Tag Archives: Single-Payer

Is Obamacare a spectacular failure because of incompetence, or by design?

Private insurer participation in Obamacare exchanges, 2015-2016
Private insurer participation in Obamacare exchanges, 2015-2016

First, let’s establish that Obamacare really is a failed policy.

One of my favorite health policy experts Sally C. Pipes reports for CNBC (H/T Bree) on how private insurers are reversing their decision to sell customers Obamacare policies.


Aetna the nation’s fourth-largest health insurer, just decided to stop offering plans on Obamacare’s exchanges in all but four states in 2017. The firm says that it was losing roughly $300 million per year on these policies. And it projected that its losses would only increase, since the share of covered individuals “in need of high-cost care” was growing, according to CEO Mark Bertolini.

Aetna isn’t the only insurer giving up on Obamacare. UnitedHealth, America’s biggest insurer, will sell plans in just three states next year, down from 34 this year. Humana will offer coverage in just 156 counties in 2017, 88 percent fewer than this year.

In other words, the insurance “death spiral” has arrived. Obamacare’s critics have long predicted that exchange plans’ high premiums and deductibles would keep all but the sickest Americans from enrolling. These people would need so much medical care that insurers would lose money no matter how much they raised premiums. Eventually, insurers would have no choice but to pull out.

[…]Insurers that haven’t pulled out of Obamacare are requesting premium hikes averaging 24 percent next year. And some states have it far worse. Many Georgians could see a hike of 65 percent. The 600,000 Texans enrolled in Blue Cross Blue Shield may face a 59 percent premium increase.

I must have blogged about 50 posts on Obamacare, and why it would fail, before the 2012 election. I even had podcasts and articles by Sally C. Pipes! She predicted all of this long ago. The 2012 election was our last chance to stop it, and we failed.

Obamacare premium growth, 2015-2016
Obamacare premium growth, 2015-2016

I always like to think about the future so I can prepare for it. Investors Business Daily thinks that if Hillary is elected, she will use this crisis to push for single payer health care. Single payer basically means that you pay into the government based on what you earn, and the sickest / least responsible people get a deal because they get “free” care. It’s a terrible deal for healthy, fit single men who never use health care. We have to pay about $10,000 a year in taxes, and never use it.

Investors Business Daily explains:

So what’s Hillary Clinton’s answer to the failing private exchanges? Get more people on government insurance through what she calls the “public option.” This would be a government-run health care plan offered in ObamaCare exchanges across the country.

“The public option, Clinton says, “will strengthen competition and reduce costs.”

But wait a minute. The “public option” was pushed by liberal Democrats in 2009 when ObamaCare was being built, and it was rejected by centrists in the party because it looked too much like a steppingstone to single payer.

As a matter of fact, that was the idea behind the “public option” in the first place.

As Mark Schmitt explained in the liberal American Prospect, “The public option was part of a carefully thought out and deliberately funded effort (to convince the single-payer crowd) they could live with the public option as a kind of stealth single-payer.” The idea was that the public option would be able to undercut private plans, driving them all out of the exchanges.

But all those centrists Democrats who opposed the public option are gone from the Senate, and if Hillary Clinton gets elected with a more liberal Senate majority, the public option will likely be top of her agenda.

With the vast Medicaid expansion, and the public option (as well as Clinton’s proposal to expand Medicare), it’s not far-fetched to say that soon the only people covered by private insurance will be the diminishing number who get it through work. (ObamaCare was also designed to shrink employer-based health.)

I guess my solution to this is to hang on to my employer-subsidized plan for as long as I can, and then if single-payer becomes the law, then I’ll just ease back my working. Maybe work part-time in a less demanding job. I don’t want to get up and go to work to pay for strangers, especially if their “health care” is just abortions, in vitro fertilization, drug addiction therapy, breast enlargements and sex changes – which is what happens in countries where the government does run health care. They just use it as a way to buy votes.

Canadian Liberal Party introduces bill to legalize euthanasia

Jody Wilson-Raybould, Minister of Justice and Attorney General of Canada
Jody Wilson-Raybould, Minister of Justice and Attorney General of Canada (right)

Life Site News has a story about Canada’s new assisted suicide bill:

The Liberal government’s euthanasia bill introduced Thursday will not protect vulnerable Canadians or the conscience rights of physicians, say anti-euthanasia activists.

While Justice Minister Jody Wilson-Raybould’s Bill C-14 is more restrictive than the legislative framework the special joint parliamentary committee recommended in its February 2016 report, it essentially provides “a perfect cover for acts of murder, absolutely,” says Alex Schadenberg, executive director of the Euthanasia Prevention Coalition.

The draft legislation restricts eligibility for euthanasia and assisted suicide to competent patients 18 years of age and older who have “an incurable serious and incurable illness, disease or disability” which “causes them enduring physical or psychological suffering that is intolerable to them and that cannot be relieved under conditions,” who are in “an advanced state of decline in capability” and whose “natural death is reasonably foreseeable.”

The legislation mandates that a patient request assisted suicide or voluntary euthanasia in writing, and that this request be approved by two independent medical practitioners, or nurse practitioners.

It mandates a 15-day waiting period after the request is approved, but that period can be waived if the two medical practitioners deem the patient’s condition will deteriorate before that time is up.

[…]Schadenberg says the bill “does not provide effective oversight in the law,” because while it calls for two independent physicians or nurse practitioners to approve a request for euthanasia,  “this is the system where the doctor or nurse practitioner who does the act also does the reporting.”

The legislation also provides “legal immunity for anyone, anyone who does anything at a person’s request, under Sections 241.3, 241.5,” he said.

[…][W]hile the bill acknowledges conscience rights in its preamble, it “provides no protection for conscientious objectors,” according to Albertos Polizogopoulos, a constitutional lawyer for Canadian Physicians for Life.

Canadian doctors are already forced to perform abortions against their conscience, so this last point is no great surprise.

In a country that has single payer health care, all medical care is paid for by the federal government. You pay into the system your whole life (at an average of 42% of your income, in Canada) and then at the end, you get in line and hope that the government will treat you. It is extremely convenient for the government to kill off patients who are elderly. Elderly patients won’t be able to vote in many more elections, but they will want to draw away funds that could be used to buy the votes of young people who want “free” breast enlargements, plastic surgery, sex changes and IVF treatment. So the government has every incentive to cut loose the old people and then buy the votes of young people with the taxpayer money they save. Single payer health care is a scam to help politicians stay in power.

Similar laws in places like Belgium and Netherlands have been used to cut down on the medical bills that the government must pay.

A Parliamentary committee brief that I found on the Canadian government web site says this:

A study published in the NEJM entitled: Recent Trends in Euthanasia and Other End-of-Life Practices in Belgium (March 19, 2015) found that 4.6% of all deaths in the first six months of 2013, in the Flanders region of Belgium, were by assisted death and 1.7% of all deaths were assisted deaths without explicit request representing more than 1000 assisted deaths without explicit request in 2013.

The supplemental appendix in the study informs us how the researchers classified the data.

It states: “If in the latter case the drugs had been administered at the patient’s explicit request, the act was classified as euthanasia or assisted suicide depending on whether the patient self-administered the drugs. If drugs were used with the same explicit intention to hasten death but without the patient’s explicit request, the act was classified as hastening death without explicit patient request. This can include cases where a patient request was not judged as explicit by the physician, where the request came from the family or where the physician acted out of compassion.”

This research study confirms that many intentional hastened deaths are occurring without the explicit request of the patient which contravenes the Belgian assisted death law and medical ethics.

Previously, I blogged about how the UK government provides bonuses to hospitals who put elderly patients on an end-of-life pathway.

Ethicist Wesley J. Smith comments on the Canadian law in National Review.


The Canadian government has tabled its new euthanasia bill–and as expected, it will be the most radical in the world.

Since the death doctor need not be present at the demise, the bill creates an unprecedented license for family members, friends–heck, a guy down the street–to make people dead.

[…]In short, this provision is the perfect defense for the murder of sick and disabled people who requested lethal drugs.

The George Delury case is an example of what I mean: Delury said he assisted wife, Myrna Lebov’s suicide out of “compassion” and at her request due to MS.

But his real hope was not only to be free from care giving, but become famous writing a book about her death. (He did, What If She Wants to Die?)

It almost worked. But because assisted suicide was a criminal offense, authorities conducted an investigation and discovered his diary.  It showed that contrary to the compassionate face Delury was conjuring, in reality, he emotionally pressured Myrna into wanting to commit suicide, telling her, for example, that she was a burden and ruining his life.

He also withheld full dosage of antidepressants so he could use those drugs to kill her. And, he but put a plastic bag over her head to make sure she died.

If euthanasia Canada’s bill had been the law of New York when Delury killed Myrnov, he might have been able to coerce her into asking for lethal drugs. At that point, he could have killed her any time he wanted and there wouldn’t have been a criminal investigation to find his diary.

Canada has just paved the way for a person, hungry for an inheritance or ideologically predisposed, to get away with the perfect murder.

In the last election, the Liberal Party promised the Canadian voters the moon, in terms of new spending. They said it would only add 10 billion to the deficit this year. But now (after the election) the number has exploded to 30 billion this year and over 100 billion over the next five years. Could this euthanasia plan be the first step in balancing the books, so they can win re-election?

What happens when Christians vote to put secular government in charge of health care?

Canada Election 2015: Socialists in red, Communists in Orange, Conservatives in blue
Canada Election 2015: Socialists in red, Communists in Orange, Conservatives in blue

No need to wonder, just look north to Canada. Wesley J. Smith explains in First Things.


Last year, the Canadian Supreme Court created a right to euthanasia and assisted suicide. To qualify for death, the court ruled unanimously, one must be a competent adult with a medically diagnosed condition causing “irremediable suffering”—a circumstance wholly determined by the patient and including “psychological suffering.”

The decision went well beyond mere legalization. Indeed, the court manufactured an enforceable legal right for qualified patients to receive what Canadian policymakers are euphemistically calling “medical aid in dying” (MAID).

But what about doctors opposed to euthanasia? The court left with Parliament and the medical colleges (associations) the decision of whether and how to accommodate doctors with conscience objections, granting a one-year (now extended) period within which to enact laws to govern the practice. Since then, civil liberties groups, provincial medical colleges, and official government commissions have urged Parliament … to pass laws that would coerce doctors who are religiously or philosophically opposed to euthanasia to cooperate actively in mercy killings by forcing them to procure death doctors for their patients.

But isn’t there a “Constitution” in Canada? Yes, but it’s interpreted by unelected judges:

All of this would seem to fly in the face of Canada’s 1982 Charter of Rights and Freedoms,which states, “Everyone has the fundamental freedom of conscience and religion.” Illustrating the utter lack of regard that secularized Canada now has for religious liberty, the Canadian Civil Liberties Association—that country’s counterpart to the ACLU—applauded the parliamentary committee’s call to stomp upon religious conscience as a “promising step forward.”

Doctors aren’t the only ones threatened with religious persecution under Canada’s looming euthanasia regime. Provincial and federal commissions have both recommended that nurses, physician’s assistants, and other such licensed medical practitioners be allowed to do the actual euthanizing under the direction of a doctor.

Voting for a single-payer health care system, such as the one praised by Donald Trump, makes the situation much worse:

Even Catholic and other religious nursing homes and hospices may soon be required by law to permit euthanasia on their premises, for the federal commission recommended that federal and provincial governments “ensure that all publicly funded health care institutions provide medical assistance in dying.” That is a very broad category. Canada has a single-payer, socialized healthcare financing system that permits little private-pay medical care outside of nursing homes. Not only that, but as Alex Schadenberg, director of the Canada-based Euthanasia Prevention Coalition told me, “religiously-affiliated institutions [in Canada] have become the primary care facilities for elderly persons, those requiring psychiatric care, and dying persons. They are now being told that as a condition of providing those services they will be required to permit doctors to kill these very patients by lethal injection. If they refuse, they will find themselves in a showdown with the government.”

The more people who opt to kill themselves, the less the government has to pay in health care. Naturally, the secular government looks at euthanasia as a great way to cut the costs of taxpayers who have paid into the single-payer system their whole lives, and now want to make withdrawals. If the government kills them now, they get to keep all the money, and not give any of it back.

The rights to religious liberty and conscience protections are put at risk everywhere that the secular government takes over the private sector. Christians need to be careful what they vote for at election time. Small government is best for religious liberty and conscience protections.

Accountability: VA officials who were suspended with pay return to work

VA health care wait times
VA health care wait times

This is from the Washington Free Beacon.


Veterans’ Affairs health system in Phoenix, Arizona, who were suspended following revelations of fake waitlists and delayed patient care will return to agency jobs Monday.

The Arizona Republic reported:

Lance Robinson, associate director of the Phoenix VA Health Care System, will be assigned as a planner at the VA’s southwest regional office in Gilbert, known as VISN 18, according to spokeswoman Jean Schaefer. Brad Curry, the system’s chief of Health Administration Services, will serve as a data analyst. The two men have been focal points in a controversy over the VA’s perceived failure to hold leaders accountable for mismanagement and misconduct that caused a breakdown in care for veterans in Arizona and nationwide.

Robinson and Curry were placed on paid leave and given termination notices in May 2014. During their suspensions, they have been given hundreds of thousands of dollars in pay and benefits.

[…]Thousands of veterans were placed on fake waitlists at VA hospitals in recent years. Dozens of veterans died while waiting for care at the Phoenix hospital.

Let’s review what the problem is, using this article from Breitbart News.


The Department of Veterans Affairs office Inspector General has released a report revealing that about 307,000 sick veterans have died while waiting for care on the VA’s eligibility waiting list. In fact, the report finds that many have been dead for more than four years.

Now, what does Hillary Clinton think of the VA scandal? Is it a serious issue?

Not so much:

She says: “It’s not been as widespread as it has been made out to be”.

Donald Trump would expand Obamacare into single-payer health care system

Let’s take a look at how well a policy he supports – single payer health care – is working in Canada, where it’s been the law of the land for decades.

First, let’s see Trump explain his view on single payer health care in his own words:

When government pays for all the health care provisioning, we call that a single-payer system. And Trump is for it – that clip is from September 27, 2015. In the Fox News debate in August, he said that single payer health care “works in Canada“.

So, let’s go and see what the Canadians are saying about their single payer system, by looking a wide variety of stories from last month from a wide variety of Canadian news sources, covering a wide variety of Canadian provinces.

First, let’s start on the west coast, and then work our way east.

The Vancouver Sun reports on British Columbia wait times:

Median waiting times from referral by family doctor to treatment are 22.4 weeks, or almost six months in B.C., longer than all provinces except those in Atlantic Canada, according to the 25th annual survey of 2,382 medical specialists.

And waits between the first appointment with a specialist and getting treatment are 14 weeks in B.C., the highest since the survey began. The doctors who take the survey are asked to give their best estimates of waits for care.

The government-run CBC, reporting on Manitoba health care:

Manitoba has been given a failing and a near-failing grade for prostate and breast cancer treatment wait times by Canada’s Wait Times Alliance.

The group released their annual wait time report card on Tuesday, giving Manitoba an F for wait times for radiation and curative care treatment for prostate cancer and a D for the same treatments for breast cancer.

Manitoba has received an F for prostate cancer treatment wait times for more than five years, and a D in breast cancer treatment wait times for the past four years.

The Globe and Mail reports on the city of Winnipeg:

New data shows Winnipeg hospitals still have the longest emergency room wait times in Canada.

The Canadian Institute for Health Information says Winnipeg’s six emergency rooms all came in below average on the time it takes 90 per cent of patients to see a doctor after they check into an emergency room.

The average for the Winnipeg Health Region as a whole is 5.7 hours compared to the Canadian average of 3.1 hours.

And the Montreal Gazette reports on the province of Quebec:

Quebec reported the steepest increase this year of any province in wait times for medical imaging scans in Canada — a finding that suggests the public system is being stretched to the limit, a national survey reveals.

The 25th annual survey by the Fraser Institute found that the median wait time in hospital for a magnetic resonance imaging (MRI) scan in Quebec jumped to 12 weeks this year from eight in 2014. By comparison, the median wait time for an MRI is five weeks in Ontario, unchanged from last year.

Wait times increased slightly for other medical imaging in Quebec, going up from four to five weeks for both ultrasounds and CT (computerized tomography) scans.

Investors Business Daily also wrote about this and had a helpful chart breaking down how long people are waiting for treatment:

Single-payer health care wait times in Canada
Single-payer health care wait times in Canada

Canada also has a well-known doctor shortage. Their way of controlling costs is to limit the number of people who can practice medicine, so less care can be billed to the government. Get in line, and if you die waiting for treatment, that’s great for them – less money to pay. After all, they get to keep all the taxes they took from you during your life, and now they don’t have to give you anything back since YOU’RE DEAD.

Trump says that single-payer “works in Canada”. Does this look like it is working to you? Would you be willing to have 45% of your income go to federal, provincial, municipal income and sales taxes so that you could get in line in a system like this? This is Trump’s ideal, is it your ideal?

If you want to see what Canadian health care is really like on the ground, check out this video of Steven Crowder trying to get health care in the province of Quebec:

That’s what Donald Trump thinks is working. His past statements about being “very pro-choice”, and about same-sex marriage being “the law of the land” and about single payer and amnesty make him out to be a Democrat. He has never put effort into any conservative initiative on any conservative issue since the day he was born. He has been a Democrat, has donated to Democrats, including many, many donations to the Clintons. Only a complete idiot could support a Democrat in the Republican primary, especially when there were so many conservatives who fought and suffered for conservative issues in the past, e.g. – Perry, Jindal, Walker and Cruz.

As for his experience with making money, he inherited all his money, and he is worth $10 billion less today than he would have been if he had just invested his silver spoon inheritance in index funds. He knows less about politics than you do. He has gone bankrupt more times than you have. He is less good at making money than you are. He was born wealthy. He has no idea what conservatives believe. He is not conservative now, never has been conservative, and never will be conservative. You cannot choose a candidate by listening to mere words, you have to look at evidence, you have to look at accomplishments.