America’s Munich: The House Medical-Care Bill
A Total Unmitigated Disaster for the Economy and for Freedom
In the wake of the euphoria that passed through Great Britain after Prime Minister Neville Chamberlain displayed the Munich Agreement and declared “peace in our time,” Winston Churchill had a different view. The agreement between France, Britain, and Hitler’s Germany, Churchill told Parliament, was a “total and unmitigated disaster.”
I thought about this exchange after seeing the euphoric comments in the media following passage of the House bill late Saturday night. Instead of “peace in our time,” we have something akin to “universal coverage in our time,” which has been the dream of leftists and left-liberals since the Great Depression. Whatever they might call it, I call it an unmitigated disaster.
There is nothing good to say about a new law that is going to raise taxes to confiscatory levels and will place a huge financial burden on people at a time when the government is actively going to war against American businesses. We are looking at totally politicized medical care in which every decision made by doctors and patients potentially can be nationalized and thrown into the maw of “public debate.”
This is a bill that relies on coercion and criminal penalties to force people to do what they never would do on their own. This is a bill that proclaims that bankruptcies due to high medical bills will be a thing of the past, but the financial burden it places on each family will increase bankruptcies as people will find it harder to pay their other bills.
Courtesy of the Washington Post (which supports this legislation) are a few items that are sure to turn into huge costs:
The complex package would affect virtually every American and fundamentally alter vast swaths of the health insurance industry. Starting next year, private insurers could no longer deny anyone coverage based on preexisting conditions, place lifetime limits on coverage or abandon people when they become ill. Insurers would be required to disclose and justify proposed premium increases to regulators, and could not remove adult children younger than 27 from their parents’ family policies.
Like all socialistic policies, this bill contains “goals and mandates” that will become law in a few years. Like all socialistic policies, this bill is heavily backloaded with costs that will become oppressive not just for the wealthiest among us, but also others who will be inflated into higher tax brackets. (The income thresholds for the new taxes are not indexed for inflation.)
Furthermore, the bill has a stealth goal of driving private insurers out of business by overwhelming them with new costs.” To put it another way, Americans are going to have “single payer” coverage whether they want it or not.
I need to stress the point that I do not approve of our current system, which already is heavily regulated and is costlier and less-efficient than a free market in medical care would be. (Whenever we see true free markets at work, the costs for products always fall in real terms over time. Perversely, so-called economists like Paul Krugman continually claim that medical costs are rising because of the introduction of new medical capital and drugs, which is like claiming that the introduction of the microchip has driven up computer costs. That does not compute.)
For all of the talk of cutting costs and saving money, this bill will do the opposite. It flies in the face of everything we know to be true in economic analysis, and it flies in the face of natural law itself.
No matter how many people are thrown into prison for not obeying the new congressional mandates, this new policy will not have the supposed desired effect of making medical care more affordable and improving -quality. We are about to learn that hard lesson to our sorrow, but we will learn it.










Comment by scott G on 12 November 2009:
In the end game, universal care is all about rationing a la the UK. Daschle, Blumenthal, Sunstein, Emanuel….all the Presidents advisors…..have written extensively that this is the goal.
I’m an MD…so let me tell you how we will game the system. If your doctor is paid by a capitation scheme…he will never want to see you. If he is ‘paid for performance’, he will cook the books. If your ‘medical home’ ( read the bill ) doctor loses money by referring you to a specialist, he’ll do his best not to. If the system ‘claws back’ the professional fee because you needed readmission to a hospital, he will do his utmost to avoid hospitalization in your case. Your doctor will gamble with your health before re admitting you.
If a wrong diagnosis of herpes genitalia was made 20 years ago, any one in your new doctor’s office can access your mandated electronic medical record and tell your new fiancee’s family. Just like the speeding ticket you got 10 years ago is now online for all to see. Or that joint you got busted for in college.
You will never feel comfortable telling intimate secrets that will be in cyberspace forever. Forget going to a psychiatrist. Every future doctor will know your history.
You will never know if your doctor is acting in your best interest. You will hear “It’s not so bad, live with it for a while” many times.
When HMO’s came to the Miami area, there was a standing joke among us ophthalmologists that a patient would have to be walking with a white cane before he would get surgery from a capitated pay ophthalmologist. The patient could always be told ‘the cataract isn’t ripe yet’.
Look up QALY ( quality adjusted life years ) to see what the Obama system thinks your life is worth in dollars.
You will lose income from travel and wait time for specialised tests like CT scans and MRI. What does your lost income mean to society, if the State can save money.?? Not their problem, right?
Surgeons will avoid all complicated cases since they will be paid the same for an easy, simple case. I’ve personally seen it. We will not accept a serious challenge – and stick our professional neck out – for a few hundred dollars. We are not missionaries.
It will be a paradigm change……..but the patient will never know what happened to him.