Maybe Senate Finance Chairman Max Baucus should put a gag order on Douglas Elmendorf too. On Tuesday, the Congressional Budget Office director told Mr. Baucus's committee that its plan to cut $123 billion from Medicare Advantage - the program that gives almost one-fourth of seniors private health-insurance options - will result in lower benefits and some 2.7 million people losing this coverage.Imagine that. Last week Mr. Baucus ordered Medicare regulators to investigate and likely punish Humana Inc. for trying to educate enrollees in its Advantage plans about precisely this fact. Jonathan Blum, acting director of a regulatory office in the Centers for Medicare and Medicaid Services (CMS), said that a mailer Humana sent its customers was "misleading and confusing to beneficiaries, who may believe that it represents official communication about the Medicare Advantage program."Mr. Blum has also banned all Advantage contractors from telling their customers what Mr. Elmendorf has just told Congress. Mr. Blum happens to be a former senior aide to Mr. Baucus and a health adviser on the Obama transition team.Meanwhile, we have the case of the Association for the Advancement of Retired Persons (AARP), and its fanciful Medicare claims. The self-styled seniors lobby is using all its money and influence to cheer on ObamaCare, even though polls show that most retired persons oppose it. AARP has spent millions of dollars on its TV ad campaign and bulletins and newsletters to its members, including eight million direct-mail letters over Labor Day. The AARP Web site claims that it is a "myth" that "health care reform will hurt Medicare," while it is a "fact" that "none of the health care reform proposals being considered by Congress will cut Medicare benefits or increase your out-of-pocket costs."So why hasn't AARP also come under CMS scrutiny? Could that be because AARP, which markets its own branded Advantage plans with United HealthCare that have 1.7 million enrollees, is a reliable liberal ally? Certainly its claims are "misleading and confusing" - given that in this instance it is empirically untrue, unlike Humana's attempt at edification. Seniors might even think AARP's falsehoods represent official communication about the Medicare Advantage program. But don't expect Mr. Baucus or CMS to impose its gag rule on the AARP's pro-ObamaCare advocacy.We don't think AARP should be muzzled in a political debate, but neither should the insurance industry - especially by an influential Senator getting favors from his crony in a supposedly impartial regulatory agency that has enormous power to harm or destroy private companies. Seniors have a right to know how they may be affected by Washington's health-care planning.So, for the record, CBO's Mr. Elmendorf says that cuts to Medicare Advantage "could lead many plans to limit the benefits they offer, raise their premiums, or withdraw from the program."
Thursday, September 24, 2009
Medicare and Gag Orders
Tuesday, September 22, 2009
Economic Vandalism
You can be fairly sure that when a government slips an announcement out at nine o’clock on a Friday night, it is not proud of what it is doing.In every other way the president’s decision to slap a 35% tariff on imported Chinese tyres looks like a colossal blunder, confirming his critics’ worst fears about the president’s inability to stand up to his party’s special interests and stick to the centre ground he promised to occupy in office...no one can seriously imagine that any American tyre-making job will be saved; firms will simply import cheap tyres from other low-cost places like India and Brazil.
The tyre decision needs to be set into the context of a string of ominously protectionist policies which started within weeks of the inauguration with a nasty set of "Buy America" provisions for public-works contracts.Besides these sins of commission sit the sins of omission: the president has done nothing at all to advance the three free-trade packages that are pending in Congress, with Colombia, Panama and South Korea, three solid American allies who deserve much better.
Evidence of a weak president being pushed leftward might cause investors to worry whether he will prove similarly feeble when it comes to reining in the vast deficits he is now racking up; and that might spook the buyers of bonds that finance all those deficits. Looming large among these, of course, are the Chinese.
Under the relevant trade laws, Mr Obama had the absolute discretion not to impose the recommended tyre tariffs on the grounds of overall economic interest or national security. Given everything that is at stake, his decision not to exercise it amounts to an act of vandalism.
Monday, September 21, 2009
Medicare for All?
- Medicare is going bankrupt.
- Private payers are bailing out Medicare.
- Expansion of entitlement programs threatens our economic security.
- Low administrative costs are a mirage.
- Medicare is rife with fraud.
- Medicare short-changes seniors.
- Medicare's model is obsolete.
- Payments are too low.
- Medical decisions are made in Washington.
- No one is running the show.
Friday, September 18, 2009
The President's Promises
Are we indeed Ignorant?
Whose Decision?
"Some lives may indeed be impossible to save. But what we have here is a government bureaucracy that has the power to determineas a matter of policynot to save lives thatcould be saved. In essence, determining whose life is worth the expense.
The proper, biblical role of government is to protect the well-being of its citizensto provide security and promote justice, not to usher them into the next world by denying them medical care.
Do we need health care reform? Of course we do; I've said so before. But as Christians, we must not assent to giving unaccountable bureaucrats the power to determine the value of a human lifeor to withhold medical care from those whose survival is somehow deemed outside the national interest."
From Charles Colson's Breakpoint column, Sept 18, 2009.
http://www.informz.net/pfm/archives/archive_849993.html to read the entire column.