Wednesday, August 12, 2009

Barefaced liars should at least grow whiskers.(BO claims to channel Honest Abe, anyway.)

We will have a longer point by point fact check of President Barack Obama’s Porstmouth, New Hampshire, health care townhall tomorrow morning, but one talking point Obama made today, and...before, is that health insurance companies already ration health care so Americans shouldn’t mind if the government does it instead. ...dismantled that line of reasoning last night“we already ration health care; we just let the market do the rationing.” This is a true point made by the proponents of health care reform. But I’m not sure why it’s supposed to be so interesting. You could make this statement about any good:“We already ration food; we just let the market do the rationing.” “We already ration gasoline; we just let the market do the rationing.”“We already ration cigarettes; we just let the market do the rationing.”
And indeed, this was an argument that was made in favor of socialism. (No, okay, I’m not calling you socialists!) And yet, most of us realize that there are huge differences between price rationing and government rationing, and that the latter is usually much worse for everyone. ...the health care debate: statements that would strike almost anyone as stupid in the context of any other good suddenly become dazzling insights when they’re applied to hip replacements and otitis media.The rationing is, first of all, simply worse on a practical level: goods rationed by fiat rather than price have a tendency to disappear, decline in quality, etc. Government tends to prefer queues to prices. This makes most people worse off, since their time is worth much more than the price they would pay for the good. Providers of fiat-rationed goods have little incentive to innovate, or even produce adequate supplies. If other sectors are not controlled, the highest quality providers have a tendency to exit. If other sectors are controlled, well, you’re a socialist... But there is also a real difference between having something rationed by a process and having it rationed by a person. That is, in fact, why progressives are so fond of rules. They don’t want to tell grandma to take morphine instead of getting a pacemaker. It’s much nicer if you create a mathematical formula that makes some doctor tell grandma to take morphine instead of getting a pacemaker. Then the doctor can disclaim responsibility too, because after all, no one really has any agency here–we’re all just in the grips of an impersonal force. But this won’t do. If you design a formula to deny granny a pacemaker, knowing that this is the intent of the formula, then you’ve killed granny just as surely as if you’d ordered the doctor to do it directly. That’s the intuition behind the conservative resistance to switching from price rationing to fiat rationing. Using the government’s coercive power to decide the price of something, or who ought to get it, is qualitatively different from the same outcome arising out of voluntary actions in the marketplace. Even if you don’t share the value judgement, it’s not irrational, except in the sense that all human decisions have an element of intuition and emotion baked into them.
Any doubts that President Barack Obama’s “townhall” in Portsmouth, New Hampshire yesterday was a complete farce were dispelled early on when the hand picked crowd broke out in a chant of: “Yes we can! Yes we can! Yes we can!” at the close of his opening remarks. Recognizing his campaign’s signature slogan, the President responded: “Thank you. I remember that.” Comforted knowing he was surrounded by a room full of die-hard supporters, President Obama then want on to make a number of misleading and outright false statements about the health care legislation still working it’s way through Congress. Here are just seven:
“I have not said that I was a single-payer supporter.” This is directly contradicted by candidate Barack Obama’s own website which quotes Obama at a rally in Ames, Iowa form 2008: “If I were designing a system from scratch I would probably set up a single-payer system. … So what I believe is we should set up a series of choices….Over time it may be that we end up transitioning to such a system.” So there you have in one paragraph the true purpose of Obama’s public option: a vehicle to slowly transition all Americans out of private coverage and into a government-run single payer health care system. This Trojan Horse view of the public option has been reaffirmed by Reps. Barney Frank (D-MA), Jan Schakowsky (D-IL), Washington Post blogger Ezra Klein, and New York Times columnist Paul Krugman.
“Under the reform we’re proposing, if you like your doctor, you can keep your doctor. If you like your health care plan, you can keep your health care plan.” This statement is also plainly false. Again, as demonstrated above, the true purpose of Obama’s public option is to move Americans out of their private coverage and into government run health care. Independent, non-partisan analysis from the Lewin Group has confirmed the House bill, H.R. 3200, will do exactly that: About 88.1 million workers would see their current private, employer-sponsored health plan go away and would be shifted to the public plan.
“That’s what the health exchange is all about, is that you — just like a member of Congress — can go and choose the plan that’s right for you.” This statement isn’t false, but it is misleading. Members of Congress do purchase their health care through a health exchange: the Federal Employees Health Benefits Program (FEHBP). Through the FEHBP 283 private plans compete for federal employees’ health care dollars. The Heritage Foundation has long been a supporter of health reform that empowers consumers to utilize a FEHBP like system. But Obamacare is nothing like the FEHBP system. There is no government run public option competing with private plans in the FEHBP. So whenever Obama says that a health exchange already “drives down costs” he is right … but remember that this cost reduction is achieved purely by private health coverage without any “competition” from a government run public option.
“We have the AARP on board because they know this is a good deal for our seniors.” This is just plain false. The AARP released a statement late yesterday directly contradicting the President: “While the President was correct that AARP will not endorse a health care reform bill that would reduce Medicare benefits, indications that we have endorsed any of the major health care reform bills currently under consideration in Congress are inaccurate.”
“I just want to be clear, again: Seniors who are listening here, this does not affect your benefits. This is not money going to you to pay for your benefits; this is money that is subsidizing folks who don’t need it.” Under the current system, more and more seniors are discovering that it is becoming harder and harder to find and keep doctors who will accept Medicare patients. A 2008 survey found that 29% of the Medicare beneficiaries it surveyed who were looking for a primary care doctor had a problem finding one to treat them. Obamacare will only make this problem worse by cutting $313 billion in Medicare reimbursements to health care providers over the next 10 years. This will only force more doctors to stop seeing Medicare patients. Obama also mentioned yesterday that he wants to pay for subsidized health care by killing the Medicare Advantage program. Medicare Advantage plans cover all of the traditional Medicare benefits and much more, including coor­dinated care and care-management programs for enrollees with chronic conditions as well as additional hospitalization and skilled nursing facility stays. 22% of all Medicare patients, which translates to 10.5 million seniors, are currently enrolled in Medicare Advantage plans.
“I said I won’t sign a bill that adds to the deficit or the national debt. Okay? So this will have to be paid for.” That is a nice promise, but so was Obama’s October 2008 promise that he would enact a “net spending cut.” We all know how that has turned out. The reality is that the Senate still has not figured out how to pay for their bill and the House bill would increase the budget deficit by $239 billion over the next ten years. CBO director Doug Elmendorf has said: “In sum, relative to current law, the proposal would probably generate substantial increases in federal budget deficits during the decade beyond the current 10-year budget window.”
“My belief is, is that [Obamacare] should not burden people who make $250,000 a year or less.” Both the House and Senate bills partially pay for Obamacare by imposing “employer mandates” or “pay or play” provisions that require employers to pay higher taxes if (a) they do not offer health insurance, or (b) they offer it but have employees who decline it and instead use the government system. Multiple studies have shown that such provisions cause both lower wages and lost jobs for low-income workers.
And these are just some of the falsehoods and misinformation peddled by President Obama yesterday. It doesn’t even include his choice to sell Obamacare as The “Post Office” of Health Care Plans. No wonder so many Americans are skeptical.//
Michael Moore Is Right About The Public Option
Posted August 12th, 2009 at 11.55am in Health Care.
We never thought we’d right the words “Michael Moore is right”, but the filmmaker is dead on when he echoes Reps. Barney Frank (D-MA), Jan Schakowsky (D-IL), Washington Post blogger Ezra Klein, and New York Times columnist Paul Krugman about the true intention of President Barack Obama’s public option. Moore tells Rolling Stone in the latest issue:
If a true public option is enacted — and Obama knows this — it will eventually bring about a single payer system, because the profit-making insurance companies won’t be able to compete with a government run plan and make the profits they want to make.

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