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Sunday, June 14th, 2009

The Health Care Special

Rationing of Healthcare & Obama’s PayGo: Will These Work?

It was good to hear on 05/11 that Obama wants to bring back Paygo. You know, buying stuff when you have the money on hand to pay for it. Not on credit. If Congress spends money, they have to have it on hand like you and I do. The other good news is that we got 65 billion dollars coming back to our Treasury from the TARP bank payback. Now we are only 10 and ½ trillion down. Not counting the 1-2 trillion more for health care.

No matter, if you are watching the health care reform battle you need to examine two articles to put things in perspective. One is an excellent editorial in the Monday (June 8th) WALL STREET JOURNAL on the cost of the program. How are we going to pay for this monstrosity? I leave that for you to read as it is quite detailed. We will review the article by Dr. David Gratzer from the Tuesday June 9th issue in the OPINION section.

This man was born and raised in Canada but now works at the Manhattan Institute as a senior fellow. He writes of what he knows, and what will happen to US medicine if the government gets its way. Just like Canada. His revelation is not good news.

You may have seen some of the talking heads debating health care reform recently. They are all over the place and most don’t know what they are talking about. Like one blond woman I saw a few days ago saying how great competition with Medicare would be for health care. Medicare and private health insurance should compete to lower costs. Right. Medicare and Medicaid programs pay so little now that a doctor can’t run an office. The administrative overhead for them is about 1/3rd of the expenditures. Hospitals go bankrupt because they pay so well. How can hospitals pay staff and get the needed money to buy the new technology we all demand?

Paul Kanjorski (D, Pa.) had a local conference call in my area about health care reform. One lady asked about him rationing of health care. He said: never; won’t happen. This is just a scare tactic others use to worry folks. Well, read what Dr. Gratzer has to say. You should review the whole article on your own. I just make a few of his points.

Rationing is a method the government uses in Canada to cut their health care budget. Restrict access and you cut your budget. Care is reduced. Wait long enough and the really sick will die of or go elsewhere at their own cost. Approved procedures are put on a list. Some things can’t be done. They aren’t on the list. Dialysis for those over the age of 55 years is not provided. If you have renal failure, your life is not worth anything. You have long, long, long waiting lists. So long that your brain tumor will kill you before you get care. People go to the US for emergency brain surgery, broken necks and so on because they have significant shortages of doctors. You wait to see a specialist and to have a CT scan—up to a year or more. The poor in socialized medicine actually get worse care and are less healthy than here in the US—even with 47 million uninsured.

If it’s so great in Canada, the UK, Australia and New Zealand, why do I have so many foreign doctor friends who emigrated here???? Why are they going back to private practice and opening private hospitals in England and Canada?? Yeah, it’s free. Sort of. Taxes are a killer but you need to remember: you get what you pay for.

So Dr. Gratzer’s question is simply this: why are we hurrying to do this? We need a good nationwide debate. Not two or three weeks. Let’s talk a lot more about this.

7 Responses to “The Health Care Special”

Niche Says:

You do have a point with regards to foreign doctors. But you must realize that a doctor from India migrating to the US does bnpt necessarily mean that his or her migration is work related

Cynthia J. Says:

No Health Care Plan is going to work adequately as long as we have so many citizens unable or unwilling to work and contribute to our Economy. The truly sick and disabled should be cared for but unfortunately there are so many who just scam the System, who don’t want to work and believe that it’s OKAY to steal from the rest of us. Another example of System failure through Fraud is Social Security Disability. I personally know quite a few people who are on Social Security Disability who are more than able to work but choose not to. Clean up the Fraud any maybe Universal Health Care will be possible.

jim Says:

The government is too big for this crap to work..We will be paperworked to death..The government can’t do anything right.. And they never could…

jim Says:

universal health care is only good for one thing… Screwing the tax payer will a system that provides poor medical care at a high cost to the tax payers…Somebody has to fund the system.. And guess who that is…You and I not the government..The government doesn’t pay taxes..The consumer payers them for the government..We all will be screwed..

BOOWAH Says:

Something had better be done about health care and fast! Hospitals and doctors charge rediculous fees and insurance pays only a fraction despite the fact that they also charge astronomical rates that we cannot pay only a fraction of. Forgive me but whose getting rich here? You guessed it…Insurance companies! Whose rationing care? You guessed it….Insurance companies! Whose dictating your treatment? You guessed it again….Insurance companies. How do we cut insurance companies out of the equation? You guessed it…Socialized Medicine.

frank Says:

paygo does not mean they have the money on hand, only that they will raise taxes in order to cover the cost of what they want. If they needed the money on hand no health care would get approved. The money coming back will only go out to another failure, don’t count on it reducing the deficit.

Ana Says:

Democrats Warn Health Care Providers Not To Meet With Republicans

By David M. Drucker, Anna Palmer and Kate Ackley
Roll Call Staff
June 11, 2009, 12 a.m.

Top aides to Senate Finance Chairman Max Baucus (D-Mont.) called a last-minute, pre-emptive strike on Wednesday with a group of prominent Democratic lobbyists, warning them to advise their clients not to attend a meeting with Senate Republicans set for Thursday.

Russell Sullivan, the top staffer on Finance, and Jon Selib, Baucus’ chief of staff, met with a bloc of more than 20 contract lobbyists, including several former Baucus aides.

“They said, ‘Republicans are having this meeting and you need to let all of your clients know if they have someone there, that will be viewed as a hostile act,’” said a Democratic lobbyist who attended the meeting.

“Going to the Republican meeting will say, ‘I’m interested in working with Republicans to stop health care reform,’” the lobbyist added.

Republican leaders have been meeting with health care stakeholders for months, with those sessions occurring “more frequently than once a month,” according to a senior Senate GOP aide.

The stated purpose of Thursday’s meeting, organized by Sen. John Thune (R-S.D.), is to discuss proposals for how to pay for health care reform.

But the underlying motivation for the get-together is to encourage health care lobbyists and stakeholders concerned about the Democrats’ health care reform plans to speak out publicly.

“They need to speak up,” one Senate Republican leadership aide said. “They need to help us help them.”

Thune said Democrats are using threats and intimidation to keep unhappy stakeholders silent.

“If you don’t engage on this thing, this train’s leaving the station,” Thune said. “If you want [Republicans] to have more influence, you’ve got to engage.”

One longtime health care lobbyist agreed that the GOP frustration is spilling out of the Capitol and onto K Street.

“It is notable that Republicans are really finding their voice, and their level of frustration is building with the stakeholders’ inability or refusal to speak out,” this lobbyist said. “They’re getting frustrated. Republicans are doing it themselves.”

One senior Democratic source charged that Thune’s meeting and the supposed motives behind it are in fact a smoke screen for killing health care reform altogether.

“While Democrats and many Republicans are working collaboratively to reform health care, a small group of Republicans appear all too eager to derail this promising, bipartisan effort,” this source said. “It’s politics as usual, it’s disheartening and it’s a shame.”

Senate Republicans are opposed to plans by President Barack Obama and Congressional Democrats to implement a government-run, public plan option as a part of health care reform. They also are concerned with how Democrats plan to pay for reform.

Recognizing they don’t have the votes to stop legislation on their own, Republicans are pushing their natural allies in the business community to help bring public pressure to bear as another way to influence the outcome.

Obama has set Oct. 15 as the deadline for approval of health care reform, and Democratic leaders in Congress are rushing to clear bills from their respective chambers by the end of July.

“Our effort has been to get these folks to speak their mind,” one senior Senate Republican aide said.

After months of holding their tongues while inclusive, bipartisan negotiations continued in the Senate Finance and Health, Education, Labor and Pensions committees, the business community has now considered speaking out, given their displeasure with the HELP panel’s reform bill, which was made public on Tuesday.

But with Baucus’ office still warning dissenters that anyone who makes their opposition public could be permanently excluded from future negotiations, the groups representing businesses, health care providers, hospitals and similar stakeholders are still wavering on whether to voice their concerns publicly.

The lineup of lobbyists who attended the Wednesday session included a cast of Democratic insiders similar to that at previous meetings convened by Baucus’ staff. The participants included: Jeff Forbes, a former Baucus chief of staff who lobbies at Cauthen Forbes & Williams; Jonathon Jones, a partner with Peck, Madigan, Jones & Stewart; Tarplin Strategies’ Rich Tarplin, an assistant secretary at Health and Human Services in the Clinton administration; another former Baucus top aide, David Castagnetti, of Mehlman Vogel Castagnetti and OB-C Group founder Larry O’Brien.

Democratic sources noted Wednesday that Baucus is courting Republican support and remains committed to treating all stakeholders fairly.

On Wednesday, he met with Senate Minority Leader Mitch McConnell (R-Ky.) in the Capitol, part of a marathon day of bipartisan meetings that included a session with his GOP colleagues at the White House and discussions with Republican members of the Finance Committee.

“Chairman Baucus wants to continue to keep health care stakeholders informed of the progress on health reform,” said the Senator’s Finance Committee spokesman, Scott Mulhauser. “This is a lengthy, transformative process, and meetings like these are an essential part of the ongoing, bipartisan effort to continue to keep everyone at the table working together.”

One lobbyist who attended the Wednesday meeting with Baucus’ staff said that the message was more bipartisan. “They said they anticipate having a bipartisan bill and that the process is going well with Republicans,” this lobbyist said. But, the lobbyist added, Baucus’ team did warn, “If your clients attack the process or the product, it’s going to be hard to work with you.”

As for Baucus, he told reporters earlier this week that he was not aware of health care stakeholders being threatened by his staff to play ball with the Finance Committee-led negotiations or risk being blackballed from the process.

“I’m sure they can all say what they want to say,” Baucus said, referring to GOP accusations that health care lobbyists have been subject to intimidations and threats. “It’s news to me. I don’t think so. I don’t know of any.”

Republican lobbyists said they have not felt any threats from their party.

“For a while, Republicans have cautioned industry to be careful about getting in bed with the administration or Kennedy or Baucus too early,” said Janet Grissom, a lobbyist at Peck, Madigan, Jones & Stewart, who was once a top aide to McConnell.

“Having said that, they recognize if you’re in business you can’t ignore the decision-makers out there. While they are unhappy and think that a lot of the health care sector is being naive in thinking they can work together, they recognize that’s how this town works.”

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