Tag Archives: Medicare

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

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.

Obama appoints NHS-loving socialist as Medicare and Medicaid Czar

Story here from CNS News.

Excerpt:

Dr. Donald Berwick, nominated by President Barack Obama to run Medicare and Medicaid, praised the government-owned British National Health Service (NHS) for not letting their health care system “play out in the darkness of private enterprise.”

[…]Berwick, who said that Britain “chose well” in establishing a health care system completely controlled by the government, contrasted the NHS with the American health care system, which he derided as being dominated by private doctors, hospitals, and insurers instead of the government.

The article is filled with alarming quotes from Berwick making it clear that he is a committed socialist. Just like Obama!

In fact, the American Spectator reports that he LOVES the UK health care system. (H/T Not ECM, because he recommends you not read my blog any more just because I like courting more than video games)

Excerpt:

For example, the BBC — hardly a hive of free-market zealots — has run a series exposing routine neglect of elderly patients in a major NHS hospital.

[….]In addition to sheer neglect, NHS patients are often subjected to incredibly unsanitary conditions.

[…]Many British patients never endure such conditions because treatment is denied outright as too expensive.

[…]The NHS is run by health care bureaucrats who, like Donald Berwick, regard the free market as ethically dubious and economically inequitable. Yet the “morally superior” and “fair” medical system they have created for the U.K. produces results that give new meaning to the epithet, “Perfidious Albion. As David Gratzer recently pointed out, “British cancer outcomes don’t just trail U.S. results; they rival those of Eastern European nations.” This isn’t hyperbole. A 2008 study showed that cancer survival rates in the U.K. don’t come close to those of the United States. American men, for example, have an 80 percent better chance of surviving prostate cancer than do their English counterparts. The study revealed similar disparities in comparative survival rates for victims of breast, colon and rectal cancers.

[…]Heart patients subjected to the tender mercies of the NHS also fare poorly. The Telegraph reports that British heart attack victims are much more likely to die after being admitted to a hospital than similar patients in the United States and other developed nations: “Around 6.3 per cent of patients who have suffered a heart attack have passed away within 30 days of entering a British hospital — significantly higher than the 4.3 per cent average.”

I snipped ALL THE HORROR STORIES out of the excerpt. Yes, even the one with the DECOMPOSING RAT IN THE OPERATING ROOM. You better click through and scare yourself silly from ever voting for the Democrats again. And don’t let your friends vote Democrat, either. Would you like to have health care from the DMV or from Amazon.com? In the UK, you get it from the DMV. And that’s where Obama is taking us.

UPDATE: Here’s another NHS horror story. Maybe it came from ECM and maybe it didn’t. I guess we’ll never know.

Related posts

The truth about government-run health care in the United States

Two stories today, the first from the Houston Chronicle, about Medicare. (H/T Stuart Scheiderman)

Excerpt:

Texas doctors are opting out of Medicare at alarming rates, frustrated by reimbursement cuts they say make participation in government-funded care of seniors unaffordable.

Two years after a survey found nearly half of Texas doctors weren’t taking some new Medicare patients, new data shows 100 to 200 a year are now ending all involvement with the program. Before 2007, the number of doctors opting out averaged less than a handful a year.

[…]More than 300 doctors have dropped the program in the last two years, including 50 in the first three months of 2010, according to data compiled by the Houston Chronicle. Texas Medical Association officials, who conducted the 2008 survey, said the numbers far exceeded their assumptions.

[…]The opt-outs follow years of declining Medicare reimbursement that culminated in a looming 21 percent cut in 2010. Congress has voted three times to postpone the cut, which was originally to take effect Jan. 1. It is now set to take effect June 1.

The uncertainty proved too much for Dr. Guy Culpepper, a Dallas-area family practice doctor who says he wrestled with his decision for years before opting out in March. It was, he said, the only way “he could stop getting bullied and take control of his practice.”

“You do Medicare for God and country because you lose money on it,” said Culpepper, a graduate of the University of Texas Medical School at Houston. “The only way to provide cost-effective care is outside the Medicare system, a system without constant paperwork and headaches and inadequate reimbursement.”

What’s wrong with government running health care? If there is no money to be made in health care, then there is no one who invests in it. The government is left to bear the full brunt of the costs, and they pass it on to taxpayers. After helping themselves to piece of the tax revenues, of course. The patients are the least of their concerns – especially the elderly, who no longer pay taxes into the system.