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Health Care, Welfare & Entitlements Archive

Thursday

30

July 2009

0

COMMENTS

That's Not Even Good Enough For A Cookie

Written by , Posted in Health Care, Welfare & Entitlements

Democrats are beaming.  They are quite proud of themselves, and they want you to know about it.  What did they do?  Well, they finally got around to learning what was in the health care bill.

They were all House Democrats, boning up on the historic and controversial health-care reform legislation that’s being crafted in their chamber. The rough draft of HR 3200 (“America’s Affordable Health Choices Act”) was unveiled two weeks ago and runs more than 1,000 pages, not counting amendments. Last week the Democrats decided that, if they’re going to try to sell this plan to their constituents, they need to have a better sense of what it says, line by line.

They needed a teach-in.

So their staffers led them through the bill, section by section — from Division A, Title I, Subtitle A, Section 101 all the way through Division C, Title V, Subtitle E, Section 2541.

After a couple of hours the Democrats had adopted a refrain:

“No one’s going to say we haven’t read the bill,” said Rep. C.A. Dutch Ruppersberger of Maryland, as he took a break from the closed-door gathering.

Why, what good little representatives they are! Now if we can only get them to wait until after they know what is in a piece of legislation before deciding to “sell” it to the people.

Friday

24

July 2009

0

COMMENTS

Universal Education Is Not A Model Worth Copying

Written by , Posted in Education, Health Care, Welfare & Entitlements, Labor Unions

Andrew Coulson of Cato has issued a challenge to readers and/or critics to name a field that has suffered the kind of productivity collapse seen in education over the last 40 years.  None of the suggestions so far have measured up.

So why has American education both gotten more expensive and less effective?  This story (Hat tip: John Stossel’s Take) might give you a hint:

Baltimore’s most successful middle school is laying off staff and shortening its school day to meet demands of a teachers union contract in what is one of the first major disputes over teacher pay between a charter school and a union.

KIPP Ujima Village Academy, based on a model that has forged a successful track record among poor students in more than a dozen states, has been violating a contract requiring teachers to be paid more if they work extra hours, school and union leaders acknowledge.

Advocates say the confrontation goes to the heart of what they see as a major weakness of Maryland’s charter school law: Teachers must be part of the union in their school district and subject to the contract. If the issue is not resolved, KIPP may ask state lawmakers to allow schools greater flexibility in determining teachers’ pay and workdays.

Students will attend classes for eight hours in the next school year, and Saturday classes have been canceled. The four layoffs include one music and one art teacher who were recently let go, as well as two staff members who worked with special education and struggling students.

Because education is largely delivered through political mechanisms, rather than the market, teachers unions have been uniquely successful in hijacking the industry.  They have supplanted the interests of children with their own.

Some want to emulate this model in other industries, like health care.  They should expect the same disastrous consequences – such as continuing price increases despite precipitous productivity declines – with universal health care as we have seen with universal education.

Friday

17

July 2009

1

COMMENTS

Oh, That’s So Much Better

Written by , Posted in Health Care, Welfare & Entitlements

A massive, 1,000 page health care bill is  currently on a collision course with the US economy.  A couple days ago, IBD reported on a provision that purported to ban private insurers by limiting their ability to take on new enrollees.  This reporting was not entirely accurate.  You’ll be happy to know that the provision in question only applies to insurers who don’t want to meet a web of government rules and regulations.  Feel better?

Yeah.  Me neither.

We cannot count on government officials to set guidelines that are in the consumers best interest rather than their own.  The outcome feared by IBD is still quite likely to occur.  All the government has to do is set the rules in such a way as to make compliance unprofitable, leaving only the taxpayer subsidized government plan capable of staying afloat. That’s how you create a de facto ban without explicitly banning private insurance.

Wednesday

15

July 2009

1

COMMENTS

So Much For Choice

Written by , Posted in Health Care, Welfare & Entitlements

Government doesn’t add choices.

When we first saw the paragraph Tuesday, just after the 1,018-page document was released, we thought we surely must be misreading it. So we sought help from the House Ways and Means Committee.

It turns out we were right: The provision would indeed outlaw individual private coverage. Under the Orwellian header of “Protecting The Choice To Keep Current Coverage,” the “Limitation On New Enrollment” section of the bill clearly states:

“Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day” of the year the legislation becomes law.

So we can all keep our coverage, just as promised — with, of course, exceptions: Those who currently have private individual coverage won’t be able to change it. Nor will those who leave a company to work for themselves be free to buy individual plans from private carriers.

Also see my previous article: Government Won’t Allow Fair Competition

Wednesday

15

July 2009

0

COMMENTS

Obama's Straw-man Is Getting Worn Out

Written by , Posted in Health Care, Welfare & Entitlements

It must be difficult constructing an argument to support the unsupportable.  President Obama is reduced to trotting out the same old, tired, worn out straw-man to make the case for socialized health care.  Anytime someone objects to Obama’s radical agenda on the grounds that it is destructive and counter-productive, Obama accuses them of defending the status quo.

This intellectually dishonest tactic has gotten old, and fast.  Mr. Obama, a man of supposedly high intellect, should not be engaging in such childish tactics.  He knows damn well there are more choices on the table than the status quo or his proposal.  Accepting the current health environment is not the only alternative to opposing Obama’s bad ideas.

Friday

10

July 2009

0

COMMENTS

Pentagon Urged To Ban Cigarettes

Written by , Posted in Health Care, Welfare & Entitlements, The Nanny State & A Regulated Society

Who defends the freedoms of our freedom defenders?

Jack Smith, head of the Pentagon’s office of clinical and program policy, says he will recommend that Gates adopt proposals by a federal study that cites rising tobacco use and higher costs for the Pentagon and Department of Veterans Affairs as reasons for the ban.

The study by the Institute of Medicine, requested by the VA and Pentagon, calls for a phased-in ban over a period of years, perhaps up to 20. “We’ll certainly be taking that recommendation forward,” Smith says.

By itself, this is outrageous enough.  But there is a much bigger lesson that must be understood here.

The reason this ban is being called for is because military personnel have the kind of universal, taxpayer funded health care that many want to impose on all of us.  Once everyone’s health care is supplied by everyone else, we all gain a financial interest in dictating the behavior of others.  The inevitable result of this is reports like the one sent to the Pentagon brass, proclaiming that if we only prevented people from engaging in X behavior, taxpayers would be saved Y dollars in health care expenses.  And with runaway budget deficits, there will be more than a few politicians looking to cut expenses by using the force of law to change peoples behavior.  That is a recipe for the end of liberty.

Tuesday

30

June 2009

0

COMMENTS

Sunday

7

June 2009

0

COMMENTS

School Choice Under Assault In Milwaukee

Written by , Posted in Education, Free Markets, Health Care, Welfare & Entitlements

From National Review:

Milwaukee is home to America’s most vibrant school-choice program: More than 20,000 students participate, almost all of them minorities. They have made academic gains and boast higher graduation rates than their peers in public schools. They even save money for taxpayers. Inevitably, Democrats in the state capital are trying to eviscerate the Milwaukee Parental Choice Program.

They’ve wanted to gut school choice for years, at the behest of teacher-union patrons who believe education should be a government monopoly. Until recently, Republicans have stood in the way. That changed following last year’s elections. Now, for the first time since the advent of school choice in Milwaukee two decades ago, Madison is a one-party capital. The governor, Jim Doyle, is a Democrat. Members of his party control both the state assembly and the state senate. School choice is in their crosshairs.

Last week, the legislature’s Joint Finance Committee approved a series of auditing, accrediting, and instructional requirements that will force successful voucher schools to shift resources away from classrooms and into administration. Several schools will have to comply with new bilingual-education mandates, even though many immigrant parents choose those schools precisely because they emphasize the rapid acquisition of English instead of native-language maintenance.

Sometimes onerous regulations are at least well-intentioned blunders. Not these. The enemies of school choice in Madison know exactly what they’re doing. In the name of “accountability,” they attack the quality of voucher schools with deadly precision. The goal is to make them as mediocre as the public schools they routinely outperform — and to leave parents, once again, without a choice.

Government has many tools in its choice destroying arsenal.  It doesn’t have to simply prohibit something to make it stop.  Government has similarly paved the way for its takeover of health care by devastating the private health insurance industry with mandates that force coverage for all sorts of things people don’t want.  After reducing the primary advantage of the market (flexibility and choice), government will swoop in for the kill.


Monday

1

December 2008

0

COMMENTS

We Know, But Why?

Written by , Posted in Health Care, Welfare & Entitlements

The Washington Post tells us the obvious:

U.S. ‘Not Getting What We Pay For’

Talk to the chief executives of America’s preeminent health-care institutions, and you might be surprised by what you hear: When it comes to medical care, the United States isn’t getting its money’s worth. Not even close.

“We’re not getting what we pay for,” says Denis Cortese, president and chief executive of the Mayo Clinic. “It’s just that simple.”

“Our health-care system is fraught with waste,” says Gary Kaplan, chairman of Seattle’s cutting-edge Virginia Mason Medical Center. As much as half of the $2.3 trillion spent today does nothing to improve health, he says.

… “There is more than enough money in the system,” said former House speaker Newt Gingrich, who runs the District-based Center for Health Transformation. “We just are not spending it well.”

Eliminating waste and spending more on preventative care and less on worthless services is all well and good, but simply deciding to do so isn’t going to solve he problems we have now. After all, there are reasons these things happen now, and it is those reasons that must be addressed.

The biggest problem right now is that the consumer is completely insulated from health costs. Our third-party payer system makes waste a guarantee. And fee for service, rather than care, models make providers complicit. The single most important thing we can do to control spiraling health costs is make consumers price sensitive. It works for every other good, it will work for health care.

Friday

10

October 2008

0

COMMENTS

Still Not A Right

Written by , Posted in Election Time, Health Care, Welfare & Entitlements

Lost in the financial hysteria was a very important question asked of the two candidates during the second debate. Brokaw queried, “Is health care in America a privilege, a right, or a responsibility?”

McCain’s response was reasonable, though not profound:

I think it’s a responsibility, in this respect, in that we should have available and affordable health care to every American citizen, to every family member. And with the plan that — that I have, that will do that.

But government mandates I — I’m always a little nervous about. But it is certainly my responsibility. It is certainly small-business people and others, and they understand that responsibility. American citizens understand that. Employers understand that.

Obama’s reply, in addition to being a rambling excuse to hit on numerous irrelevant talking points, revealed a fundamental misunderstanding common to the left on the nature of rights:

Well, I think it should be a right for every American. In a country as wealthy as ours, for us to have people who are going bankrupt because they can’t pay their medical bills — for my mother to die of cancer at the age of 53 and have to spend the last months of her life in the hospital room arguing with insurance companies because they’re saying that this may be a pre-existing condition and they don’t have to pay her treatment, there’s something fundamentally wrong about that.”

The problem with Obama’ reply is that, in carving out a “right” for something like health care, he is creating a burden on others and violating actual rights. In order to supply this right to a product, Obama must ignore property rights and demand a specific allocation of resources that a respect for people’s property rights might not produce.

For a more thorough discussion on why health care is not a right, see my previous post on the subject.