Was anyone really fooled into believing that Obamacare would provide more of the nation with better health at lower cost?

Now that the Health Care legislation has been passed and we can at last see what’s in it, as Nancy Pelosi promised we would, a great many bad things are being found in there. And a great many undesirable consequences are emerging.

Just one example of a nasty restriction buried deep: You may not be allowed to pay for treatment out of your own pocket. Section 2713 of the Patient Protection and Affordable Care Act bans you from getting certain treatments at your own expense. You cannot buy immunizations and certain gynecological screenings, for instance, unless you first get government permission. (For more on this, see The Daily Caller here.)

And one highly undesirable consequence will be a severe shortage of doctors, as Investor’s Business Daily points out:

One of the marks of national health care is the waiting-list problem that plagues Britain and Canada. Delays in treatment have caused suffering and, in some cases, death. Soon, we’ll be waiting for doctors too.

Last week, the Association of American Medical Colleges reported that the looming doctor shortage will be worse than previous reports claim because of ObamaCare.

Rather than “a baseline shortage of 39,600 doctors in 2015, current estimates bring that number closer to 63,000, with a worsening of shortages through 2025,” says the medical college group’s Center for Workforce Studies.

Unless the country acts now, says the Center for Workforce Studies, we will be more than 91,000 doctors short in just 10 years. The number includes a shortage of 45,000 primary care physicians and 46,000 surgeons and medical specialists. …

Two years ago, the physician search firm of Merritt, Hawkins & Associates estimated that by 2020 the U.S. will need 90,000 to 200,000 more doctors than we will have. At that point, the wait to see a doctor for a routine visit would be three to four months. [Optimistically – JB.]

A year after the Merritt Hawkins report, Joseph Stubbs, president of the American College of Physicians, the country’s second-largest doctor group, talked about the arrival of “a catastrophic crisis” even before ObamaCare had been passed and signed. …

As alarming as those numbers are, the reality might be worse. The ranks will be thinned as physicians simply refuse to work under ObamaCare. In August 2009, 45% of doctors told our IBD/TIPP Poll that they would consider leaving their practices or taking early retirement if the Democrats’ version of reform were to become law. And it did.

The doctors cited various reasons behind their decisions to leave. But the most common explanations centered around the increased costs under the Democrats’ plan, the bureaucratic controls it would bring [mountains of paperwork, as in Britain – JB] and its lack of protection from runaway malpractice lawsuits. …

There’s an English proverb: “Every man at thirty is a fool or a physician.”

One might say that under Obamacare, only a fool would become a physician.

“This is an administration that could just as well have been put in place by America’s most relentless enemies,” David Solway writes at FrontPageMag. “It is headed by a president with deep roots in a neo-Marxist social movement and associational ties with a host of disreputable characters.”

Yes.

Solway sums up the Obama Devastation of America thus far:

There can be little doubt any longer that the United States is now governed by a rogue administration … We are observing an establishment that is unwilling to defend the nation’s borders from drug cartel violence and illegal immigration, forcing unread bills through Congress in the dark of night, embarking on a socialized medicine program it cannot afford and which has not worked wherever else it has been tried, plunging the nation into bankruptcy with misnamed “stimulus spending,” unsustainable entitlements and exponential debt, refusing to drill safely on land to reduce its dependence on foreign oil supplies, utterly incapable of dealing with cataclysms like the Gulf oil spill, touting an impractical, premature and ruinously exorbitant Green Energy policy, considering cap-and-trade legislation when it has become undeniably clear that Global Warming research is a profoundly unsettled and perhaps even a false science, scrubbing all reference to Islamic terror from its official documents and pursuing a foreign policy that might accurately be described as geopolitically suicidal. Quite a list, but unfortunately an accurate one.

And a damning one, though not even comprehensive.

The rogue president still has two more years to go.

Only by an unforeseeable stroke of luck could it be less.

Only by an unpreventable fit of national lunacy could it be more.

Sparta: The government disciplined the citizenry to make every single man, woman and child healthy and strong. Kept them thinking alike too, soberly and politically correctly. Crowds could move perfectly in unison. Life was – well, spartan. Cold water, spare diet, low salt, lots of tasteless fiber, no alcohol, constant exercise …

And what came out of Sparta? Can you think of anything?

Athens: Mess and muddle, personal choices, private pursuits, idiosyncrasies, imagination, success and failure, high aspiration and low, virtue and vice, argument, a compost heap of ideas, fierce competition, lots of laughter, feasting, gaming, wine-quaffing …

And what came out of Athens? Science, philosophy, poetry, drama, art and craft and engines, in sum most of the ideas that launched Europe’s greatness. Start a list of the great Athenian names and works and inventions and it will soon run over the page.

Nothing new has emerged, or ever can, from a collective. Socialism kills the spirit and enervates the mind. It is static. It etherizes the will. It is soporifically boring. A collectivized society is a doomed society. There is no renewal, no advance in it. Socialism is a slow, generalized death.

Freedom is the source, the well, the fountain of all discovery, invention, innovation – all that can be called genuine “progress”.

The freedom we need is not the natural state of man. Nobody is free in a state of anarchy any more than in a tyranny. Freedom is a product of civilization. It must be protected by the rule of law, so that everyone’s freedom is limited only by everyone else’s.

To stay free, watch out for those who would force you to do all manner of things “for your own good”, and never let them have power over you.

A warning too late? In a recent article, David Limbaugh points out that under the would-be dictatorship of Barack Obama, America is being Spartanized, though he doesn’t use that analogy. Here’s part of what he says:

I cannot be the only one who feels as if every new day brings a new assault on this nation and its people by this administration. Indeed, many people I know say they can’t even watch the news anymore because it’s so depressing. And it is.

Some of these assaults occur under the radar, and others are right out in the open. As an example of the former, last week, President Obama issued an executive order “Establishing the National Prevention, Health Promotion, and Public Health Council,” which will focus on “lifestyle behavior modification (including smoking cessation, proper nutrition, appropriate exercise, mental health, behavioral health, substance-use disorder, and domestic violence screenings).” It will even recommend changes in federal policy to reduce “sedentary behavior.” …

The socialized medicine nightmare is already beginning. Many of us warned that Obamacare would serve as an all-purpose justification for government intervention in every aspect of our lives. Have we become so far removed from our founding principles that we don’t grasp the perniciousness of such government encroachments into our private lives and personal liberties?

You must read the executive order: http://www.whitehouse.gov/the-press-office/executive-order-establishing-national-prevention-health-promotion-and-public-health. Then you’ll understand that the council and “Advisory Group” it establishes will not be merely advisory. The provisions of this “order” underscore the disturbing extent to which Obama and his band of authoritarians intend to control our lives.

The “Advisory Group,” in consultation with the council, must submit, by March 23, 2011, a “national strategy” to “set specific goals and objectives for improving the health of the United States through federally supported prevention, health promotion, and public health programs, consistent with ongoing goal setting efforts conducted by specific agencies.” …

Will we tolerate any manner of government control over the most minute aspects of our lives under the rationale that we have to improve our lifestyles to get healthier … ? Does liberty mean nothing to us anymore? …

Lifestyle behavior modification is none of the government’s business, but it is even less the prerogative of a renegade, unaccountable executive acting outside the law through unconstitutional executive orders. On that point, by the way, please check out Section 3G, which provides that the council will “carry out such other activities as are determined appropriate by the President.” No limitations, just whatever this omniscient president determines is appropriate.

Read it all here.

To those who feel morally good because they buy and consume only “organic” food, this may come as a most uncomfortable truth: you cannot be both FOR universal organic farming and FOR feeding the hungry millions.

And you need not worry that your health will suffer if you eat mass-produced foods. It’s a misconception that organic food is better for your health than the kind grown with chemical aids. It’s just more expensive.

This report by the Center for Consumer Freedom explains:

Another study, another dose of reality for organic-only foodies. A review published this month in the prestigious American Journal of Clinical Nutrition finds that the evidence from previous studies … indicates that organic food isn’t any healthier than ordinary, conventionally grown food.

This follows on the heels of, and supports, a similar review last summer from the same team. That review, released by Britain’s Food Standards Agency, came to the same conclusion after the authors sifted through 162 peer-reviewed research articles from the previous five decades.

As you might expect, the review last summer came under instant criticism from groups that promote organic foods by making health claims. So who’s to say who’s right? Writing in the Institute of Food Technologists’ journal Comprehensive Reviews in Food Science and Food Safety this spring, Rutgers University professor Joseph Rosen analyzed the marketing and health claims made by organic proponents. After noting that experts at the Mayo Clinic and American Dietetic Association don’t find any real benefits in organic food, Rosen concludes: … Consumers who buy organic food because they believe that it contains more healthful nutrients than conventional food are wasting their money.

And …  let’s just dispose of the ridiculous idea that the whole world could go organic if we all agreed to do it. Limited crop yields mean organic agriculture simply can’t feed the world. University of Manitoba agronomist Vaclav Smil calculated that in order to replace synthetic nitrogen (widely used today) with organic nitrogen, the U.S. alone would need an additional 1 billion livestock (for manure) and 2 billion acres of forage crops (for the livestock). That’s the size of the lower 48 states.

In other words, the organic niche is just that—a niche, and a feel-good boutique system for those who can afford it. But the idea that its widespread use would bring widespread benefits to humanity belongs in the compost.

A reader sent us this. We agree.

Investor’s Business Daily explains how the Democrats are moving steadily towards single-payer total government control of health care:

Are the Democrats who want to place price controls on premiums trying to destroy the health insurance business? If we didn’t know better, we’d say yes. And we do know better — don’t we?

It was just a month ago that the Democrats passed and signed a radical overhaul of the country’s health care sector. But 3,000 pages of new law apparently are not enough for lawmakers who don’t read the bills they vote on.

Sen. Dianne Feinstein, the California Democrat, says there’s “an enormous loophole” in her party’s reform effort that must be closed. So she’s introduced a bill that would give the secretary of health and human services the authority to review health plan premiums and block “any rate increase found to be unreasonable.”

This, after the public was told many times over that the Democrats’ health care legislation would bring down costs and rein in those troublesome health insurance companies that are making so much money.

It doesn’t take a Ph.D. in economics to see where the Democrats are going with this. Their regulators will establish price controls, which will drive health plan providers out of business as the restrictions make it impossible or unreasonable for them to make profits.

To deal with the shortage of health plans, Democrats will then complete the government takeover of medicine by placing Washington in the position of being the sole provider of health care.

Investors’ Business Daily deplores the strengthening American dictatorship and the manner in which it is spreading and tightening its control by means of an increasing and ever more privileged bureaucracy:

With the passage of health care reform and the ongoing boom in federal hiring, it’s becoming increasingly clear that America is now run by a new, privileged class of bureaucrats.

For those who remember the old Soviet Union, it was a grim place — at least for average citizens. But not so for those in government. Contrary to the official ideals of equality and a classless society that the ruling communist regime espoused, the USSR created a privileged class of party members inside government — the nomenklatura.

This semipermanent bureaucracy earned higher incomes, got better health care, ate better food and had greater job security than average Russians, the much-despised proletarians. Today, our bloated federal government seems, in significant ways, to be creating this same dynamic.

Take the just-passed health care bill that carefully excluded the White House, congressional leaders and their staffs from having to live under the reforms’ restrictions.

“President Obama will not have to live under the Obama health care reforms, and neither will the congressional staff who helped to write the overhaul,” said Iowa Republican Sen. Charles Grassley. “The message to the people at the grass roots is that it’s good enough for you, but not for us.”

The hypocrisy of these officials and the contempt they show for average Americans is bad enough. But  Mr. and Mrs. John Q. Public can also go to jail or be fined up to $250,000 for not buying insurance. And the government is spending $10 billion to hire 16,500 new IRS agents to make sure they don’t escape the new system. [But see below]

Under current budget plans, this won’t end soon. With $45 trillion in new government spending planned over the next decade, this new privileged governing class can only grow.

Today, as we witness a massive shift of resources from the private to the public sector, the only place adding jobs is government. Since the start of last year, the federal government has added 81,000 jobs. By contrast, private-sector payrolls have shed 4.71 million.

Big government is the place to be these days. Federal workers are some of the country’s best-paid, earning far in excess of their counterparts in the private sector. …

The average government worker gets a whopping $40,785 a year in health care, pension and other benefits compared to $9,882 for a private worker. The difference in total compensation widens to $38,548 a year — for the same job with the same duties.

Anyone who has visited the slow-moving Post Office, talked to the surly and often hostile IRS agent or even gone to the local DMV to spend time in waiting-room hell can tell you that pay gap doesn’t represent productivity, training or ability.

What it does represent is the new Nomenklatura — the privileged apparatchiks who now run our government and with it, sadly, much of our lives. This is very much a result of years of “progressive” thinking that has pushed the Democratic Party sharply leftward across the political spectrum.

Since the Civil War, the so-called Progressive Movement’s dream has been to exalt bureaucratic expertise and control over free-market efficiency. With the new administration, their dream has become our nightmare.

It’s true and very bad – but  one statement  needs qualification:

Mr. and Mrs. John Q. Public can also go to jail or be fined up to $250,000 for not buying insurance. And the government is spending $10 billion to hire 16,500 new IRS agents to make sure they don’t escape the new system.

According to this report by Morgen Richmond at Big Government, there is no provision in the act for enforcing the individual mandate:

One of the more controversial elements of ObamaCare is the mandate for most individuals to purchase insurance beginning in 2014. There is really no precedent for a federal mandate of this scale requiring individuals to purchase a product or service. So not surprisingly a number of state Attorney Generals have indicated they will be filing suit questioning the constitutionality of this provision.

Of course the individual mandate is also very risky from a political standpoint, as the Democrats who orchestrated the passage of this bill are mandating not only that the young and healthy obtain insurance, but also that even their most fervent liberal constituents must purchase this coverage from the “evil”, private insurance industry.

Republicans for their part have focused on the fact that this mandate will be enforced via threat of a financial penalty (or tax), with the added assumption that it is the dreaded IRS which will be enforcing this. And sure enough, it’s already been reported that the IRS anticipates hiring possibly in excess of 15,000 additional personnel to deal with the collection of the individual mandate, and other tax related provisions within the bill.

However, it turns out that the Democrats who crafted this bill significantly – and I mean significantly – hamstrung the ability of the IRS or any other federal agency to enforce or collect on this mandate. Here is what the federal Joint Committee on Taxation had to say about this issue in a report released earlier this week:

“The penalty applies to any period the individual does not maintain minimum essential coverage and is determined monthly. The penalty is assessed through the Code and accounted for as an additional amount of Federal tax owed. However, it is not subject to the enforcement provisions of subtitle F of the [Internal Revenue] Code. The use of liens and seizures otherwise authorized for collection of taxes does not apply to the collection of this penalty. Non-compliance with the personal responsibility requirement to have health coverage is not subject to criminal or civil penalties under the Code and interest does not accrue for failure to pay such assessments in a timely manner.“

According to a footnote in the report, “subtitle F of the Code” is the portion of the tax code which grants the IRS the authority to assess and collect taxes. In other words, as the law is written the federal government has no legal authority to enforce this mandate, nor will it have any recourse to collect any penalties that go unpaid! …

Without an effective mechanism of enforcing the individual mandate, the entire system is likely to collapse. (The individual mandate is the “third leg of the stool” as many a liberal has been pointing out for months.) Given that the bill also bans insurance companies from denying coverage based on pre-existing conditions, WHY WOULD ANYONE OBTAIN INSURANCE COVERAGE PRIOR TO NEEDING IT? This was already going to be a problem with the relatively low cost of the penalty, but take away any meaningful enforcement of it and it is a complete and total joke.

The net result will be an ever increasing shift of healthcare costs on to those who remain in the insurance system (or to tax payers), and possibly even the bankruptcy of the insurance industry. Given all the double-talk the past year over the public option, and the demonizing of private insurers, it is hard not to wonder whether this was by design. But let’s give our Democratic friends the benefit of the doubt, in which case this represents an inexcusable level of incompetence from the people we have just entrusted with overseeing one-sixth of the economy. Nice job guys.

If it’s a mistake it could be a lucky break for the oppressed  But if the apparent mess-up is part of the plan, what fresh hell awaits us?

Obama has offended his far-left base by having to go cautiously in his campaign to turn America into a collectivist state. Now he is explaining to representatives of that base that he fully intends to go all the way, and has easily won over one of them, Dennis Kucinich, who would have liked to see instant transformation but now trusts his leader to take the nation into that brave new condition step by step.

Joseph Klein writes at Front Page:

Ohio Congressman Dennis Kucinich, who flipped his vote from “no” to “yes” after his ride with President Obama on Air Force One, just admitted on Fox & Friends what we suspected all along. If the current version of Obamacare passes – as it looks increasingly likely that it will – an even more radical Obamacare II lies ahead. Kucinich said that he received an endorsement from Obama of his wish list for more changes, which happens to include a “robust” public option.

This is typical of how the Progressive movement operates, as Glenn Beck has repeatedly pointed out on his show. And it fits in with Obama’s own declared intention to get a foot in the door with phase 1 of universal health care, and then march on toward a single payer solution akin to Canada’s model.

Back during his presidential campaign, Obama said that if he “were designing a system from scratch [he would] probably move more in the direction of a single-payer plan.”

Obama knows that he can’t get to where he wants all in one fell swoop. So his strategy – presumably shared with Kuchinich on Air Force One – is to lead us unenlightened Americans slowly by the hand towards the Progressives’ Nirvanna:

“It is my belief that not just politically but also economically, it’s better for us to start getting a system in place — a universal health care system signed into law by the end of my first term as president and build off that system …

Obama didn’t just buy Kucinich’s vote this Sunday with a ride on Air Force One and some eg0stroking. Obama no doubt confirmed in private, perhaps while munching peanuts on Air Force One, what he was intending to do all along. And it matches Kucinich’s own vision of a government-run single-payer health care system.

The Pythoness

Margaret Thatcher famously said when she was Prime Minister of Great Britain that “There is no alternative”, meaning no alternative to the free market if prosperity and liberty were to be regained. Thatcherites turned the four words into a cheerful, optimistic slogan.

She was right, of course. For a few years during her premiership – a small Silver Age –  the British became a (comparatively) free, property-owning, share-holding people. Then the socialists who had been in power since the end of World War II, whether they’d called themselves Conservatives or Labour, came back into power as the Labour Party for thirteen years, and ruined the country. At last the Conservative Party under the leadership of David Cameron may be returned in the forthcoming general election, but it will make no difference.

Now the words “there is no alternative” have another, completely different meaning.

Melanie Phillips explains with this article in the Spectator:

David Cameron’s strategy is fundamentally and, we can now see, finally and irrevocably flawed. His message, as defiantly and unequivocally re-stated today, is one of radical change. The key question this provokes, however, is change from what?

The people are indeed desperate for change – but from Gordon Brown and the Labour government and what it stands for. What Cameron defiantly and unequivocally offers is radical change from conservatism to produce an agenda that, far from promising a radical change from Labour, is merely a paler version of Labour.

So when millions of natural conservatives yearn for a radical and unequivocal change from the nihilism and injustice and bullying of political correctness, for a change from the deliberate gerrymandering of the demographic and cultural identity of this country, for a change from the enslavement of frivolous and destructive ideology, for a change from the destruction of the traditional family and the appeasement of radical Islamism, for a change from the empty and mendacious promises of spin, they get instead ‘the party of the (failing) NHS’ committed to green diversity and with even a smug reference to the women candidates forced upon local constituency parties, a promise to be tough and honest and upfront in cutting spending to tackle the deficit while financing a new army no less of health visitors, a commitment to support marriage in the tax system but also (presumably) unmarried couples in the benefit system, nothing at all about Islamism, nor the destruction of the country’s powers of self government through the EU, nor the deliberate and covert destruction of its demographic and cultural identity except for a glancing reference to cutting immigration.

The political crystal balls on the western side of the Atlantic project the same message of hopelessness.

Mark Steyn, writing in Investor’s Business Daily, laments that a change from a Democratic to a Republican majority in Congress will in all probability make no difference to America’s descent into the terminal illness of socialism:

So there was President Obama giving his bazillionth speech on health care, droning yet again that “now is the hour when we must seize the moment,” the same moment he’s been seizing every day of the week for the past year, only this time his genius photo-op guys thought it would look good to have him surrounded by men in white coats.

Why is he doing this? Why let “health” “care” “reform” stagger on like the rotting husk in a low-grade creature feature who refuses to stay dead no matter how many stakes you pound through his chest?

Because it’s worth it. Big time. I’ve been saying in this space for two years that the governmentalization of health care is the fastest way to a permanent left-of-center political culture.

It redefines the relationship between the citizen and the state in fundamental ways that make limited government all but impossible.

In most of the rest of the Western world, there are still nominally “conservative” parties, and they even win elections occasionally, but not to any great effect.(Let’s not forget that Jacques Chirac was, in French terms, a “conservative.”) The result is a kind of two-party one-party state.

Right-of-center parties will once in a while be in office, but never in power, merely presiding over vast left-wing bureaucracies that cruise on regardless.

Republicans seem to have difficulty grasping this basic dynamic. …

Once the state swells to a certain size, the people available to fill the ever expanding number of government jobs will be statists — sometimes hard-core Marxist statists, sometimes social-engineering multiculti statists, sometimes fluffily “compassionate” statists, but always statists.

The short history of the postwar welfare state is that you don’t need a president-for-life if you’ve got a bureaucracy-for-life: The people can elect “conservatives,” as the Germans have done and the British are about to do, and the left is mostly relaxed about it because, in all but exceptional cases (Thatcher), they fulfill the same function in the system as the first-year boys at wintry English boarding schools who for tuppence-ha’penny or some such would agree to go and warm the seat in the unheated lavatories until the prefects strolled in and took their rightful place.

Republicans are good at keeping the seat warm. A big-time GOP consultant was on TV crowing that Republicans wanted the Dems to pass ObamaCare because it’s so unpopular it will guarantee a GOP sweep in November.

Okay, then what? You’ll roll it back — like you’ve rolled back all those other unsustainable entitlements premised on cobwebbed actuarial tables from 80 years ago?

Like you’ve undone the Department of Education and of Energy and all the other nickel ‘n’ dime novelties of even a universally reviled one-term loser like Jimmy Carter? …

Look at it from the Dems’ point of view. You pass ObamaCare. You lose the 2010 election, which gives the GOP co-ownership of an awkward couple of years.

And you come back in 2012 to find your health care apparatus is still in place, a fetid behemoth of toxic pustules oozing all over the basement, and, simply through the natural processes of government, already bigger and more expensive and more bureaucratic than it was when you passed it two years earlier.

That’s a huge prize, and well worth a midterm timeout.

I’ve been bandying comparisons with Britain and France, but that hardly begins to convey the scale of it. ObamaCare represents the government annexation of “one-sixth of the U.S. economy” — i.e., the equivalent of the entire British or French economy, or the entire Indian economy twice over.

Nobody has ever attempted this level of centralized planning for an advanced society of 300 million people.

Even the control freaks of the European Union have never tried to impose a unitary “comprehensive” health care system from Galway to Greece. The Soviet Union did, of course, and we know how that worked out.

This “reform” is not about health care … it’s about government.

Once you look at it that way, what the Dems are doing makes perfect sense. For them.