Medicine Archives

The Airing of Grievances

Otherwise known as the Health Care Summit.

Bruce McQuain at Q&O has a good round-up of the day’s talkfest. 

I’ve been watching and/or listening to the health care summit today and it became fairly obvious from the opening bell that there wasn’t going to be much of anything worthwhile or substantive accomplished – not that I’m surprised.   5 hours into it, it has been mostly the exchange of talking points.

Did anybody really think this was anything more than a very long press conference?  Or perhaps a fig leaf of "transparency" for a bill that has been worked out almost entirely in back rooms.

One thing I thought was interesting was that tort reform, often handwaved away as not really saving much, was shown to be something that, if Democrats are serious about controlling costs and not beholden to the trial lawyers, should be in any reform bill.

Republicans have argued for tort reform for medical malpractice. Democrats (Dick Durbin in particular) have argued against it. McCain used the Texas model to make the point for tort reform. Texas, which has instituted tort reform has seen malpractice premiums reduced by 27% and has had a net gain of 18,000 doctors – extrapolated nationally using direct savings (malpractice insurance premium cost) and indirect savings (reduction of the “defensive medicine” practiced by doctors) the amount saved could be in the $150 billion range.

Certainly worth putting in if the Democrats are serious.  We’ll see.

In going through anecdote after anecdote trying to prove their points, it seems one Democrat got the wrong moral of the story.

Chris Dodd is now telling a story about a guy who privately put together a small business health care association in CT. Of course the point lost on him as he argues for the government to act is it was done privately and perhaps the government’s role ought to be enabling that. Rep. Joe Barton is now making that point.

Local solutions to local problems, not one-size-fits-all square pegs in round holes.  Give the people the freedom to get done what they need to, and whadaya’ know; they will!

Bottom line – no bi-partisan attempt on either side to reach a compromise. And again, that’s fine.

Amen to that.

Abortion Tradeoffs

Hey, what’s a few more cases of breast cancer when something so important as the "right" to an abortion is on the line?  For some, that’s just a necessary tradeoff.

A women’s group is asking Congress and the Obama administration to investigate the expose’ showing how a top National Cancer Institute researcher recently admitted that abortion causes a 40% breast cancer increase risk but organizing a meeting to get the NCI to deny it.

As LifeNews.com reported earlier this month [January], the main NCI activist who got the agency to deny the abortion-breast cancer link has co-authored a study admitting the abortion-breast cancer link is true, calling it a "known risk factor."

The study, conducted by Jessica Dolle and NCI official Louise Brinton, appears in the April 2009 issue of the prestigious cancer epidemiology journal Cancer Epidemiology, Biomarkers and Prevention.

The Dolle study, conducted with Janet Daling of the Fred Hutchinson Cancer Research Center in Seattle, cited as accurate Daling’s studies from 1994 and 1996 that showed between a 20 and 50 percent increased breast cancer risk for women having abortions compare to those who carried their pregnancies to term.

Now, the Coalition on Abortion/Breast Cancer informed LifeNews.com today it is sending a letter, signed by doctors and pro-life organizations to President Obama and the leaders of Congress calling for an investigation of the U.S. National Cancer Institute.

Karen Malec, the head of the group, told LifeNews.com the letter "puts political leaders on notice of a discrepancy between what the National Cancer Institute says about the breast cancer risks of abortion … and what Louise Brinton, the NCI’s Chief of the Hormonal and Reproductive Epidemiology Branch, has reported in her research."

"The letter asks Congress to investigate the NCI’s failure to issue timely warnings about breast cancer risks and asks political leaders to remove public funding for abortion from all legislation being considered by this Congress," she said.

The truth doesn’t matter to these people.  What’s more important is the freedom to kill their inconvenient children.  Are those the kind of politics your vote supports?

Could Heath Care Be the Enemy of Education?

That’s what writer Keith Baldrey is asking.

Is health care becoming the mortal enemy of our country’s education system?

I don’t pose this question facetiously. When we’re discussing public services, it’s important to remember that at the end of the day, everything comes down to money.

And it is obvious that health care is increasingly getting that money at the apparent expense of other public services – most notably education.

In fact, our health-care system’s voracious and unending appetite for tax dollars is crowding out spending in all sorts of other areas.

That’s a fair question.  We don’t yet have a system like Canada’s, for example, but we do have tax dollars that do go into heath care.  But is it really that bad?  Is there really that much of an issue of having to decide either health care or education?

We no, not really.  As James Taranto notes:

If only we had a single-payer system like Canada’s . . . Oh, wait! Baldrey’s article is about Canada’s system. It appears in the Surrey (British Columbia) Now.

And be thankful that it won’t be.

The Scott Brown Post-Game Analysis

Unless you’ve been living in a closet for 2 week, or are a die-hard Obama supporter trying to avoid the news, Scott Brown, the Republican, won the special election to fill the Senate seat of the late Ted Kennedy.

Yes, that Ted Kennedy.

Was this simply a local election, judged solely on local issues?  I don’t think so, especially since Brown himself injected national issues into it when he said he would vote against health care "reform".  Yes, local issues played a part, but I think the national ones overshadowed them. 

This is Massachusetts, after all, one of the bluest of blue states, where Democrats outnumber Republicans 3.5 to 1, and where they were replacing a Democrat who’d held that seat for a generation. 

Polls a month ago put Coakley ahead by 20 points.  Brown then made it national, and all of a sudden the momentum shifted in a big way.  The payoffs, most notably to Senator Ben Nelson, didn’t help matters.

There are those that say conservatives shouldn’t get credit for Coakley’s defeat, and explain why the loss was mostly, if not wholly, due to disappointment by Democrats in Obama; what he promised vs. what he’s delivered.  The problem with that analysis is that not much on that front has changed in 3-4 weeks, when Coakley’s numbers tanked.  The issues noted in that blog post — military commissions, international surveillance, drug laws, sentencing reform, Gitmo’s closing, the Afghanistan war, anti-terror policies — have not substantially changed one bit since mid-December.  So you can’t really say that those are the issues that moved the voters.  A sea changed occurred, and there’s one thing, one major issue, that did change during that time; the health care "reform" bill. 

According to Rasmussen, 56% of voters thought that this was the most important issue.  Brown brought up the issue of voting against it, and once he did, voters flocked to his side.  Now true, some did so because they don’t like it at all, and some did so because they thought it didn’t go far enough.  Rasmussen notes:

Forty-seven percent (47%) favor the health care legislation before Congress while 51% oppose it. However, the intensity was clearly with those who are opposed. Just 25% of voters in Massachusetts Strongly Favor the plan while 41% Strongly Oppose it.

Fifty percent (50%) say it would be better to pass no health care legislation at all rather than passing the bill before Congress.

But the point here is this is Massachusetts, after all, where Democrats far outnumber Republicans and where Ted Kennedy was in a safe Senate seat for a generation.  And they’ve elected a man who says he’ll vote against the health care "reform" bill.  Conservatives, mostly of the Tea Party variety, have been getting the word out on how awful this bill will be, and while the opinion polls have gone against it, now, more importantly, the voters have as well, pulling off what’s been called an epic upset

Will Democrats in Washington get the message?  We’ll see.

"Representative" Government

Dan Perrin at RedState laments the very real possibility that Harry Reid has his 60 votes for health care "reform".

Word is rampant among the Senate leadership, as well as is being reported by the Wall Street Journal, that Senator Reid has got to 60 votes on cloture on the Senate ObamaCare bill.

The question of whether we live in a country ruled by leaders who refuse to listen, but do what they believe is in their own interest, has been answered.

Conservatives hate this bill. Progressives and liberals hate it too. The public is solidly against it.

But it does not matter, apparently. The implications of a country in open revolt against this bill and the elite in the Democratic party giving the public the finger are profound.

The Daily Kos and FireDogLakes of the net could not produce a single Democratic Senator or Independent to vote no. Conservatives could not produce a single Democratic Senate vote against cloture. Neither could the general public. Perhaps the left can still get one of their own to kill this nightmare. Is there not a single Dem Senator who will stand with the public, or is this merely a quaint notion we used to have about our country — that the system responds to the public?

And they have 60 votes for a bill that hasn’t even been CBO-scored yet.  The vote hasn’t come yet, so there’s still time for some reasonable Democrats to become unable to stomach the massive price tag for this.  In the meantime…

The world will understand America has changed. Our country is now run by elites who are printing money, debasing our currency to throw at massive new spending and deficit creating programs — and actually believe they are both moral and politically smart. Just 19% of the public believes this plan will not increase the deficit.

What comes next is very discomforting to think about. But we have now crossed that line from what our country was into something else, and that something else has nothing whatsoever with the country being a Republic. There will be a reckoning for this, and it will not be pleasant — not for anyone.

(Emphasis in original.)  We’ve lost a lot of ground in the slippery slope of elitist rule.

The Cost of Health Insurance Reform

People generally quote the non-partisan CBO score when trying to figure out how much a bill will cost us.  But Michael Cannon of the Cato Institute notes that, since the CBO is quite transparent, showing how it calculates its scores, Congressional Democrats are gaming the system to make the Senate bill look far cheaper than it really would be.

For some time, I’ve suspected the answer is that congressional Democrats have very carefully tailored their individual and employer mandates to avoid CBO’s definition of what shall be counted in the federal budget. Democrats are still smarting over the CBO’s decision in 1994.  By revealing the full cost of the Clinton plan, the CBO helped to kill the bill.

Since then, keeping the cost of their private-sector mandates out of the federal budget has been Job One for Democratic health wonks.  While head of the CBO, Obama’s budget director Peter Orszag altered the CBO’s orientation to make it more open and collaborative.  One of the things about which the CBO has been more open is the criteria it uses to determine whether to include mandated private-sector spending in the federal budget.  The CBO even published a paper on the topic.  Read this profile of Orszag by Ezra Klein, and you’ll see that those criteria were also a likely area of collaboration with lawmakers.

The Medical Loss Ratios memo is the smoking gun.  It shows that indeed, Democrats have been submitting proposals to the CBO behind closed doors and tailoring their private-sector mandates to avoid having those costs appear in the federal budget.  Proposals that would result in a complete cost estimate — such as the proposal by Sen. Rockefeller discussed in the Medical Loss Ratios memo — are dropped.  Because we can’t let the public see how much this thing really costs.

Crafting the private-sector mandates such that they fall just a hair short of CBO’s criteria for inclusion in the federal budget does not reduce their cost, nor does it make those mandates any less binding.  But it dramatically reduces the apparent cost of the legislation.  It is the reason we’re all talking about an $848 billion Reid bill, rather than a $2.1 trillion Reid bill.

All the promises of reducing the total deficit or paying for the bill with Medicare cuts are as much smoke and mirrors (and outright lies) if the base cost of the bill is fudged.  You’re being led down the primrose path by folks who know full well you wouldn’t support it if you knew how much it was really going to cost.

CDC Says Sex Ed Better Than Abstinence Ed, But…

they won’t release the data from which they drew that conclusion, nor the analysis showing how they got there.  They say they have their reasons…

A spokeswoman from the CDC told CNSNews.com that it is standard procedure for the agency not to release the complete data used by the task force to make recommendations on a range of issues, including adolescence health.

“Before CDC releases information to the public, it must go through the CDC’s scientific clearance process to ensure not only that the underlying data are accurate, but also that 1) it is presented in a manner that is clear and not prone to misinterpretation, and 2) any inferences drawn from the data are defensible,” spokeswoman Karen Hunter said.

She also said that all of the data will eventually be released when it is published in a “peer-reviewed journal,” which can take as long as one year.

Which begs the question, helpfully asked by CNS News:

When asked by CNSNews.com how recommendations can be made before the data are proved to be “accurate” and “defensible,” Dr. Jonathan E. Fielding, chairman of the task force and county director of Public Health, and health officer for the county of Los Angeles Department of Health Services, said he is “very comfortable” with the recommendations.

Well that make me feel better, or comfortable, eh?

There are a couple of folks on this 15-member task force, however that don’t support the findings.  They’ve come out against the non-release of the data and the methodology.

“We are concerned that the study averaged together the results of [Comprehensive Sex Education] programs that were very different from each other, such as programs in STD
clinics and programs in school classrooms, without identifying which kind of programs were effective,” [Irene] Ericksen told CNSNews.com.

“Doing this had the effect of glossing over the lack of results for the CSE programs in the schools, which is the setting where most teens receive sex ed,” Ericksen added.

“These programs did not significantly increase condom use, or reduce teen pregnancy or STDs,” Ericksen said. “To avoid comparing apples and oranges, a more meaningful study would have been a meta-analysis of school-based programs.”

This is almost like ClimateGate with doctors instead of climate scientists.  No transparency, just findings. 

Shire Network News #175: Robin Shepherd

Shire Network News #175 has been released. The feature interview is with British foreign policy specialist and non-insane person (the two tend to be mutually exclusive these days) Robin Shepherd about a new TV documentary in which the UK’s foreign policy is portrayed as completely in thrall to sinister, shadowy "Zionist" businessmen, who manipulate politicians and journalists from the shadows. Click here for the show notes, links, and ways to listen to the show; directly from the web site, by downloading the mp3 file, or by subscribing with your podcatcher of choice.

Below is the text of my commentary.


Hi, this is Doug Payton for Shire Network News asking you to "Consider This!"

US President Barack Obama has been in office for 10 months now.  While that’s not very long — heck, it’s barely long enough to win a Nobel Peace Prize — I think it’s worth taking stock of where he is on some of his campaign promises and Presidential goals. 

Let’s start with the closing of the US detention center at Guantanamo Bay, Cuba.  He said he’d close it in a year, but two months away from that date even he doesn’t think that’s going to happen.  But he did make a big splash when he moved Kalid Sheik Muhammed, the 9/11 mastermind, to the target of his mastermindedness, New York City, to try him in federal court, right alongside guys who commit mail fraud.  Yes, the guy who planned the largest terror attack on the US is going down the same path as Nigerian scammers who send you letters promising you large sums of money.  That seems adequate, no?

How about that lynchpin of his presidency, health care reform?  Well, looks like the tough sell just keeps getting tougher.  With only 38% of Americans favoring the plan proposed by Obama and the Democrats, this is looking like those mothers of yesteryear who gave you castor oil for what ails you.  The worse it is, the better it must be for you. 

Well then, how about the economy?  Sounding very fiscally conservative, he told Fox News (yes, that Fox News), "It is important though to recognize if we keep on adding to the debt, even in the midst of this recovery, that at some point, people could lose confidence in the U.S. economy in a way that could actually lead to a double-dip recession."  What he failed to note is that he is the one adding to the debt.  In a scene reminiscent of Mel Brooks’ "Blazing Saddles", he’s holding a gun to his head and threatening to pull the trigger if he doesn’t start behaving.  In Washington these days, it’s not so much that the left hand doesn’t know what the right hand is doing.  It’s more like the left hand doesn’t even know there is a right hand. 

Then there’s the idea that the world loves us now, all because Obama is the anti-Bush.  A new day would dawn in foreign relations.  Except that it’s not.  In his recent trip to Asia, this self-proclaimed "first Pacific President" not only didn’t get any concessions from China, he participated in a press conference where questions were forbidden.  Way to stand up to those Communists, Obama.  Not even the eeevil Bush ever bowed, er, stooped that low.  Later, he lost the participation of Japan in refueling US warships destined for Afghanistan.  On the upside, he did get some pretty cool pictures of the Great Wall of China.  I’m told that, from up in space, Barack Obama’s ego is visible to the naked eye.

Oh, there was almost a foreign policy win with Iran, to get it to ship its uranium to Russia to keep it from building bombs.  Except that last week, shock of shocks, Iran reneged

Well, never mind what the rest of the world thinks!  They say they love us, but their actions say something else entirely.  Let’s look at the domestic polls to see how his own people love him.  There was such enthusiasm a year ago, when people flocked to elect the first African-American as President of the US.  Well, since then, the bloom has fallen off the rose.  His poll numbers dipped below 50% in November, 10 months after taking office with one of the higher initial ratings in recent history.  Now, pretty much all Presidents get into this territory sooner or later; even Reagan hit it in 10 months.  But that means that Barack Obama, the post-racial, feel-good, history-making, hope and change man of the hour is tied for the 3rd worst drop in ratings in the past half-century.  The eeevil Bush took 37 months to make it there.  Heck, Nixon took 25!  Nixon!

So it appears, then, that The One(tm) has fallen short of wildly exaggerated expectations.  Who’s to blame?  I’d say the guy who set those expectations.  A former Obama supporter has come out with a T-shirt of the iconic Obama poster with the word "Hope" on the bottom, but it’s smeared, as though painted in watercolors and then rained on.  Below the word "Hope" is the phrase "is fading fast". 

Something tells me that Obama is no different than he was just 10 short months and one Nobel Peace Prize ago.  It’s just that people have now actually taken the time to see who he really is.  I kinda’ wish, though, that they’d done this prior to the election.  A new face in the Oval Office doesn’t make enemies lose their self-interest.  Heck, it doesn’t even do that for allies!  It doesn’t magically turn the economy around, nor make budget-busting proposals palatable (especially when you complain about budget-busting as though someone else is doing it).  I’ll tell you one thing it does, though; it gets a populace to finally consider this.

That’s what the German’s pay, and yet their system has long ago run out of money.

Germany’s system relies on a handful of state-supported health insurers. This week they informed the government that the system was on the brink of a financial shortfall equal to nearly $11 billion.

Pointedly, the insurers made clear that cutbacks alone won’t solve the problem. They said the government would have to consider raising premiums on the insured or, you guessed it, raise taxes. Currently, German workers pay a fixed-rate premium into the insurance scheme; that rate is now set at 14.9% of gross pay.

Chancellor Merkel, something of a political acrobat, was previously allied in coalition with leftist Social Democrats. She’s now resisting calls from the Free Democrats to get off the state-pulled health-care train. The FDP’s spokesman on health, Daniel Bahr, wants a "shift in direction away from state-run medicine." Why? Because "the current financial figures have showed us that the health-care fund doesn’t work."

"Doesn’t work."  Please someone inform the Senate Democrats of this.

The True Cost of Health Insurance "Reform"

I’ve heard some folks say that they’d happily pay their part to get health insurance for everyone.  The only problem is, they think that it’s just a matter of money; a few (or a whole bunch of) extra bucks out of their paychecks.  But there’s more to it than that.  Republicans have come out with some numbers that show this is a bit more costly than that.  A sampling:

5.5 million — Number of jobs that could be lost as a result of taxes on businesses that cannot afford to provide health insurance coverage, according to a model developed by Council of Economic Advisors Chair Christina Romer

$1.055 trillion — New federal spending on expanded health insurance coverage over the next ten years, according to a Congressional Budget Office preliminary score of the bill

0.7% — Percentage of all that new spending occurring in the bill’s first three years-representing a debt and tax “time bomb” in the program’s later years set to explode on future generations

$88,200 — Definition of “low-income” family of four for purposes of health insurance subsidies

114 million — Number of individuals who could lose their current coverage under the bill’s government-run health plan, according to non-partisan actuaries at the Lewin Group

And what about paying for all of this with Medicare fraud reduction?

$60 billion — Loss sustained by taxpayers every year due to Medicare fraud, according to a recent 60 Minutes expose; the government-run health plan does not reform the ineffective anti-fraud statutes and procedures that have kept Medicare on the Government Accountability Office’s list of high-risk programs for two decades

Zero — Prohibitions on government programs like Medicare and Medicaid from using cost-effectiveness research to impose delays to or denials for access to life-saving treatments.

That silly talk about "death panels"?

$634 Billion — Amount that could be saved by denying individuals access to treatments that are not “cost-effective,” according to a report by the liberal Commonwealth Fund; Section 1160 of the bill gives bureaucrats in the Obama Administration virtual free rein to develop a new “high-value” reimbursement system for Medicare by May 2012

Your money would be buying more government intrusion, less freedom, subsidies for those "poor" making $80,000 a year, expansion of unemployment, and a price tag that, while it may feel good at the beginning, will hit up-and-coming wage earners the hardest. 

Happily pay for this?  Really?

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