American Elephants


But We Were Sure It Would Save Money! by The Elephant's Child

obama-signs-obamacare

One of Obama’s big promises about ObamaCare was that once people had the wonderful new “Affordable Care”insurance,  emergency room use would sharply decline and the country would save all sorts of money on medical care. Conservatives knew that was bunk, but the Affordable Care Act passed without a single Republican vote — for good reason, and really, not because we hate the president. We just hate his health care bill.

A peculiarity of Progressives is that they decide a policy would be another step on the path to a ‘better world,’ but they don’t spend much effort on analyzing how it would actually work. They have enrolled lots more people who were uninsured in Medicaid. They feel wonderful about that — all ‘Lady Bountiful’. That they have at the same time, in order to make it affordable, cut back so far on what they will pay doctors, that nobody in need of health care can find a doctor who will accept Medicaid’s low payment. Voila! Increased use of emergency rooms.

ABC reports that Bakersfield Memorial Hospital broke records and now serve 300 people daily in the ER. A Registered Nurse, Jenny Wilson, with Memorial Hospital explains that they have developed a fast track system that categorizes the patients based on illness and directs the less serious cases with sprains, cold or cough to get quick treatment and then releases them.

A Los Angeles Times article confirmed that according to state records, Los Angeles County’s 74 emergency rooms, 11 treated an additional 2,000 patients or more in the first six months of 2014 compared with the same time in 2013.

The VA scandal arose when veterans died before they could finally get an appointment to be seen. Higher-ups demanded that hospitals see more patients in less time in order to save money, but hospitals could not meet the demand, so in order to save their jobs, they parked people on hidden wait lists. Apparently nobody asked if it was possible to do what was requested. It wasn’t. But veterans inconveniently died when forced to wait too long.

ObamaCare was going to save all sorts of money by computerizing everybody’s records, so everybody could share them, and the federal government would have national records of the nation’s health that they could study and find even more ways to save money. Hospitals and clinics, at great expense and trouble have indeed computerized.

My local hospital and all the associated clinics are getting used to the system, though it means that in most cases the doctor spends his time interacting with the computer instead of the patient. That’s a problem. An even larger problem is that hospitals can’t talk to each other. Their systems were separately designed, and the programming cannot and will not connect unless re-done. Affordable Care isn’t affordable.

Rules create incentives, regulations have consequences— often unintended. That is true in all of life. Progressives eyes are so fixed on the warm feelings to be engendered by their action that they just don’t expect any untoward consequences. Need proof? These are the people who think they can run up the national debt to $18 trillion, without understanding that they have to pay it back.


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