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Very Unhealthy
October 21st, 2008I’d rather be writing songs than writing about health care, but some days duty calls.
I was politely challenged by a Democrat and left-leaning to the point of toppling over friend on my assertion that Barack Obama’s proposals, aside from being socialist and thus by definition un-American, were a series of slow motion train wrecks. My alleged friend allowed me to monologue on any single topic. Given that I’m sick of this long presidential race, healthcare seemed like an appropriate subject.
Obama’s proposals (shifting as they do like the sands of the Sahara) are semi-permanently documented on his campaign web site. Ignoring for the moment that there is nearly zero Constitutional authority for any of his schemes (which is odd considering he once taught constitutional law) we see the following logical and economic disasters in waiting (note that the proposals are directly copied/pasted from Obama’s site):
Proposal: Require insurance companies to cover pre-existing conditions so all Americans regardless of their health status or history can get comprehensive benefits at fair and stable premiums.
This proposal requires two elements of force: First, it requires insurance companies to cover people with known risks. The modern parallel is the subprime mortgage mess where government required banks to lend to people with known risks (low income, spotty credit histories, etc.) The natural response for any businessman would be to raise prices to cover these risks, but Obama promises “comprehensive benefits” (i.e., everything is covered) at “fair and stable prices” which would require price fixing. So Obama will raise insurance company risk while restricting their revenues which will lead to bankruptcies and people losing their coverage.
Great plan Barry. But Barry was dumb enough to snort coke so his risk assessment skills are pretty low.
Proposal: Prevent insurers from overcharging doctors for their malpractice insurance and invest in proven strategies to reduce preventable medical errors.
Rephrased, Obama will restrict insurance companies from charging the rates they need to survive the onslaught of ambulance chasers. This squeeze will result in companies getting out of the malpractice insurance business. Unable to find malpractice insurance will cause doctors to go out of business and be forced to practice in HMOs … and we all know how popular HMOs are.
Proposal: Make employer contributions more fair by requiring large employers that do not offer coverage or make a meaningful contribution to the cost of quality health coverage for their employees to contribute a percentage of payroll toward the costs of their employees health care.
In other words if you do not provide your employees health insurance then we will force you to provide it anyway, and to provide as much as we tell you to. This could result in employers dropping more than insurance coverage — they’ll drop employees. I’d rather have a job and buy my own insurance than have no job and no insurance to boot.
Proposal: Establish a National Health Insurance Exchange with a range of private insurance options as well as a new public plan based on benefits available to members of Congress that will allow individuals and small businesses to buy affordable health coverage.
Barack foresees a government run exchange (as opposed to the existing public exchanges) with the addition of a set of taxpayer subsidized insurance plans that compete with private plans. This will drive private insurance into the grave because private insurers do not receive subsidies from the taxpayers. This will insure “universal health care” because soon there will be no alternatives to government coverage.
Proposal: Lower drug costs by allowing the importation of safe medicines from other developed countries, increasing the use of generic drugs in public programs and taking on drug companies that block cheaper generic medicines from the market
The problem is that the drug prices in other countries for American designed drugs are lower because foreign countries set the price below market value. To compensate and make back the billions of dollars they spend on R&D, the drug companies raise U.S. prices. If Obama has his way U.S. drug companies will not be able to make back their R&D money and thus will quit inventing new drugs, effectively killing the American pharmaceutical industry and a few Americans in the process.
Proposal: Reform the insurance market to increase competition by taking on anticompetitive activity that drives up prices without improving quality of care.
Problem here is that the government created an anticompetitive insurance industry at the request of … the insurance industry (I’d love to not have competition too). You are not allowed to buy insurance from the state or country of your choice, and states (with Congressional support) mandate the services you must pay for, even if you don’t use them. For example my gay friend David bitches that he has to pay his insurance company for contraceptives and in vitro fertilization service that he obviously will never use.
If all this sounds good to you, then you need socialized medicine and need your head examined.











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