Category Archives: Health

The Life Of Julia

Part of the overwhelming feeling of relief after the election was that it offered an opportunity to escape from it, something that I had feared was lost, and would have been under continued Democrat rule:

In a state in which central planners call the shots, we are less and less free to choose. Individual enterprise becomes desperately unrewarding, or even illegal. Freedom fades, and bureaucratic dictates supplant the information and incentives that are part of free markets. Economic growth declines, and people fight over access to the favors of the state elite and their bureaucratic retinue, the overlords who decide who gets what slice of the shrinking vegetarian meatloaf.

That’s the real life of Julia, the direction in which the country has been heading for too many years now, while Obama has scolded Americans that whatever they earn, or achieve, or invent, belongs — cradle-to-grave — to someone else: “You didn’t build that.”

To watch America in recent years spiraling down into the life of Julia has been excruciating. This is a country made great not by conquest, or constraints, or cross-subsidies, but by freedom and free enterprise. Long before the welfare state offered free amenities (courtesy of American taxpayers), it was freedom that drew people to America, and fueled the melting pot — the real form of “inclusivity” — once they arrived. Our true iconic figures — if you plumb the American spirit — are not Julia and Pajama Boy, but sharpshooter Annie Oakley and that out-sized folklore lumberjack of the Western frontier, Paul Bunyan. This is the country that led the way to victory in World War II, and during the Cold War stood — and in some places fought — as a bulwark of freedom.

And here’s what the real Life of Julia would be under government “care.”

And a reminder: if you want to know what “single payer” health care would look like, you need look no further than the VA:

Nearly 600 veterans could have been infected with HIV, Hepatitis B or Hepatitis C at a Veterans Affairs facility in Tomah, Wis. because a dentist didn’t properly clean his instruments.

The Tomah VA is investigating the dentist, who has not been fired but was removed from patient care.

No accountability.

ObamaCare RIP

The Republicans have a plan:

While a full repeal would have to originate in Congress, Price’s nomination promises quick action to roll back regulatory changes that come from the blank-check authority given to HHS by the ACA. The controversial contraception mandate will almost certainly be at the top of that list. Price has opposed that from the moment Kathleen Sebelius issued the regulation, specifically citing its infringement “with our fundamental right to religious freedom.”

Twila Brase, president of the Citizens’ Council for Health Freedom, reminded the Examiner’s Robert King that Price can easily undo most of what Sebelius implemented while waiting for Congress to act. “There are tens of thousands of pages of Obamacare regulations that can be rescinded, amended or left unenforced on the way to repeal, and we encourage him to make every effort to begin shutting down Obamacare by shutting down its regulations.” Such are the vulnerabilities of regulatory legacies.

Democrats have been quick to counter with accusations that Trump and his new administration will leave low-income Americans without health coverage. Obamacare also expanded Medicaid, which most states have adopted, and which accounts for nearly half of the claimed 20 million consumers who gained insurance after its adoption. Repealing Obamacare, its advocates claim, will leave those Americans in the lurch.

Trump’s second appointment this week provides a clear answer to those accusations. Seema Verma will take over the Centers for Medicare and Medicaid Services after having worked with vice-president elect Mike Pence to craft Indiana’s Medicaid expansion, as well as with Kentucky’s Matt Bevin and a handful of other Republican governors. Verma helped create Healthy Indiana 2.0 plan (HIP), a program that mixes the base coverage of Medicaid with tax credits and HSAs to produce incentives making utilization more efficient and effective.

Live by the pen and the phone, die by the pen and the phone.

Trump Chooses A Physician

…to heal the health-care disaster the Democrats gave us:

While some Republicans have attacked the Affordable Care Act without proposing an alternative, Mr. Price has introduced bills offering a detailed, comprehensive replacement plan in every Congress since 2009, when Democrats started work on the legislation. Many of his ideas are included in the “Better Way” agenda issued several months ago by House Republicans.

In debate on the Affordable Care Act in 2009, Mr. Price railed against “a stifling and oppressive federal government,” a theme that pervades his politics. His most frequent objection to the law is that it interferes with the ability of patients and doctors to make medical decisions — a concern he will surely take with him if he wins Senate confirmation.

“The practicing physician and the patient could not have a better friend in that office than Tom Price,” said Representative Michael C. Burgess, Republican of Texas, who is also a physician.

That’s “Dr. Price,” to you, New York Times.

I’m sure that the Dems will fight tooth and nail to prevent his confirmation, but Harry Reid screwed them with his nuclear option. Sauce for the goose, sauce for the gander.

[Update a few minutes later]

Here’s how Trump’s HHS pick wants to replace Obamacare:

I wrote about the most recent version of Price’s plan in detail when it came out last year, but here’s how it would basically work.

It would repeal the text of Obamacare, and replace it with a system that would provide tax credits to individuals based on age. Though previous versions had varied the credits based on income, doing so by age is easier to administer (HHS won’t get into the problems it’s had with Obamacare in terms of verifying income for the purposes of the subsidies) and it also provides more money to those who have to pay more for insurance. In addition, there would be a one-time tax credit to put in a health savings account for routine medical expenses.

Unlike previous incarnations of GOP reform proposals, the plan only modestly meddles with the tax bias in favor of employer insurance, and also encourages small businesses to band together to purchase insurance through trade associations and allows for the sale of insurance across state lines. He also calls for providing grants to states to cover those with pre-existing conditions (one way Trump may square his promises to repeal Obamacare while offering something to those with such illnesses).

It’s got some problems, but it would be a huge improvement over the current Charlie Foxtrot. But then, almost anything would.

Statins

No scientific evidence for their use.”

It’s not just nutrition that’s a scientific Charlie Foxtrot. I had a cardiologist in Florida try to put me on Lipitor a few years ago. I told her, “there’s no scientific evidence that it reduces heart risk in people like me,” I told her. “Where did you hear that?” she demanded. “The Pfizer web site,” I replied. She was flabbergasted.

Trump And ObamaCare

No, amending it won’t work. They deliberately designed it to ensure that it wouldn’t.

Allowing people to buy insurance with pre-existing conditions remains as economically insane as when it was first proposed. There are better ways to deal with this than effing up the insurance market. And 26-year olds are supposed to be adults, though that’s just stupid, but not as economically harmful.

[Update a few minutes later]

And yes, live by reconciliation, die by reconciliation. Have it on his desk to sign on his first day.