American Elephants


Other Than That, ObamaCare is Doing Fine… by The Elephant's Child

When the Democrats started digging old plans out of dusty drawers, they decided, since they controlled both houses of Congress and the presidency, to go for government sponsored health care; they were absolutely sure that the American people were going to love it. Big mistake.

The cost of American health care had been climbing significantly, and Democrats were sure that they could significantly cut the costs of medicine by making the medical profession more efficient and insisting that they learn from the best practices of industry stars. Another mistake.

Democrats believed that the uninsured were a huge problem because people with no insurance were flooding emergency rooms and driving up costs. Turned out that most of those who used emergency rooms had insurance, they just couldn’t make appointments with their doctor for immediate help. Turned out that a large percentage of the uninsured did not have insurance because they could not afford it, but because they didn’t want to pay for insurance. They were healthy and unconcerned. Oops!

Democrats believed that if they added some nice benefits that people had never had before on their insurance like therapeutic massage, birth control and pediatric dentistry, the government insurance would be even more popular. They would just spread the costs of the new benefits across the board so the expense would not be noticed. They didn’t have an insurance actuary figure out the costs of including those benefits on a policy for 55 and 60 year-old folks who had no need for birth control or pediatric dentistry.

The CBO has issued a report that appears to show that ObamaCare will cost less and cover more people than expected. But their projections seldom turn out. There are just too many variables. The latest report says that ObamaCare will cost $104 billion less over the next 10 years than it thought just two months ago. The numbers rest on the CBO belief that premiums will be flat next year, but the industry has already warned of double-digit rate increases— a sharp rise that will drive costs up far beyond the CBO’s estimates.

Out of the blue, the Census Bureau has changed how it counts health insurance, just at the moment when ObamaCare is roiling the insurance markets. The effect will muddy comparisons between pre-ObamaCare and post-ObamaCare numbers. A lot of things we would like to know, like how many people gained or lost insurance under ObamaCare? Did government crowd out individual insurance? It will apparently take several years before we have answers to those questions.

The one thing that is increasing dramatically is unhappiness among physicians. Nine out of ten doctors discourage others from entering the profession. 300 doctors commit suicide every year. Depression among doctors is not new, but the level of unhappiness is on the rise. Being a doctor has become a miserable and humiliating undertaking, and many doctors feel that America has declared war on physicians and doctors and patients are the losers.

Many doctors just want out. More are running for Congress. Medical students opt for high-paying specialties so they can retire as soon as  possible. MBA plans for physicians are flourishing,  they promise doctors a way into management. The website called the Drop-Out-Club hooks doctors up with jobs at hedge funds and venture capital firms.

Some, including President Obama, seem to believe that doctors are paid way too much and if the government needs to save costs, they can just pay doctors less. This is the mindset that reduced Medicaid to such a point that those who go without health care may do better than Medicaid patients. Same goes for Medicare and the other government controlled health care systems.

More doctors refuse to accept health insurance. Some have gone into concierge medicine, where for an annual fee, the doctor is at your service for the year. The federal government is hoping to go after that escape from ObamaCare, and they are still intending to end Medicare Advantage plans.

Just processing insurance forms costs $58 for each patient encounter, according to Dr. Stephen Schimpff, an internist and CEO of the University of Maryland Medical Center.  Physicians have had to increase the number of patients they see. The end result is that the average face-to-face clinic visit lasts about 12 minutes, in which the doctor probably spends most of the time interacting with his computer.

Under ObamaCare the incentives are all wrong. The government adds ill-considered benefits to insurance policies in the hope of getting people signed up. This makes the insurance too costly for most people. The push from the government will be a constant effort to cut costs. Hospitals will push for doctors to see more patients in less time, so they can be adequately reimbursed. Doctors will be encouraged to pay less attention to the Hippocratic Oath and more effort to try to get adequately paid, or to get out of the profession—which will encourage the best and brightest to aim for other careers. Watch for a push for increased immigration of physicians from third world countries. Other than that…

 



The Worst Lies Are The Ones You Tell Yourself by The Elephant's Child

Ross Douthat had an excellent column on Sunday about “the serious moral defect at the heart of elite culture in America.”

He began with a look back at a column by a Harvard undergraduate, Sandra Y.L Korn, which got some attention thanks to its daring view of just how universities should approach  academic freedom. She claimed such freedom was dated and destructive and that a doctrine of “academic justice” should prevail instead. Harvard should not permit its faculty to engage in work tainted by “racism, sexism, and heterosexism.”  She could come up with only one contemporary example of a Harvard voice that ought to be silenced, a “single conservative octogenarian” the renowned political philosophy professor Harvey Mansfield. Possibly because there are no conservatives to be found at Harvard.

Douthat says he tries to be a “partisan of pluralism, which requires respecting Mozilla’s right to have a C.E.O. whose politics fit the climate of Silicon Valley, and Brandeis’s right to rescind degrees as it sees fit”… but it’s hard to maintain respect “when these institutions will not admit that this is what is going on. Instead, we have the pretense of universalitythe insistence that the post-Eich Mozilla is open to all ideas, the invocations of the ‘spirit of free expression’ from a school that’s kicking a controversial speaker off the stage.”

It would be a far, far better thing if Harvard and Brandeis and Mozilla would simply say, explicitly, that they are as ideologically progressive as Notre Dame is Catholic or B. Y.U. is Mormon or Chick-fil-A is evangelical, and that they intend to run their institution according to those lights.

I can live with the progressivism. It’s the lying that gets toxic.

Do read the whole thing. We desperately need to clearly understand just what is going on around us. Propaganda fails if everybody knows that it is just propaganda. Lies, recognized, are just embarrassing.

Journalist Jack Kelly asks “Why Aren’t Public Officials Held to Account for Lying?” He contrasts the penalty imposed on a television con man with the whoppers told by government officials, and suggests that the penalties for lying should be equally applied.

It was chiefly the concept of equal protection of the laws — the idea that the rules should apply to the rulers as well as the ruled — that made our government different from most others in the history of the world.

It is the lying that gets toxic.



The Social-Engineering Approach to Health Care by The Elephant's Child

John Goodman offers two fundamental ways of thinking about complex social systems: the economic approach and the engineering approach.

The social engineer sees society as disorganized, unplanned and inefficient. Wherever he looks, he sees underperforming people in flawed organizations producing imperfect goods and services. The solution? Let experts study the problem, discover what should be produced and how to produce it, and then follow their advice.

Goodman, the father of the health savings account, calls this “cookbook medicine” which gives doctors rules and protocols for treating patients with various symptoms, and they must record each step along the way. Cookbook medicine does not bother with the differences among people, and is the opposite of personalized medicine which aims to tailor the therapy to the characteristics of the patient.

While it is useful to consider the standard protocols, people are not all the same. Medicine adapted to the genetic makeup of a person is in its infancy, but shows promise. When the cookbook becomes a rulebook to be followed slavishly, we’re in trouble. When complying with endless checklists takes valuable time away from patient care — that’s what’s happening in American medicine. A recent study of emergency room physicians found that they spend more time interacting with screens than patients, clicking the mouse 4,000 times in a 10-hour shift.

The Affordable Care Act was heavily influenced by the engineering model. After all, our bureaucrats are certified experts, and what are experts for if not to tell everybody else what to do and how to do it. Only social engineers would think of running “pilot programs” to control health care costs. What is the purpose of a pilot program if not to find something that appears to work, so you can order everyone else to copy it. Therefore you have the mess of digitizing all medical records and the result that hospitals have different systems that cannot talk to each other?

Dr. Virginia McIvor, a pediatric physician at Harvard Medical School explains the problem:

When a healthy child visits, I must complete these tasks while reviewing more than 300 other preventative care measures such as safe storage of a gun, domestic violence, child-proofing the home, nutrition, exercise, school performance, safe sex, bullying, smoking, drinking, drugs, behavior problems, family health issues, sleep, development and whatever else is on a patient’s or parent’s mind. While primary-care providers are good at prioritizing and staying on time — patient satisfaction scores are another quality metric — the endless box checking and scoring takes precious time away from doctor-patient communication.

If you have been to a doctor recently, you have probably noticed the multiplication of forms you must fill out, questions you must answer. I have noticed that the form now contains a line for “refuses to answer,” which may indicate progress of a sort.

John Goodman is the father of the “health savings account” which works precisely as promised and has been a great favorite. He is president of the National Center for Policy Analysis (NCPA) and he blogs regularly on health care matters (you can sign up to receive his columns), and his book Priceless takes on the health care problem.

There are great things happening in medicine that are promising for the future. The engineering rulebook is not interested in other people’s expertise or innovation.

The social engineer sees society as disorganized, unplanned and inefficient. Wherever he looks, he sees underperforming people in flawed organizations producing imperfect goods and services. The solution? Let experts study the problem, discover what should be produced and how to produce it, and then follow their advice. – See more at: http://healthblog.ncpa.org/cookbook-medicine-2/?utm_source=newsletter&utm_medium=email&utm_campaign=HA#more-36412
The social engineer sees society as disorganized, unplanned and inefficient. Wherever he looks, he sees underperforming people in flawed organizations producing imperfect goods and services. The solution? Let experts study the problem, discover what should be produced and how to produce it, and then follow their advice. – See more at: http://healthblog.ncpa.org/cookbook-medicine-2/?utm_source=newsletter&utm_medium=email&utm_campaign=HA#more-36412
The social engineer sees society as disorganized, unplanned and inefficient. Wherever he looks, he sees underperforming people in flawed organizations producing imperfect goods and services. The solution? Let experts study the problem, discover what should be produced and how to produce it, and then follow their advice. – See more at: http://healthblog.ncpa.org/cookbook-medicine-2/?utm_source=newsletter&utm_medium=email&utm_campaign=HA#more-36412


The Unaffordable Care Act Becomes More Unaffordable by The Elephant's Child

The health insurance policy rate hikes in excess of 6% in December were the largest reported since Morgan Stanley’s research team first started conducting quarterly surveys of insurance brokers in 2010. The April survey shows the largest rise in small and individual groups perhaps ever. The average increases are in excess of 11% in the small group market and 12% in the individual market. Some state increases are 10 to 50 times that amount. The analysts conclude that the “increases are largely due to changes under the ACA.”

The analysts conducting the survey attribute the rate increases largely to a combination of four factors set in motion by Obamacare:  Commercial underwriting restrictions, the age bands that don’t allow insurers to vary premiums between young and old beneficiaries based on the actual costs of providing the coverage, the new excise taxes being levied on insurance plans, and new benefit designs.

For the individual insurance market (plans sold directly to consumers); among the ten states seeing some of the sharpest average increases are: Delaware at 100%, New Hampshire 90%, Indiana 54%, California 53%, Connecticut 45%, Michigan 36%, Florida 37%, Georgia 29%, Kentucky 29%, and Pennsylvania 28%.

For the small group market, among the ten states seeing the biggest increases are: Washington 588%, Pennsylvania 66%, California 37%, Indiana 34%, Kentucky 30%, Colorado 29%, Michigan 27%, Maryland 25%, Missouri 25%, and Nevada 23%.

Think of the bride whose intimate garden wedding grows into a society-page extravaganza as the guest list keeps growing. The simple two-tier wedding cake turns into a multi-storied  edifice with elaborate floral icing on each layer. Not going to cost the same, and all those unneeded flowers and loops add to the cost, just as pediatric dentistry for 60 year-olds adds to the cost on an insurance policy. The massage therapy and acupuncture make a nice selling point, but it really isn’t free.

Since these hikes aren’t coming from HHS, but from the insurance companies, where it cannot be put off till “after the election,” it’s going to get interesting. Affordable Care indeed!



Kathleen Sebelius Resigns: by The Elephant's Child

Sebelius in trouble

Health and Human Services Secretary Kathleen Sebelius has resigned. It was noticeable when President Obama gave his “mission accomplished” speech in the  Rose Garden, surrounded by everybody else, and Sebelius was unacknowledged in the speech.

Officials said Ms Sebelius made the decision to resign and was not forced out. I’m somewhat sympathetic. She had an impossible task, trying to make a silk purse out of a sow’s ear. Administration aides have worried that the dreadful problems at HealthCare.gov might result in lasting damage to the president’s legacy. You think? She had an impossible task, nobody can make can make ObamaCare work.

The secretary told the president that the March 31 deadline for sign ups and rising enrollment numbers provided an opportunity for change, and that he would be best served by someone who was not the target of so much political ire, according to Dennis McDonough.” She does hope—all of us hope—that we can get beyond the partisan sniping.”

Nominated to replace her is Sylvia Mathews Burwell, currently head of Obama’s OMB and someone who Obama believes will bring “an intense focus and management acumen to the department.”

Ezra Klein, newly self-described as an advocate of “explanatory journalism” said “Kathleen Sebelius is resigning because ObamaCare has won. President Obama wouldn’t let Sebelius leave unless he was confident ObamaCare was safe.” That’s why he gave her a big hug in the Rose Garden and thanked her profusely for her long five years of service.

 



“Mission Accomplished” says Obama. Now What? by The Elephant's Child

I had a routine doctor’s appointment last week. As she interacted with the new computer system rather than me, my doctor said “I should have gone to secretarial school instead.”

So after “Obama’s ‘Mission Accomplished’ moment—his triumphal Rose Garden speech claiming ObamaCare is now here to stay—where are we? No one believes Obama’s lofty claims for the numbers of enrolled people, and the number who have actually paid their premiums (the only point at which the numbers are real) are numbers that will have to come from the insurance companies.

The underlying signs of the health of this dreadful medical law are something quite different. Kaiser Health News published the following:

Janis Finer, 57, a popular primary care physician in Tulsa, Okla., gave up her busy practice two years ago to care full time for hospitalized patients. The lure? Regular shifts, every other week off and a 10 percent increase in pay.

Lawrence Gassner, a Phoenix internist, was seeing four patients an hour. Then he pared back his practice to those who agreed to pay a premium for unhurried visits and round the clock access to him.  “I always felt rushed,” said the 56-year-old. “I always felt I was cutting my patients off.”

Tim Devitt, a family physician in rural Wisconsin, took calls on nights and weekends, delivered babies and visited his patients in the hospital. The stress took a toll, though: He retired six years ago, at 62.

Physician stress has always been a normal fact of life, but anecdotal stories suggest a significant increase in the level of discontent, especially among primary care doctors who play the central role in coordinating patient care. Just as millions of Americans are obtaining health insurance through ObamaCare because of the threats of fines, or because their insurance policies were cancelled— often because the benefits they chose did not match the government’s one-size-fits-all standard.

A 2012 Urban Institute study of 500 primary-care doctors found that 30 percent of those age 35 to 49 planned to leave their practices within five years. The rate jumped to 52 percent for those over 50. A RAND study for the American Medical Association found that nearly half of physicians called their jobs “extremely stressful” and more than one-quarter said they were “burning out.” Unhappy doctors make for unhappy patients, and unhappy patients result in unhappy doctors.

Janice Finer, who left primary care to work with hospital patients, didn’t want to have to deal with insurers, hiring staff, and the business of a practice —sold her practice to a hospital. But hospital administrators dictated the pace. She was required to see 22 to 28 patients a day. At one point, she said, she was scheduled to see patients every 11 minutes. But meeting patients’ needs is not just busy work, but it doesn’t generate revenue.

President Obama contributed billions to help defray providers’ costs of going digital. The goal was a national system that would provide the government with statistics for further control. Not happening. Every hospital may have a different system, and none of them talk to each other. Digital records mean entering numbers and words in lots of repetitive boxes, but the old kind of personal, nuanced information that was in a doctor’s note, aren’t included. “Many physicians told us “I used to be a doctor, now I’m a clerk.” Anyone who uses a computer can recognize the potential for error. Typos are a way of life. Some doctors have started using ‘scribes’ —laptop carrying assistants who fill in the blanks and take notes— which adds another level of cost.

The association of American Medical Colleges estimates that the U.S. will be short about 45,000 primary care doctors in 2020 when 260,000 are projected to be practicing. Doctors used to encourage their kids to go into medicine. They’re not doing that anymore.

President Obama in his “Mission Accomplished” speech stressed the objective of the Democrats who drummed up this mess: “We are making sure that we are not the only advanced county on earth that doesn’t make sure everybody has basic health care.” Tinkering and improving are expected to lead to single-payer health care which is the their ultimate goal.

Nationalizing health care inevitably leads to conflicting problems.Government programs always cost more than was estimated — way more. The government’s sole incentive quickly becomes a demand to reduce costs.

The incentive for hospitals and clinics is the need to get adequately paid for their services. Those incentives lead to a reduction in innovation unless it is proved to reduce costs— so fewer medical inventions, fewer new drugs.

And pressure on doctors and personnel is to do more in less time with fewer and cheaper materials.  The incentive is also for doctors to leave the profession or for doctors to become government employees. What is inevitable is a lot of burned-out doctors who become more cynical and less caring. Ezekiel Emmanuel, who was one of the advisers for ObamaCare, has advocated disposing of the Hippocratic Oath.

The problem for patients becomes getting an appointment, getting use of expensive diagnostic equipment, and facing long waits for seeing a doctor and seeing a specialist and just getting the needed care. A frequent look at British newspapers’ accounts of the latest NHS scandal is proof of where it all leads.

If health care is free or low-cost at the point of service, the incentive is to overuse medical care which is what got us here in the first place. When someone else is paying the bill, there is no incentive for thrift,  which drives up costs and the vicious cycle repeats and  grows slowly worse, and harder to change.  Incentives matter.

 

 



Slash the Budget of the Department of Agriculture! by The Elephant's Child

Just briefly looking around the USDA website convinced me that the Department of Agriculture has way too many bureaucrats employed, and their conception of what they should be doing is way too broad. I have never known anyone who has paid the slightest attention to the USDA’s guidelines as to just what we should be eating, which is just as well because they have mostly been wrong anyway.

The schools, unfortunately, have to pay attention because they get funding, but anyone who has ever visited a school lunchroom notices that enormous quantities of food end up in the garbage. The kids have mostly hated Michelle Obama’s school lunch program. The USDA’s high carb diet was all wrong, butter is fine, they’re still trying to reduce “greenhouse gas emissions” although carbon dioxide in the atmosphere is what makes plants grow, and apparently, according to the EPA, soon their mission will be to reduce cow flatulence.

The federal Dietary Guidelines Advisory Committee is currently working on updating nutritional guidelines to conform with Mrs. Obama’s ideas and new scientific evidence. Mrs. Obama has been behind the drastically altered school lunch menus and the federal push to change restaurants’ most popular items to healthier fare and add calorie counts to every menu. She also has a new nutritional food labeling scheme.

One of the committee members, Miriam Nelson,  feels the guidelines shouldn’t be confined to nutrition, but should include the long-term sustainability and environmental impact of crops recommended for eating.  Another committee member is pushing a “plant-based diet” — suggesting that meat eating is not sustainable.

Another new idea under consideration are federal phone texts to obese citizens warning them regularly of their unhealthy eating behavior.

I pay no attention to the “my plate” guidelines, and I’m sure you don’t either, but the work of this committee guides the food purchases by the feds for government cafeterias, school meals across the country, all branches of the U.S. military and the entire federal prison system.

Michelle has insisted that the White House chef change from sugar to fruit purees to sweeten foods, but the White House consumes six different kinds of pie for Thanksgiving, The state dinner for the president of France came in at 2,500 calories per plate — a more-than-healthy whole day’s allowance. Remember that when you get your text-message from the government telling you what to eat, and reminding you that you are officially categorized as obese.



Oh Harry Reid, Harry Reid, For Shame! by The Elephant's Child

Harry Reid glum

Poor Harry Reid is caught between a rock and a hard place, and he’s not up to defending his position. It’s difficult, he’s majority leader of the Senate, and he has to defend the disastrous ObamaCare policy. Really frightening stories are emerging, about cancer patients who are suddenly denied the doctors and the care that was giving them the hope that they might live, and all Harry can think of is to call them all liars. Callous and insensitive doesn’t begin to describe it.

Now he has dissed a fellow senator, a medical doctor who is himself battling cancer, because he pointed out ObamaCare’s disastrous impact on cancer treatment. Senator Tom Coburn (R-OK) noted that the majority of cancer centers in this country aren’t covered under ObamaCare.

“Dr. Coburn is very good at getting into the weeds and trying to find something that he thinks makes sense. But I think we need to look at the overall context of this bill.”

When cancer patient Julie Boonstra appeared in a TV ad telling how Obamacare had jeopardized her treatment with rising and unpredictable premiums and co-pays. Reid took to the Senate Floor: “There’s plenty of horror stories being told. All of them are untrue.”

He also coldly dismissed Edie Sundby, a stage four cancer patient, who was told that the plan that had paid out $1.2 million and helped her to survive, was substandard, and would be cancelled because it didn’t fit the one-size-fits-all ObamaCare standard.

Coburn said that under ObamaCare, out of “Nineteen of the cancer centers in this country, only five are covered under ObamaCare.” Coburn said the cut-rate payments of the Affordable Care Act provides for those treatments. “You know, it’s a market,” Coburn said,”and what they’ve done is they’ve priced it where these cancer centers, a lot of them aren’t going to participate because they don’t get paid [enough] to cover the costs.”

During the government shutdown, House Republicans wanted to pass a stand-alone bill to fund the National Institute of Health so children with cancer could continue to participate in clinical trials. Reid called that move “reckless and irresponsible” by those obsessed with this ObamaCare.” A reporter asked “If you can help one child who has cancer, why wouldn’t you do it?”

Reid said “Why would we want to do that? I have 1,100 people at Nellis Air Force base that are sitting home. [because of the shutdown] They have a few problems of their own.”

I understand that for Senate Democrats, ObamaCare is about power, and more control of the American people. But for the rest of us it is about the American people getting the care that they have been promised, that the rest of us are paying for.



A Letter From a Practicing Family Physician: by The Elephant's Child

When I saw my doctor this last week, she said “I wish I’d gone to secretarial school instead.” A despairing joke.

In an address to the House, Alabama Representative Mo Brooks read aloud a letter sent to him by Dr. Marlin Gill of Decatur. The letter holds nothing back while detailing the excessive costs and regulations that Dr. Gill calls ObamaCare’s “War Against Doctors.” We need pay attention. He speaks for multitudes.

Dear Congressman Brooks,

As a practicing family physician, I plead for help against what I can best characterize as Washington’s war against doctors.

The medical profession has never before remotely approached today’s stress, work hours, wasted costs, decreased efficiency, and declining ability to focus on patient care.

In our community alone, at least 6 doctors have left patient care for administrative positions, to start a concierge practice, or retire altogether.

Doctors are smothered by destructive regulations that add costs, raise our overhead and ‘gum up the works,’ making patient treatment slower and less efficient, thus forcing doctors to focus on things other than patient care and reduce the number of patients we can help each day.

I spend more time at work than at any time in my 27 years of practice and more of that time is spent on administrative tasks and entering useless data into a computer rather than helping sick patients.

Doctors have been forced by ill-informed bureaucrats to implement electronic medical records (“EMR”) that, in our four doctor practice, costs well over $100,000 plus continuing yearly operational costs . . . all of which does not help take care of one patient while driving up the cost of every patient’s health care.

Washington’s electronic medical records requirement makes our medical practice much slower and less efficient, forcing our doctors to treat fewer patients per day than we did before the EMR mandate.

To make matters worse, Washington forces doctors to demonstrate ‘meaningful use’ of EMR or risk not being fully paid for the help we give.

In addition to the electronic medical records burden, we face a mandate to use the ICD-10 coding system, a new set of reimbursement diagnosis codes.

The current ICD-9 coding system uses roughly 13,000 codes. The new ICD-10 coding system uses a staggering 70,000 new and completely different codes, thus dramatically slowing doctors down due to the unnecessary complexity and sheer numbers of codes that must be learned.

The cost of this new ICD-10 coding system for our small practice is roughly $80,000, again driving up health care costs without one iota of improvement in health care quality.

Finally, doctors face nonpayment by patients with ObamaCare. These patients may or may not be paying their premiums and we have no way of verifying this. No business can operate with that much uncertainty.

On behalf of the medical profession, I ask that Washington stop the implementation of the ICD-10 coding system, repeal the Affordable Care Act, and replace it with a better law written with the input of real doctors who will actually treat patients covered by it.

America has enjoyed the best health care the world has ever known. That health care is in jeopardy because physicians cannot survive Washington’s ‘war on doctors’ without relief.

Eventually the problems for doctors will become problems for patients, and we are all patients at some point.

Sincerely yours,

Dr. Marlin Gill of Decatur, Alabama



Harry Reid Calls Harry Reid a Liar. Or Something Like That. by The Elephant's Child

HarryReid 3
It must be really hard for politicians to grasp that they must change their ways, for the world has changed around them. The words that they say so confidently on Monday, cannot be erased on Friday, for they are preserved for all time on YouTube, and will be called up whenever it is useful to call them up.  Case in point:

Oops! Well there you go. Caught in the act for all posterity.

We heard about the evils of Obamacare, about the lives it’s ruining in Republicans’ stump speeches and in ads paid for by oil magnates, the Koch brothers. But in those tales, turned out to be just that: tales, stories made up from whole cloth, lies distorted by the Republicans to grab headlines or make political advertisements.”

“There’s plenty of horror stories being told. All of them are untrue, but they’re being told all over America.”

- See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

 

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

- See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf



If You Can’t Get Enough Americans Signed Up, Go for Illegals.. by The Elephant's Child

mexican-flag-us-flag-reuters

President Obama announced today that 6 million people had enrolled in ObamaCare. There is no evidence that this is true, nor no evidence that any of them have paid up. But he did announce that, and the media reported his words.

Breitbart helpfully reports that:

The Obama administration has been helping to facilitate a series of events nationwide at Mexican Consulate offices to enroll people in ObamaCare — and a key activist says the efforts are “our responsibility” regardless of citizenship.

Health Care insurance navigator groups hosted an ObamaCare enrollment fair on Tuesday in the Mexican Consulate’s Brownsville, Texas, office, the Rio Grande Guardian reported last Friday, where Mexican nationals among other wer counseled about enrolling in the ACA.

According to the Affordable Care Act (ACA) undocumented immigrants aren’t supposed to be receiving government-run health benefits or subsidized coverage. The president told Latinos in early March that the Healthcare.gov website would not be used to find out about an individual’s immigration status. “None of the information that is provided in order for  you to obtain health insurance is in any way transferred to immigration services.” he said.

Mexican Consulates are being used to enroll individuals into ObamaCare  in Chicago, Las Vegas, and other cities.

During a speech today at a U.S. Hispanic Chamber of Commerce event, Vice President Joe Biden said that undocumented immigrants should be given the chance to become citizens and contribute to the country.

These people are just waiting, waiting for a chance to be able to contribute fully. And by that standard , eleven million undocumented aliens are already Americans in my view.

Those oaths about faithfully executing the laws — nevermind.

A spokesman for Senator Jeff Sessions (R-AL) said:

One, the possibility that illegal immigrants could fraudulently access federal subsidies; two, that such promotions provide a financial inducement to unlawfully enter the U.S. (or overstay a visa) by offering households headed by illegal immigrants federal subsidies through their legal relatives or dependents; and three, that these activities widen an existing flaw in our legal admissions process by continuing to subvert the principle that those seeking to lawfully enter the US should be financially self-sufficient,” Miller said.

Mexican Consulates have been used previously to advance USDA assistance programs like food stamps to Mexican nationals, The Daily Caller reported in July of 2012. Mexico promoted the program to 50 of its consular offices in the U.S.

These activities certainly cast a bit of suspicion on the White House numbers. If they have plenty of people signed up, they are certainly going to some strange (and probably illegal) efforts to dredge up some more people.



Obama’s Changing The Rules Again! by The Elephant's Child

That March 31st deadline to sign up for ObamaCare—they didn’t really mean it—if you started signing up and just couldn’t get done, or if you can offer some valid excuse (anything at all) well, you can finish up sometime in April. The law is completely fluid until we have enough people signed up to make this thing work.

The White House and congressional Democrats are ramping up a coordinated effort to celebrate the fourth anniversary of ObamaCare. The White House has provided members of Congress with packets that detail state by state benefits of the law and what the cost of repeal would mean for constituents within their districts. Minority Leader Nancy Pelosi (D-SF)  has provided members with data and sample language for members to use on new Medicare drug savings data.

The president and other senior administration officials will mark the anniversary through efforts to highlight the individual stories of consumers who say their families have benefitted from the Affordable Care Act.

White House staffers will tweet a series of six graphics highlighting the dumb ideas that guarantee that the program cannot work: eliminating lifetime limits, prohibiting denial because of pre-existing conditions, and mandate free birth control and free mammograms. The graphics feature an image of the president’s very own signature on the ObamaCare bill.

Many Democrats would prefer “single-payer” which means that you can go to a doctor who is a salaried employee of the state and not have to pay at the point of service. Liberals think that is the ultimate good. Everyone is dependent on the government, which is their ideal, and you just raise taxes enough to pay for it. This makes our ruling class proud that they are doing this wonderful charitable thing for the people, but they really don’t care much about what kind of care the people are getting, and they will just issue regulations and directives to reduce costs.

Liberals like the warm, fuzzy feelings of doing good for others. It is really good, isn’t it with free contraceptives. Women can have all the sex they want with no consequences. But you will notice that already, before it has really even begun, the cost of the thing means you can’t have keep your doctor, your local hospital may not be available, you may be sent to a nurse-practitioner instead of a doctor, and your insurance doesn’t cover anything outside of your local program, so if you travel to another town and have a heart attack, you’re out of luck. Planning a trip to Europe? You will have to find a separate policy to insure you for the trip. And people are already saying that they cannot afford the premiums. Wait till next year.

The Ruling Class plays hardball. They want ObamaCare. They want to gradually move it to a single-payer plan specifically to glorify themselves. They will fight repeal tooth and nail, and attempt to “reform” it enough to make it palatable, and they will try to scare people that any Republican plan will probably kill them.

ObamaCare fails basic math and basic economics. The National Health Service in Britain is so dire that it is killing people, particularly the old and helpless. The French hate their health care. The Canadians have long, long waits for service and many of the diagnostic machines we count on are either unavailable or there is too long a wait for a diagnosis. The federal government runs Veterans healthcare, and has made a mess of it.The backlog of requests for appointments grew so long that they just dumped the requests and pretended they didn’t exist. The Indian Health Service is reportedly dreadful. The Secretary of the Interior just denied a needed road so a community of Aleuts could get out to get health service because it might disrupt the shorebirds.

The Democrat’s “narrative” is that Republicans are merely out to sabotage ObamaCare because they object to the race of the president. When they start crying “racism” you can tell they know they are in trouble. Kevin Williamson has a column today on “Antithought” — the “use of language as an instrument for concealing or preventing thought.”There’s a lot of that going around, and we must be on our guard.




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