American Elephants


Repealing ObamaCare, and The Problems Involved. by The Elephant's Child

medical_doctorsRepublicans are planning to repeal ObamaCare immediately.
They have a lot of good ideas about how to make a health care program more effective and less costly, like allowing health insurance to be sold across state borders. As it stands, each state has an insurance commissioner who approves or disapproves insurance policies for their particular state, so you get 50 different kinds of regulations.

An increase in competition always makes things cheaper and more efficient, because bad ideas get weeded out because they cannot compete. Freedom to solve problems and the promise of reward for solving them has resulted an an astonishing rise in the standard of living in the whole world.

All sorts of scholars have been working for 8 years to come up with better ideas for doing health insurance. The best idea, however, came from Thomas Sowell, and he stated it very simply:

If we cannot afford to pay for doctors, hospitals and pharmaceutical drugs now, how can we afford to pay for doctors, hospitals and pharmaceutical drugs. in addition to a new federal bureaucracy to administer a government run medical system?

The federal government has no business putting a bunch of bureaucrats in charge of American’s healthcare. The federal government has demonstrated over and over that they do not know how to do healthcare, with the VA, with Medicare, with Medicaid, and with the Indian Health Service.We don’t need top-down central planning.

ObamaCare wanted national records of healthcare practices so at  they would have more knowledge about how to make healthcare more efficient.They ordered hospitals to computerize, get rid of the handwritten notes of patient encounters. Medical centers spent enormous sums of money buying computer systems for each office and examining room. The basic idea was totally wasted because the computer systems can’t talk to each other. They were all different setups.

Patients weren’t all that happy about their private health records being available to anybody who could log onto the system. It also meant that doctors were spending their time interacting with computers instead of patients. Doctors hired scribes to take notes on the computer while the doctor actually interacted with the patient. Think about how much all that added to the cost of doing healthcare.

I think it was Medicare that ordered their physicians to limit patient encounters to 7½ minutes. Great way to cut costs, except the encounters are with real human beings with very different reasons for going to the doctor. Stupid.

Bureaucrats decided that the place to cut costs was in what medical professionals were charging for their services. You’ve seen your insurance records, the medical establishment charged $150 for the encounter, the insurance company allowed $47, and you paid half that in your co-pay. So, quite naturally, a good many physicians will not see people on Medicaid, Medicare, or the Indian Health Service, and so far veterans are stuck with the VA. You’re left hunting for someone who will see you, and are they the less accomplished doctors?

Bureaucrats think all doctors are rich, and some of them are. However, they spent a long time studying to be able to get into medical school, after that studying for their specialty, and interning. Most have huge school loans to pay off, and their offices have medical assistants, lab technicians, receptionists, nurses, a respectable office with all sorts of equipment and several examining rooms with all sorts of equipment. Doctors have years and years of training compared to ordinary bureaucrats, and at some point they expect to reach a point where they can live fairly well. Bureaucrats see them as the part of medical care that can be slashed to save money.

It’s not the doctors that cannot be afforded, it’s the bureaucrats. The federal government needs to get out of the business of running health care. They don’t know how to do it, they are no good at it. Turn it over to private enterprise, to find ways to provide care that the country can afford. The Left does not believe in private enterprise, they think competition is a bad thing, they believe that they are the smartest and most able people around, and they cannot understand why a heart surgeon should make more money than they do.

Consider the outcry against Trump’s nomination of Dr. Ben Carson to HUD because he had no experience in government. That’s a revealing, and typical, Leftist response.

Here’s a post from 2012 about the Oklahoma Surgical Center which would seem to suggest that there are real possibilities out there. I have not followed up to see if it is still as successful.

I am afraid that Republicans in Congress will just devise another government-run program that will have some better ideas, will not solve the problem of escalating costs, and when the Democrats return to power, as they will at some point in the distant future, we’ll do it all over.

Republicans believe in private enterprise, and freedom. When people are free and encouraged to find better ways and rewarded for so doing, miracles happen every day. How did you think Dr, Leonard McCoy got those amazing instruments that he used on the Enterprise?



About That “Smooth Presidential Transition”… by The Elephant's Child

To quote Andrew Malcolm:

Since Obama vowed to run a smooth presidential transition, what’s the real point of picking a tardy diplomatic scuffle with Putin? What’s the real point of setting Israel (and the annoying Netanyahu) adrift at the United Nations now?

Why issue all these offshore drilling bans and new federal regulations? Why commute more federal prison sentences than a dozen past presidents combined? Why keep releasing Guantanamo terrorists when so many return to their homicidal careers?

Might it be to plant political IEDs for his annoying successor, as Democrats seek to restore their party? For the first time in nearly a century a former president decided to reside in Washington. Obama has rented a mansion and office space where he’ll be easily accessible to media friends for, say, kibitzing his successor – unlike Obama’s predecessor, who went silent for more than a year.

•”California state lawmakers (Democratic operatives) have hired former U.S. Attorney General Eric Holder to file lawsuits against the Trump administration to hold it in check, much in the same way Republican attorneys general did to President Obama.”

•”The latest numbers from the U.S. Treasury say that United State’s federal debt has risen by a trillion dollars in President Obama’s final year in office, while Republican controlled both the House and Senate.

The debt at the end of 2016 was $19,976,826,951,047.80, a one-year increase of $1,054,647,941,626.91.”

•”Taxpayers footed the bill for $96 million in mostly personal travel expenses for President Obama and his family over the eight years Obama has occupied the White House, according to a new report from Judicial Watch announced Thursday.

The president’s high-priced trips included the family’s annual vacation to Hawaii, which cost an estimated $3.5 million in flight expenses alone, a $222,000 ski trip to Aspen for Michelle Obama and her daughters, and $450,000 in flight expenses for the family vacation to Martha’s Vineyard, the Washington Examiner reported.”

•”President Obama’s lame duck administration poured on thousands more new regulations in 2016 at a rate of 18 for every new law passed, according to a Friday analysis of his team’s expansion of federal authority.

While Congress passed just 211 laws, Obama’s team issued an accompanying 3,852 new federal regulations, some costing billions of dollars.”

• “Economy-Crippling Executive Actions: With less than a month left in his presidency, Obama has launched an initiative to wipe out coal mining and handicap offshore drilling for oil and natural gas.First, he ordered the Environmental Protection Agency to proceed with its controversial Stream Protection Rule. By one estimate, that would make mining so difficult it would make 85 percent of the nation’s coal reserves unrecoverable.

Then, on Tuesday, the president designated most government-owned areas in the Arctic Ocean and a large swath off the Atlantic Coast closed to drilling. That would prevent production of huge reserves of oil and gas.”

• “Record Wave of Pardons and Commutations: President Obama on Monday pardoned 78 people and granted another 153 commutations, amounting to the most acts of clemency granted by a U.S. president ever in a single day.”

•”Ramped-up Refugee Resettlements:President Barack Obama is speeding up the “refugee” resettlement process before he turns over the White House keys to his successor, President-elect Donald Trump – in an effort to boost the numbers so high that it is now projected that they will exceed his target of 110,000 for this fiscal year by nearly 600.

According to the Refugee Processing Center, the Obama administration has already welcomed 23,248 individuals to the United States as “refugees” through the first 11 weeks of the 2017 fiscal year – almost doubling the 13,786 who were accepted for the same period in 2016.”

• “Adding a final shameful chapter to a foreign-policy record that already runneth over with them, Barack Obama on Friday abandoned America’s commitment to Israel’s security, and to the vindication of democracy over sharia-supremacist aggression. In an act of cowardly venom, the president had the United States abstain from — and thereby effectively enact — a United Nations Security Council resolution that condemns Israeli settlement activity. At least, that’s what the resolution ostensibly does. The reality is much more than that. The resolution undertakes to render our ally indefensible.”




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