Tag: health care

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MediocreCare — Guaranteed!

npc, march, Health Care, Medicare,

When Senator Bernie Sanders demands that the government “guarantee health care to all people as a right, not a privilege,” does anyone think about how governments currently provide more basic services as rights? 

You have a right to life, liberty, and the pursuit of happiness in America — or so we say — but 

  1. our police aren’t legally obliged to defend us,
  2. prosecution and compensation for real crimes is iffy, 
  3. one can ruin oneself in court either as plaintiff or defense in civil cases, and
  4. the whole legal system is kludgy in the extreme. 

And this is the core function of government!

Why expect better government performance in medical care?

Bernie’s plan, which Democratic front-​runner Senator Elizabeth Warren wafflingly endorses, is “Medicare for All.” But the current Medicare-​for-​seniors doesn’t cover all of seniors’ medical bills. Seniors pay out of pocket for a portion of their medical costs, often buying “supplemental” insurance to help in the process. If they can afford it.

Medicare does not pay for all medical costs incurred at the supply end, either. The federal government operates with schedules of compensation, limiting charges and procedures in customary bureaucratic fashion. That’s why doctors and clinics increasingly refuse to take Medicare patients. This is what we want to roll out to the whole population?

“Polls show that voters are more willing to pay higher taxes in return for lower cost health care,” Jake Novak explains at CNBC. “What they won’t tolerate are reduced services, especially when it comes to health care, higher taxes or not.”

What assurance can politicians provide that mediocre-care, their latest schemes for socializing medicine, won’t amount to higher taxes for reduced services?

This is Common Sense. I’m Paul Jacob.

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npc, march, Health Care, Medicare,

Based on a photo by Molly Adams

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free trade & free markets ideological culture too much government

Finns Fail at Fix

Bernie Sanders, Finland, health care, socialism, single payer, costs, spending

Finland’s government-​run health care system is a mess. 

This normally wouldn’t faze me much. I have to navigate our American mess, er, system. But Finland’s medical service delivery system is relevant to Americans — as is Denmark’s and Norway’s and Sweden’s — because the current crop of Democratic presidential hopefuls tout these “Scandinavian socialist” programs as models to follow.

Yet Finland’s program is in crisis.

How bad is it?

Bad enough for Finland’s government to fold early, before an election, with Prime Minister Juha Sipilä throwing in the towel earlier this month. He had been struggling “to get social and health-​care reforms that he made the cornerstone of his government’s four-​year term through parliament,” The Wall Street Journal informs us. Finland’s health care system is somewhat decentralized, and that quality of service varies district by district. Silipä had been trying to centralize administration while also allowing for some privatization.

Left-​leaning parties have balked at this, hence the impasse.

So, what is the lesson? A medical delivery system should be anti-fragile, capable of functioning despite incompetents or corrupt officials in government, despite voting blocs at loggerheads. A vast segment of the service industry should not be held in hock to the political machinations of special-​interest groups.

Behind all of it, though, is the looming demographic crisis: the population of Finland, like here in America and throughout the First World, is aging. This puts heavy stressors on welfare-​state systems run on a Ponzi-​like re-​distributive basis.* Of course costs will increase and service levels will fall, given how it’s all set up.

But once in place, government-​run medical systems do not heal themselves.

This is Common Sense. I’m Paul Jacob.

* An endemic problem for socialists, which they try to ignore. See “Finland: Government Collapses Over Universal Health Care Costs, #Bernie2020 Hardest Hit.”

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Bernie Sanders, Finland, health care, socialism, single payer, costs, spending

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Accountability folly general freedom incumbents media and media people moral hazard nannyism national politics & policies political challengers porkbarrel politics responsibility too much government

Twirling Towards Freedom?

Citizen Kang, Simpsons, Bernie Sanders, socialism, health care, income, welfare

Does Bernie Sanders remind you of “Citizen Kang”?

Vermont’s [S]ocialist Senator is whipping up a new plan for America: to “guarantee a job with at least a $15-​per-​hour wage and health benefits to every adult American ‘who wants or needs one,’” we are told.

What was it that the slavering alien Kang promised* in The Simpsons’ eighth season opening episode? Well, we know how that episode ended, with Homer Simpson revealing the ’90s’-era presidential candidates to be aliens in disguise, Kang being elected, humanity enslaved, and Homer uttering the immortal words “Don’t blame me, I voted for Kodos.” 

And then Kodos, in cahoots with Kang, cracking the whip on Homer.

One shouldn’t have to read George Fitzhugh, the antebellum sociologist who attacked the very idea of free markets and free labor, insisting that slavery is a good thing and the very best form of socialism, to know that socialism and slavery go together hand in glove, whip in hand.

In an age of handouts for nothing, at least Sanders’ socialist proposal suggests productivity. But paying for it by nixing corporate “tax breaks”** is absurd. “Republicans have long opposed a federal jobs guarantee,” Fox News tells us, “saying such a plan would be too expensive and impractical.” And it’s productive people who would pay for it, making them de facto slaves to the system … even more than they are now.

But when socialists talk about “jobs,” worry about a more direct form of slavery.

And yes, I can imagine Bernie, with his four houses, flicking the whip.

I won’t be voting for him, if he runs. 

Or for Kodos.

This is Common Sense. I’m Paul Jacob.

 

* Actually, Kang was known not for a promise but for his campaign speech (as Bill Clinton), saying, “[W]e must move forward, not backward; upward, not forward; and always twirling, twirling, twirling towards freedom!” 

** The only funding source mentioned in the reports I read.

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Accountability moral hazard national politics & policies responsibility too much government

You’re Fired!

Veterans Administration, health care, VA, waste, waiting time, Secretary Dr. David Shulkin, Donald Trump,

If government were reality TV — and it is — this current administration would obviously be The Apprentice.

Who do you most want fired?

Last week, President Trump gave Veterans Administration Secretary Dr. David Shulkin the heave-​ho, after a “damning” Inspector General’s report not only charged Shulkin with misusing tax dollars but also detailed myriad problems at the VA that continue to “put patients at risk.”

In a New York Times op-​ed, the former Secretary defended his “tenure at the department,” arguing that he had “expanded access to health care by reducing wait times, increasing productivity and working more closely with the private sector.” 

Speaking of the private sector, however, Shulkin suggested his firing was orchestrated by those favoring privatization — and that “privatization leading to the dismantling of the department’s extensive health care system is a terrible idea.”

Last April, President Trump signed the Veterans Choice Improvement Act, expanding the ability of vets to access private medical care outside the confines of the VA system. Why? Because IG investigations discovered that wait times were actually killing veterans — and the VA bureaucracy was actively covering up the problem.

“Critics have questioned whether increasing veterans’ reliance on private doctors might move the VA toward privatization,” the Washington Examiner noted at the time, “while proponents of such efforts have accused the VA of resisting steps to implement the program in order to protect the status quo.”

Vets deserve a choice, not a bureaucracy. After failing veterans for decades, Status Quo, you’re fired!

This is Common Sense. I’m Paul Jacob. 

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Accountability folly ideological culture moral hazard nannyism national politics & policies responsibility too much government U.S. Constitution

Tough Luck, Chumps

Obamacare, Affordable Care Act, Obama, Trump, Sanders, debate, CNN

Advertised as a big deal ahead of time, the debate didn’t get much play afterwards.

Especially from the Left blogosphere.

Why?

Billed as about the “future of ObamaCare,” it was really about what should replace ObamaCare.

The CNN debate pitted Sen. Ted Cruz, well-​known Republican opponent of the Affordable Care Act*, against Sen. Bernie Sanders, well-​known “independent” proponent of what he likes to call the “Medicare for All single-​payer program.”

Upshot? While either Bernie or Ted may possibly be construed to have won, there was indeed one certain loser, ObamaCare itself.

Sen. Sanders conceded nearly every charge Sen. Cruz lobbed at the program. He merely countered with his support for treating health care “as a right, not a privilege” (a leftist farrago from days of yore) and moving on to single-​payer medicine.

That’s how bad ObamaCare really is. Its chosen champion refused to champion it.

The basic tension was best summed up between “town hall” questioners Carol, suffering from multiple sclerosis, who asked Cruz to promise continued coverage for cases like hers, and LaRonda, a woman with a chain of hair care shops who cannot afford insurance for herself or her employees and also cannot expand her company because at 50 employees the ACA would force her to provide insurance.

Cruz expressed his sympathy for Carol, but seemed to meander around her request for a guarantee. He also evaded** a straightforward answer re: “healthcare as a right.”

Sanders was a tad more honest, in effect giving the “tough luck” answer that the entrepreneur just “should” pay*** for her employees’ medical insurance.

Well, we sure are all “paying” for ObamaCare, one way or another.

This is Common Sense. I’m Paul Jacob.

 

* Which is the same thing as ObamaCare. Some folks purportedly hate ObamaCare but love the ACA. No reader of Common Sense, of course.

** Cruz concluded the debate better, alluding to an old SNL skit about a recording session wherein the cowbell ringer always wanted “more cowbell” in every take. “It was government control that messed this all up. And Bernie and the Democrats’ solution is more cow bell, more cow bell.”

*** “[I]f you have more than 50 people, you know what, I think — I’m afraid to tell you — I think you will have to provide health insurance.”

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general freedom ideological culture meme moral hazard nannyism too much government U.S. Constitution

Dear Bernie: Here’s How Rights Work…

Dear Bernie, rights, violation, violates, how rights work, meme, Common Sense

A new “right” that violates other fundamental rights, can’t be a right.

Dear Bernie, rights, violation, violates, how rights work, meme, Common Sense

 

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