Tag: Medicare

Categories
free trade & free markets too much government

A Doc Drops Out

Doctor Alan Dappen wasn’t going to take it any more. So he got out.

Eight years ago, he decided that his office would no longer accept Medicare payments. Why? As he tells his patients, “We can’t afford to.” Medicare won’t pay for consultations by phone or email, won’t cover the full cost of a house call, and “barely pays for an office visit.”

Then there’s the regulatory burden. Dappen can’t understand a lot of the regulations. Further, as far as he can tell the folks enforcing them don’t understand many of them either. Yet the bureaucrats can audit a doctor’s paperwork and impose huge fines based on these unclear regs.

Medicare-​mired physicians would be more effective if only they didn’t have to worry about complying with arbitrary regulatory dictates all the time. These rules make it harder for doctors to do their jobs. So Dr. Dappen took the risky but more satisfying path of operating in an unhampered market. And, of course, he invited his patients to join him.

Today, in the name of mandatory universal health coverage, the Obama administration wants even more restrictions on medical freedom. Shouldn’t we consider the consequences on the decision-​making ability of doctors and patients of current coercive micromanagement when assessing the viability of yet newer coercive schemes?

Dr. Dappen figures he is better off with freedom. You and I are too.

This is Common Sense. I’m Paul Jacob.

Categories
responsibility tax policy too much government

March to Bankruptcy

I have warned, before, about the upcoming double-​barrel crisis aimed at the U.S. financial system: The insolvency of the U.S. government itself, as entitlement debt can no longer be kept afloat by FICA withholding, and as Treasury debt can no longer be maintained on a monthly basis simply because it has grown too big.

Last week our entitlement system’s trustees said that the current recession is so undermining Medicare Part A that payments for elderly care will fail in eight years, with Social Security itself imploding in less than 28.

That is, if the economy doesn’t get worse.

Medicare Part B, covering doctors’ visits and outpatient care, and Part D, covering prescriptions, are right now insolvent, sucking money from general revenues.

This crisis rushes closer, even as our president insists on reforming health care in ways that will almost certainly add new entitlements — which will also have to be paid for. 

President Obama says that more government will do the opposite of what it’s done in the past. Until now, government involvement in medicine has increased costs and prices. Now he says what he’ll do will make for more “efficiency.”

Why do politicians believe in the magic of their new programs rather than the history of their old ones?

Why is it that, in politics, irresponsibility rises to the top? 

However you answer that, the march to bankruptcy is picking up pace.

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.