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.
Wednesday, September 16, 2009
Tuesday, September 15, 2009
Wednesday, September 2, 2009
Cancer Treatment or Assisted Suicide?
Saturday, August 29, 2009
Health-Care Secrets
Friday, August 28, 2009
Dick Morris on Joe Lieberman
If the elderly are worried about the projected $500 billion cut in Medicare and Medicaid over the ensuing decade and conservatives fret over socialization of healthcare, the average American can relate most easily to the concerns over the size of the debt and the deficit that Lieberman articulates.Lieberman’s critique gives moderates a place to go in the healthcare debate. Caught in the tug between the liberals who dominate Democratic primaries and the more conservative voices that may prevail in November, centrist Democrats can rally easily around the “not now” approach of Joe Lieberman. It is obvious that, despite the Obama majorities in Congress, this is the exact wrong time to embark on a major new government spending program.
Wednesday, August 26, 2009
Tuesday, August 25, 2009
Obama's Summer of Discontent
American democracy has never been democracy by plebiscite, a process by which a leader is anointed, then the populace steps out of the way, and the anointed one puts his political program in place. In the American tradition, the "mandate of heaven" is gained and lost every day and people talk back to their leaders. They are not held in thrall by them. The leaders are not infallible or a breed apart. That way is the Third World way, the way it plays out in Arab and Latin American politics.Those protesters in those town-hall meetings have served notice that Mr. Obama's charismatic moment has passed. Once again, the belief in that American exception that set this nation apart from other lands is re-emerging. Health care is the tip of the iceberg. Beneath it is an unease with the way the verdict of the 2008 election was read by those who prevailed. It shall be seen whether the man swept into office in the moment of national panic will adjust to the nation's recovery of its self-confidence.
Friday, August 21, 2009
Voter Intimidation
Tuesday, August 18, 2009
Death by Bureaucratic Fiat.
Wednesday, August 12, 2009
What Does HR 3200 Actually Say?
Saturday, August 8, 2009
Support for Health Care Reform
Thursday, July 30, 2009
Disaster in the Making
After many a disappointment with someone, and especially after a disaster, we may be able to look back at numerous clues that should have warned us that the person we trusted did not deserve our trust.When that person is the President of the United States, the potential for disaster is virtually unlimited.Many people are rightly worried about what this administration's reckless spending will do to the economy in our time and to our children and grandchildren, to whom a staggering national debt will be passed on. But if the worst that Barack Obama does is ruin the economy, I will breathe a sigh of relief.He is heading this country toward disaster on many fronts, including a nuclear Iran, which has every prospect of being an irretrievable disaster of almost unimaginable magnitude. We cannot put that genie back in the bottle-- and neither can generations yet unborn. They may yet curse us all for leaving them hostages to nuclear terror.Conceivably, Israel can spare us that fate by taking out the Iranian nuclear facilities, instead of relying on Obama's ability to talk the Iranians out of going nuclear.What the Israelis cannot spare us, however, are our own internal problems, of which the current flap over President Obama's injecting himself into a local police issue is just a small sign of a very big danger.Nothing has torn more countries apart from inside like racial and ethnic polarization. Just this year, a decades-long civil war, filled with unspeakable atrocities, has finally ended in Sri Lanka. The painful irony is that, when the British colony of Ceylon became the independent nation of Sri Lanka in 1948, its people were considered to be a shining example for the world of good relations between a majority (the Sinhalese) and a minority (the Tamils). That all changed when politicians decided to "solve" the "problem" that the Tamil minority was much more economically successful than the Sinhalese majority. Group identity politics led to group preferences and quotas that escalated into polarization, mob violence and ultimately civil war.Group identity politics has poisoned many other countries, including at various times Kenya, Czechoslovakia, Fiji, Guyana, Canada, Nigeria, India, and Rwanda. In some countries the polarization has gone as far as mass expulsions or civil war.The desire of many Americans for a "post-racial" society is well-founded, though the belief that Barack Obama would move in that direction was extremely ill-advised, given the history of his actions and associations.This is a president on a mission to remake American society in every aspect, by whatever means are necessary and available. That requires taking all kinds of decisions out of the hands of ordinary Americans and transferring them to Washington elites-- and ultimately the number one elite, Barack Obama himself.Like so many before him who have ruined countries around the world, Obama has a greatly inflated idea of his own capabilities and the prospects of what can be accomplished by rhetoric or even by political power. Often this has been accompanied by an ignorance of history, including the history of how many people before him have tried similar things with disastrous results.During a recent TV interview, when President Obama was asked about the prospects of victory in Afghanistan, he replied that it would not be victory like in World War II, with "Hirohito coming down and signing a surrender to MacArthur." In reality, it was more than a year after Japanese officials surrendered on the battleship Missouri before Hirohito met General Douglas MacArthur for the first time.This is not the first betrayal of his ignorance by Obama, nor the first overlooked by the media. Moreover, ignorance by itself is not nearly as bad as charging full steam ahead, pretending to know. Barack Obama is doing that on a lot of issues, not just history or a local police incident in Massachusetts.While the mainstream media in America will never call him on this, these repeated demonstrations of his amateurism and immaturity will not go unnoticed by this country's enemies around the world. And it is the American people who will pay the price.
Friday, July 24, 2009
Peggy Noonan on Common Sense
I think the plan is being slowed and may well be stopped not by ideology, or even by philosophy in a strict sense, but by simple American common sense. I suspect voters, the past few weeks, have been giving themselves an internal Q-and-A that goes something like this:Will whatever health care bill is produced by Congress increase the deficit? "Of course." Will it mean tax increases? "Of course." Will it mean new fees or fines? "Probably." Can I afford it right now? "No, I’m already getting clobbered." Will it make the marketplace freer and better? "Probably not." Is our health care system in crisis? "Yeah, it has been for years." Is it the most pressing crisis right now? "No, the economy is." Will a health-care bill improve the economy? "I doubt it."
