When we were still talking about “health care reform”, before it was renamed “health insurance reform”, one of the big selling points was government was going to change the way we did business. I.e. it was going to stress “preventive care” which, so the Dems claimed, would be less costly in the long-run.
The CBO, however, has said, “not so fast”. In a letter to Henry Waxman, among others, Dr. Douglas Elmendorf, Director of the Congressional Budget Office writes:
“Although different types of preventive care have different effects on spending, the evidence suggests that for most preventive services, expanded utilization leads to higher, not lower, medical spending overall,” Elmendorf wrote. “That result may seem counterintuitive.
“For example, many observers point to cases in which a simple medical test, if given early enough, can reveal a condition that is treatable at a fraction of the cost of treating that same illness after it has progressed. In such cases, an ounce of prevention improves health and reduces spending — for that individual,” Elmendorf wrote. “But when analyzing the effects of preventive care on total spending for health care, it is important to recognize that doctors do not know beforehand which patients are going to develop costly illnesses. To avert one case of acute illness, it is usually necessary to provide preventive care to many patients, most of whom would not have suffered that illness anyway. … Researchers who have examined the effects of preventive care generally find that the added costs of widespread use of preventive services tend to exceed the savings from averted illness.”
This is another in a long line of “facts” the Democrats have attempted to use to sell their “more coverage, better care, less cost” health
care insurance reform. And it is another “fact” that has been found to be false.
Going through Elmendorf’s reasoning provides a very good explanation of why it is false. But I’ll bet that none of that reasoning or information will find its way into Democratic talking points about the goals of this legislation. Instead the false “fact” about preventive care lowering overall costs will stubbornly remain.
If so, my suggestion is you send it in as a “fishy” statement to be refuted by the White House crew that deals with these sorts of fishy facts.
Oh wait, nevermind. Apparently the White House has already dealt with the fishy CBO’s report- well sort of:
Responding to the CBO letter, Linda Douglass, the communications director for the White House Office of Health Reform, said that, “to work, prevention has to be targeted. Proven services need to be directed to populations that need it, as the CBO letter suggests. We will continue to work with Congress on ensuring that dollars are spent on prevention that gets the biggest bang for the buck.”
Douglass argued, however, that there would be long-term financial savings, saying “we can’t forget that many of the benefits of prevention will accrue to the Federal government in thel long term as opposed to the near term. Prevention results in longer, healthier, more productive lives — yielding savings that don’t typically show up on a score sheet. We have to return to common sense: keeping people out of a doctor’s office or hospitals saves money. Seventy-five per cent of our health care spending goes to treat chronic diseases, many of which could be prevented from developing in the first place . Proven preventive services are worth it.”
Notice that the CBO says the problem is that preventive care can’t be targeted because doctors have no idea who would benefit until they run batteries of tests on everyone. And that is what the CBO highlights as running the costs up.
Additionally, no one is claiming “proven preventive services” don’t work or aren’t “worth it”. What CBO is claiming is they’re not “less costly”, something Douglass avoids addressing. All in all a most unsatisfactory and fishy response to the CBO argument.
Last night, Twitter was all atwitter with the Drudge rumor that Nancy Pelosi and Steny Hoyer had penned a USA Today editorial in which they called the health care protesters “un-American”. My reaction was, “surely they can’t be that dumb “.
To use a variation on a phrase, “Yes they can”:
These disruptions are occurring because opponents are afraid not just of differing views — but of the facts themselves. Drowning out opposing views is simply un-American. Drowning out the facts is how we failed at this task for decades.
Of course the rest of whatever message they have in the editorial will be lost because of this bit of abject stupidity. Americans have little tolerance for being characterized as “un-American” when they speak out at meetings with the representatives who work for them. And they’re especially intolerant of those who purport to be political leaders and use language like that.
But then, no one has ever tried to make the case that Nancy Pelosi, or Steny Hoyer for that matter, had good political instincts. You know, for instance, that the editorial is most likely Pelosi’s idea, and she wanted Hoyer for cover. Allowing himself to be used that way doesn’t say much for Hoyer’s political acumen, and Nancy Pelosi’s lack thereof is legendary. This editorial just puts a cherry on top.
It is one thing to plead for civil debate and ask the rhetoric be toned down. That would most likely find some sympathetic ears out there and perhaps even agreement from some on the other side . Instead, apparently completely clueless to building sentiment against the legislation in question, Pelosi and Hoyer decide on the “enemy” approach. Characterize good Americans who are tired of being lied too as “un-American” when they approach their representative with questions and get a little steamed when he or she avoid answering them or pops off with talking points which everyone knows are a bunch of crap.
Yup, that makes them “un-American”. They’re un-American for demanding answers from slippery pols who seem to have their minds made up about the legislation and were hoping to hold pro-forma townhalls stuffed with friendly faces to validate their position. They’re un-American for disrupting what are supposed to be “shut up and listen” sessions instead of open forums in which constituents ask questions and receive answers to them. They’re un-American for coming out and demanding their representatives actually represent them and not their party.
Pelosi, Hoyer and most of the Democrats are apparently tone deaf when it comes to this issue. This is their agenda, not the country’s agenda, and they seem bound and determined to push through something that the country is telling them loudly at townhalls and through various polls, that they do not want.
Instead of listening, like Pelosi has said they planned on doing during the recess they’ve decided to declare war on the American public, because that public isn’t following along like good little sheep and allowing the Democrat judas goat to lead them into health care hell.
They have questions, like “what’s the rush”? And “have you read the bill”? And “if not, why not and what business do you have voting or even holding an opinion on something you haven’t read?”
Of course it’s rather hard to hold a “discussion” or a “debate” with someone who hasn’t read what they’ll be voting on. It also makes it obvious that when they try to tell you what’s in the bill they haven’t read that they’re spouting words someone else has given them which may or may not have any basis in fact.
And Pelosi has the gall and temerity to call Americans who object to that, however loudly, “un-American”? She truly is the poster-child for everything that is wrong with a seniority system. She’s been a disaster for the Democrats and has gone over the line with this statement. As is obvious, she has again put party in front of what is best for the country. She should resign her post as Speaker of the House in shame for such an outlandish insult to the American people.
UPDATE: An example of a lefty blog which either chooses to ignore the point, or completely misses it in favor of pretending the outrage on the right is completely misplaced.
In this podcast, Bruce, Michael, and Dale discuss the furor over the Health Care bill.
The direct link to the podcast can be found here.
The intro and outro music is Vena Cava by 50 Foot Wave, and is available for free download here.
As a reminder, if you are an iTunes user, don’t forget to subscribe to the QandO podcast, Observations, through iTunes. For those of you who don’t have iTunes, you can subscribe at Podcast Alley. And, of course, for you newsreader subscriber types, our podcast RSS Feed is here. For podcasts from 2005 to 2007, they can be accessed through the RSS Archive Feed.
Back during the presidential campaign, I signed on to Barack Obama’s website to receive email “alerts”. As an avid blogger, I wanted the info firsthand.
Obviously that information is now part of a coordinated astroturfing campaign:
I wanted to send you an urgent invitation to an important town hall with Rep. Hank Johnson on Monday evening (August 10th). He’ll be talking to constituents and gathering feedback — this is an ideal opportunity to make sure your support for health insurance reform is seen and heard at exactly the right time.
Our congressional representatives are back home this month, and they’re facing more and more pressure from special interests on health insurance reform. It’s critical that we get out there and show them where we stand.
I hope you can join us.
What: Health Care Town Hall with
Rep. Hank Johnson
Where: Georgia Perimeter College
555 North Indian Creek Drive
Clarkston, GA 30021
When: Monday, August 10th
7:00 p.m. – 9:00 p.m.
Our representatives are under attack by Washington insiders, insurance companies, and well-financed special interests who don’t go a day without spreading lies and stirring up fear. We need to show that we’re sick and tired of it, and that we’re ready for real change, this year.
Please try to arrive early to the town hall, and make sure that the most powerful voices in this debate are those calling for real reform, not angrily clamoring for the status quo.
Georgia State Director
Organizing for America
P.S. — Before the event, please print off a flyer to display and make sure that your support is visible.
I’m not in Hank Johnson’s congressional district, but apparently that doesn’t matter. So feel free to copy the url and “RSVP”. If you’re in the area, feel free to drop by.
UPDATE: More astroturfing. This time from Mitch Stewart, the Director of Organizing America (a subsidiary of ACORN International – just kidding, kind of):
All throughout August, our members of Congress are back in town. Insurance companies and partisan attack groups are stirring up fear with false rumors about the President’s plan, and it’s extremely important that folks like you speak up now.
So we’ve cooked up an easy, powerful way for you to make a big impression: Office Visits for Health Reform.
All this week, OFA members like you will be stopping by local congressional offices to show our support for insurance reform. You can have a quick conversation with the local staff, tell your personal story, or even just drop off a customized flyer and say that reform matters to you.
We’ll provide everything you need: the address, phone number, and open hours for the office, information about how the health care crisis affects your state for you to drop off (with the option of adding your personal story), and a step-by-step guide for your visit.
According to our records, you live near Rep. John Linder’s office in Lawrenceville, GA.
Sign up now to visit Rep. John Linder’s office in Lawrenceville this week.
(Not your representative, or think there might be another office that’s easier for you to get to? Click here to find a different office.)
As you’ve probably seen in the news, special interest attack groups are stirring up partisan mobs with lies about health reform, and it’s getting ugly. Across the country, members of Congress who support reform are being shouted down, physically assaulted, hung in effigy, and receiving death threats. We can’t let extremists hijack this debate, or confuse Congress about where the people stand.
Office Visits for Health Reform are our chance to show that the vast majority of American voters know that the cost of inaction is too high to bear, and strongly support passing health reform in 2009.
Don’t worry if you’ve never done anything like this before. The congressional staff is there to listen, and your opinion as a constituent matters a lot. And if you bring a friend, you’ll have more fun and make an even greater impact.
Click below to sign up for an Office Visit for Health Reform:
Wherever you live, these visits matter: Many representatives are pushing hard toward reform, and they are taking a lot of heat from special interests. They deserve our thanks and need our support to continue the fight. But those who are still putting insurance companies and partisan point-scoring ahead of their constituents must know that voters are watching — and that we expect better.
Earlier this week, the President wrote that “this is the moment our movement was built for” and asked us all to commit to join at least one event this month. This is the way to answer that call, and rise to the challenge of this moment together.
Thank you for going the extra mile when it matters the most,
Organizing for America
I’m just flattered beyond belief. This time they got it right – Rep. Linder is my congressman. Of course he’s not going to vote for this nonsense, but apparently it again doesn’t matter if you are a member of his district or not. You are encouraged to stop by, deliver your preprinted flyer and “discuss”” health care with him. And you may want to take a square of astroturf as well just to let him from whence this all came.
The disaster that is California government has now turned into the theater of the absurd:
Small businesses that received $682 million in IOUs from the state say California expects them to pay taxes on the worthless scraps of paper, but refuses to accept its own IOUs to pay debts or taxes.
The vendors have filed a federal class-action lawsuit. But the depth that government will stoop too to collect revenue never surprises me. With housing prices crashing everywhere, local governments continued to try to collect at the same value rates as before or, in some places, actually raise the taxes.
And here we have California issuing, what to this point are absolutely valueless promises to pay – maybe – and then expecting those in receipt of those worthless bits of script to treat them as real money and to pay taxes on the amount in real money.
The onions it takes to make that sort of demand is just breathtaking. Or perhaps arrogance is a better word. But regardless it is just a stunning thing to behold.
And, as an aside, you can’t help but wonder what California will pay the lawyers it hire to defend its indefensible demand. As a further aside, it wouldn’t surprise me at all to see the court find in the state’s favor.
Someone at one of the protests recently yelled:
I’m sick and tired of people who say that if you debate and disagree with this administration, somehow you’re not patriotic. We need to stand up and say we’re Americans, and we have the right to debate and disagree with any administration.
Oh, wait – that was Hillary Clinton back when there was a Republican administration.
So, is the sentiment expressed by Clinton and so roundly applauded by the left -then – no longer applicable?
Is “speaking truth to power”, no longer approved or something to be desired?
This is the most sickening and disgusting aspect of the left’s reaction to the protests of average Americans against a government action with which they disagree.
What happened to “we have the right to debate and disagree with any administration?”
I heard no caveat in that declaration. She didn’t say “any administration but a Democratic administration”. Or “any administration but one trying to pass health care legislation”.
If the left actually believes in speaking “truth to power” and that Americans have the right “to debate and disagree with any administration”, what is all the name-calling and hyperventilating over real Americans doing precisely that?
If they actually believe that, what’s this?
Sen. Blanche Lincoln, Democrat of Arkansas, said she thought the protests against government health care at lawmakers’ town hall meetings were “un-American and disrespectful.”
“What we’re seeing right now is close to brownshirt tactics,” [Rep. Brian] Baird (D-WA) said Wednesday …
What is becoming increasingly apparent as America watches this train wreck unfold – and concerned Americans are characterized as enemies of freedom – is that all the previous talk about “dissent” and “patriotism” and “speaking truth to power”, not to mention a “right to debate and disagree with any administration”, was just words. They were a convenient weapon to use against their political enemy at the time. They gave the proper lip service to freedom and liberty and empowered the left’s dissent.
But when the occasion to actually apply those words and ideas presents itself, even if they happen to be on the other side of the debate, they toss them overboard like so much trash. No such empowerment to the rest of us – no sir.
With the left, politics and party have and always will trump freedom and liberty. Hopefully the brownshirted, un-American mobs protesting this unconstitutional hijacking of health care are picking up on that this time.
Hope and change.
Protesters have been called “angry mobs”, “paid agitators” and recently, “brownshirts” and “unAmerican” – all by Democratic Congressmembers.
You knew it was only a matter of time before the racialists got into the act. And right on cue I give you “WhiffleBall” with Chris “thrill up his leg” Matthews:
CHRIS MATTHEWS: Put 100 of these people in a room. Strap them into gurneys. Inject them with sodium pentathol. How many of them would say “I don’t like the idea of having a black president”? What percentage?
CYNTHIA TUCKER: Oh, I’m just guessing. This is just off the cuff. I think 45 to 65% of the people who appear at these groups are people who will never be comfortable with the idea of a black president.
Just freakin’ amazing – it’s all about Obama to these folks. Having looked at video after video after video of interviews with the “mob”, the “browshirts” the “unAmerican”, I can only wonder where Tucker and Matthews even pretend to come up with this line of dialog.
Pretty sad stuff, but, for the party which invented identity politics and the politics of personal destruction, not at all surprising.
What you’ll see here is an example, from the Representative of the 13th District of GA, David Scott, forgetting for whom he works (via Hot Air). Talk about “manufactured outrage”:
I’d have been horribly tempted, had I been at the event and been one of his constituents, to remind him that he is the one who works for us and not the other way around. Amazing arrogance on display. Making untrue assumptions, casting aspersions, and refusing to address his constituent’s question. Is this the new Democrat plan to address the problem they now have at townhalls – be arrogant jerks?
Interestingly, the questioner is a not only a constituent, but a doctor and a Democrat.
Scott’s arrogant reply says it all – You peons sit down, shut up and listen. Your government will tell you what you need and what you need to know. And if you want to talk with me about pressing issues, make a freakin’ appointment.