Medicine Archives

Links & Comment

Remember "Paul Harvey News and Comment" on the radio?  (Or am I showing my age?)  At least that guy had the guts to let you know that he had commentary in his show, unlike some journalists these days that sneak it in.  Well, no hiding it here.  This is "Doug Payton Links and Comment".

Becky Garrison, writing at the liberal "God’s Politics Blog", on the 20th anniversary of the fall of the Berlin wall, says that "more walls need to fall".  Fair enough, and I’d tend to agree with that.  But sometimes walls are necessary, and are the least intrusive method of dealing with an actual problem.  They can protect more so than divide.  One of the walls that Ms. Garrison says needs to come down is the Israeli wall on the West Bank.  Meryl Yourish, however, compares these two types of walls — Berlin vs. Israeli — and notes major differences in the motivation and the result of each.  The Christian Left perhaps needs to understand a little nuance here.

Dale Franks, writing at Q&O, notes that the supposed upside of the government takeover of Chrysler, and subsequent sale of a large portion to Fiat, hasn’t, and looks like it won’t, materialize.  Your government, and your money, at work flushed away.

An insufficiently colorful color guard.  Scott Johnson at Power Line point out political correctness in the smallest aspect of our lives.  (And he needs to because the media doesn’t seem to want to notice it.  Or it looks on with admiration and doesn’t consider it news.)

For all the accusations of hate directed at the Right, and the religious Right in particular, Jeff Jacoby points out that they don’t hold a candle to the irreligious Left.

President Obama doesn’t think that the prospect of jail time over choosing not buying government-mandated health insurance (and likely choosing not paying the fine) is not the "biggest question" Congress is facing now.  Yeah, no big deal.  (Riiight.)  And in an Irony Alert, candidate Obama criticized Hillary Clinton for proposing a health care system with a mandatory purchase requirement. 

The New York Times has no problem calling Jim DeMint a "conservative Republican", but decides that Bernie Sanders, a self-described "socialist", is only a "left-leaning independent".  Courage and truth from that liberal media.

Distilled Thought of the Day

Heard this thought on right-wing talk radio today (Hugh Hewitt, to be exact):  The polls don’t show that most people are for a public option, it shows that they’re for a public option that doesn’t cost anything

I’m for a bigger house.  Doesn’t mean I’m going to (or should) get it.  The polls (or "cricket races" to our own Mark Olsen" show what people think about what they’ve been sold, not necessarily what they’re going to get.  Liberal blogs proclaim that the public wants the public option, when the public has been lied to about that option. 

Just more bread and circuses given away in order to coax the people to give government more power. 

Health Insurance Profits

Nancy Pelosi called them "immoral".  But by what standard is she measuring them?  Certainly not based on the numbers.

Health insurers posted a 2.2 percent profit margin last year, placing them 35th on the Fortune 500 list of top industries. As is typical, other health sectors did much better – drugs and medical products and services were both in the top 10.

The railroads brought in a 12.6 percent profit margin. Leading the list: network and other communications equipment, at 20.4 percent.

HealthSpring, the best performer in the health insurance industry, posted 5.4 percent. That’s a less profitable margin than was achieved by the makers of Tupperware, Clorox bleach and Molson and Coors beers.

The star among the health insurance companies did, however, nose out Jack in the Box restaurants, which only achieved a 4 percent margin.

UnitedHealth Group, reporting third quarter results last week, saw fortunes improve. It managed a 5 percent profit margin on an 8 percent growth in revenue.

It’s been higher in the past, but comparatively speaking, not as big a deal as Democrats have been making them out.

Health insurance profit margins typically run about 6 percent, give or take a point or two. That’s anemic compared with other forms of insurance and a broad array of industries, even some beleaguered ones.

Profits barely exceeded 2 percent of revenues in the latest annual measure. This partly explains why the credit ratings of some of the largest insurers were downgraded to negative from stable heading into this year, as investors were warned of a stagnant if not shrinking market for private plans.

Trim those profits, by undercutting them with a public option subsidised by you and me, and help put them out of business.  Quite the Big Government way.

And Obama et. al. know this.  They have all the same data the Associated Press has.  And they’re trying to pull one over on an unsuspecting public.

What we really need, based on the numbers, is socialized Tupperware!  I mean, shouldn’t fresh food and leftovers that last longer be the right of all Americans?  Isn’t fresh food more necessary than health care?  And please, they’re raking in 7.5% profit. The time is now to put all those evil Tupperware parties out of business.

More Points for Joe Wilson

While his accusation was out of order and unseemly, again we see he was right.  Wilson accused the President of lying when Obama said that health care reform wouldn’t cover illegal immigrants.  Recently, Obama tipped his hand on that claim, saying we had to make more the existing illegal ones legal so they can get health care.  The impression was not that they’d go back to their home country and use the legal process.  The President wants to simply, vaguely, go about "resolving the issue of 12 million undocumented people living and working in this country once and for all."

Poof, you’re legal!  Now, we still don’t cover illegal immigrants.

Except that any attempt to even figure out of someone is legal or not is being shut down by Democrats.

Senate Finance Committee Democrats rejected a proposed a requirement that immigrants prove their identity with photo identification when signing up for federal healthcare programs.

Finance Committee ranking member Chuck Grassley (R-Iowa) said that current law and the healthcare bill under consideration are too lax and leave the door open to illegal immigrants defrauding the government using false or stolen identities to obtain benefits.

Grassley’s amendment was beaten back 10-13 on a party-line vote.

So they say that illegals won’t be covered, but they promise not to check.  Don’t ask, don’t tell. 

Accountability government at work.

Joe Wilson Had a Point

When Joe Wilson said, "You lie!", when President Obama talked about not covering illegal aliens in the health care reform bill, he may have been both out of order and technically wrong.  But President Obama is now showing that there’s another way that Wilson was technically right.

President Obama said this week that his health care plan won’t cover illegal immigrants, but argued that’s all the more reason to legalize them and ensure they eventually do get coverage.

He also staked out a position that anyone in the country legally should be covered – a major break with the 1996 welfare reform bill, which limited most federal public assistance programs only to citizens and longtime immigrants.

"Even though I do not believe we can extend coverage to those who are here illegally, I also don’t simply believe we can simply ignore the fact that our immigration system is broken," Mr. Obama said Wednesday evening in a speech to the Congressional Hispanic Caucus Institute. "That’s why I strongly support making sure folks who are here legally have access to affordable, quality health insurance under this plan, just like everybody else.

Mr. Obama added, "If anything, this debate underscores the necessity of passing comprehensive immigration reform and resolving the issue of 12 million undocumented people living and working in this country once and for all."

Republicans said that amounts to an amnesty, calling it a backdoor effort to make sure current illegal immigrants get health care.

If the President had said that during the original speech, Wilson could have smiled broadly.  Essentially the President is saying (if you take everything he says into account), "we’re not covering illegal aliens, but we’re looking for ways to rename them something other than ‘illegal aliens’, after which they’d be covered." 

That was a bit disingenuous.  I think Wilson is owed something of an apology.

Doctors Rejecting ObamaCare

Contrary to claims by the Obama administration, they don’t actually have the majority of doctors on their side.

Two of every three practicing physicians oppose the medical overhaul plan under consideration in Washington, and hundreds of thousands would think about shutting down their practices or retiring early if it were adopted, a new IBD/TIPP Poll has found.

The poll contradicts the claims of not only the White House, but also doctors’ own lobby — the powerful American Medical Association — both of which suggest the medical profession is behind the proposed overhaul.

Joe Wilson, call your office.  You may have spoken just a bit too soon.

Major findings included:

Two-thirds, or 65%, of doctors say they oppose the proposed government expansion plan. This contradicts the administration’s claims that doctors are part of an "unprecedented coalition" supporting a medical overhaul.

[…]

Four of nine doctors, or 45%, said they "would consider leaving their practice or taking an early retirement" if Congress passes the plan the Democratic majority and White House have in mind.

[…]

More than seven in 10 doctors, or 71% — the most lopsided response in the poll — answered "no" when asked if they believed "the government can cover 47 million more people and that it will cost less money and the quality of care will be better."

If this passes, rationing, here we come.  The result would be fewer doctors handling more patients; how could you not wind up with rationing? 

And this really should be news to anyone who’s paying attention.  US states as well as other countries with socialized medicine already have this problem

A key reason for the doctor shortages, according to the study, is a "lingering poor practice environment in the state."

In 2006, Massachusetts passed its medical overhaul — minus a public option — similar to what’s being proposed on a national scale now. It hasn’t worked as expected. Costs are higher, with insurance premiums rising 22% faster than in the U.S. as a whole.

"Health spending in Massachusetts is higher than the United States on average and is growing at a faster rate," according to a recent report from the Urban Institute.

Other states with government-run or mandated health insurance systems, including Maine, Tennessee and Hawaii, have been forced to cut back services and coverage.

This experience has been repeated in other countries where a form of nationalized care is common. In particular, many nationalized health systems seem to have trouble finding enough doctors to meet demand.

In Britain, a lack of practicing physicians means the country has had to import thousands of foreign doctors to care for patients in the National Health Service.

"A third of (British) primary care trusts are flying in (general practitioners) from as far away as Lithuania, Poland, Germany, Hungary, Italy and Switzerland" because of a doctor shortage, a recent story in the British Daily Mail noted.

British doctors, demoralized by long hours and burdensome rules, simply refuse to see patients at nights and weekends.

Likewise, Canadian physicians who have to deal with the stringent rules and income limits imposed by that country’s national health plan have emigrated in droves to other countries, including the U.S.

So they’ll make up for poor coverage by making you pay more for it, whether directly or via taxes.  Lose-lose.

Now He Tells Us

A major speech on health care reform from President Obama is coming.

WASHINGTON, Sept 3 (Reuters) – President Barack Obama will lay out specifics of his proposed healthcare overhaul when he addresses Congress on Wednesday, Vice President Joe Biden said, as the administration sought to regain control of the debate.

"Stay tuned for Wednesday," Biden said in a Thursday speech to a Washington think tank a day after it was announced that Obama would make a rare speech to the joint houses of Congress as he seeks to boost flagging support for healthcare reform.

"It’s going to be a major speech laying out in understandable, clear terms what our administration wants to happen with regard to health care and what we’re going to push for, specifically," Biden said at the Brookings Institution.

Back in July, Obama urged Congress to pass a reform bill before the August recess.  Isn’t it a bit late to be telling us — in September — what he wants?  "Understandable, clear terms" would have been helpful 2 months ago.  Today, it’s damage control.

No, you read that right.  It’s not Fox News reporting this; it’s CNN.  Even if you believe Fox News Channel is the broadcast arm of the Vast Right-Wing Conspiracy, you don’t have that excuse to hand-wave this away.

The article is here, but here’s just the main list of items:

  1. Freedom to choose what’s in your plan
  2. Freedom to be rewarded for healthy living, or pay your real costs
  3. Freedom to choose high-deductible coverage
  4. Freedom to keep your existing plan
  5. Freedom to choose your doctors

CNN details how these freedoms will be lost, in spite of protestations from Obama and his backers.  These freedoms would be lost in either of the two main bills; one in the House and one in the Senate. 

This is not just about covering folks who don’t have insurance, and millions of whom indeed don’t want insurance.  It’s about government control of the industry.

(There’s a word for that.  Can’t recall it just now.)

Y’know, maybe that whole profit motive thing and competition wasn’t so bad after all.

SASKATOON — The incoming president of the Canadian Medical Association says this country’s health-care system is sick and doctors need to develop a plan to cure it.

Dr. Anne Doig says patients are getting less than optimal care and she adds that physicians from across the country – who will gather in Saskatoon on Sunday for their annual meeting – recognize that changes must be made.

"We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize," Doing said in an interview with The Canadian Press.

"We know that there must be change," she said. "We’re all running flat out, we’re all just trying to stay ahead of the immediate day-to-day demands."

The pitch for change at the conference is to start with a presentation from Dr. Robert Ouellet, the current president of the CMA, who has said there’s a critical need to make Canada’s health-care system patient-centred. He will present details from his fact-finding trip to Europe in January, where he met with health groups in England, Denmark, Belgium, Netherlands and France.

His thoughts on the issue are already clear. Ouellet has been saying since his return that "a health-care revolution has passed us by," that it’s possible to make wait lists disappear while maintaining universal coverage and "that competition should be welcomed, not feared."

In other words, Ouellet believes there could be a role for private health-care delivery within the public system.

We already know that American private health-care delivery already has a role. 

And this is hilarious.

He has also said the Canadian system could be restructured to focus on patients if hospitals and other health-care institutions received funding based on the patients they treat, instead of an annual, lump-sum budget. This "activity-based funding" would be an incentive to provide more efficient care, he has said.

Heh.  That "activity-based funding" is something like what we capitalists call "pricing".  We’ve found out that it’s a more efficient way to deal with supply and demand than government dictate. 

Democrats Say "Uncle" to Sarah Palin

Over at "Stop the ACLU", a bullet list of times that Sarah Palin won the debate on the end-of-life care issue she brought up.  Biggest win; the provision was removed from a Senate bill.  (A provision that her critics insisted was pure fantasy.)

Y’all just go on underestimating her.

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