Tag Archives: Costs

News

Mitch Daniels thinks that government should cut spending

1 Comment

Story about frugal Indiana governor Mitch Daniels at the Weekly Standard.

Excerpt:

Daniels is a font of statistics, but one comes to his lips more than any other. “Only 61 cents of every education dollar gets into the classroom in Indiana.” School funding increased every year under Daniels before the recession, and since the downturn, when most areas of state government have seen cuts of 25 percent or more, education has been reduced by only 2 percent. Yet the local school boards and their Democratic allies in the state legislature continue to complain. Daniels calls education funding “the bloody shirt” of Indiana politics: “It doesn’t take long before somebody starts waving it.” One of my favorite bits of Daniels video on YouTube shows him at a press conference defending a bill to end “social promotion” in the state’s grade schools. School districts were appalled that the bill would pass without “additional resources” to educate the kids who would be held back.

A reporter asked him about it.

“By the time a child has finished third grade, the state has spent $40,000 and the school district has had 720 days to teach that child to read,” he said, tight-lipped. “If that child can’t read by then, there is a fundamental failure in that district. And they’ll need to remedy it. The most unacceptable thing to do is to shove that child along to fourth grade into almost certain academic failure. That’s a cruel thing to do, it’s a wrong thing to do, and we’re going to put an end to it.”

The reporter pressed: But won’t the schools need more money?

Daniels’s eyes got wide.

“More than $40,000 to teach someone how to read? No. It won’t and it shouldn’t and any school district that can’t do it ought to face consequences.”

And this is actually normal behavior for him:

When Daniels took office, in 2004, the state faced a $200 million deficit and hadn’t balanced its budget in seven years. Four years later, all outstanding debts had been paid off; after four balanced budgets, the state was running a surplus of $1.3 billion, which has cushioned the blows from a steady decline in revenues caused by the recession. “That’s what saved us when the recession hit,” one official said. “If we didn’t have the cash reserves and the debts paid off, we would have been toast.” The state today is spending roughly the same amount that it was when Daniels took office, largely because he resisted the budget increases other states were indulging in the past decade.

No other state in the Midwest—all of them, like Indiana, dependent on a declining manufacturing sector—can match this record. Venture capital investment in Indiana had lagged at $39 million annually in the first years of this decade. By 2009 it was averaging $94 million. Even now the state has continued to add jobs—7 percent of new U.S. employment has been in Indiana this year, a state with 2 percent of the country’s population. For the first time in 40 years more people are moving into the state than leaving it. Indiana earned its first triple-A bond rating from Standard and Poor’s in 2008; the other two major bond rating agencies concurred in April 2010, making it one of only nine states with this distinction, and one of only two in the Midwest.

Yes, let’s elect people like Mitch Daniels who like to cut costs instead of increasing spending – people with a record for caring about balancing the budget.

UPDATE: Or not! ECM pointed me out this “truce” comment that he made. It turns out that he is soft on social issues and probably a little soft on foreign policy issues as well! Thanks, ECM.

News

MUST-READ: How Obama reduces the supply of medical care

Leave a comment

I had written about the so-called doc-fix before, which is the problem of doctors being underpaid by the government for things like Medicare and Medicaid when they provide services to patients. Obama chose not to “fix” these low reimbursements in his health care bill, in order to hide the true costs of socializing medicine. But he has a plan now to fix the problem of government-run medicine not reimbursing doctors adequately.

And it isn’t what you might think.

From Laura at Pursuing Holiness. (H/T ECM)

Excerpt:

Conservatives were outraged by the chicanery of separating physician payment increases from the health care reform (that’s three lies for the price of one) bill Congress recently rammed through.  The “doc fix” was separate legislation so that physician payments could be increased without adding to the total cost of the main bill, so that Democrats could dishonestly claim the bill reduced the deficit.  Now, however, we are seeing the real “doc fix.”

Some Idaho orthopedists grew weary of the low reimbursement rates the government gave them for caring for worker’s comp patients.  So they got together and agreed not to treat those patients anymore.  They hoped that their boycott would force the Idaho Industrial Commission to increase the fee schedule – their payments.  While they were at it, they decided to stop working with Blue Cross of Idaho – also a notorious underpayer – until a better deal could be negotiated.  Unions behave this way all the time, and it’s often very effective.

In a similar case in Colorado last February, the Federal Trade Commission stepped in and charged the doctors with price-fixing.

Those doctors lost, and if they want to continue to work as physicians, they will do so at the prices set by the government.

Now the Obama administration has stepped it up a notch. The FTC only deals with civil complaints. In order to deal with the Idaho orthopedists, Obama sent in Eric Holder and the Justice Department, which is at liberty to file criminal charges.  You see, those Idaho orthopedists collectively agreeing that they had enough and weren’t going to take it anymore, were actually engaged in two antitrust conspiracies.

Read the rest. This is another first class post by Laura, and a great find by ECM. (Laura also sides with me on women taking responsibility for their own actions, which is why men like her)

So, it sounds like the Obama administration is heading towards Canada’s system where the private practice of medicine is a criminal offense. Doctors will not be able to set prices for their services. A patient giving money directly to a doctor, without government approval of the price (price controls), will become illegal. That’s the way that socialists roll.They love to fix prices.

And do you know what happens when doctors make less money than government clerks but have to work 80 hour weeks? That’s right – you have a shortage of doctors! Just like in Canada! And do you know what happens when there is a shortage of doctors? That’s right – you pay for the privilege of dying on a waiting list. (Unless you want an abortion, IVF or a sex change, I guess – because that’s politically correct in Canada)

This is why there are waiting lists in every country that has tried socialized medicine. Fewer doctors means fewer claims to the government – rationing. It’s the real way that government cuts costs. Well, that and euthanasia. Once government starts to regulate the practice of medicine, and to fix prices, you choke off the supply. And then you have to start killing people to avoid bankrupting the system, without or without their consent.

News

Single-payer health care is falling apart in Canada

1 Comment

Story from Reuters. (H/T Hot Air via ECM)

Excerpt:

Pressured by an aging population and the need to rein in budget deficits, Canada’s provinces are taking tough measures to curb healthcare costs, a trend that could erode the principles of the popular state-funded system.

Ontario, Canada’s most populous province, kicked off a fierce battle with drug companies and pharmacies when it said earlier this year it would halve generic drug prices and eliminate “incentive fees” to generic drug manufacturers.

British Columbia is replacing block grants to hospitals with fee-for-procedure payments and Quebec has a new flat health tax and a proposal for payments on each medical visit — an idea that critics say is an illegal user fee.

And a few provinces are also experimenting with private funding for procedures such as hip, knee and cataract surgery.

It’s likely just a start as the provinces, responsible for delivering healthcare, cope with the demands of a retiring baby-boom generation. Official figures show that senior citizens will make up 25 percent of the population by 2036.

Ooops. Maybe that whole taxpayer-funded abortions for free thing was not such a good idea for a welfare state like Canada. In their defense, they only have a Ponzie scheme for health care, their retirement system is solid compared to Social Security.

Investors Business Daily explains:

Western dabbling in socialism has shown that public health care systems funded by other people’s money are unsustainable. The provision of “free” care is a losing game. Because it is perceived to be free, demand in such a system will outstrip supply. Costs can’t help but rise.

[…]In 2009, health care spending in Canada devoured 40% of the provincial governments’ budgets and expenditures have been rising by 6% a year. At that rate, or even half that rate, it wouldn’t be long before the provincial governments did nothing but fund health care. The Ontario government says health care spending could consume 70% of its budget within just 12 years.

Some of the blame can be placed on an aging population. Reuters reports that one-fourth of Canada’s population in 2036 will be senior citizens. But it’s the nature of the system, its near monopoly and its ambition to serve every Canadian, that makes it unsustainable. It has grown from 7% of provincial governments’ spending in the 1970s to the 40% it is today merely because it is a government giveaway that people cannot get enough of.

The Cato Institute compares Canada to bankrupt Greece here.

In different parts of Canada, things like in vitro fertilization, abortions, and sex changes are well-funded by the government. They actually restrict the number of doctors in order to ration billing the government for services. Many people cannot even find doctors! People just go on waiting lists for months and months and they die on waiting lists waiting for brain cancer treatment, after having paid into the system for their whole lives! (Because abortions are more important than brain cancer in Canada – it buys more votes, you know).

Related movies on Canadian health care

A Short Course in Brain Surgery:

Two Women:

The Lemon:

And one more video from On The Fence Films called “Dead Meat“.

Related posts