Health Care

“Behind the coming physician shortage”

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CATO’s Michael Tanner in the NY Post:

In fact, we have already seen the start of this process in Massachusetts, where Mitt Romney’s health care reforms were nearly identical to President Obama’s. Romney’s reforms increased the demand for health care but did nothing to expand the supply of physicians. In fact, by cracking down on insurance premiums, Massachusetts pushed insurers to reduce their payments to providers, making it less worthwhile for doctors to expand their practices. As a result, the average wait to get an appointment with a doctor grew from 33 days to over 55 days.

Imagine that.

Why this is life and death for the unions

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In reading about the Wisconsin stand-off, I ran across this thread at Newsbusters . The last comment is so important, it deserves a post, I think. I can’t verify this story but I have spent some time with union health plan administrators.

Would someone please note that Unions make the great lion’s share of their $ from negotiating “benefits”, not salaries… or collection of dues.

This is why the decoupling of the Salaries and Benefits is so important to Unions in Wisconsin. And why the Union’s have countered the way they have. They’ll give up Salary and Jobs for Teachers in a second, but they will fight to death for the Benefit negotiation position. In another life as an executive in CA, I used to do administration for two Teamster’s “Health and Welfare” benefit packages. Do your research, but you’ll find I’m correct about motivation of Unions. I also believe that the amount of money kept by Unions will be very interesting to both your viewers, and the tax payers of the US of A. The way it works is that the Unions negotiate with the “Employer” regarding how much money per member/per month they will need to support the benefit options required in Union contract. In the case of WI, they negotiate with each of the 77 counties. Then the Unions negotiate the terms of benefits with “providers”/Ins Co’s, etc. They make the lion’s share of their money off of what is called the “breakage” created by Employees choosing between plan options, and the administration of the programs.

Let me explain with an example: A Union begins by negotiating with the Employer/State. They’ll claim their buying leverage will afford Employer significant savings. They’ll end up with a 3-tiered cost structure which allows the Union a profit even with the highest benefit option available as Union already has a very good idea about what Providers will be charging. But it gets even more lucrative for Unions at this point. Let’s say high-end Blue Cross PPO coverage costs $400 for the Family tier. What a Union will do is require $425 from Employer, plus a loaded in admin fee, as a charge for all Families in the employer group. So far, so fair? But, the Union will also offer a few other plans for Employees to choose from. The Union will also have developed relationships with a few cheaper HMO plans, and lesser PPO benefit structure plans that charge, as an example, $325 and $375, respectively.

At an Open House, employees will choose what fits their needs and the Union is in line for the “breakage”. The left over breakage is then, to my experience, placed in a fund where only the Union has the checkbook. Cars, Vacations and Condo’s, oh my. The Union also makes a “commission” off of things like Pre Legal, Dental and Term Life. As another profit source, the Union also leans on the Administrator for favors I’d rather not list, but usually involving idiocy like buying thousands of dollars of “raffle tickets” and leasing cars for the Union’s Business Agents, not entirely above board. Of course, I am relating my experience, and what little I know of others who also did Union administration. I’d expect any simple research by an actual reporter would open up a Pandora’s box of Slush in the Badger State.

Very revealing comment. This is why “benefits” is such a life and death issue for the unions.

Mitch Daniels at CPAC

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My man Mitch. Do, please, RTWT. It is all good. Some snippets:

We believe that government works for the benefit of private life, and not the other way around. We see government’s mission as fostering and enabling the important realms our businesses, service clubs, Little Leagues, churches to flourish. Our first thought is always for those on life’s first rung, and how we might increase their chances of climbing. …
 
We have broadened the right of parents to select the best place for their children’s education to include every public school, traditional or charter, regardless of geography, tuition-free. And before our current legislature adjourns, we intend to become the first state of full and true choice by saying to every low and middle-income Hoosier family, if you think a non-government school is the right one for your child, you’re as entitled to that option as any wealthy family; here’s a voucher, go sign up. …
 
An affectionate thank you to the major social welfare programs of the last century, but their sunsetting when those currently or soon to be enrolled have passed off the scene. The creation of new Social Security and Medicare compacts with the young people who will pay for their elders and who deserve to have a backstop available to them in their own retirement. …
 
Medicare 2.0 should restore to the next generation the dignity of making their own decisions, by delivering its dollars directly to the individual, based on financial and medical need, entrusting and empowering citizens to choose their own insurance and, inevitably, pay for more of their routine care like the discerning, autonomous consumers we know them to be. …
 
The second worst outcome I can imagine for next year would be to lose to the current president and subject the nation to what might be a fatal last dose of statism. The worst would be to win the election and then prove ourselves incapable of turning the ship of state before it went on the rocks, with us at the helm. …
 

Mitch is my front-runner.

Is it too early to put up a yard sign?

UPDATE: Audio.

Slicing Spinal Cords With Scissors

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[Sorry for any typos. I was a bit upset and hurried.]

I’m mostly pro-choice but this horrific story demonstrates just how utterly extreme and insane the left in general and the Democrat party in particular have become on the matter of abortion:

A doctor whose abortion clinic was described as a filthy, foul-smelling “house of horrors” that was overlooked by regulators for years was charged Wednesday with murder, accused of delivering seven babies alive and then using scissors to kill them.
 
…
 
He “induced labor, forced the live birth of viable babies in the sixth, seventh, eighth month of pregnancy and then killed those babies by cutting into the back of the neck with scissors and severing their spinal cord,” District Attorney Seth Williams said.
 
Gosnell referred to it as “snipping,” prosecutors said.
 
Prosecutors estimated Gosnell ended hundreds of pregnancies by cutting the spinal cords, but they said they couldn’t prosecute more cases because he destroyed files.

How could this go on for over 30 years?

State regulators ignored complaints about Gosnell and the 46 lawsuits filed against him, and made just five annual inspections, most satisfactory, since the clinic opened in 1979, authorities said. The inspections stopped completely in 1993 because of what prosecutors said was the pro-abortion rights attitude that set in after Democratic Gov. Robert Casey, an abortion foe, left office.

Again, I am pro-choice but this tragedy occurred because the left violently resisted even the least regulatory oversight of even the most extreme late term abortions. The left has made abortion the highest good that trumps every other concern, and the resulting real-world policies border on the surreal.

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The Shooting in Tucson

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I have had a house in Tucson for the past five or six years. It is in Gabriel Gifford’s Congressional district. I know the corner of Ina Road and Oracle Road where the shooting occurred. I know and like Tucson and Arizona. I would rather be living there than here because I have serious fears about California’s future while I think Arizona is now in pretty good hands. They had a housing bubble but they have more sensible people in that state government.

Gabriel Gifford’s district includes some of the most affluent areas of Tucson. To be re-elected, she had to be a “blue dog” Democrat. She has an appealing personal story. Her father is a sheriff of a neighboring county and her husband is an astronaut. I would not have voted for her because she had a very attractive opponent but there was very little of the animosity in that election that there was in other district races. Some of her constituents were unhappy about her healthcare vote. She had gotten the message and voted against Nancy Pelosi for minority leader of the Democrats, one of 17 Democrats to do so.

The press conference by the Pima County sheriff yesterday was disgraceful. I watched the whole thing. He went over and over his theories that harsh political discourse was somehow a cause of the shooting. He repeated the whole mantra three times by my count. Other than that, he provided very little information, for example, declining to give the suspect’s name when everyone with an internet connection knew what it was. I think he may have been reacting to personal distress as he probably knows Ms Gifford’s father and has known her for a long time. I also suspect he is a Democrat as Tucson is a rather left wing city being the site of the University of Arizona. The City Council has been very left wing and several members were defeated in the previous election as they had spent far too much money on frivolous projects, some of which had never been completed.

There is a lot of wild talk on left wing web sites, some of which is being rolled back as Daily Kos and the DNC scrub web sites of similar images and rhetoric as conservative sites and people they are attacking. A lot of it has been scrubbed but some people have found Google caches.

Like this DLC “targeting map.”

There has been a lot of talk about how “angry” Arizona people are. Well, maybe they have reason to be angry. The Obama administration has sued the state to try to stop an Arizona law that merely enforces a federal law that Obama seems disinterested in enforcing. Arizona is overrun with illegals immigrants, drug violence is 60 miles away in Mexico and auto insurance rates are sky high because of car theft. Someone I know had a LoJack system installed in his car. When he realized the car was stolen, the police activated the locator and the car was already 60 miles into Mexico.

Some of the angry rhetoric comes from a sense that the people have lost control of the government since Obama was elected. The health care bill was opposed in every poll of public opinion. The Republican minority was completely opposed. Yet, the bill was passed by procedural maneuvers never before used to pass legislation of this magnitude. As the people have learned more about the bill, they like it less. Nancy Pelosi told us they have to pass it so we can find out what is in it. Yes, the people of Arizona are angry. But it had nothing to do with yesterday’s shooting.

The young man is obviously a paranoid schizophrenic. His ramblings on a You Tube video contain the typical delusions of schizophrenics. He goes on about the government controlling minds through grammar. He appears to be obsessed with grammar and goes on about introducing a new currency for which he will be the Treasurer. These are the delusional ravings of a psychotic. There appears to be some level of disappointment that he is not associated with a political ideology, especially the tea party. There are already think pieces about “violence”, by which they mean talk radio and Fox News, just as Clinton did after the McVeigh bombing in Oklahoma.

By day’s end, the argument that the political right—fueled by anti-government, and anti-immigrant passions that run especially strong in Arizona—is culpable for the Tucson massacre, even if by indirect association, seemed to be validated by the top local law enforcement official investigating the shooting of Rep. Gabrielle Giffords (D).

This refers to that disgusting press conference by the Pima County sheriff. They even have a video of his rant.

Pima County Sheriff Clarence Dupnik, an elected Democrat, at a news conference Saturday evening.

Yup, I guessed right.

One veteran Democratic operative, who blames overheated rhetoric for the shooting, said President Barack Obama should carefully but forcefully do what his predecessor did.

“They need to deftly pin this on the tea partiers,” said the Democrat. “Just like the Clinton White House deftly pinned the Oklahoma City bombing on the militia and anti-government people.”

Another Democratic strategist said the similarity is that Tucson and Oklahoma City both “take place in a climate of bitter and virulent rhetoric against the government and Democrats.”

Isn’t it odd that movies about the assassination of George Bush are not considered too extreme ?

I think Representative Gifford will recover as the gunshot wound track passed from her temple out her forehead, probably missing her brain. A family friend said she is now in induced coma, no doubt to minimize cerebral edema from the contusion to the brain from the shock wave. I don’t know if the Democratic party will recover from its disinterest in debate and its tendency to try to demonize its opponents instead of argue with them.