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Ruin Your Health With the Obama Stimulus Plan: Betsy McCaughey
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Commentary by Betsy McCaughey
Feb. 9 (Bloomberg) -- Republican Senators are questioning whether President Barack Obama’s stimulus bill contains the right mix of tax breaks and cash infusions to jump-start the economy.
Tragically, no one from either party is objecting to the health provisions slipped in without discussion. These provisions reflect the handiwork of Tom Daschle, until recently the nominee to head the Health and Human Services Department.
Senators should read these provisions and vote against them because they are dangerous to your health. (Page numbers refer to H.R. 1 EH, pdf version).
The bill’s health rules will affect “every individual in the United States” (445, 454, 479). Your medical treatments will be tracked electronically by a federal system. Having electronic medical records at your fingertips, easily transferred to a hospital, is beneficial. It will help avoid duplicate tests and errors.
But the bill goes further. One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective. The goal is to reduce costs and “guide” your doctor’s decisions (442, 446). These provisions in the stimulus bill are virtually identical to what Daschle prescribed in his 2008 book, “Critical: What We Can Do About the Health-Care Crisis.” According to Daschle, doctors have to give up autonomy and “learn to operate less like solo practitioners.”
Keeping doctors informed of the newest medical findings is important, but enforcing uniformity goes too far.
New Penalties
Hospitals and doctors that are not “meaningful users” of the new system will face penalties. “Meaningful user” isn’t defined in the bill. That will be left to the HHS secretary, who will be empowered to impose “more stringent measures of meaningful use over time” (511, 518, 540-541)
What penalties will deter your doctor from going beyond the electronically delivered protocols when your condition is atypical or you need an experimental treatment? The vagueness is intentional. In his book, Daschle proposed an appointed body with vast powers to make the “tough” decisions elected politicians won’t make.
The stimulus bill does that, and calls it the Federal Coordinating Council for Comparative Effectiveness Research (190-192). The goal, Daschle’s book explained, is to slow the development and use of new medications and technologies because they are driving up costs. He praises Europeans for being more willing to accept “hopeless diagnoses” and “forgo experimental treatments,” and he chastises Americans for expecting too much from the health-care system.
Elderly Hardest Hit
Daschle says health-care reform “will not be pain free.” Seniors should be more accepting of the conditions that come with age instead of treating them. That means the elderly will bear the brunt.
Medicare now pays for treatments deemed safe and effective. The stimulus bill would change that and apply a cost- effectiveness standard set by the Federal Council (464).
The Federal Council is modeled after a U.K. board discussed in Daschle’s book. This board approves or rejects treatments using a formula that divides the cost of the treatment by the number of years the patient is likely to benefit. Treatments for younger patients are more often approved than treatments for diseases that affect the elderly, such as osteoporosis.
In 2006, a U.K. health board decreed that elderly patients with macular degeneration had to wait until they went blind in one eye before they could get a costly new drug to save the other eye. It took almost three years of public protests before the board reversed its decision.
Hidden Provisions
If the Obama administration’s economic stimulus bill passes the Senate in its current form, seniors in the U.S. will face similar rationing. Defenders of the system say that individuals benefit in younger years and sacrifice later.
The stimulus bill will affect every part of health care, from medical and nursing education, to how patients are treated and how much hospitals get paid. The bill allocates more funding for this bureaucracy than for the Army, Navy, Marines, and Air Force combined (90-92, 174-177, 181).
Hiding health legislation in a stimulus bill is intentional. Daschle supported the Clinton administration’s health-care overhaul in 1994, and attributed its failure to debate and delay. A year ago, Daschle wrote that the next president should act quickly before critics mount an opposition. “If that means attaching a health-care plan to the federal budget, so be it,” he said. “The issue is too important to be stalled by Senate protocol.”
More Scrutiny Needed
On Friday, President Obama called it “inexcusable and irresponsible” for senators to delay passing the stimulus bill. In truth, this bill needs more scrutiny.
The health-care industry is the largest employer in the U.S. It produces almost 17 percent of the nation’s gross domestic product. Yet the bill treats health care the way European governments do: as a cost problem instead of a growth industry. Imagine limiting growth and innovation in the electronics or auto industry during this downturn. This stimulus is dangerous to your health and the economy.
(Betsy McCaughey is former lieutenant governor of New York and is an adjunct senior fellow at the Hudson Institute. The opinions expressed are her own.)
To contact the writer of this column: Betsy McCaughey at Betsymross@aol.com Last Updated: February 9, 2009 00:01 EST
Tuesday, February 10, 2009
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Senator Specter responds in this story published today at CNSNews.com
CNSNews.com
Sen. Specter Responds to Health Care Scare in Stimulus Bill
Tuesday, February 10, 2009
By Susan Jones, Senior Editor
The American flag flies at the U.S. Capitol, Sunday, Feb. 8, 2009. (AP Photo/Manuel Balce Ceneta)(CNSNews.com) – “We are not going to let the federal government monitor what doctors do,” Sen. Arlen Specter told Fox News on Tuesday.
Specter, one of only three Republicans to support the Democrats’ stimulus/spending bill, was responding to growing concerns over health care provisions buried deep in the bill.
One provision creates a National Coordinator of Health Information Technology, “designed to monitor your treatments, to make sure your doctor is doing what the federal government deems appropriate and cost effective,” as a commentary on the Bloomberg news wire reported on Monday.
Specter told Fox News, “If Bloomberg has pointed out a potential problem…there will be clarification to avoid having the government meddle in what doctors do.”
The Senate bill provides $3 billion to computerize health records to cut costs and reduce medical errors. It also allots $1.1 billion to various federal health agencies “to evaluate the relative effectiveness of different health care services and treatment options,” the bill’s summary says.
Specter said the provision was intended to “provide technology” – to computerize the health records of all Americans. He said the government should not be in the business of making decisions on patients’ treatment.
Specter said one of the “big problems” with the stimulus bill is, “Why the rush? Why are we wedded to [a Feb. 13 deadline for passage]?” Specter noted that Congress never held hearings on the bill, and that has created problems.
“This is one of a number of provisions that has popped up that we have to revise and be very careful about,” he said.
Specter said he has protested the rush to judgment, but “the only answer we get is that the situation is so dire, such an emergency, we have to act.” Specter, asked if he would now put a stop to the bill or at least slow it down, indicated that he would not.
“Listen, this legislation is a bitter pill to swallow. But we are facing a situation where the current economic problems could turn into another depression like 1929.” He said he would not change his “yes” vote.
“We will get this provision clarified. I’ve made a commitment, and I’m not going to go back on my word and on a commitment. But when we find problems of this potential, we can cure them without upsetting the whole apple cart.”
Sen. Jon Tester (D-Mont.) told Fox News that the stimulus bill is about jobs. “If – that’s a big if – if there’s language in there that says the government’s going to make my health care decisions, we’ll get it out. I don’t believe that,” he said.
“I think that the consumer is pretty well protected. I think what this is meant to do is move us into the 21st Century for health care records,” Tester continued.
“If it’s in there, it’s a bad idea. But the fact is if that can be fixed, it will be fixed, if it’s in there, it will be changed and made better and made workable – and then, the bottom line is, to put people back to work.”
Tester and Specter spoke to Fox News on Tuesday morning, just a few hours before the Senate was scheduled to vote on the massive spending bill, presumably passing it and sending it to a House-Senate conference committee.
The Bloomberg commentary by Betsy McCaughey reported that the controversial health care provisions “reflect the handiwork of Tom Daschle,” who was supposed to be President Obama’s secretary of health and human services until tax problems derailed his nomination.
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