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free trade & free markets national politics & policies too much government

Health Rations and You

Want a laugh? To keep you from crying at what President Obama and the Congress are trying to do to health care in this country?

Over the decades, the federal government’s involvement in health care has been making it harder and harder for doctors and patients to make independent, sensible decisions about care.

Many advocates of “reform” deny the destructive consequences of past “reform” and insist that the only way to solve our problems is, in effect, to make them worse: Get government even more involved, tie the bureaucratic noose even tighter around the necks of patients and doctors.

Despite all the problems in the health care industry, we often still get great care because of the freedom that still exists. But what if advocates of Obamacare get their way and government takes over? Well, that’s the scenario satirized in a new two-​minute video produced by the Sam Adams Alliance, all about “Health Rations and You.”

It adopts the black-​and-​white style of a 1950s-​era educational film. “Health rationing. What is it? What does it mean for you?” And it’s all about how the Health Administration Bureau will give you nothing but “the best” medical care.

The video is funny. Memorable. Getting a lot of hits on YouTube. And it just might help stop this socialist monster in its tracks. Give it a look-​see, and pass it on.

This is Common Sense. I’m Paul Jacob.

Categories
free trade & free markets initiative, referendum, and recall too much government

Thou Shalt Not Mess Up Health Care

Last year, in Arizona, a narrow defeat for Proposition 101, the Freedom of Choice in Health Care Initiative, didn’t leave its core ideas dead, or even zombie-like.

The measure’s defeat by a mere 8,111 votes didn’t seem insurmountable. After all, opponents of the measure had made hysterical claims against it, and the thinking among supporters quickly became: A little more education.

A few weeks ago, the Arizona legislature repackaged the measure’s basic ideas as the Arizona Health Insurance Reform Amendment and set it for a vote of the people next November.

The new measure accommodates some worries and criticism of the previous measure. But the core message remains. The first plank states that “a law or rule shall not compel, directly or indirectly, any person, employer or health care provider to participate in any health care system.” 

The second plank says that no one shall be fined for paying — or accepting payments — for otherwise lawful health care services.

There are a lot of politicians out there, right now, who insist that “fixing health care” means “increasing government,” including pushing and shoving people into plans, or regulating the manner of payments so to encourage the use of government plans.

If this Arizona measure passes, or similar measures in other states do, a new idea will enter the national health care debate: Freedom.

This is Common Sense. I’m Paul Jacob.

Categories
free trade & free markets too much government

Fix Health Care?

When the president of the United States tells us that we “can’t fix the economy without fixing health care,” what do you make of it?

If you’re like me, you want to unravel the health care mess. And making it better would surely help the economy. But do I agree with President Obama?

Well, no.

The president and his party want to increase government controls and establish new government programs, the usual whatnot.

That is, the usual stuff that is precisely “what not to do.” 

Instead of increasing costs by regulation, we should decrease costs by having the government stop mandating what health insurance companies must provide. Or unentangle our hyper-​expensive Food and Drug Administration, with its longest and most expensive research rules in the world.

Generally, our politicians want us to emulate various socialized systems from across the globe, while ignoring the aspects of those systems that are freer than ours.

Specifically, Obama wants to set up a tax-​funded Medicare system for everybody, in competition with regulated private insurance companies. And since Medicare is one of the main drivers of high prices, you can see where this will lead.

Funny thing is, our medical costs have not been shooting up these past few years as much as they were before, while in heavily regulated-​and-​rationed Britain, costs have skyrocketed during this same period.

I’m reminded of the Hippocratic Oath: First, do no harm.

This is Common Sense. I’m Paul Jacob.

Categories
free trade & free markets too much government

Doctoring on the Installment Plan

How does a successful doctor deal with patients lacking insurance? Dr. John Muney decided to offer a deal. For $79 each month he would service patients with unlimited office visits, some tests, and even in-​office surgeries — at all his AMG Medical Group centers.

Now, the deal’s not for me. I have insurance through work, and I also have a family, so that $79 would have to be multiplied by four. Real money. But for some people, I bet, this makes perfect sense. 

Yet, if government gets its way, no patient of New York’s five boroughs — where Muney’s clinics are located — need ever consider the good doctor’s innovation. Why? Because the state Insurance Department has declared his service a form of insurance and says it requires a license from the state.

What were you thinking, Dr. Muney? This is a free country, and … you can’t just do what you want, you know. 

Dr. Muney is fighting back. The application form for this contract has THIS IS NOT INSURANCE emblazoned on every page. He is challenging the bureaucracy’s ruling.

Once upon a time, doctors regularly engaged in this kind of pricing. Many doctors — perhaps most — engaged in pro bono work for the poor. Other had special rates, etc. But the American Medical Association pressured politicians to put an end to such competitive practices.

Thanks, AMA.

As for Dr. Muney, my thanks to you is not sarcastic. Hang in there.

This is Common Sense. I’m Paul Jacob.

Categories
free trade & free markets general freedom national politics & policies

The Freedom to Opt Out

A new administration is poised to take over, with medical care a high priority. There’s been lots of talk, lots of trust put on big government. Unfortunately, the doctors, hospitals, insurers and others that opposed HillaryCare, way back when, now jockey to get whatever benefits they can out of whatever new system that develops … which, jumping the gun, they consider a “done deal.”

And yet the simplest, most sensible bit of legislation about health care garners almost no attention.

Introduced by Representative Sam Johnson several months ago, the Medicare Beneficiary Freedom to Choose Act would allow seniors who go on Social Security to opt out of Medicare.

At present, when you retire with Social Security benefits, you are required — forced — to accept Medicare part A benefits. Doctors whom you hire for cash can be penalized.

Quite a system.

You might think anyone who’s for freedom of choice would support the bill.

You might think it uncontroversial, since it simply allows people who have saved money for their own medical care to continue to use that money.

It doesn’t affect anybody negatively. It doesn’t reduce Medicare taxes that anyone is forced to pay. It simply lets people who want to opt out of a bureaucratic system do just that.

And it would save the government money.

Oh, maybe now I get it. The name of the game is money, spending, and … regulation of our lives.

“Congress knows best.”

That is the very antithesis of Common Sense. I’m Paul Jacob.

Categories
too much government

Microcosm Out West

The Wahkiakum County Eagle covers one of the smallest counties in Washington state. Last issue’s big story was about the county’s finances.

The large picture on the front page shows county officials conferring how to lay off employees. A smaller picture features a note pinned to a wall. The note says “By October 7th the County Debt is $1.4 million.” Then, in bigger letters, it says “Do Something” with the Treasurer’s signature below.

For a county with less than 4,000 citizens to rack up a multi-​million dollar debt is no small thing.

The commissioners gave notice to discontinue the county extension agreement with the state’s cow college. A bitter pill for many, since this was the first county west of the Mississippi to institute such an office.

Weirdly, the commissioners saw this coming. Revenues have been falling for some time. Yet a few years ago they bought the failing local medical clinic. A picture lower on the front page welcomes a new physician’s assistant. The hidden story here is that since the county has owned the clinic it has been costing the county at least a quarter a million per year.

Can you say “microcosm”? The microcosm — small universe — is this little county, faltering because it took over a medical delivery system.

The lesson for America, our macrocosm: Don’t take over health care. We can’t afford another huge expense on the books.

This is Common Sense. I’m Paul Jacob.