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.
Category: Health Care
The news that some forty veterans died whlle waiting to receive care from a Phoenix Veterans Affairs hospital—care that was denied because of bureaucratic chicanery—will seem small in comparison to[...]
Medicaid expansion is an expensive endeavor that studies show does not provide better or more-affordable health care. Many of the expansion plans that Pennsylvania legislators are considering would use federal[...]
I don’t agree with the New Republic’s Jonathan Cohn very often, but in a recent article he said, “everybody should be cautious about making firm pronouncements about how the Affordable Care Act is doing.” Amen to that.
Of course, Mr. Cohn can’t help himself. He uses that reasonable statement as a launching pad for attacking, “…Cruz, Barrasso, and all the other hard-core Obamacare opponents on the right.” He just can’t imagine why these people might be skeptical of Administration claims about enrollment.
Ezekiel Emanuel, Rahm’s brother and one of the key ObamaCare advisors, has been on quite a roll lately. Consider some of the headlines just from the past few weeks or so. In every instance his message is that he knows better than you do what is good for you. He knows a better way to do insurance than you do, he knows that you don’t really need a choice of doctor or hospital, he knows that you don’t really need a doctor at all for most services, and he knows that “things are actually going well” for ObamaCare despite the fact that you and most Americans don’t like it.
Who could forget about the botched ObamaCare roll out of last fall by the Obama administration when on September 26 Obama said, “… most of the stories you’ll hear about how ObamaCare just can’t work is just not based on facts. Every time they have predicted something not working, it’s worked.” But when people did start shopping for insurance coverage on October 1, Healthcare.gov crashed.
Look, it is a fantasy that a group of legislators in Washington, DC or Albany New York can wave their magic wands and make everybody do what they want. A few years ago, I gave a speech to a group of state legislators in Albany shortly after New York enacted a new law prohibiting the use of hand-held cell phones while driving. In the taxi going from the airport to the venue I noticed that every single car on the highway was violating the 55 MPH speed limit, without exception, and at least a third of the drivers were chatting merrily on their hand-held phones.
NONE OF THIS EVER WORKS!
Health insurance is the most important thing on the face of the earth — more important than food, more important than clothing, or housing, or a job, and certainly more important than cell phones and cable TV, according to the President.
With this contemptuous attitude towards the people the elite is trying to “help” perhaps it is not surprising that the helpees are not behaving the way the helpers would like them to. Amy Goldstein writes in the Washington Post that “Health insurance marketplaces (are) signing up few uninsured Americans…”
The New England Journal of Medicine recently ran an article by Clay Ackerly, MD, and David Grabowski, PhD, calling for “Post-Acute Care Reform.”
The authors recommend a bundled payment system in which, “hospitals and post-acute care providers are paid for a fixed “bundle” of services around a hospital episode, including post-hospitalization care.” But, alas, there are “substantial regulatory and operational barriers” that prevent such a system from being instituted.
But before we think about the barriers, perhaps we should take a moment to consider what has been said so far.
The Washington Post’s Glenn Kessler is just such an arbiter, tossing out “Pinocchios” like Mardi Gras beads to all who offend his sense of rectitude. But from time to time, his rush to play “Gotcha” gets ahead of reason.