The Republicans are at it again: trying to tweak a bad idea, make it “bipartisan,” and set a flawed system more firmly in concrete. What we really need is a Republican reform – one that can restore the republic, along with medicine.
Author: Jane M. Orient, M.D.
Mr. Trump has been castigated for saying that if the government goes bankrupt, he’d get creditors to accept less. That is standard operating procedure for businesses. Creditors make deals because something is better than nothing, and if a company is utterly destroyed, nothing is what they will get. They may complain, but unless they were actually defrauded, they voluntarily assumed a risk of loss, hoping to make a profit.
According to the World Health Organization (WHO), Zika is, like Ebola, a Public Health Emergency of International Concern. Now the U.S. Centers for Disease Control and Prevention (CDC) has stated that it is “clear” that the Zika virus causes a serious birth defect, microcephaly (small head).
Big Healthcare is no exception, and it is important to understand just what healthcare is. The trillions of dollars of revenue sucked in by Big Healthcare are not just for medical care. “Healthcare” is mainly concerned with collecting and distributing the money. Perhaps half of the money gushing through the system pays nurses, doctors, orderlies, receptionists, or therapists, or buys medications, oxygen concentrators, wheelchairs, bandages, or x-ray machines. The rest is diverted to something else. It’s hard to figure out just how much because insurers may, in calculating the “medical loss ratio,” call a lot of things “healthcare” that you might call “administration.”
The latest public health panic is over a disease most Americans (even doctors) have never heard of. Zika virus disease (ZVD) is carried by the same mosquito, Aedes aegypti, as other Third World diseases, including dengue and chikungunya.
There is one thing that supporters and detractors of Bernie Sanders might agree on: he seems to be honest about his convictions. He is an avowed socialist, instead of pretending to believe in a role for private insurance. Unlike Barack Obama, his answer to the question “Do you get to keep your insurance plan?” is plainly No. There won’t be any more insurance plans. Everyone will be on Medicare.
One thing that is not in it is the poem by Emma Lazarus, which is on the Statue of Liberty. Nothing in the Law of the Land requires the U.S. to freely admit “the wretched refuse of your teeming shores”—or requires U.S. citizens to feed and provide housing and medical care for them. The load could crush our system, starting with the medical system.
While Americans are preoccupied with the political theater of the Presidential race, special interest groups toil to pass legislation that could radically transform your medical care. One example is the Interstate Medical Licensure Compact, which has passed in 11 states. Pennsylvania has joined a number of others in proposing it.
The U.S. Supreme Court could well blow the Democrats’ cover in King v. Burwell if it rules that people in the 37 states that did not establish an Exchange cannot legally get taxpayer subsidies for health insurance.
Tucson, AZ. One of the biggest selling points for the Affordable Care Act (ACA or ObamaCare) was the promise that insurers couldn’t cancel your plan if you get sick. But if the U.S. Supreme Court, in King v. Burwell, holds premium subsidies to be illegal in Exchanges not established by States, the Administration will allow insurers to abrogate their contracts, says the Association of American Physicians and Surgeons.
The Obama Administration was apparently shocked when the U.S. Supreme Court agreed to hear the case of King v. Burwell, which challenges insurance subsidies flowing through federal Exchanges. The Affordable Care Act (ACA) clearly states that subsidies flow only through Exchanges established by States.
When people clamor for Congress to pass a “free-market health plan,” they are forgetting two things: Congress only does laws, which restrict freedom. We need fewer laws, not more. And the free market is by nature not a plan.
Big laws like ObamaCare are designed by special-interest groups, such as the “insurance” (managed care) cartel, Big Hospitals, Big Pharma, and influential groups that want their benefits (abortion, contraception, drug and alcohol rehab, AIDS therapy, etc.) paid for by people who would never use them.
Now that Republicans have control of Congress, they could possibly keep their promise to repeal ObamaCare—except for two immediate obstacles. One of course is the threat of the Presidential veto. Another is the already apparent willingness of craven politicians to surrender pre-emptively.
The time for Republican self congratulation is over, and the work needs to begin. It appears that the majority of the voting population recognizes that our country is in dire condition. Time is running out to fix it. Are Republicans going to work for our country, or just shift money around to different special interests?
TweetMost veterans get most of their medical care from private doctors through Medicare or private insurance. Just think what those secret waiting lists would be like if they didn’t! Still,[…]
Now that 8 million or more have signed up on health insurance exchanges under the Affordable Care Act (ACA), the President is deploying his phone and his pen to solve another urgent problem: climate change. This will require another transformational change that no previous President has been able to bring about, as they were unable to get around a recalcitrant Congress.
The TSA does not make us perfectly safe. I don’t care much about being x-rayed and patted down, but it is not much more helpful than the old, discarded “security” question about whether I packed my own bag. The U.S. could learn from the Israelis and focus on behavior and likely terrorists.
Even as ObamaCare is trying to self destruct, its advocates suggest a détente in which “Republicans recognize the conservative nature of the law,” in the words of Austin Frakt in Bloomberg News. The Affordable Care Act (ACA), they point out, incorporates some ideas from a Heritage Foundation proposal and a law promoted by Mitt Romney. Those are not, however, conservative ideas, much less good ideas, and are not a “sound chassis” for anything.