Wednesday, July 14, 2010

Comes the revolution you'll eat strawberries, like them or not, and even if you're allergic.

****Obama and his sneaked-through appointment of Dr. Donald Berwick demonstrate contempt for individual choice, judgment and the relationships of doctors and patients."Prevention" was one of the mantras used to lie about the arithmetic of Obamacare: now we have Dr. Berwick who thinks prevention is not cost-effective in the aggregate. Obama no longer aims for the Nanny state; his is the "l'etat c'est moi". It seems the President's political philosophy stopped developing in his sophomore year. Unfortunately for such a self-styled elitist, his sophomore year wasn't even in the Ivy League. It's a sophomoric view that leaders know best and that the sophomores should be the leaders.****
http://tinyurl.com/27zsqc5 Berwick: Bigger Than Kagan If the American people want the health-care world Dr. Berwick wishes to give them, that's their choice. But they must be given that choice. By DANIEL HENNINGER
Barack Obama's incredible "recess appointment" of Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services (CMS) is probably the most significant domestic-policy personnel decision in a generation. It is more important to the direction of the country than Elena Kagan's nomination to the Supreme Court.
The court's decisions are subject to the tempering influence of nine competing minds. Dr. Berwick would direct an agency that has a budget bigger than the Pentagon. Decisions by the CMS shape American medicine.
Dr. Berwick's ideas on the design and purpose of the U.S. system of medicine aren't merely about "change." They would be revolutionary.
One may agree with these views or not, but for the president to tell the American people they have to simply accept this through anything so flaccid as a recess appointment is beyond outrageous. It isn't acceptable..."One over-demanded service is prevention: annual physicals, screening tests, and other measures that supposedly help catch diseases early." "I would place a commitment to excellence—standardization to the best-known method—above clinician autonomy as a rule for care."...
****This joker's whole philosophy of medicine flies in the face of individualized treatment, the supremacy of the individual, the duty of the physician to his patient and all of the things that would make a good doctor. Berwick would reduce medicine to the Blue Book used by auto mechanics where there are standardized procedures and hours. Where does Obama FIND these people? (In Academia, of course, but why the most extreme versions of oddballs? Clearly, because Obama endorses this crap. He's on the Stalinist side of socialism.)****
http://tinyurl.com/2eh66ba
Dr. Berwick and That Fabulous Cuban Health Care The death march of progressive medicine. By BRET STEPHENS...In the matter of CastroCare, progressives of Dr. Berwick's stripe are rarely at a loss for superlatives. But suggest that ObamaCare is a step in the Cuban direction, and these same people will accuse you of rank scare-mongering...when the health-care bill became law in March, Fidel Castro emerged from semiretirement to praise it as a "miracle." Note also that Dr. Berwick has made himself notorious by warning of "the darkness of private enterprise," admitting his "love" for Britain's socialized National Health Service, and insisting that "excellent health care is by definition redistributional."
...it's a good time to check in on the state of the Cuban health-care system. That's just what Laurie Garrett, a senior fellow at the Council on Foreign Relations, does in the current issue of Foreign Affairs magazine....she praises Cuba for offering "an inspiring, standard-setting vision of government responsibility for the health of its people." Cuba's (reported) success in reducing the incidence of child mortality and tropical diseases, she adds, is "laudable."
Just one problem: The system is in an advanced state of collapse. It is bankrupting the state and driving doctors out of the medical field and the country. Its ostensibly egalitarian nature disguises a radically inegalitarian reality, with a tiny number of well-appointed clinics catering to paying medical tourists and senior Party apparatchiks while most Cubans take their chances in filthy, under-resourced hospitals...Slightly more than half of all Cuban physicians work overseas; taxed by the Cuban state at a 66% rate, many of them wind up defecting. Doctors who remain in the country earn about $25 a month.... As for the quality of the doctors, she notes that very few of those who manage to reach the U.S. can gain accreditation here,...Typically, they wind up working as nurses...Ms. Garrett reports that hospital patients must arrive with their own syringes, towels and bed sheets. Women avoid gynecological exams "because they fear infection from unhygienic equipment and practices." Rates of cervical cancer have doubled in the past 25 years as the use of Pap tests has fallen by 30%....for all those for whom "free" health care has been, as Teddy Kennedy once put it, the cause of their lives, the Cuban system has been a touchstone—proof, supposedly, that socialized medicine is, as Dr. Berwick has said, the only "just, equitable, civilized and humane" answer when it comes to addressing the dilemmas inherent in health-care delivery.
The truth is that socialism and related forms of command-and-control technocracy work as well in the health-care market as they do in every other. Which is to say, not at all. When better-heeled Americans start flying to offshore medical centers for their facelifts and bypasses (performed by expat American doctors) while poorer folk make do in ObamaCare's second tier, then perhaps the real lessons of the Cuban system will begin to sink in. Even, perhaps, among Dr. Berwick's progressive friends.

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