Tuesday, April 13, 2010
Nation Faces Shortage of 150,000 Doctors in 15 Years
The new federal health-care law has raised the stakes for hospitals and schools already scrambling to train more doctors.
Experts warn there won't be enough doctors to treat the millions of people newly insured under the law. At current graduation and training rates, the nation could face a shortage of as many as 150,000 doctors in the next 15 years, according to the Association of American Medical Colleges.
That shortfall is predicted despite a push by teaching hospitals and medical schools to boost the number of U.S. doctors, which now totals about 954,000.
Wednesday, April 7, 2010
Health Care Overhaul Spawns Mass Confusion for Public
HAHAHAHAHAHA!
Two weeks after President Barack Obama signed the big health care overhaul into law, Americans are struggling to understand how — and when — the sweeping measure will affect them.
Questions reflecting confusion have flooded insurance companies, doctors' offices, human resources departments and business groups.
"They're saying, 'Where do we get the free Obama care, and how do I sign up for that?' " said Carrie McLean, a licensed agent for eHealthInsurance.com. The California-based company sells coverage from 185 health insurance carriers in 50 states.
McLean said the call center had been inundated by uninsured consumers who were hoping that the overhaul would translate into instant, affordable coverage. That widespread misconception may have originated in part from distorted rhetoric about the legislation bubbling up from the hyper-partisan debate about it in Washington and some media outlets, such as when opponents denounced it as socialism.
Monday, March 29, 2010
A Healthy Dose of Catastrophe
Congress voted to subject the 28 percent tax benefit to the regular good ol' American-as-apple-pie corporate tax rate of 35 percent. For the purposes of comparison, Sweden's corporate tax rate is 26.3 percent, and Ireland's is 12.5 percent. But just because America already has the highest corporate tax in the Organization for Economic Co-operation and Development is no reason why we can't keep going until it's double Sweden's and quadruple Ireland's.
If you impose a sudden 35 percent tax on something, are you likely to get as much of it? Go on, take a wild guess. On the day President Obama signed Obamacare into law, Verizon sent an e-mail to all its employees warning that the company's costs "will increase in the short term." And in the medium term? Well, U.S. corporations that are able to do so will get out of their prescription drug plans and toss their retirees onto the Medicare pile. So far, just three companies - John Deere & Co., Caterpillar and Valero Energy Corp. - have calculated that the loss of the deduction will add a combined $265 million to their costs. An additional 3,500 businesses presently claim the break. The cost to taxpayers of that 28 percent benefit is about $665 per person. The cost to taxpayers of equivalent Medicare coverage is about $1,200 per person. So we're roughly doubling the cost of covering an estimated 5 million retirees.
Friday, March 26, 2010
Obamacare Prescription: 'Emergency Health Army'
According to Section 5210 of HR 3590, titled "Establishing a Ready Reserve Corps," the force must be ready for "involuntary calls to active duty during national emergencies and public health crises."
The health-care legislation adds millions of dollars for recruitment and amends Section 203 of the Public Health Service Act (42 U.S.C. 204), passed July 1, 1944, during Franklin D. Roosevelt's presidency. The U.S. Public Health Service Commissioned Corps is one of the seven uniformed services in the U.S. However, Obama's changes more than double the wording of the Section 203 and dub individuals who are currently classified as officers in the Reserve Corps commissioned officers of the Regular Corps.
Wednesday, March 24, 2010
Obama Administration Awarded Hundreds of Thousands in Airport Grants to Stupak’s District 2 Days Before Vote
Was this Yet Another Backroom Deal to Force Obama’s Bill Down the American People’s Throats?
Three airports in the district of infamous fence-sitting and ultimately kowtowing Democrat Bart Stupak were awarded $726,409 in grants by the Obama Administration just two days before a vote on Obama and Pelosi’s government takeover of healthcare.
Did Stupak compromise his supposed principled stand against taxpayer funding of abortion in exchange for taxpayer dollars for pet projects?
Monday, March 22, 2010
Macroeconomic Effects of Obamacare
- Result in an average of 115,000 lost job opportunities per year
- Reduce productivity by an average 0.01 percentage points per year
- Lose $1.37 in gross domestic product (GDP) for every dollar of additional revenue collected
- Reduce household disposable income by $17.3 billion[1] per year
- Reduce the stock of household real net wealth by an average $267 billion per year.
What House Passage of the Senate Health Bill Means for America
New Middle-Class Taxes. The President solemnly promised that he would not impose any new taxes on American households making less than $250,000. The Senate bill shatters this promise.
For example, the excise tax on high-cost health insurance plans would overwhelmingly hit middle-class taxpayers. Likewise, special federal premium taxes in the Senate bill would also be passed down to consumers, resulting in premium increases that would be higher than they would otherwise be.[6] In addition to taxes on health insurance, the Senate bill would also create new taxes on medical necessities such as prescription drugs and medical devices.[7]
Beyond these new taxes, the President’s proposal would add yet another provision (presumably for consideration in the budget reconciliation process) that would tax investment income. This would result in 115,000 lost job opportunities and a net reduction of $17.3 billion annually in household disposable income.[8] Amidst a recession, this is a stunningly bad idea.
Increased Health Insurance Premiums. The President initially promised that Americans would see a $2,500 annual reduction in their family health care costs. But under the Senate bill, premiums would go up for millions of Americans. In fact, according to the CBO, estimated premiums in the individual market would be 10–13 percent higher by 2016 than they would be under current law.[9]
Monday, January 25, 2010
Monday, January 11, 2010
Tom Harkin - Healthcare is an Inalienable Right
I beg to differ Mr. Harkin:
The End of Insurance
A key insurance concept is the need for a large, diversified pool of policyholders so that the insurance company can predict the pool's catastrophic events, and so that such events will be rare. Any concentration of risk in the insurance pool will increase premiums, given the negative impact of those excess payouts on the insurance company's bottom line. Obama and Reid have produced a bill that turns this insurance concept on its head by i) preventing underwriting based on medical risk and ii) requiring citizens (and employers) to purchase insurance or pay a fee. This combination guarantees an adverse selection problem whereby healthy people will pay the cheaper fee until sick and in need of insurance, whereupon they will enroll for non-deniable insurance. Risk pools will become sick pools, and insurance will become a pass-through vehicle for the cost of sick policyholders. The benefit of healthy participants, formerly shared by all policyholders, will be eliminated.
Risk-sharing is another key insurance concept. The policyholder and the insurer share risks and costs, but in exchange, the policyholder is mostly or fully protected against catastrophic economic loss (a home burning down, death, or expensive illness). When the policyholder retains non-catastrophic but more frequent expenses, the cost of the insurance (the premium) is reduced because the insurance company need charge less to make the same shareholder return. Obama and Reid have produced a bill that must raise policyholder premiums because it increases insurance company expenses by i) taxing drugs, devices, and policies; ii) eliminating "unreasonable" annual or lifetime limits on insurance company payouts; and iii) establishing maximum out-of-pocket limits for policyholders.
Because every liberal Democratic policy must be rooted in class envy, Barack Obama has vilified the health insurance companies. His lynch-mob sentiment is again defied by facts -- these insurance "robber barons" are not very profitable, nestled somewhere between the 35th- and 86th-most profitable U.S. industries, with a 2-3% return on sales.
Nonetheless, Obama and Reid reassure us that profits will be regulated through state exchanges, cost incurrence mandated, and minimum policy standards established. In other words, health insurance pricing, profits, and products will be governmentally determined. That's a regulated public utility, a framework typically used to address monopolistic situations (not the case with health insurers and potentially unconstitutional).
Obama's and Reid's plan not only increases costs as described above, but also by requiring coverage of numerous non-catastrophic ($25-$400) items -- abortion, prescription drugs, lab services, wellness and preventative services, oral care, and vision care. For all these reasons, the bill will dramatically increase insurance company costs with one of only two possible conclusions -- premiums will increase commensurate with costs through the utility model (government-controlled health care), or government-imposed price controls will drive private sector players out of business (government-owned health care).
The Senate bill also funds abortion. If you are confused on that point, that's a desired effect of its complexity. Nothing about states opting in/out or policyholders paying a separate $12 premium for a $400 procedure changes this. The reason Obama favors the Senate over the House version (that directly prohibits federal funding of abortion) is obvious, given his pro-abortion record.
A baby's heart begins beating about 20 days, hiccups begin 52 days, and organs function eight weeks after conception.
Minority babies have been disproportionately affected because most abortion facilities target lower-income mothers unaware of pro-life choices and the availability of prenatal care. (Eighty percent of Planned Parenthood locations are in minority neighborhoods.) Since Roe v. Wade, it is estimated that one-third of the black population has been eliminated, killing 13 million black babies totaling 40+% of all abortions despite the fact that only 12% of all U.S. women are black.
Thursday, January 7, 2010
Interstate Health Insurance
http://www.govtrack.us/congress/billtext.xpd?bill=h111-3824
It is no secret that this page is all for competition in the marketplace. If indeed that's the goal, allow us to suggest a path to it that will be a lot easier than erecting the impossible dream of a public option: Let insurance companies sell health-care policies across state lines.
Health and Human Services Secretary Kathleen Sebelius routinely calls for more choice and competition in health care.
"There are states and localities where health care is much less expensive than others, and if we allow people to buy all their insurance from those places, it will raise the rates there. And it's called risk selection. It's a real problem, given the fact that health care costs can vary substantially from one place to another. So I think while the idea sounds appealing, the consequence would be it would make health care more expensive for those people who live in those low-cost areas."
[John Rother's] claim assumes that what makes insurance expensive in places like New Jersey—where the annual cost of an individual plan for a 25-year-old male in 2006 was $5,880—is merely the higher cost of medical services in the Garden State. He sounds an alarm in the rest of the country by suggesting that an individual living in, say, Kentucky—where an annual plan for a 25-year-old male cost less than $1,000 in 2006—would be asked to subsidize plan members living in high-priced states.
That's not how interstate insurance would work
A 2008 publication "Consumer Response to a National Marketplace in Individual Insurance," (Parente et al., University of Minnesota) estimated that if individuals in New Jersey could buy health insurance in a national market, 49% more New Jerseyans in the individual and small-group market would have coverage. Competition among states would produce a more rational regulatory environment in all states.
This doesn't mean sick people who have kept up their coverage but are more difficult to insure would be left out. Congressman Shadegg advocates government funding for high-risk pools, noting that their numbers are tiny. The big benefit would come from a market supply of affordable insurance.
Interstate competition made the U.S. one of the world's most efficient, consumer driven markets. But health insurance is a glaring exception.
Racially Discriminatory Provisions in Healthcare Bill
http://www.americanthinker.com/blog/2009/08/racism_in_health_care_bill_see.html
http://www.usccr.gov/correspd/LetterPresidentSenatorsHealthCare12-11-09.pdf
Now it sees the House health care bill having provisions that are racially discriminatory.
How? By making overt a preference to award billions of taxpayer dollars and preferential treatment to minority students for scholarships, and favoring medical schools that have a record of sending graduates to areas with inadequate health care services.
"These programs are unlikely to reduce health care disparities among racial and ethic groups," according to the draft letter obtained by The Washington Times. "A growing body of evidence indicates that increasing access to high-quality physicians - whatever their racial or ethnic ancestry - is the best way to mitigate such disparities."
"No matter how well-intentioned, utilizing racial preferences with the hope of alleviating health care disparities is inadvisable both as a matter of policy and as a matter of law."
Married Couples Pay More Than Unmarried Under Health Bill
The built-in "marriage penalty" in both House and Senate healthcare bills has received scant attention. But for scores of low-income and middle-income couples, it could mean a hike of $2,000 or more in annual insurance premiums the moment they say "I do."
The disparity comes about in part because subsidies for purchasing health insurance under the plan from congressional Democrats are pegged to federal poverty guidelines. That has the effect of limiting subsidies for married couples with a combined income, compared to if the individuals are single.
People who get their health insurance through an employer wouldn't be affected. Only people that buy subsidized insurance through new exchanges set up by the legislation stand to be impacted. About 17 million people would receive such subsidies in 2016 under the House plan, the Congressional Budget Office estimates.
If the bill passes in its current form, it would be far from the first example of federal and social benefits creating incentives to remain single. Under current law, marriage can have a negative impact on a person's ability to claim the earned income tax credit and welfare benefits including food stamps.
Wednesday, January 6, 2010
Obama Promised Televised Healthcare Negotiations
http://www.lifesitenews.com/ldn/2010/jan/10010514.html
As Democrat leaders commence their final round of negotiations on the health care bill in secret meetings following the Christmas holiday, C-SPAN has issued a letter to the president and lawmakers challenging them to live up to their promises of transparency and allow the network to cover the proceedings.
"President Obama, Senate and House leaders, many of your rank-and-file members, and the nation's editorial pages have all talked about the value of transparent discussions on reforming the nation's health care system," wrote C-SPAN's Brian Lamb to congressional leaders in a letter dated December 30.
"Now that the process moves to the critical stage of reconciliation between the Chambers, we respectfully request that you allow the public full access, through television, to legislation that will affect the lives of every single American."
Sunday, January 3, 2010
The Obamacare Horror Story You Won’t Hear
Following the Adams incident, the American College of Emergency Physicians (ACEP) blasted Mrs. Obama and Mr. Axelrod’s grand plan. The group released a statement expressing “grave concerns that the University of Chicago’s policy toward emergency patients is dangerously close to ‘patient dumping,’ a practice made illegal by the Emergency Medical Labor and Treatment Act (EMTALA)” – signed by President Reagan, by the way – “and reflected an effort to ‘cherry pick’ wealthy patients over poor.”
Rewarding political cronies at the expense of the poor while posing as guardians of the downtrodden? Welcome to Obamacare.
Tuesday, December 22, 2009
By 2019, 24 Million People Will Remain Uninsured Under Obamacare
http://www.cnsnews.com/news/article/57454
http://www.cbo.gov/ftpdocs/107xx/doc10731/Reid_letter_11_18_09.pdf
Under the health care bill introduced by Senate Majority Leader Harry Reid (D-Nev.) on Wednesday, by 2019 taxpayers will be paying $196 billion per year to subsidize other people’s health insurance coverage, but there still will be 24 million uninsured people in America, according to the Congressional Budget Office and the Joint Committee on Taxation.
According to an analysis published Wednesday by the CBO and JCT, this subsidy will cost taxpayers $196 billion per year by 2019 but will still leave 24 million people uninsured in America, about 8 million of whom will be illegal aliens. The estimate assumes that there would otherwise be about 55 million uninsured people in the United States.
$100 Million Item for Senator Dodd's Healthcare Vote
A $100 million item for construction of a university hospital was inserted in the Senate health care bill at the request of Sen. Christopher Dodd, D-Conn., who faces a difficult re-election campaign, his office said Sunday night.
The legislation leaves it up to the Health and Human Services Department to decide where the money should be spent, although spokesman Bryan DeAngelis said Dodd hopes to claim it for the University of Connecticut.
Friday, December 11, 2009
You Will Lose Your Private Health Insurance
By Robert Tracinski
Before Thanksgiving, the Senate voted to opening debate on President Obama's health-care bill, and that debate has begun in earnest this week.
Well, if they want a debate, let's let them have it. But let's not get distracted by the sideshows Senate Majority Leader Harry Reid has planned for us. Receive news alerts Sign Up Robert Tracinski RealClearPoliticsHealth care
Forget about abortion. Of course the left will accept restrictions on funding for abortion, because they want to keep moderate Democrats on board for the goal they know is really important: giving the government a dominant role in health care. Everything else is just details, and funding for abortions is an issue to which the left can return at leisure later on-once government is firmly in charge of everything.
And don't bother debating the "public option," either, because it's already dead; enough Democratic senators have come out against it. But Harry Reid is all too happy to have a debate over the public option so he can make a show of "compromising" and giving it up. And while we're having that fake debate, he's hoping that we won't be challenging everything else in the bill.
So let's get straight what the real essentials of the bill are-and how disastrous they are.
Three provisions constitute the vicious heart of the Democrats' health-care overhaul.
The first is "guaranteed issue" and "community rating." This is the requirement that insurance companies have to offer coverage to people who are already sick, and that they be limited in their ability to charge higher rates for customer who pose a higher risk. The extra expense to the insurance companies of covering people with pre-existing conditions will get passed on to existing customers in the form of higher premiums. But why spend years paying these inflated premiums for insurance you're not using, when you can get exactly the same benefits by waiting until you actually fall ill? The obvious result is that million of people, especially healthy young people, will quickly realize that there is no reason to buy health insurance until they get sick.
Rather than increasing the number of insured by making health insurance more affordable, this bill makes health insurance more expensive and increases the incentive to simply drop your insurance until you need someone to pay for your medical bills. It is an attempt to turn health insurance into what the left really wants: another welfare program in which everyone is entitled to free benefits, mandated by the government. But this would wreck private health insurance, making the whole industrial financially unsustainable.
Following the usual pattern of government intervention, the health-care bill offers another intervention as the solution for the problem created by the first. The "individual mandate" requires everyone to buy health insurance and subjects us to a tax if we fail to do so. But this is an especially onerous new tax, the first tax not tied to any kind of income or activity. It's not a tax on stock-market profits, say, or a tax on buying cigarettes. It's just a tax for existing.
So fearing a public backlash, Congress didn't have the guts to make this new tax very large-only $750. Yet actual insurance can cost more than $3,000 per year-and as we shall see, this legislation goes out of its way to drive up those rates by mandating more lavish coverage. So we end up getting the worst of both worlds. This provision won't actually drive anyone to buy health insurance and prop up the risk pools for those who are insured. All it will accomplish is to create a brand new form of tax.
But the biggest power-grab in the bill is the government takeover of the entire market for health insurance. The bill requires all new policies to be sold on a government-controlled exchange run by a commissioner who is empowered to dictate what kinds of insurance policies can be offered, what they must cover, and what they can charge.
Right now, your best option for reducing the cost of your health insurance is to buy a policy with a high deductible, which leaves you to pay for routine checkups and minor injuries (preferably from savings held in a tax-free Health Savings Account) but which covers your needs in catastrophic circumstances-a bad car accident, say, or expensive treatment for cancer. This is the kind of coverage I have.
But the health-insurance exchange is intended to eliminate precisely this kind of low-cost catastrophic coverage. Its purpose is to force health-insurance companies to offer comprehensive coverage that pays for all of your routine bills-which in turn comes at a higher price. So under the guise of making health insurance more affordable, this bill will restrict your menu of choices to include only the most expensive options.
So there we have the real essence of this bill. It restricts our choice of which insurance to buy and pushes us into more expensive plans. At the same time, it destroys the economic incentive to purchase insurance in the first place and replaces insurance with a free-floating tax on one's very existence.
By all means, let's debate some of that in the Senate.
When you understand what this bill does, you can see why the Democrats would be happy to compromise and drop the public option-for now. This bill so comprehensively wrecks private health insurance that pretty soon a "public option" will seem like the only alternative, and they will already have put into place one of the new taxes needed to pay for it. If the left's goal is to impose socialized medicine in America, this bill does it in the most callous and destructive way possible. It smashes private health care-then leaves us stranded in the rubble, at which point we will be expected to come crawling back to the same people who caused the disaster and ask them to save us.
That is the final and perhaps most compelling reason to kill this bill: the sheer arrogance of the whole enterprise. It is the arrogance of stampeding an unwilling public toward a monstrous 2,000-page piece of legislation while admitting that it still has huge problems, but promising that it will all somehow be fixed later on. It's the arrogance of selling us a bill that expands government spending by hundreds of billions of dollars while telling us that it will reduce the deficit. It is the sheer unmitigated gall of appointing a bureaucrat to run a government-controlled insurance market that takes away all of our health choices-and then calling this bureaucrat the Health Choices Commissioner.
That's the kind of government arrogance that has to be smacked down hard, and that alone is reason to demand that your senator reject this vicious bill in its entirety.
Thursday, December 10, 2009
Obama Used Faulty Anecdote in Sept 9, 2009 Speech to Congress
http://www.youtube.com/watch?v=MHWeanYoIF8
President Barack Obama, seeking to make a case for health-insurance regulation, told a poignant story to a joint session of Congress last week. An Illinois man getting chemotherapy was dropped from his insurance plan when his insurer discovered an unreported gallstone the patient hadn't known about.
"They delayed his treatment, and he died because of it," the president said in the nationally televised address.
In fact, the man, Otto S. Raddatz, didn't die because the insurance company rescinded his coverage once he became ill, an act known as recission. The efforts of his sister and the office of Illinois Attorney General Lisa Madigan got Mr. Raddatz's policy reinstated within three weeks of his April 2005 rescission and secured a life-extending stem-cell transplant for him. Mr. Raddatz died this year, nearly four years after the insurance showdown.
Wow, despite the insurance company not being in the best light here, you would like the most power person in the world would be able to get his ONE anecdote correct.