons knows that the rich can’t pay for all of this by any stretch.

    Well, that lets out the people who were stupid enough to vote for The Dear Golfer…

    But the “we’re IMPROVING health care!” is friggin’ brilliant: every year, we can have another 2000+ page bill containing all sorts of goodies that nobody knows about.  Perpetual crisis —> perpetual opportunity.

  • Great piece.  I think you have hit the nail on the head.

  • We should be taking charge of our own health care costs. Check out Whatstherealcost.org

  • Neo – how is getting paid the market rate age discrimination?