Sorry, No Health Care for You part 2
In my previous post, Sorry, No Health Care for You part 1 , I commented on Sen. Kennedy’s piece in NEWSWEEK. I’d like to comment on another portion of it. It is a point that has been getting a fair amount of attention recently. Kennedy tries to skim over it, spin it heavily, and put it in the best light possible, but it is still there. That point is the rationing of health care to the elderly. The idea is that Grandma and Grandpa have had a long life, and since the resources of a government run health care system will be finite, it must, by necessity, limit the amount of money it spends on the elderly. To state it plainly, health care for the elderly is too expensive for the government to pay for so they have to find ways of lowering the cost… or just get rid of the elderly.
As we age, we naturally develop more health problems, meaning we’ll need to see a doctor more often and take more medicines. This would put a strain on a government run health care system. It would have to be limited in order for the system to have some sort of viability.
In his NEWSWEEK piece, Kennedy writes, “For example, in Medicare today, 18 percent of patients discharged from a hospital are readmitted within 30 days—at a cost of more than $15 billion in 2005. Most of these readmissions are unnecessary, but we don’t reward hospitals and doctors for preventing them. By changing that, we’ll save billions of dollars while improving the quality of care for patients.” On the surface, this doesn’t seem so bad. Who wouldn’t want to reduce the number of unnecessary tests and hospital stays? However, Kennedy goes farther than that. He seems to suggest that we should reward doctors who don’t readmit elderly patients to the hospital if it’s not absolutely necessary.
This brings up two questions. Who gets to decide what is a necessary admission, and what type of reward should doctors get for reducing the costs to the system by not admitting as many elderly patients? We don’t have an answer for the second question yet, but we can answer the first.
A government rationing body would be created to make decisions on what health care is allowed and who is entitled to it. This is what has happened in the U.K and Canada, and it would happen here as well. The British rationing body is ironically called the National Institute for Health and Clinical Excellence, or NICE. However, there is nothing nice about it. According to a recent Wall Street Journal article, “ In March, NICE ruled against the use of two drugs, Lapatinib and Sutent, that prolong the life of those with certain forms of breast and stomach cancer. This followed on a 2008 ruling against drugs — including Sutent, which costs about $50,000 — that would help terminally ill kidney-cancer patients. After last year’s ruling, Peter Littlejohns, NICE’s clinical and public health director, noted that “there is a limited pot of money,” that the drugs were of “marginal benefit at quite often an extreme cost,” and the money might be better spent elsewhere. ” (emphasis added). The article alsostated, “NICE has limited the use of Alzheimer’s drugs, including Aricept, for patients in the early stages of the disease. Doctors in the U.K. argued vociferously that the most effective way to slow the progress of the disease is to give drugs at the first sign of dementia. NICE ruled the drugs were not “cost effective” in early stages.” These drugs are readily available in the U.S. and are usually covered by health insurance.
These examples are just two of the many instances of a government rationing body refusing medical care and prescriptions on the basis of costs even when the doctors are vehemently asking for it. Don’t be fooled into thinking it wouldn’t happen in this country. It would be impossible to have the government pay for health care (by taxing us, of course) without having some board of bureaucrats deciding on what is permissible and what isn’t. Make no mistake, the first group of treatments and prescriptions that would be limited or barred would be those pertaining to the elderly.
The House version of the Health Care bill (p. 425-430) has a section that describes how seniors will be given counseling sessions about alternative end of life care such as hospice care and accepting pain medicine in lieu of expensive treatments. It also discusses whether or not antibiotics should be used as well as artificially administered nutrition and hydration. Does anyone really believe that these consultations will have the patient’s best interest in mind? Most likely, they will be targeted at saving money and will pressure seniors to accept cheaper alternatives rather than actual treatment of their ailments. If you couple these end of life counseling sessions with a government rationing body that restricts prescriptions and procedures for the elderly, you might as well say, “Sorry Gramps, no health care for you”.
Related posts:
- More Evidence of Government Rationing of Health Care
- Sorry, No Health Care for You part 1
- Obama Thinks Doctors are Greedy?
- How Will Obama’s Health Care Plan Lower Costs?
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Posted by: Liberty
Category: Health Care, Life, Liberty and the Pursuit of Happiness
Tags: Government, Government Rationing, Health Care, Politics





Comments (15)
Karen
July 28th, 2009 at 7:07 pm
Thank you, Liberty, for researching this issue and giving us the facts. Ironic that Ted Kennedy would speak of limiting healthcare for seniors, but he had all that medicine could offer recently when his brain tumor was operated on. Of course, as a Senator, he is exempted from the substandard healthcare system he and Obama would push on the citizens of this country. I say, if it’s ‘good’ enough for us, then Congress and Obama’s family should be signed up! My, it certainly would change then, wouldn’t it?
jwruss
July 29th, 2009 at 7:53 am
Yes, what if the people in Washington’s parents or grandparents were forced into this kind of health care? Do they realize it is worse than the government run health care currently instituted? Will we only become enraged when it is our family members who die too early, because they were denied simple procedures due to, let’s face it, age?
That is ageism. That is discrimination. Isn’t this administration supposed to be sensitive to discrimination?
Matt
July 29th, 2009 at 8:44 pm
Discrimination is only a tool for this administration, and for the left as a whole. It is a means to an end, and that end is control.
Part of this has to do with “sustainable development.” One of the goals stated by adherents to this Marxist scheme is to lower the human population of the world to “sustainable” levels. “Knocking off granny,” or in lib-speak, “dying with dignity,” is one way to get there. The sad thing is, how long before it’s disabled people as well? After all, it’s not cost effective to treat the physically disabled, mentally ill, or mentally retarded. Most of them don’t work, and don’t contribute to society. Wouldn’t euthanizing them be more cost effective as well? It’s a slippery slope, and the left is all too ready to take a slide.
jwruss
July 30th, 2009 at 8:32 am
I agree Matt. It gives me chills to think about my mother who is on disability.
Have we learned nothing from history? It seems as though this is the beginning of Hitler ideology right here in America.
Unfortunately, I do not think Americans are quite getting it. As I spoke with a lawyer in my community yesterday, I realized by his lackadaisical response what mindset many Americans hold. He said, “Everything is going to be OK. We still have our freedom. This is America.”
Many are blind to the writing on the wall.
Brian
July 30th, 2009 at 12:12 pm
It seems like the American Idol crowd is running the country. Voting for anything of substance is too taxing on the brain. So now we’ve got the winner of the popularity contest in the White House. damn.Sure do miss Dubya.
vofr
July 30th, 2009 at 5:07 pm
Through a subsidized multi-pay system in which a risk equalization pool exists, competition amongst private insurerers ensues when situations such as prolonging “Gramps’s one more year of jello” arise.
How about relaying emotion through efficient thought……rather than telling everyone how much you love your momma, you’re not the only one.
vofr
July 30th, 2009 at 5:08 pm
Let the spelling trumps ensue…….now
Liberty
July 30th, 2009 at 6:54 pm
So, do you think competition is a good thing or a bad thing?
vofr
July 31st, 2009 at 11:15 am
Competition, is a great thing.
vofr
July 31st, 2009 at 11:22 am
People are hesitant to accept the idea of government subsidies (in concern to Health Care) because it may extinguish competition, hence eliminating any idea competitive price differentiation, furthermore allowing us to be further knelt over and given the Stars & Stripes stamped suppository.
Liberty
July 31st, 2009 at 12:57 pm
I don’t accept the idea of subsidies for anything. Any time the government subsidizes something it makes the subsidized company or industry lose touch with supply and demand and market values. It destroys market driven pricing because it makes less profitable items, or items where demand is low, profitable because the government is making it that way. Instead of a company being forced to modify or change it’s product or pricing it just relies on a check from the government. Then there is the question of whether government subsidies are even constitutional? Are there any examples of government subsidization where someone other than the company or industry getting subsidized profits from it?
vofr
July 31st, 2009 at 1:34 pm
Sorry if this seems generalized, but in most cases you’re right, government subsidies have no place. However were speaking of the general well-being(health) of the populous; which should not be regarded as some commodity, or a luxury.
Insurance companies will be forced to compete with one another in regards to what the governing body decides it will not cover; i.e routine prostate exams which are only in place because of countless malpractice suites.
Liberty
July 31st, 2009 at 3:04 pm
So should we do the same thing for the food supply (above and beyond the subsidies farmers already get) since it is directly related to the general well-being of the populous? Surely, food should not be considered a luxury. How about the same with clothing and shelter. Everyone needs those things so should we subsidize them as well? I think there is much we can do to foster more competition in the field of health insurance while at the same time making health care more affordable. However, I don’t see how subsidizing health insurance companies would accomplish this. Nor do I see how the health care bill in Congress will lower costs and increase competition. Some of the new analysis has estimated that 80 million people would lose their insurance under the current bill.
vofr
July 31st, 2009 at 4:31 pm
The aforementioned are already offered, and subsidized.
However Brooks Brothers Suits, and crab legs are luxuries, and are options people have to weigh on a personal level in regards to it’s utility, respectively.
Why this concept (while extremely simplified in terms of analogy) cannot correlate in terms of Health Care is beyond me.
I don’t necessarily agree with this administrations plan, or potential plan at that. I’d personally like to see a plan sampled from the same as Germany, Ireland, Netherlands. And given the breadth of the U.S. in contrast to these European countries; have the governing of the REP (risk equalization pool) as localized as possible.
Liberty
July 31st, 2009 at 8:04 pm
Not everyone has their food and basic living requirements subsidized by the government (the USSR tried that and it didn’t work so well). However, the aforementioned are subsidized on some level (which I don’t agree with) in the form of food stamps, welfare, and government housing for the poor. The poor also have almost completely subsidized health care in Medicaid. Subsidizing health care for everyone in this country, because it’s not “some commodity or luxury”, would be like giving everyone food stamps for their necessities, and a living allowance for adequate shelter and clothing. These are not “some commodity or luxury” so shouldn’t they fall under the same category as health care? If the government will be responsible for our health wouldn’t it also be in it’s best interest to make sure we are eating healthy and are properly sheltered? Why should health care be paid for but not proper food, clothing and shelter? Where is the money going to come from for these subsidies? Are you saying that since we already pay for some then we should pay for all?
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