Physicians or philanthropists? 6

There cannot be a “right” for one person that puts an obligation on another person.

There cannot be a “right” for everyone that puts an obligation on some people.

A “right” to health care imposes an obligation on medical practitioners.

Yet the Democratic candidates for the November 2020 presidential election believe that medical treatment is a “human right”.

That old Communist from way back, Bernie Sanders – elected to the Senate as an Independent but running for the presidency as a Democrat – explicitly insists that it is.

Dr. Kevin Pham writes at the Daily Signal:

Sen. Bernie Sanders, I-Vt., was recently on comedian Jimmy Kimmel’s late night show to discuss … his vision for health care in America.

He calls his plan “Medicare for All”.

In one interesting statement, Sanders described the rollout of his plan: “I want to expand Medicare to include dental care, hearing aids, and eyeglasses, and then what I want to do is lower the eligibility age the first year from 65 down to 55, then to 45, then to 35, then we cover everybody.”

Cover? Covered by insurance? No. “Free” health care for all would not be paid for through a system of insurance. It would be paid for through taxes. Doctors, nurses, paramedics, all health care workers would be employees of the government.

The plan, Dr. Pham points out, is more accurately called “Medicaid for All”.

[It] would cost over $30 trillion in the next 10 years in ideal conditions

So probably very much more …

… but still require physicians and providers to take a pay cut of up to 40% and continue working with the same productivity.

And of course a great many more of them would be needed.

Physicians are already heavily burdened with their workload. In the 2018 Physicians Foundation survey, up to 80% of physicians reported working at their maximum capacity or beyond.

In the same survey, about 15% of physicians reported limiting the number of Medicaid patients they see and an additional 16% did not see Medicaid patients at all.

Of these physicians who do not see Medicaid patients, or limit the number they see, over a third are in primary care, exactly the kind of physicians we need in greater numbers.

[But] … a combination of administrative burdens, delays in processing claims, and low reimbursement rates make it difficult to justify seeing many Medicaid patients.

As Medicaid and Medicare both drastically underpay relative to private health insurance, hospitals and providers have to charge private insurance more to make up the difference.

Under Bernie Sanders’s scheme (and Elizabeth Warren’s vague and colossally expensive plan), there would no private insurance and “the whole system would crumble”.

Providers who participate in Medicaid must accept the government-mandated prices for services and deal with oftentimes long delays in receiving reimbursement that is below the cost of practice. 

Study hard for years at great expense only to earn a pittance? (Oh, I nearly forgot – higher education will also be “free” in that it will be paid for by taxation. Your pathetic little income will be taxed at so high a rate that you’ll be left with nothing but a little pocket-money.)

You would have to be a fanatical philanthropist, or even a masochist, to enter the medical profession under such conditions.

And we haven’t even touched on all the miseries a tax-payer funded national health service inevitably brings to patients – the long waits, the rationing, the overcrowding, the death panels … 

Posted under Health, Socialism, United States by Jillian Becker on Saturday, November 2, 2019

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Palin’s Prophecy comes true … 1

… death panels are here:

Rogue administration 1

“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.

With socialism comes stagnation 2

Invention depends on individuals, even if they work in teams, having new ideas and incentive to develop them.

Socialized medicine takes away incentive for innovators to advance medical research.

This is from Investor’s Business Daily:

There are many problems on the health care road the country is being forced to take. But one not getting as much attention as it should is the harm done to a critically important sector: medical innovation.

The high costs, restricted choices and eventual rationing that will result from the Democrats’ health care plan are being discussed to varying degrees by those who are uncomfortable with what’s being rushed through Congress. But the final legislation’s effect on medical innovation has been somewhat lost with so much attention focused elsewhere. So let us clarify:

The Democrats’ plan will slow innovation of pharmaceuticals and medical devices. …

If the profit motive is removed or weakened by legislation increasing Washington’s control of health care, drug companies and medical device makers will lose the incentive to bring lifesaving and life-enhancing products to market. For now, the rest of the world follows America because the socialist health care systems abroad discourage innovation. But the U.S. will fall back to the pack under a health care regime designed by the Democrats.

Here come the health police 2

The dear leader Obama knows what is best for you, folks!

The Community Organizer that America has elected as its supreme leader is acquiring totalitarian powers to keep all Americans in the shape, physically and mentally, that he deems correct.

Terry Jeffrey writes in Townhall:

The Senate Health committee’s bill includes a section — “Creating Healthier Communities” — that authorizes paying tax dollars to so-called community-based organizations so they can monitor individual behavior patterns on the neighborhood level — and in schools — in the name of reducing “health disparities.”

They will be government-funded busybodies paid to monitor the personal behavior of a once proud and free people who surrendered an irretrievable measure of their liberty to a government-run health-care system spawned by the redistributionist vision of Barack Obama and his allies in the Congress.

Only community-based organizations that are part of a “national network of community-based organizations” will be eligible for these grants.

“In carrying out subparagraph (A),” says page 386 of the bill, “the eligible entity shall, with respect to residents in the community, measure — (i) decreases in weight; (ii) increases in proper nutrition; (iii) increases in physical activity; (iv) decreases in tobacco use prevalence; (v) other factors using community specific data from the Behavioral Risk Factor Surveillance Survey; and (vi) other factors as determined by the Secretary.”

So, what will these government-funded, national networks of community-based organizations monitor in American neighborhoods in the interest of reducing “health disparities”?