Free Markets, Free People
A law the country didn’t want and upheld by a ridiculous Supreme Court ruling is now beginning to have it’s predicted effect:
Some low-wage employers are moving toward hiring part-time workers instead of full-time ones to mitigate the health-care overhaul’s requirement that large companies provide health insurance for full-time workers or pay a fee.
Several restaurants, hotels and retailers have started or are preparing to limit schedules of hourly workers to below 30 hours a week. That is the threshold at which large employers in 2014 would have to offer workers a minimum level of insurance or pay a penalty starting at $2,000 for each worker.
The shift is one of the first significant steps by employers to avoid requirements under the health-care law, and whether the trend continues hinges on Tuesday’s election results. Republican presidential nominee Mitt Romney has pledged to overturn the Affordable Care Act, although he would face obstacles doing so.
That’s really going to help the job situation, isn’t it?
When is government ever going to learn that its intrusion into the private affairs of men always has consequences, and, when they are outside the legitimate function of government in a free society, the effect is usually negative.
Congratulations Democrats, you’ve done it again.
POLITICO has a story out entitled “10 quotes that haunt Obama“. Haunt? I’d say they define him.
The 10 quotes, minus the POLITICO take on each, are:
“Washington is broken. My whole campaign has been premised from the start on the idea that we have to fundamentally change how Washington works.”
“I think that I’m a better speechwriter than my speechwriters. I know more about policies on any particular issue than my policy directors. And I’ll tell you right now that I’m gonna think I’m a better political director than my political director.”
“If I don’t have this done in three years, then there’s going to be a one-term proposition.”
“Ronald Reagan changed the trajectory of America in a way that Richard Nixon did not, and a way that Bill Clinton did not.”
“Guantanamo will be closed no later than one year from now.”
“I think that health care, over time, is going to become more popular.”
“I favor legalizing same-sex marriages, and would fight efforts to prohibit such marriages.”
“It’s here that companies like Solyndra are leading the way toward a brighter and more prosperous future.”
“I fought with you in the Senate for comprehensive immigration reform. And I will make it a top priority in my first year as President.”
“What we have done is kicked this can down the road. We are now at the end of the road and are not in a position to kick it any further. We have to signal seriousness in this by making sure some of the hard decisions are made under my watch, not someone else’s.”
What they define is arrogance, cluelessness, flip flopping and failure. The gay marriage quote was one that ran in a gay newspaper in Chicago as Obama was running for the State Senate. When confronted with that later, he denied those were his words. Then, when it was politically important to embrace gay marriage, he “evolved” (what would be described as a ‘flip-flop’ for any other politician).
There are a ton of other quotes that could be on this list (“the private sector is doing fine” – arrogance and cluelessness). But these will do. They indicate a man who, for whatever reason, thinks an awful lot of himself while not demonstrating anything of substance to substantiate that feeling. That is why Clint Eastwood talked to an empty chair. He could just as easily had a naked Obama mannequin up there with an emperor’s crown.
Washington is broken worse since he took office, Solyndra represents crony capitalism at its worst, he’s kicked the can around the cul-de-sac while passing an extraordinarily expensive medical insurance law against the wishes of the American people. Gitmo is still open, he’s done nothing on immigration but blatantly ignored the law, his arrogance still knows no bounds, but he’s damn sure no Ronald Reagan. Or Bill Clinton, for that matter.
So I say we hold him to quote 3. He has no interest in the economy, unemployment or jobs. He’s yet to meet with his jobs council, doesn’t attend his daily intel briefs (well he does now, since being called out on it) and would much rather campaign than meet with world leaders at the UN. He’s a guy who loves the perqs of the job, but seemingly isn’t real interested in the job itself.
And somehow we’re supposed to believe giving him 4 more years would improve on this record.
Apparently job burnout effects about 40% of US doctors a recent survey revealed:
Job burnout strikes doctors more often than it does other employed people in the United States, according to a national survey that included more than 7,000 doctors.
More than four in 10 U.S. physicians said they were emotionally exhausted or felt a high degree of cynicism, or "depersonalization," toward their patients, said researchers whose findings appeared in the Archives of Internal Medicine.
"The high rate of burnout has consequences not only for the individual physicians, but also for the patients they are caring for," said Tait Shanafelt of the Mayo Clinic in Rochester, Minnesota, who led the research.
Now imagine the demand that 10 million newly insured that have been given mandated “free stuff” by ObamaCare will add to the load doctors are carrying (don’t forget, we’re supposed to be 90,000 doctors short by 2020).
Yup, again this really isn’t rocket science, but it also obviously hasn’t at all be thought through by our lawmakers, has it?
And the law of unintended consequences will take it’s due course because of that.
I’ve mentioned it before but a reminder (yes, it’s that nasty combination of human nature and economic laws being ignored that is about to assert itself):
Once the new healthcare law fully takes effect, all Americans will be entitled to a long list of preventive services with no out-of-pocket costs, but the healthcare system won’t have enough doctors to provide them. The shortage will create longer waiting periods that some patients will be able to cope with better than others. Lower income patients will be worse off, according to Independent Institute Research Fellow John C. Goodman.
And where will those who need more immediate care go? Why emergency rooms, of course. Wait, wasn’t the overload on emergency rooms touted as one of the primary reasons we needed this law?
So, we are going to add millions to the insured list and give them “free” stuff and expect doctors to maintain the level of care they now have with their patients (which many think could be better) and carve out time to administer the free stuff too?
I’m sure the government solution will be something like redefining an hour to 40 minutes and make each day 36 hours, huh? Problem solved.
No additional doctors, millions of new patients and free stuff – what could possibly screw up there?
The other questions is how will doctors react? Well here’s how some are already reacting:
Many patients who can afford to do so will sign up for concierge care—medical practices in which patients pay a retainer fee for more personalized and responsive service, such as same day or next-day appointments. Physicians who open a concierge practice typically take about 500 of their patients with them, leaving behind 2,000 former patients to find a new doctor. (Those figures come from MDVIP and the Centers for Disease Control and Prevention, respectively.) “So in general, as concierge care grows, the strain on the rest of the system will become greater,” Goodman continues. “We will quickly evolve into a two-tiered health-care system, with those who can afford it getting more care and better care. In the meantime, the most vulnerable populations will have less access to care than they had before ObamaCare became law.”
Or said another way, the emergency rooms will be full to bursting and the fact someone has insurance will mean nothing unless a doctor is willing to take them on – something that will be less likely in the near future than it is now.
Finally, in case it slipped your mind, here are the 18 new taxes found in ObamaCare – something to remember when he and his flacks are out there claiming that he’s never raised taxes by a dime (his promise in 2008) on the middle class.
That’s reality, something the left routinely attempts to pretend doesn’t exist.
Some examples of the point – ObamaCare will put 30 million more people on insurance rolls Yay, problem of health care solved, right?
No, of course not. There will still be the same number of doctors and hours in a day. As we’ve been saying repeatedly, getting insurance does not mean you’ll be able to see a doctor.
And then there are the new requirements placed on doctors by ObamaCare that further exacerbate the problem.
Take preventive care. ObamaCare says that health insurance must cover the tests and procedures recommended by the U.S. Preventive Services Task Force. What would that involve? In the American Journal of Public Health (2003), scholars at Duke University calculated that arranging for and counseling patients about all those screenings would require 1,773 hours of the average primary-care physician’s time each year, or 7.4 hours per working day.
So, a doctor either commits to 10 or 12 hours of work a day or she sees patients for other reasons for 2/3rds an hour a day.
Or try this:
Meanwhile, the administration never seems to tire of reminding seniors that they are entitled to a free annual checkup. Its new campaign is focused on women. Thanks to health reform, they are being told, they will have access to free breast and pelvic exams and even free contraceptives. Once ObamaCare fully takes effect, all of us will be entitled to a long list of preventive services—with no deductible or copayment.
Of course, none of that is “free”, but much of it will also tie up a doctor’s time. Preventive care costs money – lots of money – and when you have someone else paying for it, even more people will try to take advantage of that.
The left thinks that’s a feature, not a bug.
Here’s the real-world problem, however:
If the screenings turn up a real problem, there will have to be more testing and more counseling. Bottom line: To meet the promise of free preventive care nationwide, every family doctor in America would have to work full-time delivering it, leaving no time for all the other things they need to do.
In effect, it is government mandating treatment that fills up the doctor’s time when much of that treatment may not be necessary. But that call has been taken out of the doctor’s hands with this law. If a patient demands all their “free” stuff, then what?
I often harp on the fact that the left seems sublimely ignorant on how the laws of economics work. Well, what ObamaCare has set up are exactly the same conditions that plague most government run healthcare systems:
When demand exceeds supply in a normal market, the price rises until it reaches a market-clearing level. But in this country, as in other developed nations, Americans do not primarily pay for care with their own money. They pay with time.
Prepare yourself for long waits for what you now consider to be routine problems. If it is routine you will likely have less of a chance of seeing a doctor than you do now. Best hope you can self- medicate or just wait out the problem. If it is a serious problem, you’ll most likely still be in for a wait.
As physicians increasingly have to allocate their time, patients in plans that pay below-market prices will likely wait longest. Those patients will be the elderly and the disabled on Medicare, low-income families on Medicaid, and (if the Massachusetts model is followed) people with subsidized insurance acquired in ObamaCare’s newly created health insurance exchanges.
Econ 101. So what is likely to happen?
When people cannot find a primary-care physician who will see them in a reasonable length of time, all too often they go to hospital emergency rooms.
Uh, wasn’t that a big part of the impetus behind creating ObamaCare? To “solve” that problem? In fact, it is likely to exacerbate it.
Of course the solution to the government made problem will be what? Most likely more government. Those patients who are in those plans that pay below-market reimbursement will complain to whom? Politicians. And vote hungry politicians will try to do what? "Fix” the problem they created. And who will they make the bad guys? Well, certainly not them – greedy doctors or insurance companies most likely.
You can see this coming from a mile off – well if your eyes aren’t full of moon dust and you have even a passing acquaintance with how the real world works.
As P.J. O’Rourke so aptly said, “If you think health care is expensive now, wait until you see what it costs when it’s free.”
Unless this monstrosity of a law is repealed, we’re about to find out.
To date it’s been an attempt that mostly gets fussy about word usage, but my guess is it will get more pointed:
Gov. Romney is talking nonsense. Bipartisanship requires that you not make up the facts. I did not ‘co-lead a piece of legislation.’ I wrote a policy paper on options for Medicare. Several months after the paper came out I spoke and voted against the Medicare provisions in the Ryan budget. Governor Romney needs to learn you don’t protect seniors by makings things up, and his comments today sure won’t help promote real bipartisanship.
That’s obviously in reaction to a statement by Romney in which he talked about legislation, not a policy paper.
So Wyden is right, the quote is incorrect.
But Wyden is being a bit disingenuous too. You don’t vote for parts of a budget so claiming you voted “against the Medicare provisions” of a budget are a bit of nonsense as well. Democrats voted against the entire Ryan budget, the Medicare provisions being only a part of that.
Even Think Progress has some problems with the attempted delinking driven by the inconvenient politics of having a Democratic Senator’s name on a plan that Democrats have chosen to mischaracterize and demonize:
The plan Sen. Wyden co-authored with Ryan does bear a striking resemblance to the proposed Medicare changes in Ryan’s latest budget for the House GOP. Both keep traditional Medicare as a kind of public option, in an exchange where it would compete with private plans offering insurance to seniors. The government would give seniors support for purchasing these plans, and that support would be benchmarked to the cost of the second-least expensive plan. The plans would also be prohibited from discriminating based on pre-existing conditions.
Where they begin to differ is Paul supports more market based solutions while Wyden wants government based solutions.
But this sort of linkage is inconvenient when you’re claiming the GOP ticket is “trying to end Medicare as we know it” (even though it is ObamaCare which is pulling $700+ billion out of Medicare). Avik Roy has the “bottom line” on that meme:
The bottom line: if Romney and Ryan leave you the option to remain in the 1965-vintage, fee-for-service, traditional Medicare program, and you claim that Medicare has “ended as we know it,” what you’ve really ended is the English language as we know it.
The point? Ron Wyden did indeed “co-author” a Medicare plan with Paul Ryan. There’s no question about that. And it was indeed a bipartisan plan, by definition. In fact the paper is entitled “Bipartisan Options for the Future” and lists both Wyden and Ryan as the authors.
Finally, their plan contains this paragraph:
We are a Democrat and Republican; a Senator and a Representative; senior members of our respective Budget Committees; and members of the committees that have jurisdiction over Medicare and health care costs. As budgeteers, we understand the difficulty presented by demographic changes over the next several decades. As members with policy oversight, we recognize and encourage the potential for innovation to improve care and hold down costs. And most important, as representatives of hardworking Americans in Oregon and Southern Wisconsin, we realize our absolute responsibility to preserve the Medicare guarantee of affordable, accessible health care for every one of the nation’s seniors for decades to come.
Sounds like a pretty bipartisan effort to me.
Here’s the problem for the Democrats. They need badly to demonize Paul Ryan as an extremist who is out to push granny over the Medicare cliff and end Medicare as we know it. That’s because “Medicscaring” seniors is a tried and true method of gaining votes, and Democrats know it. They’ve deployed it many times in the past.
And bipartisan cooperation? No way, no how, can’t let that sort of thing become public knowledge when you have an active campaign beginning to label Ryan as an extremist ideologue.
But the facts don’t support that sort of branding campaign. Not only has Ryan not attempted in any form or fashion to end Medicare, he’s teamed up with a liberal Senator to put forward a plan to actually save it (even while the loudest critic is pulling that $700+ billion from the program via ObamaCare) and make it sustainable.
That is why Wyden is trying his best to delink from Ryan. And you can imagine from whence the pressure to do so is coming. But it’s a hard sale to make when his name is clearly associated with Ryan’s on a plan he claimed will “preserve the Medicare guarantee of affordable, accessible health care for every one of the nation’s seniors for decades to come”, isn’t it?
Not that it will stop them from trying.
Rob Port brings attention to the Papa John’s story:
At Slate, Matthew Yglesias scoffs at Papa Johns’ founder John Schnatter saying the Affordable Care Act, Obamacare, will drive up costs for his company by roughly $0.20 per order, something his company will be passing along to customers.
“Stipulating for a moment that this is true, doesn’t it seem like a rather small price to pay?” asks Yglesias.
No, it’s not small at all.
Rob then covers just the Papa John’s part of this formulation:
Papa John’s operates 3,973 restaurants. I can’t figure out how many orders the company processes daily, but let’s assume a very conservative 100 orders per store. That’s 397,300 orders every day. Adding $0.20 to ever order in additional labor costs translates into just over $29 million in additional costs for Papa Johns customers annually.
But, of course, as you’ve already figured out, if that’s true for Papa John’s, it is probably true for most other companies in the US as well.
So as Rob says, “no, it’s not small at all”. In fact, it is potentially a huge increase in the price people will pay for all goods and services.
Papa John’s isn’t alone in seeing a price increase in their futures. As the magazine relates, in its most recent earnings call, McDonald’s said the health care plan will cost their stores an extra $10,000 to $30,000. While the vast expansion of government power involved in the bill will result in more federal expenditures, the pizza magnate’s comment highlights the fact that it will create an across-the-board surtax on virtually all expenditures by families and individuals. This will mean an increase in the cost of living that will hit the poor a lot harder than the rich the president claims to want to tax.
In fact, as pointed out, it has the same effect as a tax on the poor.
Yet the left simply seems unable to wrap their heads around that. Here’s a commenter to the article I took the paragraph above from:
It is shocking that the CEO of Papa John’s and this magazine commentator would begrudge the near-poor workers of that company health insurance — and better healthcare for a few cents per pie!! Our country is based on the premise that we all pay a little more to help those less fortunate — the key here is “a little more.” Does anyone really object to that??
Yes. Strenuously. And by the way, this country was not founded on the premise “that we all pay a little more to help those less fortunate” and claiming that to be so is an attempt to rewrite history. It was about providing everyone an equal opportunity under the law to succeed while protecting their basic rights to life, liberty and property.
So we have the probability that prices will increase in the future as companies charge more for their products to cover health care. And that brings us to a pretty basic point, here made by Bethany Mandel at Commentary Magazine:
What this person and other liberals have wrong is this: It’s not about the price of pizza. If it were actually possible to improve healthcare for millions of Americans and insure millions more, conservatives would be on board. The basis of conservative opposition to ObamaCare is this: We do not think it will help the majority of Americans. The bill is titled the “Affordable Care Act,” but does nothing to make healthcare more affordable, nor will it improve health care. In reality, it provides a worse standard of care at a higher cost.
Under ObamaCare, 17 million Americans will be added to Medicaid’s rolls in order to move some Americans from the uninsured to the insured column. Are they actually better off?
I, of course, wouldn’t be “on board” if it had to do with government intervention, however I understand the point she’s trying to make. What has been passed won’t a) reduce costs and make health care more affordable or b) improve health care.
It is the “big lie” writ large. The parameters defining health care delivery are finite, not infinite. You have 24 hours in a day and x number of providers. Is adding 17 million to the welfare portion of government health care (the one most providers refuse to take because of the supreme hassle and low reimbursement rate) really going to improve their lives?
As Avik Roy notes, even though we’ll be paying more across the board to make it possible, probably not:
In July 2010, at National Review Online’s Critical Condition blog, I wrote about a University of Virginia study, published in Annals of Surgery, finding that surgical patients on Medicaid endured a 97 percent higher likelihood of in-hospital death than patients with private insurance, and a 13 percent greater chance of death than those with no insurance at all. I noted several other clinical studies that showed similar results.
And that’s before the 17 million are added. This is the mess we find ourselves in when agenda driven politicians pass laws they haven’t even read over and above the objections of the majority of the people.
It’s hard to call that a “representative democracy” isn’t it?
And, no, this still isn’t about pizza.
UPDATE: Morning Bell (Heritage Foundation) weighs in:
At least 60 percent of firms are estimating Obamacare will raise their health care costs, according to a new study released Wednesday by Mercer, a human resources consulting firm. One-third of those expect a cost increase of 5 percent or more.
The study states:
The employers that will be hit hardest are those with large part-time populations—employers in retail and hospitality services. Nearly half of these employers (46%) expect PPACA will push up cost by at least 3% in 2014—and another third don’t yet know what the impact will be.
An example of the impact from the CEO of CKE Restaurants:
The money to comply with the [Affordable Care Act] must come from somewhere. We use our revenue to pay our bills and expenses, to pay down our debt, and we reinvest what’s left in our business. That’s how we create jobs. There’s no corporate pot of gold we can go to, to cover increased health care costs. New unit construction will cease if we have to allocate moneys for that construction to the ACA. And building new restaurants is how we create jobs.
As we’ve said many times before, this isn’t rocket science and they’re called “economic laws” for a reason. Unfortunately the left continues to ignore them (or pretend they don’t exist) with predictable results.
Perhaps you remember the “clever” accounting trick (also known as double counting) that the Democrats used to claim that ObamaCare would save money?
You know, it would cut Medicare by 500 billion (after the election, of course). You were supposed to believe that was a net cut in spending, remember? Of course it wasn’t. It was simply shifting the money to “pay” for other areas of ObamaCare. There was no “net” savings.
Well the newest projection by the CBO is that it will actually be 716 billion over 10 years (2013 to 2022) and it will essentially gut Medicare. Of course the old folks will have voted before it goes into effect.
The result of the shift of the funds? The Foundry has it:
- A $260 billion payment cut for hospital services.
- A $39 billion payment cut for skilled nursing services.
- A $17 billion payment cut for hospice services.
- A $66 billion payment cut for home health services.
- A $33 billion payment cut for all other services.
- A $156 billion cut in payment rates in Medicare Advantage (MA); $156 billion is before considering interactions with other provisions. The House Ways and Means Committee was able to include interactions with other provisions, estimating the cuts to MA to be even higher, coming in at $308 billion.
- $56 billion in cuts for disproportionate share hospital (DSH) payments.* DSH payments go to hospitals that serve a large number of low-income patients.
- $114 billion in other provisions pertaining to Medicare, Medicaid, and CHIP* (does not include coverage-related provisions).
*Subtract $25 billion total between DSH payments and other provisions for spending that was cut from Medicaid and CHIP.
The effect will be fairly substantial and should be obvious to even the most staunch ObamaCare supporter:
The impact of these cuts will be detrimental to seniors’ access to care. The Medicare trustees 2012 report concludes that these lower Medicare payment rates will cause an estimated 15 percent of hospitals, skilled nursing facilities, and home health agencies to operate at a loss by 2019, 25 percent to operate at a loss in 2030, and 40 percent by 2050. Operating at a loss means these facilities are likely to cut back their services to Medicare patients or close their doors, making it more difficult for seniors to access these services.
In addition, as MA deteriorates under Obamacare’s cuts, many of those who are enrolled in MA (27 percent of total Medicare beneficiaries) will lose their current health coverage and be forced back into traditional Medicare, where Medicare providers will be subject to further cuts. The Centers for Medicare and Medicaid Services chief actuary predicted in 2010 that enrollment in MA would decrease 50 percent by 2017, when Obamacare’s cuts were estimated at only $145 billion. Now that the cuts have been increased to $156 billion (or possibly $308 billion, as the Ways and Means Committee estimates), MA enrollment will surely decrease even further.
But Obamacare’s raid of Medicare doesn’t stop with cuts; it includes a redirection of tax revenue from the Medicare payroll tax hike in Obamacare. The payroll tax funds Medicare Part A, the trust fund that is projected to become insolvent as soon as 2024. Obamacare increases the tax from 2.9 percent to 3.8 percent, which is projected to cost taxpayers $318 billion from 2013 to 2022. However, for the very first time, Obamacare does not use the tax revenue from the increased Medicare payroll tax to pay for Medicare; the money is used to fund other parts of Obamacare, much like the $716 billion in cuts are.
That in addition to the fact that Medicare still has 37 trillion in unfunded mandates.
Also note the tax increase in the last paragraph (yes, that would be a middle class tax increase) and how the funds will not support the program with the 37 trillion problem.
Now we can argue all we want about the existence or non-existence of “death panels”, but here we have exactly what was predicted prior to this abortion of a law being passed. Rationed care (“… cut back services to Medicare patients or close their doors, making it more difficult for seniors to access these services.”) driven by these cost cuts are defacto “death panels”.
As the Foundry concludes:
With a raid on Medicare of this magnitude, President Obama’s assertion that his new law is protecting seniors and Medicare is astonishing. The truth is that Obamacare does the opposite.
But hey, this is the same President who claims his economic policy is working too. See previous post for the reality of that claim.
The reason this cut takes place in 2013 is obvious. If seniors were aware of its impact, you know how they’d vote.
Whether you do or don’t support Medicare isn’t the point, it’s the bald faced lies that have been put forward claiming something that isn’t at all true. And now the numbers are out that prove that.
Again, something which should be front and center as a major issue in this political season.
But it won’t be.
Pete DuPont does a little analysis of what should be major issues in the upcoming election. They don’t bode well for the current administration if, in fact, Republicans can get the media to actually pay attention and address them:
• Taxes. Big tax hikes coming in January will serve as dampers on economic growth.ObamaCare imposes a new 3.8% tax on investment income. On top of that, if the Bush tax [rates] aren’t extended, the top income tax rates will rise to 23.8% from 15% on capital gains and to 43.4% from 15% on dividends.
But beyond the economic impact, the Obama administration’s focus on class warfare fuels the nation’s dissatisfaction and plays on an unwise resentment towards successful businesspeople. Mr. Obama continues to push for higher taxes and does so in a way that is an attack on those who are successful–demanding that higher-income taxpayers pay their "fair share," when they already pay more than that.
The economic impact shouldn’t be waved off. When and if both capital gains and dividend incomes are taxed at a higher rate, they will effect both investment and retirement incomes. Don’t forget those” rich folks” whose retirement income is structured to depend on dividends from blue chip stocks they’ve methodically bought in small quantities over their working years. It obviously doesn’t matter that their incomes really don’t reach the “rich” threshold that the Democrats want you to envy, their retirement incomes will take an almost 200% tax increase hit regardless if the current rates aren’t extended. Apparently to collect less than a trillion dollars over 10 years taxing the “rich” (so they’ll pay their “fair share”) vs. spending $46 trillion Democrats are happy to sacrifice those folks.
As for investments, there’ll be a recalculation given the increase on capital gains and it will dampen investments, thus business expansion and finally job growth.
• Energy. The American people hear Mr. Obama talk about a broad energy strategy, but they see an administration that has attacked the coal industry with onerous regulations, done little or nothing to assist the natural gas boom, done what it can to slow down oil production, and wasted money on other initiatives that please green supporters but don’t lower the cost of energy.
This administration’s energy policy is a joke, but unfortunately it’s a very expensive joke. Its priorities are completely backward, but purposefully so. To call what they are doing a “policy” is simply absurd. This is agenda fulfillment with the people’s money on pie-in-the-sky projects that have yet to yield (nor do they even promise to yield) the energy required to make them viable. Meanwhile they’ve done everything humanly possible to retard the fossil fuel industry’s growth at a critical time for our economy. On the issue of energy, this administration gets an F-.
• Health care. Although ObamaCare remains unpopular, the Supreme Court ruling upholding it means that a 17% transfer of our economy from the marketplace to the control of the federal government is coming unless Congress and a President Romney can stop it. At a time when our nation needs lower taxes and more flexibility in health-care decisions, ObamaCare has increased taxes by hundreds of billions of dollars and allowed government to regulate most of our health care decisions.
The secretary of health and human services can now set rules that constrain doctors and hospitals and mandate prices. Mr. Obama once promised us all that if you were happy with your current health plan, you’d be able to keep it. The more we learn about ObamaCare, the unlikelier that looks–and the more the government will intrude in the relationship between doctor and patient.
Despite the disapproval of a majority of Americans, Democrats and this President rammed the legislation through anyway. That should tell most Americans what they really think of their opinion. It is a classic “we know what’s best for you” elitist move.
The second paragraph gives a hint though to the powers this legislation has given an unaccountable government bureaucrat. The Secretary of HHS now has tremendous power to make unilateral decisions that will effect everyone’s health care. Of course, that’s been discussed by some on the right, but for the most part the level of intrusion these powers will confer won’t really begin to be felt until, conveniently, after the election.
• Spending. Federal expenditures under Mr. Obama is both unparalleled and unsustainable. As National Review’s Jonah Goldberg notes, from the end of World War II until the end of the George W. Bush administration, federal spending never exceeded 23.5% of GDP, and the Bush years’ average was around 20%. The Obama spending rates have stayed above 23.5% in every year of his presidency. In the past four years, America has added $5 trillion in federal debt, and around $4 trillion of that was from Obama policies, according to The Wall Street Journal. Federal debt held by the public was 40.5% of gross domestic product in 2008. It’s now 74.2% and rising.
Despite the attempts by Democrats using fudged numbers and trying to spin it so Bush gets the blame, the spending by this administration is, as DuPont points out, “both unparalleled and unsustainable”. And, don’t forget, the President hasn’t signed a budget in over 1,000 days because the Democratic Senate has refused to pass one, despite the Constitutional requirement it do so.
Those are the things we ought to be talking about. Not whether or not Romney pissed off the Palestinians (who doesn’t piss off the Palestinians when they take a principled stand on Israel? How is this even news?).
These are where Obama’s skeleton’s are to be found. He’d prefer to keep this closet door firmly closed. The media, for the most part, seems content to help in that endeavor.
This election isn’t about anything but his administration’s abysmal record. Spending time talking anything else is simply a distraction. Unfortunately, given its unprecedented level of economic intrusion, we’re going to live or die economically with the policies that government applies. Talking about whether a candidate may or may not have insulted the London Olympics isn’t going to change that fact one iota. But it sure does distract from examining the previous administration’s record, doesn’t it?
This interview, soon to be forgotten by most who see it and probably unseen by the majority of the country, is a very important and significant interview.
Watch it carefully, because Dr. Louis MacIntyre is about to lay out our future health care system for everyone (for whatever reason the “embed” link is not cooperating, so I’ve linked it).
Three things jump out at you. One: the fact that costs for insurance and regulatory compliance are rising while reimbursement is dropping has doctors being forced into looking at an entirely new model for health care.
Where now, it is marginally patient centered, the “improvements” are going to drive them and the system to a more process centered care. Think VA hospital vs. private care. In a VA hospital the physicians work for the VA. They are, by contract, required to do things the VA way, even if those things they do don’t necessarily represent the best care for the patient.
In private practice, doctors are “outcome driven” vs. process driven. Hence they work within standard treatment parameters to address the patients problem but are free to try other methods that are indicated via their training and experience. We’re headed into a “process driven” environment.
Two: as the costs rise and more and more doctors are driven from private practice, they’ll seek employment in hospitals. They will then, as Dr. McIntyre notes, unionize to protect their compensation from dropping rates of reimbursement (remember, that’s supposedly one of the driving concerns of reform). They will then go from being a “profession” to a “trade association”. And that trade association’s focus will not be patient advocacy, but instead, trade advocacy.
Three: left out of all of this “sea change” that is likely to happen? The patient. You. Your choices are going to be limited. You’ll have very little to no say in a process driven environment. And the chances of an actual relationship with a doctor who will intimately know your case are virtually non-existent if, in fact, we end up with a system of VA like hospital care centers.
Consider all of that carefully. Then ask yourself this: what bright and talented person, knowing that was the environment they’d have to commit themselves too, would willingly spend the years necessary to obtain an MD just to become an employee of a hospital and not allowed to use any creativity or experience (or anything outside the processes protocols) to treat patients?
Yeah, not many.
But, don’t forget – health care will be “better” and “less costly” because government says so.