On Monday, the Washington Post’s Robert J. Samuelson ripped ObamaCare’s economic claims to shreds (bolds are mine; links were in original):
Almost everything you think you know about health care is probably wrong or, at least, half wrong. Great simplicities and distortions have been peddled in the name of achieving “universal health coverage.” The miseducation has worsened as the debate approaches its climax.
… How often, for example, have you heard the emergency-room argument? The uninsured, it’s said, use emergency rooms for primary care. That’s expensive and ineffective. Once they’re insured, they’ll have regular doctors. Care will improve; costs will decline. Everyone wins. Great argument. Unfortunately, it’s untrue.
A study by the Robert Wood Johnson Foundation (PDF here) found that the insured accounted for 83 percent of emergency-room visits, reflecting their share of the population. After Massachusetts adopted universal insurance, emergency-room use remained higher than the national average, an Urban Institute study found (PDF here).
… Studies of insurance’s effects on health are hard to perform. Some find benefits; others don’t. Medicare’s introduction in 1966 produced no reduction in mortality; some studies of extensions of Medicaid for children didn’t find gains. In the Atlantic recently, economics writer Megan McArdle examined the literature and emerged skeptical. Claims that the uninsured suffer tens of thousands of premature deaths are “open to question.” Conceivably, the “lack of health insurance has no more impact on your health than lack of flood insurance,” she writes.
Though it seems compelling, covering the uninsured is not the health-care system’s major problem. The big problem is uncontrolled spending, which prices people out of the market and burdens government budgets. Obama claims his proposal checks spending. Just the opposite. When people get insurance, they use more health services. Spending rises. By the government’s latest forecast, health spending goes from 17 percent of the economy in 2009 to 19 percent in 2019. Health “reform” would probably increase that.
… “If not now, when? If not us, who?” Obama asks. The answer is: It’s not now, and it’s not “us.” Pass or not, Obama’s proposal is the illusion of “reform,” not the real thing.
Obama, Pelosi, Reid et al don’t care about reform. They care about centralizing power over our lives. It could not be more obvious.
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Since the previous item touched on Massachusetts, it’s worth asking what Mitt Romney, the godfather of CommonwealthCare, aka RomneyCare, thinks of how things are going with so-called “universal coverage” in the Bay State.
A Wall Street Journal op-ed by Grace-Marie Turner today informs us that Romney believes things are going well.
Turner calls BS, and in the process adds yet another crucial reason why Objectively Unfit Mitt must be stopped if he runs (heavily excerpted because of the Journal’s subscription wall; bolds are mine):
Former Massachusetts governor and likely 2012 presidential aspirant Mitt Romney has been on the wrong side of the defining political battle of our time.
Mr. Romney claimed earlier this month on “Fox News Sunday” that the Massachusetts health reform plan he signed into law in 2006 is “the ultimate conservative plan.” But there are many similarities between it and the ObamaCare loathed by conservative voters.
Both have an individual mandate requiring most residents to have health insurance or pay a penalty. Most businesses are required to participate or pay a fine.
… Mr. Romney’s promise that getting everyone covered would force costs down also is far from being realized. … A typical family of four today faces total annual health costs of nearly $13,788, the highest in the country. Per capita spending is 27% higher than the national average.
… The state’s stubbornly high health costs are partly the result of intrusive government regulations that stifle competition in the insurance market and strict mandates on what services insurance must cover.
… Further, insurance companies are required to sell “just-in-time” policies even if people wait until they are sick to buy coverage. That’s just like the Obama plan. There is growing evidence that many people are gaming the system by purchasing health insurance when they need surgery or other expensive medical care, then dropping it a few months later.
Some Massachusetts safety-net hospitals that treat a disproportionate number of lower-income and uninsured patients are threatening bankruptcy.
… As one would expect, expanded insurance has caused an increase in demand for medical services. But there hasn’t been a corresponding increase in the number of doctors. As a result, many patients are insured in name only: They have health coverage but can’t find a doctor.
… For new patients who do get an appointment with a primary-care doctor, the average waiting time is 44 days, the Medical Society found.
… Mr. Romney insists that in Massachusetts, “We didn’t do what President Obama’s doing, which is putting controls on our system of premiums for private insurance companies.”
But that is what’s happening now: Faced with soaring medical expenses, Gov. Deval Patrick, Mr. Romney’s successor, wants to cap insurance rate increases at 4.8%, not the 8% to 32% increases the companies have requested for April 1. Three of the four major health insurers in Massachusetts showed operating losses for 2009.
… health care is likely to be the defining issue of the 2010 and 2012 elections. Unless Mr. Romney is more honest about the system he set in motion in Massachusetts, he will have a hard time convincing Republican primary voters that he has learned his health-care lesson.
We cannot be sure of that Republican primary voters will dismiss Romney, both because of the size of his personal checkbook and because the primary process is so fundamentally flawed in so many states, leaving it vulnerable to leftist and other tampering. My understanding is that any chance to fix the broken mess was lost at the 2008 Republican Convention when these matters were left alone. (Thank you, John McCain and the RINO establishment.)
Defeating a presidential candidate Romney in the Republican primaries, if it comes to that, is every bit as important as defeating Barack Obama in the 2012 general election. If Romney is the party’s nominee, there will be no remotely acceptable “major party” choice. Principled sensible center-righters (i.e., the large majority of the electorate) will have no alternative but to unite behind a third-party candidate.
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Last night, Mark Levin announced on his show that his Landmark Legal Foundation will challenge any health care legislation “passed” using the Slaughter gambit:
Mark announces that the Landmark Legal Foundation and he are prepared to fight this health care bill if it is passed via the Slaughter rule. They will challenge the constitutionality of the bill because you cannot have a law that is not voted on by Congress – as explicitly said in the Constitution. No previous Congress has ever said that it’s passed a bill when it hasn’t. The reason the politicians are lying and scheming as they try to get Obamacare passed, is because they realize the American people are against it on higher levels than ever before.
Don’t believe the talking points crap (direct YouTube) that it has been done a hundred times before. It hasn’t been; this is unprecedented, and frankly frightening to anyone who believes in what’s left of the Constitution and the rule of law.