No Runny Eggs

The repository of one hard-boiled egg from the south suburbs of Milwaukee, Wisconsin (and the occassional guest-blogger). The ramblings within may or may not offend, shock and awe you, but they are what I (or my guest-bloggers) think.

Archive for the 'Health' Category

September 16, 2009

Video of the day – John Stossel destroys health insurance

by @ 11:38. Filed under Health Care Reform.

(H/T – Charlie Sykes)

Enjoy as ABC News (soon to be Fox News) correspondent John Stossel explains why health insurance makes health care a lot more expensive…

[youtube]http://www.youtube.com/watch?v=3WnS96NVlMI[/youtube]

Those of you who went to AFP-WI’s Health Care Townhalls already know the specifics, but it doesn’t hurt to hear them again.

Uh-oh – 45% of physicians plan to depart early if ObamaCare passes

(H/T – Michelle Malkin)

Investor’s Business Daily reports that, in its latest IBD/TIPP poll, 45% of doctors surveyed said that they would consider leaving their practice or retiring early if a Democratic version of health care reform were passed. They also found that 65% oppose the plans the Democrats have out there, and 71% (or 72% whether one believes the graphic or the text) don’t believe that 47 million could be added to the insurance rolls under government control with higher-quality care for less money.

Let’s focus on those who would leave early. Early last year, The Monster took a look at what happens to the supply-demand curves when government interferes with prices. The same principle exists when supply is artificially-tampered with.

First, let’s restate what happens when the supply of a service and the demand of same are in harmony. The price and quantity are at an equilibrium, as shown by this graph from Monster:

Note where the supply curve (S) and demand curve (D) meet. That is the point of equilibrium, with a specific price (P) and quantity (Q).

Now, let’s take a look at what happens when the quantity is artificially-capped below the equilibrium point:

Because the supply does not meet the demand, there is a shortage. The red line connecting the supply curve and the demand curve represents said shortage, with a corresponding increase in price once the two meet.

Of course, that assumes that prices will be allowed to rise to meet the demand. What happens when both the quantity and the price are artficially-capped? Let’s take a look:

The blue line represents an unmet shortage. If you prefer to use a single word for that, “rationing” would be a good choice.

Revisions/extensions (9:58 am 9/16/2009) – Shoebox pointed out last month that even if no physicians departed early, we would be 13% short on the required number of physicians the day that ObamaCare goes into effect. Talk about your uh-oh moments.

September 15, 2009

Don’t Look Now…

In case you missed it, there was a rather large social gathering in Washington D.C. over the weekend.  If you read about it in the New York Times, there were merely “thousands” of people at the event. If you read about it at an objective source there was something north of 1 million people on and around the mall.

Regardless of the actual number that appeared on the mall, David Axelrod, a senior advisor to President Obama had this to say about the mall denizens:

I don’t think it’s indicative of the nation’s mood,” Axelrod said on CBS’ “Face the Nation.” “You know, I don’t think we ought to be distracted by that. My message to them is, they’re wrong.”

David, Robert Gibbs had some advice for you last week and you really should heed it!

Mr. Axelrod, you’re wrong!  In a poll released today from Zogby, it turns out that the majority of America agrees with the Tea Party participants at least on the major issues:

Asked if they agree or disagree that the federal government should require all Americans to purchase health insurance or face a fine — a provision favored by Democrats — 70.2 percent said they disagree, and only 18.5 percent agree. The rest are not sure.

Mr. Axelrod, you’re wrong again:

A resounding 75 percent of respondents said that taxes should not be raised to fund a government-run health insurance program for Americans who do not have health insurance.

Oh, and Mr. Axelrod, you’re wrong again:

The pollsters stated: “President Obama is promoting a new government agency called the ‘Independent Medicare Advisory Council,’ and some people believe this agency should use its powers to deny payment for procedures it deems unnecessary or futile.”

Critics say such power would interfere with the doctor-patient relationship, the pollsters noted, and many consider it a form of healthcare rationing. Nearly 59 percent said they oppose the creation of the council, and just 30.6 percent support it.

May I say, Mr. Axelrod, You’re wrong again:

Some Republicans have called for provisions allowing Americans to purchase health insurance from providers outside their state as an alternative to Obama’s proposed government-supported “public option” insurance plan. Respondents said they favor such provisions by an overwhelming margin, 82.8 percent to 6.9 percent.

And one last time, Mr. Axlerod, you are wrong!

Also, 78.5 percent of those polled believe tort reform is needed to lower the cost of medical malpractice insurance, an issue that Obama has not seriously addressed. And 77.3 percent oppose plans to tax employer-provided healthcare benefits.

Would people like to see some reform, I believe the answer is yes.  however, do people want the reform that the Democrats are offering?  The answer to that is a resounding no!

Stay on target, stay on target!

Hey Dems, What’s Your Problem?

According to House Republicans the Democrats don’t have the votes to pass health care reform out of the House.  You see, the problem is that they lose at least 44 votes if there is a public option included and 57 if it’s not included.  Huh, last I looked there were 256 Democrats in the House.  What happened to the other 155?  Can they not make up their mind?

For you Minnesota readers, I noted that Betty McCollum and Tim Walz are not on either list.

For the rest of you, I noted that the Democrat leadership including Nancy Pelosi, James Clyburn and Steny Hoyer are not on either list.

Is this really so hard?  Either you believe that the government is best capable of running health care or you don’t.  There is no “kind of.”  There is no fractional amount.  You’re either in or not.  It’s pretty simple. 

Folks, if your representative is not on one of these lists, you ought to be asking why they are equivocating.  If they are on the “we must have a public option” list, they can no longer hide as a “blue dog” and should be called out.

The lines are drawn.  Obama risks losing all credibility if he doesn’t get this billed passed out of the House.

Stay on target, Stay on target!

September 12, 2009

Well Decide, Which Way Do You Want It?

The Coast Guard ran a training exercise today.  It was routine in every way except that President Obama was involved in a 9/11 memorial in the same general area as the exercise.  Oh, and nobody told CNN that it was a training exercise.

Based on what they had heard on scanners that overheard the Coast Guard communications, CNN began reporting that the Coast Guard was pursuing a boat on the Potomac and that shots had been fired.  Needless to say, the reporting caused a bit of a stir.

Commenting on the incident, Press Secretary Robert Gibbs chided CNN:

“My only caution would be that before we report things like this, checking would be good,” Gibbs said.

Sage advice from Mr. Gibbs, to be certain.  I wonder when Mr. Gibbs would have liked CNN to have begun “checking” before “reporting?”

Should CNN have done some “checking” before they “reported” that John McCain’s endorsement by John Haggee was the equivalent of Barack Obama sitting in Jeremiah Wright’s church and listening to his sermons for 20 years?

Should CNN have done some “checking” before they “reported” this puff piece on the self proclaimed communist, Van Jones?

Or, perhaps, just maybe, CNN should have done some “checking” before they “reported” that following President Obama’s most recent infomercial for health reform, 67% liked Obamacare based on significantly oversampling democrats?

It’s not very often I agree with Robert Gibbs.  In fact, I’m not sure I ever have before.  On this issue, I wholeheartedly agree with Mr. Gibbs.  I would like to see CNN doing some real checking and some real reporting.  I suspect though, that if they did that, Mr. Gibbs would not be happy at having lost a compliant media lapdog.  That leaves a quandary for Mr. Gibbs; which way do you want it?

September 10, 2009

Video of the day – Moolah for Medicine edition

by @ 12:30. Filed under Health Care Reform.

My friends from the Sam Adams Alliance, who run the Health Administration Bureau (at least until Congress takes it over), have introduced a new program called Moolah for Medicine. I’ll let the video explain:

[youtube]http://www.youtube.com/watch?v=gC3nZO71zhk[/youtube]

Get yours before the ObamiNation gets you!

Thursday Hot Read Part 2 – Karl Rove’s “Obama’s Big Political Gamble”

by @ 11:00. Filed under Health Care Reform, Politics - National.

It is good to have one of the best political operators in the business back up my impression that President Obama’s actions this week are nothing more than a series of pep talks to his far-left base. Karl Rove writes in today’s Wall Street Journal:

Millions of Americans watched President Barack Obama’s speech last night to a joint session of Congress. Much of it was familiar, having been delivered in at least 111 speeches, town halls, radio addresses and other appearances on health care. But his most revealing remarks on the topic came on Monday, at a Labor Day union picnic in Cincinnati.

There Mr. Obama accused critics of his health reforms of spreading “lies” and said opponents want “to do nothing.” These false charges do not reveal a spirit of bipartisanship nor do they create a foundation for dialogue. It is more like what you’d say if you are planning to jam through a bill without compromise. Which is exactly what Mr. Obama is about to attempt.

Rove goes on to point out that the last time we tried to go down this road to socialized medicine, the Democrats lost the majority in both Houses of Congress because they tried to go down this road.

Thursday Hot Read – Ed Morrissey’s “Declaration of Dependence”

by @ 10:22. Filed under Health Care Reform, Politics - National.

Ed Morrissey’s latest column for American Issues Project deals with the “moderate” health-care “reform” that Sen. Max Baucus (D-MT) has. Let’s pick up at the second departure of the governed-government relationship:

The second departure is more subtle and insidious. Baucus has proposed that the federal government supply subsidies to needy individuals and families for the purchase of the now-mandated insurance. However, the definition of needy defies both math and common sense. The Baucus plan proposes those subsidies be available to households at up to 300% of the poverty level of income – or about $66,000 per year income.

If that sounds like a pretty good annual household income, you’d be right. In fact, the 2007 median household income in the US was $50,233. Roughly half of all households in America are above this income level, and half below it. It is a solidly middle-class income by definition.

How many people make $66,000 per year or less, and therefore would be eligible for federal health-insurance subsidies? According to the Census Bureau’s 2007 survey, 72.1 million of the nation’s 116.8 million households earned $65,000 or less. The Baucus plan would make 61.7% of American households dependent on government assistance, far more than half and well on the way to two-thirds.

Ed goes on to note that ObamaCare Heavy (aka H.R. 3200) would put close to 3/4ths of the population on the dole. What was that quote about the republic surviving only until half the people figure out they can rob the other half dry through the power of government?

September 9, 2009

Patriot

Joe Wilson, Representative from South Carolina was the voice you heard shouting “liar” during the President’s speech tonight.  The look on Pelosi and Plugs faces are priceless.

If President Obama thought this issue was just going to go away with a few lofty words, he was mistaken. I commented in the live blog tonight that if this had been a real “house of the people” meeting, the tepid response for Pelosi and others would likely have been replaced with the throwing of rotten tomatoes.

My hat’s off to Joe Wilson.

The original intent of the Obama school address?

by @ 21:30. Filed under Health Care Reform, Politics - National.

(H/T – Soapbox Jill)

While Obama more-or-less restrained his hyper-partisan tendencies in the national address to The Young Skulls Full of Mush (© Rush Limbaugh) yesterday, he wasn’t quite as restrained before the cameras rolled with the students at Arlington, Virginia’s Wakefield High School. He was busy trying to recruit said skulls full of mush into the full-blown socialization of health care he has been pushing for the last several years.

I wonder if pressuring the parent(s) into supporting higher taxes for lower-quality care was one of the things the children were supposed to say they were going to help Obama with.

Paul Ryan response to Obama

by @ 21:03. Filed under Health Care Reform, Politics - National.

I need a sober analysis of the ObamaCare rah-rah speech. Fortunately, my Congressman, Paul Ryan (R-WI), provided one:

WASHINGTON – Wisconsin’s First District Congressman Paul Ryan tonight issued the following statement in response to President Barack Obama’s health care address to a joint session of Congress:

“Tonight marked the President’s 28th major health care address this year. As thousands of Wisconsinites made clear to me at my health care town halls in August, we don’t need another speech; we want a fresh start on real reform – patient-centered, fiscally-responsible reform. The President delivered an articulate speech, but his plan fails to fix what’s broken, and instead breaks what’s working.

“The Washington-centric health care overhaul being pushed through Congress is not the only way to tackle this issue. Wisconsinites know better; Wisconsinites deserve better. Democrats, Republicans, and Independents alike continue to offer substantive alternatives – proving that we can have universal access to health coverage in America without the government taking it over, without trillions in new taxes, spending, and debt. If President Obama is sincere in asking for better ideas – ideas that can garner bipartisan support – he must be willing to consider them.”

For the latest on the health care debate from Congressman Ryan, including details on Ryan’s comprehensive health care reform alternative – H.R. 2520, The Patients’ Choice Act – please visit: http://www.house.gov/ryan/healthcare.

You’re All Liars

President Obama stood before the joint Congress this evening and said everyone who has read the actual words of HR 3200 were succumbing to “bogus claims”.  From his speech:

Some of people’s concerns have grown out of bogus claims spread by those whose only agenda is to kill reform at any cost. The best example is the claim, made not just by radio and cable talk show hosts, but prominent politicians, that we plan to set up panels of bureaucrats with the power to kill off senior citizens. Such a charge would be laughable if it weren’t so cynical and irresponsible. It is a lie, plain and simple.

There are also those who claim that our reform effort will insure illegal immigrants. This, too, is false – the reforms I’m proposing would not apply to those who are here illegally. And one more misunderstanding I want to clear up – under our plan, no federal dollars will be used to fund abortions, and federal conscience laws will remain in place.

My health care proposal has also been attacked by some who oppose reform as a “government takeover” of the entire health care system. As proof, critics point to a provision in our plan that allows the uninsured and small businesses to choose a publicly-sponsored insurance option, administered by the government just like Medicaid or Medicare.

I won’t dissect each of these issues as it’s been done numerous times across the net.

The only thing I learned during tonight’s speech is that it’s not a good idea to play a drinking game where you drink each time Nancy Pelosi blinks.  It’s a good think I was already home!  Obama could have saved us all a bunch of time and just told us to reread HR 3200.

For the past several weeks, each time President Obama attempted to refute provisions of the plan, favorability ratings for both himself and support of the plan dropped.  I’m left with just one question after tonight’s speech:  After calling more than half of America liars, is it possible to have a favorability rating less than zero?

Drunkblog – sloshing through the pitch for the Chappaquiddick Memorial ObamaCare bill

by @ 15:41. Filed under Health Care Reform, Politics - National.

Since I haven’t done a drunkblog for a while, I may be a bit out of practice. Oh well; I figure I may as well double-barrel things, with the vulgarities here and a presence over at the Hot Air liveblog. I’ll have that link and others up when they become available.

Revisions/extensions (6:55 pm 9/9/2009) – And here they are…
Ace of Spades HQ
Vodkapundit
– Hot Air (Part 1 run by Allahpundit/Part 2 run by Ed Morrissey

As always, I must remind you that I paraphrase a lot. Since I’m not anticipating press questions, stuff from Obama will be in italics and my thoughts will be in plain text.

Just Say No!

Tonight, President Obama will once again fill the living rooms of America.  Again he will be telling us that we have a crisis at hand and that “doing nothing is not an option.”  It’s being reported that he will make a clear and compelling argument that a government option is the “best way to introduce competition into they system.”  In essence, Obama’s argument this evening will ask us to trust the government to insert themself into a large, complex industry and that there will be no adverse affects to the overall system or end users.

This morning it is being reported that much, my guess nearly all, of the money lent to GM and Chrysler will be complete write offs for the American taxpayer.  Big surprise that!  Any high school accounting student could have told you that any money put into either of these companies had no expectation of being repaid.  Automotive is a large, complex industry that government has inserted itself into with unsuccessful results.  In fact, if you are one of the dealers who were closed even though you a major employer in a small community, had successful sales and high customer satisfaction, you’d say the results of government intervention were disastrous!

Yesterday, Senator Max Baucus released a framework for a health reform plan that has been worked on by a “Gang of Six” from the Senate.  Within the grand plan of Senator Baucus are still mandates for health care purchases, penalties on those who don’t and a government option, now called a coop. 

What is not in Senator Baucus’ plan is anything puts free market leverage on the health care system.  In fact, in one of the few attempts to put free market window dressing in his plan, where Baucus addresses removing the interstate sales restrictions on health insurance, there is no mandate for the removal.  Rather, Baucus’ plan allows states to from “compacts” amongst themselves that would allow insurance companies to sell across state lines of those within the compact.

The Baucus plan ends up being just the most recent attempt at “reform” who’s only real reform is using new words to describe an eventual government take over of the health care system.

Regardless of what is or isn’t included in the various attempts at health care to date, they all need to be scrapped.  Making anything of quality, be it a manufactured item, art or even food, usually requires following a specific process.  Even if you have the correct ingredients, it doesn’t work to just mix them or put them together in just any order you want.  While the current attempts may have some pieces that are worth discussing, none of them have been put together in the correct way.  Until we get a plan whose first ten precepts are based on increasing the leverage of the free market on health care, we should refuse to debate, opine or offer advice on them.  We should take the advice of Nancy Reagan and “Just say no!”

logo-no-just-say-no-480

September 8, 2009

How much for no advanced care? – UN edition

by @ 16:47. Filed under Health, International relations.

Fox News reports that, despite a $19 million/year ($38 million per biennium) budget supporting 8 “doctors” and 11 “registered nurses” in the Medical Services Division, the United Nations’ advice for employees facing a life-threatening health emergency on UN property:

Step 1. Call … 911 from UN office phone.

Step 2. If it is a serious injury, render first aid assistance if you are trained to do so.

Step 3. Call the UN Fire and Safety Unit.

Step 4. When trained staff arrives, describe the first aid already administered and once again advise if you have called 911.”

Why is the MSD not included in the 4-step directive? Could it be that most of the “doctors” and “registered nurses” are not licensed to practice medicine in New York State, or that some appear to not be licensed to practice anywhere on the globe? Could it be that some of those “doctors” are dispensing controlled substances outside the norms established by both the US and the UN? Spending $1 million per year per “licensed” medical staff employee for something that for all legally-practical purposes is nothing more than a few-services-rendered occupational health clinic may be par for the course of the thoroughly-corrupt UN, but it is still scandalous.

Now, here’s the kicker – despite claims from the UN that they and the city of New York have reached an agreement to render emergency medical care, and that the New York Emergency Medical Services had been notified that they would be called first, last and always, the Fire Department of New York said that they were not notified that the EMS would be the primary renderer of said care.

Question; since the UN doesn’t pay taxes or even parking fines, are they chipping anything in for any EMS services rendered?

Stay on Target!

From the classic that is the original Star Wars movie (now Star Wars IV) during the attack on the death star:

As one of the rebellion pilots is heading to make the impossible shot that would destroy the death star Empire fighters are attacking from all directions.  The pilot loses his concentration as his head is spinning trying to keep track of the frenetic activity around him.  The leader of the attack then states his infamous line, “Stay on target!  Stay on target!”  In the end, he never gets his shot fired and is ultimately destroyed by one of the pursuing Empire fighters.

The month long Congressional recess has been an usually heady time for Conservatives.

First, after explaining to school administrators and the blogging world that we and our children “pledge allegiance to the flag” and not the president, the Obama acolytes resorted to using “in artfully worded” before redoing the “lesson plan” for Obama’s indoctrination speech to school children. 

Second, led by Worldnetdaily and Glenn Beck, Conservatives used the method that John McCain was too squeamish for and held Van Jones accountable for his extremist views, statements, actions and associates.  The result is that Van Jones has left the Obama administration “to seek other opportunities.”  Perhaps the most interesting aspect of both of these events is that neither of them had any of the D.C. Republican leadership leading them.  In fact, now now that I think about it, what was the last issue of substance that any of the D.C. Republican leadership?

Finally, Conservatives have successfully led an effort to expose the truth about the Democrat’s attempts to nationalize health care.  In town hall meetings, blogs, rallies and one on one discussions, Conservatives came armed with facts that left their opponents either lying or stumbling through things they made up.  Regardless of how many times President Obama or Democrat leadership claimed “it wasn’t in there,” the majority of Americans believe it is “in there” and they don’t like it.  The situation has degraded so far that President Obama will be addressing a joint session of Congress on Wednesday evening in an attempt put the plan on some new track that could lead to success.

While the first two items clearly sent a message to the Obama administration that he was not elected to a monarchy, the final outcome of the last issue is still to be decided.

Innumerable articles have been written in the past 10 days opining on whether Obama can save the health care reform bill.  Amongst other topics, the articles discuss the pros and cons of a 60 vote Senate approval versus a reconciliation process, dropping a public option or moving to a coop and which group of Democrats are more likely to support or jump ship from President Obama.  With so many different experts and theories it’s hard to guess what scenario may play out in the coming weeks.  In fact, depending upon your own personal preference, if there isn’t an article supporting your theory, just wait another day and there likely will be one written.

Over the next few weeks the fight over health care reform will take many new turns.  Some events will likely be complete surprises.  We can certainly expect that as President Obama reengages in the fight we’ll see him hang “shiny bright objects”that are meant to distract conservatives from their focus on health care.  Whatever transpires, one thing is certain, the fight is far from over.  We can’t allow the victories of small skirmishes to lull us into any sense of accomplishment.  We must keep pressure on every Congressional representative until health reform that has any increase, or might allow any possible future increase of government intervention is dead, dead, dead.

For the next six weeks or so we need to stay focused, stay aggressive and keep the White House on the defense.  Every morning for the next six weeks you should wake up to the admonishment of Gold Five:

September 3, 2009

Speaking of rationing – the Mandatory Schaivo edition

by @ 15:40. Filed under Health Care Reform, Politics - National.

(H/T – Ed Morrissey)

It is almost as if our friends across the Atlantic are warning us of what is in store if we follow them into socialized medicine. The Daily Telegraph ran a story of how (Not-So-)Great Britain’s health-care “scrutiny” body, the inappropriately-named National Institute for Health and Clinical Excellence, has adopted a particularily cruel end-of-life program called the Liverpool Care Pathway. I’ll let The Telegraph explain what this “last hours treatment”, now in place in nearly 1,000 British health-care facilities at the insistence of NICE, is:

Under the guidelines the decision to diagnose that a patient is close to death is made by the entire medical team treating them, including a senior doctor.

They look for signs that a patient is approaching their final hours, which can include if patients have lost consciousness or whether they are having difficulty swallowing medication….

When a decision has been made to place a patient on the pathway doctors are then recommended to consider removing medication or invasive procedures, such as intravenous drips, which are no longer of benefit.

If a patient is judged to still be able to eat or drink food and water will still be offered to them, as this is considered nursing care rather than medical intervention.

Unlike the Terri Schiavo situation, where there were conflicting interpretations of the level of care she wanted, what is missing is any decision by either the patient or a patient’s family. Considering the average person spends roughly a third of his or her life asleep, I guess one should not fall asleep in a British hospital with a sore throat.

Seriously, the story goes on to report on a letter signed by several leading British palliative-care experts calling the LCP a “national crisis”. Quoting The Telegraph’s reporting on the letter:

“Forecasting death is an inexact science,” they say. Patients are being diagnosed as being close to death “without regard to the fact that the diagnosis could be wrong.

“As a result a national wave of discontent is building up, as family and friends witness the denial of fluids and food to patients.”

Dr. Peter Hargreaves, a consultant in Palliative Medicine at St Luke’s cancer center in Guildford, told The Telegraph that he personally took patients off that pathway who went on to live for “significant” amounts of time because he did what many doctors don’t – keep monitoring the patient for signs of improvement. Those signs of improvement are harder to spot when a patient is under constant sedatement according to Professor Peter Millard, Emeritus Professor of Geriatrics, University of London.

Another problem with sedation while dehydrating is that a patient can enter a state of semi-consciousness and confusion. I wonder how many of the 16.5% of those who died in Britain in 2007 and 2008 during a state of continuous deep sedation, twice the rate in the Netherlands, which has a policy of physician-assisted suicide, suffered that state.

Of course, not all of those in Not-So-Great Britain are doomed to such a fate. Just ask Abdel Baset ali Megrahi, who got a get-out-of-Britain-free card after serving less than 12 days per person he and his Libyan associates murdered in the bombing of Pan Am Flight 103. Of course, he wasn’t a loyal subject of the British crown; he was a mass-murdering thug.

But of Course, There Will be Rationing

Every time attempt at a government run or mandated health plan has resulted in some form of rationing.  There is no exception to this rule.  The reason for this is quite simple.  Once people get something that appears to have no cost to it they will demand more and more of it.  As folks demand more and more it costs more and more to provide the service.  At some point, even the most arrogant printers of money will realize that there has to be some cap on the total costs.

Canada, England, Cuba and Massachusetts all have rationing occurring in their plans.  Rationing can take all kinds of forms; from the most blatant and obvious forms of outright denying the particular service to the less obvious like someone not answering a phone to accept an appointment. 

Since the rationing issue has been raised, those who support Obamacare have been besides themselves telling us that there will be no rationing in this plan.  As evidence, they often point to Medicare and Medicaid as shining utopian examples of everyone gettng all the health care they need without a hint of rationing.

An article from Tuesday’s USAtodayshows just how Medicaid is implementing rationing.  As a result of budget constraints the State of Louisiana has cut payments made to service providers of Medicaid by 10%.  The result?  68% of surveyed physicians will begin rationing of services to Medicaid patients.  Oh, they won’t refuse to perform a procedure that a patient needs, they’ll just quit accepting new patients, stop accepting referrals or for nearly 16%, quit seeing medicaid patients altogether. 

In a separate but related article, Bloomberg reportsthat the Obama administration’s plan to take $1.4 billion in payments from physicians who provide Medicare patients heart or cancer treatment and shift it to family practice physicians will likely result in fewer cardio and cancer physicians.

Folks, you can call it anything you want; cost shifting, benefit reduction or some other euphemism.  The fact remains that no matter what you call it, you will have to recognize it as rationing.

September 1, 2009

I Thought “Terrorist” was Verboten

Earlier this year the Obama administration eliminated several words and phrases from the English language.  “War on terror,” “enemy combatants” and finally the word “terrorism” itself was eliminated from the Obama lexicon.  According to Janet Napolitano this is the officially approved, new language:

“I did not use the word ‘terrorism,’ I referred to ‘man-caused’ disasters. That is perhaps only a nuance, but it demonstrates that we want to move away from the politics of fear toward a policy of being prepared for all risks that can occur.”

Well, I guess we can all understand how emotionally charged the word “terrorism” is.  We can understand that using it does nothing but inflame a situation that might otherwise be solved by clear thinking adults. 

From BarackObama.com as part of an organizing call to flood Congressional offices with calls supporting health care reform on 9/11:

All 50 States are coordinating in this – as we fight back against our own Right-Wing Domestic Terrorists who are subverting the American Democratic Process, whipped to a frenzy by their Fox Propaganda Network ceaselessly re-seizing power for their treacherous leaders.

So now, according to President Obama’s own website, those of us (the majority of Americans) who oppose the government’s further involvement with our heath care are terrorists. 

You’re not a terrorist if you rape, brutalize and kill innocent children, but if you disagree with the President….watch out!

Another Day, Another Meme

As I’ve been listening to various talk radio programs I’ve heard the following new meme proffered by Obamacare supporters, at least four times in the past 48 hours:

We have to pass a government option!  2/3rds of the bankruptcies in the US are caused by medical bills!

The basis for this argument is found in this recent study in the American Journal of Medicine.  A snippet of the conclusion of the study is as follows:

Using a conservative definition, 62.1% of all bankruptcies in 2007 were medical; 92% of these medical debtors had medical debts over $5000, or 10% of pretax family income.

At first look you’d have to say “Wow!”  Can nearly 2/3rds of bankruptcies be caused by the results of medical costs?  The answer, after you look at the study and some other information is “No.”

Brett J. Skinner did a great job of deconstructing the noted study.  His article, here, noted several items that left the study’s conclusions suspect.

First, Skinner makes the logical comparison with Canada.  With the bankruptcy law very similar in the two countries, and Canada having a government provided health care system, if the studies conclusions are correct, we should expect to see significantly lower bankruptcy rates in Canada.  We don’t.  In both 2006 and 2007 Canada had a higher bankruptcy rate per population than we had in the US.

Secondly, Skinner looked at other studies done on the topic.  One of those analysis was done by the Department of Justice:

finding that medical debts accounted for only 12 percent to 13 percent of the total debts among American bankruptcy filers who cited medical debt as one of their reasons for bankruptcy.

So now your question ought to be, “Is it possible to reconcile the study with the data Skinner found or is the study a fraud?”  Thanks for asking, I think I can reconcile the two.

Going back to the original study we find Table 1 shows that the mean negative net worth (the excess of debt over assets) is not materially different between those who claimed to file bankruptcy due to medical reasons (-$44,622) and those who filed for other reasons (-$37,650).  On page 4 we see that the average, total, not just the unpaid portion of out of pocket medical costs for those that filed bankruptcy for medically bankrupted families was $17,943.  If we assume that the entire amount of out of pocket costs were left unpaid and counted in the negative net worth (it wouldn’t be but let’s use it for a moment), that would still leave a negative net worth of approximately $27,000. 

A negative net worth of $27,000 would typically not be from a home mortgage as most of those would not be allowed to borrow more than the equity.  Also, remember that the study was done in 2007 before the current melt down and reduction in home values.  A negative net worth could be partially incurred from a vehicle as most new vehicles are upside down in equity for the first year or two of ownership.  However, with the average mean income reported as only $30,000, one wouldn’t expect a whole lot of really expensive new vehicles included in the negative net worth of this sample.  A negative net worth of $27,000 likely comes from one place, credit cards or uncollateralized loans.

While the study didn’t break it out this way, it appears to me that the average person who claims they filed for bankruptcy because of medical reasons also had significant credit card debt.  I suspect, but can’t prove it with what is in the study, that the individuals who filed for medical bankruptcy didn’t file only because of the medical costs.  Likely, the medical costs were the “straw that broke the camel’s back.”  And, while medical was the straw for these people  in this instance, the straw could have been any of a number of other things i.e. a major car repair, a major home repair or any number of other unexpected items. 

It appears to me that rather than any one specific issue, like most other bankruptcies, the folks that this study looks at had a series of issues with the last one in line, for them, medical expenses, being more than they could recover from.  In their case, medical costs were just one of the issues that led them to bankruptcy.  To say medical expenses were the reason that these folks filed for bankruptcy is about as accurate as saying that the Titanic sank because it was holding too much water.

August 28, 2009

Al You Ignorant Slut

During one of his closed, invitation only, small group “town hall” meetings this week, Senator Al Franken made the following argument for why he insists a government option must be a part of any health care reform bill:

In case you missed it, Angry Al’s rationale is:

  1. Minnesota only allows non profits to be health insurance companies
  2. Minnesota has 90% of premiums paid go to health care
  3. All other states have only 70% to 80% of premiums go to health care
  4. Minnesota insurance is cheaper
  5. Therefore, non profit is cheaper.

While Al’s logic may follow from one point to the next, it exists in some fantasy land and not the real world.

Based on Al’s logic, if we looked at average insurance rates by state, we should expect to see Minnesota as one of, if not the cheapest state.  We would also expect to see most other states in the range of 10% to 20% higher than Minnesota.  We would expect to see state’s like Massachusetts where there is government run insurance, as the cheapest of them all.  Finally, we should expect to find that “profit” for insurance should amount to somewhere between 10% and 20% of premiums paid.  Let’s take a look, shall we?

America’s Health Insurance Plans (AHIP), a research and advocacy group, has this study that looks at average insurance rates.  Flip down to page 9 where they compare family insurance rates by state.

In the study, rather than being one of the cheapest of states, we find Minnesota 17th most expensive, just barely out of the top third.  We also note that at $5,508, Minnesota is only5% cheaper than the national average.  Hmmm, that’s weird, shouldn’t they have been at least 10% and maybe higher?

As you look across the remainder of the study, where Al’s claims would have us expecting nearly all other plans to be 10% to 20% more expensive, we find only 11 states are at least 10% more expensive than Minnesota.  In contrast, we see that 15 states are at least 10% cheaper than Minnesota.

Al’s implied assertion that government run things are best because they run cheapest, also bites the dust.  Note that the highest cost state in Massachusetts.  Not only are they the highest cost, they are highest by a margin that would make the most dishonest loan shark blush.  Now, to be fair, this analysis was taken in the first year of Massachusetts state run plan, perhaps the rates have dramatically lessened…NOT!

Finally, another analysis done by AHIP shows where your (and my) premium dollar goes:

health dollar

Contrary to Al’s implied assertion, average profits amount to only 3% of the entire insurance premium. In fact, on average, the entire SG&A cost is 13%. Clearly, even a non profit or government plan would have administrative overhead to operate the plan so the argument that non profits are cheaper by 10% to 20% because they don’t have to make a profit is completely specious.

Earlier this week Al stated that a government option must be a part of any health reform bill:

“I’m favorable to the public option, a strong public option which will provide competition for private insurance companies.

Al’s attempting to look Senatorial by inserting “facts” to support a decision he has already made.  The problem with Al’s facts is that they are completely wrong.  Given Al’s history with SNL, the next time Al asserts that government plans are cheaper because they don’t have to make a profit, the appropriate response would be “Al, you ignorant slut!”

If You’re Not a Leftist You’re “Brain Dead”

On a conference call yesterday, Rep. Pete Stark, D-Calif, a key House liberal referred to Blue Dog Democrats who are bucking the government takeover of health care in this fashion:

“They’re for the most part, I hate to say, brain dead, but they’re just looking to raise money from insurance companies and promote a right-wing agenda that is not really very useful in this whole process.”

Isn’t that ironic?  I usually regard the Blue Dogs as the only part of the Democrat consortium that had any chance of having part of a functioning brain!  I would have guessed, based on all the polling and what not, that these folks might in fact, be doing the jobs they were elected to do.  You know, represent their constituents!

I guess by extension, if the Blue Dogs are “Brain Dead,” the constituents who agree with them would also be “Brain Dead” or worse.  The further extension is that according to Representative Stark, all of us who would rather keep the government out of our health care are also “Brain Dead.”

We’re “Brain Dead” and “Un American.”  Maybe it’s time to officially form the Zombie Reagan Nation!

It’s Not About Me?

If you didn’t pick up on it during his candidacy, there are two things we now know about President Obama.  First, he is a committed leftist; no government involvement or control is too much in his view.  Second, his ego is second in size only to the deficit that his leftist policies are creating.

Within hours of his death, Democrat leadership began attempting to breath new life to the health care bill by attaching Ted Kennedy’s name to it.

“In his honor and as a tribute to his commitment to his ideals, let us stop the shouting and name calling and have a civilized debate on health care reform which I hope, when legislation has been signed into law, will bear his name for his commitment to insuring the health of every American,”

was the lament from Senator Robert Byrd.  And:

“Ted Kennedy’s dream of quality health care for all Americans will be made real this year because of his leadership and his inspiration,”

From Speaker Pelosi.

Even with the new, paid for supportive astroturf that the Democrats have been able to get into their townhalls, the public remains fully against the implementation of a government run health care program.  Rasmussen reports that while “support for the health plan has quit falling,” it is still opposed by a majority of voters.  Additionally, by greater than a 2:1 margin, “voters believe the proposed reforms would make the quality of care worse rather than better.”  It seems like a long uphill slog for passage of the bill, at least in its current form.

Ted Kennedy’s public funeral will be held Saturday morning.  We’ve learned that President Obama will deliver the eulogy.  I have one question.

With Cap and Trade likely dead for the year and his other major push health care, on the ropes, will President Obama be able to control his personal ego long enough to deliver an eulogy that actually has Ted Kennedy as the focus or will he succumb and use the event of the funeral to fan his own ego and push the health care reform bill?

Remember, never let a crisis or a highly personal and emotional event, go to waste!

August 27, 2009

Slight change in the Paul Ryan Monday listening sessions

If I had checked my e-mail this morning, I would have found this press release relating to the moves of all the Rep. Paul Ryan (R-WI, and my Congressman) Monday listening sessions earlier (and would have caught the error in the original press release for the Greendale one earlier as well – it is correct in the current schedule on Ryan’s House site):

Larger Venues Set For Paul Ryan’s Upcoming Listening Sessions

New locations for Racine, Big Bend, New Berlin and Greendale stops

All three of Congressman Paul Ryan’s Listening Sessions on Monday, August 31 have been moved to larger venues to accommodate First District residents seeking to participate in the health care debate. At the eleven listening sessions held in the previous three days, most venues have been at or above capacity, with record attendance at each stop.

The dates and times for all upcoming stops remain as previously scheduled. See below for an updated schedule – with new locations – of Congressman Paul Ryan’s Listening Sessions today and Monday:

Thursday, August 27

Rochester – 9:45-10:30 am
Municipal Hall, 203 West Main Street

Sturtevant – 11:15 am-12:15 pm
Village Hall, 2801 89th Street

Racine – 1:30-2:30 pm
Roma Lodge, 7130 Spring Street
NOTE: venue change to accommodate anticipated larger crowds (note; this was previously noted on my original post.)

Monday, August 31

Big Bend – 12:45-1:45 pm
Big Bend Elementary School, Gymnasium
W230S8695 Big Bend Drive
NOTE: venue change to accommodate anticipated larger crowds

New Berlin (Greenfield) – 2:00-3:00 pm
Whitnall High School, Auditorium
5000 S 116th Street
NOTE: The New Berlin stop has been moved to the Greenfield community to accommodate anticipated larger crowds

Greendale – 3:30-4:30 pm
Greendale High School, Auditorium
6801 Southway
NOTE: venue change to accommodate anticipated larger crowds

August 26, 2009

Time to return fire – prepare for the Kennedy Memorial ObamaCare bill

by @ 11:41. Filed under Health Care Reform.

(H/T – Jim Hoft)

It didn’t take long for the Dems to jump all over the late Sen. Ted Kennedy’s corpse and call for passage of ObamaCare in his name. As Joe Walsh once sang, “Out to pasture, think it’s safe to say, ‘Time to open fire.'”

First, Agence France Presse reports Speaker of the House Nancy Pelosi (D-CA) invoked Kennedy’s words on what screwing up health care for the second time. That’s right, folks. Those of you who hate HMOs have Kennedy to blame – he wrote the 1973 bill that introduced HMOs.

Meanwhile, Sen. Robert Byrd (D-WV) wins the Limbaugh Is Always Right award for being the first to call for renaming ObamaCare for Kennedy.

I prefer Pasadena Phil’s name for it (in the comments on Michelle Malkin’s post) – the “Chappaquiddick Memorial Death Panels Bill.”

[No Runny Eggs is proudly powered by WordPress.]