Tag: healthcare

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free trade & free markets general freedom moral hazard nannyism national politics & policies

Best Plan Is No Plan

Obamacare, ACA, Healthcare, reform, replace, policy, insurance

“Republicans would create chaos in the health care system because they are stuck,” Senate Minority Leader Chuck Schumer says, “between a rock and a cliché.”

Oh. Off by a word or two. But I don’t need to fix it.

What needs to be fixed is the whole system. “Head clown”* Schumer gloats that it cannot be done. The “delicate balance” that is the Affordable Care Act makes it impregnable. For all Republicans’ talk of repeal, “for five years now they’ve had nothing to put in its place.”

Schumer sees the trap. He set it when he and his comrades voted Obamacare in without reading it. Any new program with any new constituency always presents a set of … political hurdles … that quickly become “impossible” to jump.

The President-​elect, he notes, has supported three of the “most popular” regulations in Obamacare: “pre-​existing conditions,” “26-​year-​olds on parents’ plans,” and sex equality re: insurance rates.

What Schumer fails to mention is that these are three huge drivers of spiraling insurance prices. The Affordable Care Act “delicately balances” medical markets by shifting who pays for what, hoping that the biggest losers† don’t complain too much and the obvious winners never cease protesting‡ any change.

The truth? Obamacare can be repealed. But replacing it would be a disaster. The best plan is no plan. Repeal all the regulations. The federal government should completely deregulate the markets, and prevent states from ruining interstate markets in insurance and health care.

Do what the Commerce clause was designed to do.

Schumer is counting on Republicans to do nothing. Despite signs they’re cooking up something.

This is Common Sense. I’m Paul Jacob.

 

*What Trump called Schumer. And in the same tweet dubbed Obamacare “a lie.” Truer words never spoken?

† Obamacare presents a huge burden on the self-​employed, self-​insured, and on the previously insured, since it is these people who most obviously pay for all the newly insureds. Of course, in the end, everybody pays … from increasing prices and decreasing rates of progress.

‡ At least they are the focus of advocacy groups. The poor neatly serve as innocent shields of the spoliators.

N. B. Adapted from this weekend’s Townhall column.

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Obamacare, ACA, Healthcare, reform, replace, policy, insurance

 

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ideological culture individual achievement national politics & policies

Ditch Your Male Doctor

woman, female, doctor, gender, medicine, illsutration

It’s the Christmas season, so wait to do this until the New Year, but … be sure to fire your male doctor.

He’s a quack.

At least, that seems to be the gist of James Hamblin’s “Evidence of the Superiority of Female Doctors,” a report in The Atlantic on a new Harvard School of Public Health study.

“Patients cared for by female physicians,” Hamblin writes, “had lower 30-​day mortality than did patients treated by male physicians.” The rate for female physicians was 11.07 percent and for males 11.49 percent.

Though a “modest” difference, it’s still “clinically meaningful.”

The study (conducted by an all-​male team) tracked more than 1.5 million Medicare patients treated by nearly 60,000 general internists.

“If male physicians were as adept as females, some 32,000 fewer Americans would die every year — among Medicare patients alone,” concludes Hamblin. “[T]hese numbers may be what it takes to spur equal (or better) compensation and opportunity for female physicians.”

NBC News played the equal pay angle as well: “Many hope the new study pushes hospitals to promote and pay women equally.”

Still, in a poignant moment of concern for the lesser sex, correspondent Kristen Dahlgren advised, “Maybe not a reason to ditch your male doctor, but there might be lessons to learn from his female colleagues.”

Indeed, the study explained that “physician sex by itself does not determine patient outcomes,” arguing instead that “differences in practice patterns between male and female physicians” must be investigated.

Smart.

The other thing, of course, is that every doctor, male or female, is an individual — not merely an XX- or XY-​chromosome carbon copy.

Sex isn’t everything.

This is Common Sense. I’m Paul Jacob.

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woman, female, doctor, gender, medicine, illsutration

 

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free trade & free markets general freedom ideological culture meme moral hazard nannyism national politics & policies too much government

If they can do it, why can’t we?

other country's healthcare, socialized, healthcare, free college, meme, illustration

In Europe, some large programs (like “free” healthcare and college”) appear to work for some countries and are a complete disaster for other nations. In many southern European nations, citizens look on state provided healthcare with horror, and make every effort to insure that they don’t have to depend on that system.

American progressives are strangely incurious about what makes some systems work and other systems crash and burn. In many cases, the explanation is cultural and institutional. (As it happens, Scandinavians had a well-​established culture of hard work and self reliance and social cohesion, which is what made the establishment of a large welfare state even possible. When the Scandinavians began their ambitious welfare programs, it was a point of honor among many to NOT USE IT. This attitude has been eroded over time).

The Scandinavian models also have had better success rates because they have focused on maintaining a VERY FREE business environment, with corporate taxes LOWER than are found in the US, and limits placed on unions (a practice that would be abhorrent to the average American progressive).

When large government programs are established in the U.S., they quickly become bloated, inefficient and corrupt. The government is currently $21 trillion in debt.

Why not demonstrate that they can do the job they already have before being given control of the healthcare industry (an estimated 1/​5 of the economy)?

Opponents of the progressive welfare state believe that considerable damage could be done to the American system (which has always been a powerhouse of innovation and expertise), and many people could be hurt.

 

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crime and punishment folly free trade & free markets general freedom nannyism too much government

Law in the Tooth

donkey, grinning, dentist, laws, Common Sense, illustration

Why did Dr. Ben Burris give up his orthodontic license? Where did he go wrong?

Dr. Burris broke the law. He flagrantly violated the hallowed precepts of the Arkansas Dental Practices Act. Let me rinse and spit out the truth: This dentist illegally cleaned people’s teeth.

Not just once — he did it again and again. Often twice a year per patient — or victim, depending on your viewpoint.

Plus, brace yourself, he didn’t merely scrub their choppers, he did so — get this — at very low cost.

We need strong laws to stop such scoundrels.

That bastion of wisdom, the State of Arkansas, has no qualms about Dr. Burris’s qualifications to remove plaque from our incisors, canines and molars, having licensed him to practice dentistry. The problem is actually that Dr. Burris is over-qualified.

Especially to charge low prices!

Burris got licensed in a specialty: Orthodontia. You see, according to state law, a dentist so licensed “must limit his or her practice to the specialty in which he or she is licensed except in an emergency situation.”

Only after terrorist attacks or earthquakes can society risk allowing Orthodontists to daringly and brazenly polish people’s teeth. For less.

This particular statutory tyranny aims to close healthcare markets, minimize patient choice and keep dental costs artificially high. Luckily, beyond being maliciously wrongheaded, Arkansas’s dental law is absurdly foolish.

Dr. Burris dropped the federal court challenge being litigated by the Institute for Justice. Why? He discovered that by simply relinquishing his orthodontic license, he could legally practice orthodontics and clean people’s teeth at low cost.

He just can’t call himself an Orthodontist — but can call the law an ass.

This is Common Sense. I’m Paul Jacob.

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donkey, grinning, dentist, laws, Common Sense, illustration

 

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free trade & free markets ideological culture media and media people national politics & policies too much government

What Gets Lost in Washington

The current battle over “health care reform” is a great example of why representative government frustrates. 

It’s not just that the vast majority of Americans who oppose the Democrats’ bill didn’t get their way. It’s that the proponents of socialized medicine (and that’s the real goal, here: The eventual complete government takeover of medicine) are playing a sort of obstacle-​course race … as I argued yesterday.

Meanwhile, how the anti-​Obamacare message hits Washington vexes, too. 

Some partisan pundits and pollsters go so far as to say that the Democrats’ reform legislation suffers because it lacks a good name. “The Patient Protection and Affordable Care Act” is not a catchy moniker. “Obamacare,” used primarily by its opponents, is super-​catchy. And the Republicans repeal effort is pretty clever: “Repealing the Job-​Killing Health Care Law Act.”

Though “job-​killing” may reference a hot, current topic, it is far from the most salient thing one might say against the Democrats’ rushed-​through plan.

Standard politics: Even when politicians do the right thing, they push it for the wrong reason.

Media folk are now beginning to spin the popular opposition to Obamacare. Carefully worded polls “prove” that Americans aren’t overwhelmingly against the plan.

Which misses the real point: Incredulity. Democrats ballyhooed the notion that further government intervention into medicine would reduce costs. Nonsense, of course. And Americans know it. 

That common-​sense skepticism is precisely what gets lost in all the politics.

This is Common Sense. I’m Paul Jacob.

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national politics & policies too much government

Freedom First Aid Kit

After a year-​long battle, congressional Democrats have rammed through Obamacare, a massive expansion of government control over the health care industry and a massive assault on the liberties of every doctor, patient, insurance agent, and taxpayer in the country.

But the issue is far from settled. So, let’s use this lull in the news cycle shelling to pass a little ammunition. Herewith, a first-​aid kit for medical freedom-​lovers in the form of an overview of resources to help us understand and join the coming battle to repeal Obamacare. And to prevent even worse. 

We lost a major battle for medical freedom. But the war is only beginning.

This is Common Sense. I’m Paul Jacob.