Tag Archives: Free Market

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Obamacare’s impact on ER wait times and low-wage workers

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First, ER wait times. (H/T ECM)

Excerpt:

As the number of insured people goes up while health care reform takes place, the long waits and crowded lobbies at emergency rooms are anticipated to increase as well.

“We’re starting out with crowded conditions and anticipating things will only get worse,” American College of Emergency Physicians president Dr. Angela Gardner told the Associated Press.

Nearly 32 million more people will have health insurance as a result of changing health-care laws, and about 16 million are to be added to the Medicaid system, but that apparently won’t keep them out of the ER, the AP reported.

“Just because we’ve insured people [that] doesn’t mean they now have access,” Dr. Elijah Berg from Boston told the AP. “They’re coming to the emergency department because they don’t have access to alternatives.”

[…]Since 2006, when it began offering government-run health care to its residents, Massachusetts has been considered the test model for the federal health changes, requiring health coverage for everyone, but data has shown visits to the ER have continued to rise since the Massachusetts law took place.

ERs are already overly crowded, with the biggest users being those under the federal Medicaid plan. Many doctors limit the number of Medicaid patients that they see because of the low rate of reimbursement from the government.

Here’s what should have happened. Voters should have looked at Massachusetts and Tennessee and seen what government control of health care does to health care. Universal coverage increases demand, but supply stays the same because of onerous certifications, taxes and regulations that block new entrants. Somewhere along the line there will be a shortage. And that means waiting lists, abortion, denial of care, and eventually euthanasia in order to keep costs down.

But there’s more – from the Heartland Institute.

What about Obamacare’s impact on low-wage workers? (H/T Rob)

Excerpt:

The requirements of President Obama’s new health care regime could penalize low-wage workers and cause a further slowdown of hiring for positions at chain restaurants and other small businesses.

White Castle, a national fast food chain, recently announced it would slow planned expansion in the United States and curtail hiring at its numerous restaurant outlets thanks to Obama’s law, which the chain says will cut its earnings in half.

According to a White Castle representative, the requirement that employers pay a $3,000 fine to the federal government for every employee whose out-of-pocket cost of health insurance exceeds 9.5 percent of their income will destroy their business model.

[…]Diana Furchtgott-Roth, a health care analyst at the Hudson Institute in Washington, DC, says much of this process is out of the employer’s control.

[…]Furchtgott-Roth says this aspect of Obamacare is part of a larger trend toward government pricing low-skilled workers out of the U.S. economy.

“The burden of all these Obamacare provisions is going to fall more on America’s low-skilled workers—the workers at White Castle, Burger King, and so on. Because their labor will become more expensive for companies to use, we’re going to see more mechanized solutions, a trend that is already happening in Europe,” Furchtgott-Roth said.

Well, some of these people who don’t pay income taxes are certainly going to be getting a wake-up call. Larger companies like John Deere, Verizon, Valero, Caterpillar, etc. already announced that they were going to be taking huge hits to their bottom line as a result of Obamacare. All these good intentions and high-minded blabberings don’t amount to any benefits for American working families. Happy-talk wins elections, but it doesn’t pay the bills or feed the children.

Next time, we need to be more diligent at looking at what actually happens in other countries and even in our own states when people try to nationalize health care in order to provide universal coverage. We can have universal coverage – we just need to let people choose what level of coverage they want and we need to make market reforms to the health care industry. Choice and competition works better for consumers. That’s real health care reform.

News

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

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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

If government is paying the piper, then government is calling the tune

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Veronique de Rugy

Check out this post from GMU economist Veronica de Rugy on Big Government. (H/T ECM)

First, she puts up this chart.

Veronique writes:

On this chart we can see the changes over time in the composition of personal income in the United States since 1929. The most notable trend is the increase in the portion of personal income coming from government transfers (mainly social Security payments, unemployment benefits, food stamps, and personal and business tax credits.)  And the increase isn’t minor: the proportion of total personal income constituted by government money has grown from 0.9% to 17.2%.

Complementary decreases of wage earnings as percentages of total personal income (from 59.5% to 52.3%) are also going on.

The problem with government giving people money is that it creates a culture of dependency, as with Greece. Politicians take money from job-creating business-owners, or from productive individual workers, and they redistribute it to whiny unproductive, immature victim groups like unions, in order to buy their votes. Eventually, the government goes too far making promises and the productive people just stop or slow their working or they move away, since they keep less and less of their own money for the same amount of work and risk-taking.

And that’s when welfare checks of the losers dry up, and they have no choice but to riot and kill people. Why do they riot? Well, if they were earning their own money by working, then they would know that they are responsible for themselves, not government. They would understand that something might go wrong, and they would know that they had to cut their spending and save for a rainy day. So when things do go bad, they would have known how to live cheaply off of their savings while they find another job.

But people who take welfare don’t save – they think the money will always be there. What do they do when the taxpayers slow or stop production? They have no skills, and they have no savings. They can’t just find a new government because a new government isn’t going to find any more money from somewhere – there isn’t any left. So the only way to get their welfare back is to revolt – which is exactly what the socialists in Greece are doing right now. They’ve been spoiled rotten and they want their welfare back, like little babies crying for their mommies.

It’s sick. And this is what Obama and the Democrats idolize, because that’s how they grew up – begging their rich parents for money and bailouts for their own irresponsible behaviors. Their policies aren’t thought through – it’s just reliving their silver spoon childhoods of never having to work for anything.

Would you like to know what Republicans are like? Consider Michele Bachmann.

At 13, Bachmann was forced to become almost financially independent after her parents divorced. She used her babysitting money to buy her own clothes and lunches at school and saved up enough to purchase her first pair of contact lenses. Between college semesters at Winona State University, she took her hardworking streak to Alaska where on one memorable day she cleaned 280 salmon.

She also quit her job as a tax litigation attorney to homeschool her five kids, because she didn’t like the job the public schools were doing. Her business runs a small business, and she helped him to start it. That’s what Republicans do. We work. And we give.

We need to stop increasing the size of government so they can “take care” of all our needs. We need to take care of all our needs, and to take care of our neighbor’s needs, too. That’s capitalism. Having something to share from what you can make from your own industry and labor.