Health Care Bill: How it Passed and What it Means

Category : Health Care, Politics, Weekly Feature

The passage of the health care bill was so depressing  that I avoided the topic for a few days, while concentrating on a much more positive subject; the long term viability of the paper industry. I am not familiar with the official ”steps of bereavement”, but I am in one of those steps, or maybe all of them. But life goes on, so I picked out a few items of special interest for you.

Unintended Consequences– Congress provides penalties and incentives in laws it passes but never properly gauges how our society will react to those inducements.  One is not required to know all of the details of the health care bill to understand that a 3,000 page document will change everything – and not in the way Congress intended.

An example is provided in Big Employers Rethink Their Healthcare Plans. Congress decided, in the new health care bill, to raise money to offset health care costs by taxing companies that provide drug-benefit programs for retired workers.

Among its many effects, the new health care law eliminated a tax deduction that companies used to cut the cost of drug-benefit programs for retired workers.

The potential tax revenue is big; AT&T will record a one billion dollar first quarter charge as a result, Caterpillar $150 million for Q1, and John Deere $150 million. So the companies are just resigned to paying this new tax, right? No, anyone with a clue would know that this would not happen. For instance…

“As a result of this legislation, including the additional tax burden, AT&T will be evaluating prospective changes to the active and retiree healthcare benefits offered by the company,” AT&T said Friday in a government filing.

This week, Verizon Communications Inc. sent a letter to employees suggesting that changes to their health plans could be afoot. AT&T and Verizon are the two largest phone companies in the U.S. and employ a substantial number of unionized workers.

So after the big companies bail out and no longer pay drug assistance for retired workers, who will pick up the tab?  That’s right, you and me.

Several million retirees are estimated to receive drug benefits from a few thousand companies. If those retirees were shifted to the federal Medicare program, the government would pick up the expense.

The net result of this item in the health care bill will be that the government takes over costs that had been assumed by large corporations. In addition, the revenue that Congress hoped to gain by taxing corporations will be a small fraction of what it hoped to gain. This was one brainless piece of legislation! The impact of government control, however, has much greater implications.

The government health care bill will create new mandatory employer costs. As a result, in the years to come, employee health care benefits will change from an optional benefit, to an obligation.  As this happens, most companies will reduce benefits to the level required by law.  At times, marginally profitable large and small businesses will find it impossible to fund health benefits, and will discontinue operations, further stifling economic growth.

The Anti-Abortion Democrats – This item is not an argument for or against abortion, it is about the deception and hypocrisy that took place during the health care bill negotiations.

The health care bill would not have passed without the support of anti-abortion Democrats in the house. So, in order to gain the support of this group, President Obama agreed to sign an executive order banning the use of federal funds for abortion. But the President is committed to “free choice” so why would he agree to this and undermine his position within this element of his constituency?  Well, the answer is simple. The executive order will only be symbolic. It will have no impact on anything.

Why then would the Democrats in the House agree to a symbolic gesture that would go against their consciences and everything they promised their pro-life constituents? Obviously, their opposition to abortion was symbolic as well. They have not voted their conscience nor kept their promises. This sham fooled no one and is childish. See the following passage from the Patriot Post.

One Democrat feeling the heat is Rep. Bart Stupak, the supposed “stalwart” pro-lifer from Michigan. Stupak led a small but seemingly determined band of Democrat congressmen opposed to the Senate bill’s permissiveness concerning abortion funding. As it turns out, it was all a show.

Stupak caved after Barack Obama promised an executive order banning the use of federal funds for abortions. Tellingly, even Planned Parenthood didn’t object because, first, the executive order isn’t legally binding; second, it can be revoked easily; and third, it said nothing that the bill didn’t already say. It changed nothing — federal funds will be used for abortions…

By the way, just two days before the vote, the Obama administration awarded $726,409 in grants to three airports in Stupak’s district…

And from Chuck Colson:

Up until that fateful day, it wasn’t clear whether Rep. Bart Stupak and other pro-life Democrats would support the health care bill. Then, Stupak made a stunning announcement. In exchange for Stupak’s support, the President would sign an executive order prohibiting the spending of federal funds for abortions…

But in the end, he and other pro-life Democrats have sold out the pro-life cause, and with it, the lives of the unborn.

Now, some abortion-rights advocates excoriated the President. The National Organization of Women said that it was “incensed” by the executive order. But as Bill McGurn wrote in yesterday’s Wall Street Journal, Planned Parenthood seems quite pleased. Why? Because as McGurn writes, “an Executive Order cannot change the law.”

That’s because the courts have made it clear that an executive order will have no effect. There are four “decades of federal appellate rulings that apply the principles of Roe v. Wade to federal health legislation.” … funding for abortions is required in federal health care programs unless “Congress clearly forbids such funding.” Absent a clear prohibition, executive orders and regulations can—and will be—overridden by the courts. The precedents are clear.

One Case Demonstrating the Expansion of Entitlements – The new health care bill allows for long term health care. The purpose of this item, keeping the elderly in their homes as opposed to nursing homes, is admirable. This could be accomplished, however, by addressing current Medicare guidelines. Instead we are building another new element of the health care bureaucracy that will be an entitlement sinkhole fraught with additional opportunities for fraud.

While the plan’s opponents don’t question the need for long-term care, they say the federal government should not be managing it, and they believe the program will eventually add to the deficit.

“This creates a whole new bureaucracy that is going to break this country,” .Nunes [Rep. Devin Nunes (R-CA)] said. “In the early years there will be money in it, but at the end of the day there won’t be enough money to cover the problems because there will be too many people in the program.”

Nunes says Republicans were blindsided by the provision because they were unable to see the final bill until the very end. But Democratic supporters say the provision, which was championed by the late Sen. Ted Kennedy, should not be controversial…

See, Little-Known Health Care Law Provision Is a Budget Buster, Critics Say.

The Issue is Costs Not Who Pays – The Democrats have this fixed size of the pie mentality so they are all about changing who pays for everything. In the end, however, we all pay for waste in government, excessive business regulations, needless environmental laws, and wasted health care expenditures. Waste slows economic growth. In fact, the quesion for the future might be whether there will be any economic growth at all. Economic growth is not a given.

Controlling costs should have been the emphasis of the health care initiative, but it was not. The following graph estimated growth in spending costs for Medicare and Medicaid even before the health care bill was passed. The health care bill will make the situation worse, not better.

This level of spending (as a % of GDP)  is not possible, of course, so rationing will begin before many years have passed. Rationing would not be necessary if we would make changes suggested here, or here,  and make lower costs a priority.

Which Country Has Universal Health Care?

Category : Health Care, Politics, Weekly Feature

Access Only – Universal access to health care is, in theory, a major flaw that the current health care legislation intends to fix. But is access to medical care really a problem in the U.S.?

Before we compare health care access in the U.S. with Canada, however, we want to emphasize that there are serious problems with the health care system in the U.S. Health care costs are much too high, and this results in costly health insurance, and high government expenditures. The reason costs are so extreme is a question for another time.

Other major difficulties include: (1)The issue of pre-existing conditions; (2) Very high insurance costs for those 55-64 years old who are not part of a large employer group; (3) Enormous litigation costs, especially the related impact of excessive tests and procedures; (4) Fraud accounts for maybe 10% of total health care expenditures; (5) The U.S. health care system has no compassion for those with assets, but not health insurance – if people choose to roll the dice, they can lose everything. (6) Americans are, in general, very much over medicated and over-tested. There are others issues, but high costs, in combination with these six issues are probably the primary problems. Continue Reading

“Shredding the U.S. Constitution”

Category : Health Care, Politics

Health care will be the theme this week-end. The Weekly Feature, to be posted on Sunday, will compare “universal health care” in Canada with health care availability in the U.S. We might get some comments on this one. Stand by up there in Canada.

This post is simply a continuation of the previous story on the attempt to jam the health care bill through Congress by means of “reconciliation”, and now “the Slaughter Solution”. You should probably read this earlier post first. Then see Pulling the Plug on Our Constitution. This is a good article for those interested in the subject. A few excerpts follow. Continue Reading

House Democrats and the Health Care Bill – There is No Law in Congress

Category : Health Care, Politics

Our Constitution was designed so that important new laws, capable of changing the fabric of our society, could not be passed with small majorities. The need for 60 votes in the Senate to bypass the filibuster option was intentional. It is imprudent to whipsaw the country from one side of an important issue back to the other based on small changes in the make-up of Congress. 

In an effort to pass the Health Care Bill, President Obama and the Democratic leadership has decided to circumvent this rule through a process called “reconciliation”. Reconciliation was designed as a method for dealing with budgetary impasses. It has never been used to pass a major overall of any institution in America. 

This tactic is abhorrent to any fair-minded person on either side of the issue. It is cheating, pure and simple; a disgusting end-run around Congressional rules. In fact, it was put in place to protect the public from the very kind of political irresponsibility that is being demonstrated by the Democratic majority in Congress. Continue Reading

Pelosi, “Pass Health Care Bill and Then We Will Tell You What is in It”

Category : Health Care, Politics

The lunacy continues as Congress prepares to circumvent the rules and vote on a health care bill the public does not want. This particular item of nonsense grabbed my attention even more than normal. Pelosi wants to pass the bill before we find out what is in it!

Decision time is here, and that’s it,” Pelosi said in a Wednesday briefing with reporters, adding that the House and Senate bills are 75 percent the same.

Earlier in the day, Pelosi suggested to the National Association of Counties that the bill must be passed before the details are all sorted out.

“We have to pass the bill so that you can find out what is in it, away from the fog of the controversy,” she told local executives.

Full story here.

Health Care in a Free Society

Category : Health Care, Politics, Weekly Feature

PAUL RYAN is in his sixth term as a member of Congress, representing Wisconsin’s First Congressional District. He is the ranking member of the House Budget Committee and a senior member of the House Ways and Means Committee.  Ryan is an exception to “Congress as usual”.  His health care agenda is thoughtful and gives us hope. If the Obama agenda is defeated, there are good options to consider.  A two-paragraph “teaser” gives you an idea of what to expect.

The good news is that we have a choice. There are three basic models for health care delivery that are available to us: (1) today’s business-government partnership or “crony capitalism” model, in which bureaucratized insurance companies monopolize the field in most states; (2) the progressive model promoted by the Obama administration and congressional leaders, in which federal bureaucrats tell us which services they will allow; and (3) the model consistent with our Constitution, in which health care providers compete in a free and transparent market, and in which individual consumers are in control.

We are urged today—out of compassion—to support the progressive model; but placing control of health care in the hands of government bureaucrats is not compassionate. Bureaucrats don’t make decisions about health care according to personal need or preference; they ration resources according to a dollar-driven social calculus. Dr. Ezekiel Emanuel, one of the administration’s point people on health care, advocates what he calls a “whole life system”—a system in which government makes treatment decisions for individuals using a statistical formula based on average life expectancy and “social usefulness.” In keeping with this, the plans that recently emerged from Congress have a Medicare board of unelected specialists whose job it would be to determine the program’s treatment protocols as a method of limiting costs.

For the full report click on Health Care in a Free Society.

A Compromise Health Care Proposal

Category : Health Care, Politics

President Obama is preparing another version of his health care bill. The second version (2400 pages) was more costly and controlling than the first so I am not optimistic, but you never know – maybe the President can be moved to the center.

Chuck Colson offered a compromise health care agenda today that he believes both parties could agree on. I still prefer the proposal that was published in the Atlantic Journal, but Colson’s plan could work. Go to “Hope for Health Care Reform” for a common sense alternative.

Black Liquor Subsidies Now a Presidential Shell Game

Category : Black Liquor, Health Care, Politics, Subsidies

The President and Congress, with help from the mainstream media, has morphed one of the most shameful acts in Congressional history into a populist political success. There are no words to express the disgust and disappointment that I feel after reading today’s stories.  The Dead Tree Edition has been following this story parallel with Reel Time and now this Blog.  Mr. Tree updates the situation today, as President Obama and his complicit media outlets have become  intimately commingled in this blatant lie. Please take a minute and read the following short post, Obama Joins in on the Black Liquor Two-Step

Senator Landrieu Defends “The Louisiana Purchase”

Category : Health Care, Politics

The $300 million that Louisiana Senator Landrieu required for her health care vote has been dubbed, by Republicans, as the Louisiana Purchase. The special Medicare cash that would flow to Nebraska, for Senator Nelson’s health care vote, has been labeled the Cornhusker Kickback. These are the only two nicknames that seem to have caught on – let me know if there are others. Continue Reading

Turning Victory Into Defeat

Category : Health Care, Politics

If the Democrats had not won such a large majority in 2008, the party would have been forced to work with Republicans to try to get legislation, such as health care, passed. The Democratic leadership would have been more restrained. The outrageous pay-for-vote scandals would have been less abusive. The President might even have agreed to speak with FOX news.

Instead they won a huge victory, and were able to pass any kind of legislation the party wanted. But absolute power corrupts absolutely. Arrogance and scandal has dripped off Democratic Congressional leaders for the past year. To my surprise, and to the surprise of those Democrats about to lose office, the American people were paying attention. Continue Reading