Category Archives: Health

Business, Economics, Health, Media Criticism, Political Commentary

ObamaCare RIP

10 Comments

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 “There are tens of thousands of pages of Obamacare regulations that can be rescinded, amended or left unenforced on the way to repeal, and we encourage him to make every effort to begin shutting down Obamacare by shutting down its regulations.”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.

Business, Economics, Health, Law, Media Criticism, Political Commentary

Trump Chooses A Physician

1 Comment

…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.

Business, Health, Media Criticism, Political Commentary, Science And Society, Technology and Society

Statins

2 Comments

“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.

Business, Economics, Health, Law, Media Criticism, Political Commentary

Trump And ObamaCare

21 Comments

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.

Business, Culinary, Health, Media Criticism, Political Commentary, Science And Society, Technology and Society

Counting Calories

3 Comments

These may be the stupidest people in the world:

Based on its menu board, Desmond bought a chorizo burrito at the Chipotle restaurant on San Vicente Boulevard in Los Angeles on Nov. 3 believing that it contained 300 calories, the suit states. But after consuming the product, Desmond “felt excessively full and realized that the burrito couldn’t have been just 300 calories,” according to the complaint.

Two days later, Gurevich bought a chorizo burrito at the Chipotle location on Riverside Drive in Toluca Lake and similarly realized after eating it that had more than the 300 calories advertised, the suit says.

You can’t tell how many calories are in food by how “full” you feel after eating it. Nutritional labeling is part of the general public-health disaster that has been nutrition “science” for decades.

And speaking of which, “researchers” are shocked to discover that kids are healthier, with lower body fat and higher vitamin D levels, on whole milk.

No one should be consuming low-fat dairy products, which are a nutritional abomination. Michelle’s school-lunch program literally constitutes physical child abuse.

Business, Culinary, Health, Media Criticism, Political Commentary, Science And Society, Technology and Society

Whole-Fat Dairy

5 Comments

Five reasons you should be eating it. No one should be eating low-fat dairy, or low-fat food in general. It’s all an abomination based completely on junk nutritional science over decades.

I should note that Costco only sells zero-fat Fage yogurt (last I checked). They make a 2%, but not a whole-fat version. But Trader Joe’s has started to make a whole-milk version, and it tastes great, and is only two bucks, compared to $2.67 for lower-fat versions, and more than that for Fage.