Obamacare’s serious weaknesses driving even strong supporters away

Commentary by James H. Shott

Although Sen. Max Baucus (D-Mont.) only recently acknowledged that the health care reform bill he helped create – the Patient Protection and Affordable Care Act (ACA), also known as Obamacare – is a “train wreck,” most Americans suspected that at its creation.

Things are so bad that President Barack Obama, trying to prevent some of the disastrous results, did something he is not allowed by the U.S. Constitution to do: postpone implementation of part of the law by suspending the employer mandate until 2015 and leaving the rest of the law intact. The Executive Branch of our government is obligated to enforce the laws – all of them, and all of each of them – and does not have the power to choose which ones, or parts thereof, it will enforce.

The House of Representatives passed two measures delaying the employer and individual mandates for one year, with 35 and 22 Democrats respectively joining in those efforts, which Mr. Obama has curiously threatened to veto.

And more recently, one of Obamacare’s most devoted groups of supporters has jumped ship. In a letter to Democrat Congressional leaders, Teamsters union president James Hoffa, and the presidents of two other unions, said this: “Right now, unless you and the Obama Administration enact an equitable fix, the ACA will shatter not only our hard-earned health benefits, but destroy the foundation of the 40 hour work week that is the backbone of the American middle class.”

The law has already encouraged some employers to trim their staffs to fewer than 50 full-time employees to avoid the expense of the mandate, and in other cases to decide against providing insurance altogether, and pay a much cheaper fine.

Nevertheless, Mr. Obama declared last week that "the law is working the way it was supposed to for middle-class Americans,” and criticized House Republicans for trying to dismantle it.

Polling data from five different polling organizations from mid-May through July 13 shows continuing disfavor among Americans, with the disparity of opposition-to-support running from as little as 5 points to as much as 15 points, and the Real Clear Politics average of the five polls at 10.2 points.

According to the Gallup poll from late last month, 42 percent say that in the long run the law will make their family's healthcare situation worse, and only 22 percent say it will make it better. And 47 percent believe the law will make the healthcare situation in the U.S. worse, while only 34 percent say it will make it better.

Republicans also are criticized for offering no alternatives while trying to dismantle the measure. “Three years after campaigning on a vow to ‘repeal and replace’ President Barack Obama’s health care law, House Republicans have yet to advance an alternative for the system they have voted more than three dozen times to abolish in whole or in part,” Sunday’s editorial in The Washington Post complained. That ignores, however, H.R. 3400 - Empowering Patients First Act, introduced in 2009 before Republicans campaigned for and won control of the House.

And now there is another, H.R. 2300 – the Empowering Patients First Act of 2013. Its principal sponsor is Rep. Tom Price (R-Ga.), who sponsored H.R. 3400, and he has credentials for health care issues matched by few in the Congress. Rep. Price is also Dr. Price, a physician who actually delivered and understands patient care.

This measure allows patients, families and doctors to make medical decisions, not Washington, DC. That is an excellent place to begin improving health care. What a shame that wasn’t the driving factor behind the ACA.

“You can get folks covered, you can solve the insurance challenges, and you can save hundreds of billions of dollars in this health care system,” said the physician/Congressman, “all without putting Washington or health insurance companies in charge of those decisions that ought to be between patients, and families and doctors.”

How can H.R. 2300 – a bill of only 249 pages, less than a tenth the length of the monstrous Obamacare bill – accomplish this?

Rep. Price describes it as comprehensive legislation under which “every single American has the financial feasibility to purchase the coverage they want, either through tax deductions, or credits, or advanceable credits or refundable advanceable credits so that they can purchase the coverage they want for themselves or their families, not what the government forces them to buy.”

He says further that everyone owns their own coverage, like a 401k plan, so if they change their job or lose their job, they take their coverage with them, and it allows all of those with pre-existing conditions to pool together, giving them the purchasing power of millions so that no one person’s adverse health status will change the cost for anyone else, including that one person.

While H.R. 2300 has the great advantage of being properly focused on patients and physicians, trying to straighten out the voluminous failures of the ACA in one bill is a Herculean feat. Obamacare needs to be repealed in total, and as soon as possible, and then Congress must undertake a sensible approach to correcting the problems of the health care system without turning it over to the government.

Cross-posted from Observations

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Continuing our head-long slide down the slippery slope of abortion

When people challenge and attempt to liberalize valued traditions, there is usually great concern that doing so is the first step down the "slippery slope," which ultimately leads to bad results. The “slippery slope” is considered a logical fallacy, but in the case of abortion, evidence supports that it is an apt argument.  

We started down this slope when abortion was legalized 40 years ago. If it was not the original intention, abortion certainly has become a thinly disguised mechanism for after-the-fact birth control. Pregnancy is not a mystery; we know what causes it. There are numerous ways to prevent pregnancy whenever people decide to forego the one certain way to prevent pregnancy: abstinence.

Birth control devices, while not perfect, are very dependable when used properly. However, somewhere along the way it was recognized that there were a lot of people facing the eventual birth of an unwanted child, and some thought that society was obligated to find a way to relieve these folks of having to bear responsibility for their actions. Abortion became the solution for unwanted pregnancy, under the curious label, "a woman's right to choose."

Each now-pregnant woman and her male partner had the right to choose to abstain from sexual intercourse and chose not to. They had the right to choose to use birth control, and either chose not to, or chose not to use it consistently or correctly, or it just didn't work one time. In the great majority of cases, birth control measures do work when used properly, and that means that in the majority of cases the right to use birth control actually was not chosen.

The "right to choose" is little more than a mechanism for prospective parents to avoid creating a child at an inconvenient time: In 2004 fully 74 percent of women getting an abortion said a child would "dramatically change their life."

Since Roe v Wade imposed legalized abortion on the nation in 1973, 55 million abortions have been performed, and approximately 1.2 million future Americans were aborted in each of the last several years. Nearly half of all pregnancies in the U.S. are unintended, and nearly half of those are aborted.

Planned Parenthood is the nation's most prolific provider of abortions, performing about 1-in-4 total U.S. abortions each year, chalking up 334,000 in 2011. It received $542 million from taxpayers that year, about 40 percent of its total revenues.

And since 1973 we have witnessed the slide down that slippery slope. It has been considered acceptable by a significant number of Americans to end a pregnancy anywhere from the morning after to the day when the baby should be born healthy and ready for life.

We have been treated to horrors such as partial birth abortion where the baby is allowed to be born, but not completely, with part of the child still in the birth canal so that a butcher with MD or DO after their name can kill the child before it is "born." This nefarious procedure takes hair-splitting to a new level.

A year ago a giant slide down the slippery slope occurred when two Australian ethicists – Alberto Giubilini with Monash University in Melbourne, and Francesca Minerva at the Centre for Applied Philosophy and Public Ethics at the University of Melbourne – provided an answer to the question, "When does a fetus become a person?" Their answer: it doesn’t matter. They argued in the online edition of the Journal of Medical Ethics that if abortion of a fetus is allowable, so, too, should be the “termination” of a newborn.

This cold-blooded idea has now infected the United States. That same concept appeared in testimony at a Florida legislative committee that was considering a bill to require abortionists to provide medical care to an infant who survives an abortion and is moving on the table and struggling for life. A Florida Alliance of Planned Parenthood Affiliates lobbyist endorsed the right to "post-birth abortion." The lobbyist, Alisa LaPolt Snow, stunned legislators when she said that her organization believes the decision to kill an infant who survives a failed abortion "should be left up to the woman, her family, and the physician."

This is nothing more than pre-meditated murder, and is not so different from first responders executing a seriously injured accident victim. And just how far does this "right" to post-birth abortion extend? The first birthday? The difficult years of adolescence? Or perhaps it will extend many years after the botched abortion when under as-yet-unknown elements of the Affordable Care Act bureaucrats may be in the position to determine that it will cost too much to keep an elderly patient alive.

Fortunately, the tide appears to be turning against the grizzly practice of abortion. Last June a Gallop poll showed that 50 percent identified themselves as "pro-life" compared to 41 percent who said they were "pro-choice." And, 51 percent said abortion is morally wrong, compared to 38 percent who said it is morally acceptable. And some state legislatures have passed tighter restrictions on the procedure.

This attitude favoring preserving life and restoring personal responsibility is one small ray of light in America's otherwise darkening culture.

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Death Panels are HERE

By Findalis

The Grouch at Right Truth is a practicing Emergency Room Doctor.  He is a man who doesn't give into hysterics, conspiracies, and tin foil craziness.  So when he speaks out against Obamacare I listen to him.  And you should too.  Having said that, I received this from his lovely wife Debbie of The Right Truth with a plea to pass it along.  That I am doing.

Death Panels are HERE

Today while working my shift in the emergency room, an old lady was brought in very sick and in fact near death. I did my usual workup and evaluation and attempted to administer life saving treatment. It was my plan to admit this woman to the hospital. I found out a little later that this same woman had been a patient here just slightly more than 2 weeks ago with a DIFFERENT DIAGNOSIS. I was told that if this woman was admitted, the hospital would not be paid.

The new Medicare rule now is that if the same Medicare patient is re-admitted to the hospital within 30 days, the hospital will not be paid. When they first started this nonsense they said this only applied to patients with the same diagnosis. Now they have "expanded" the rule to include re-admissions for any reason. So if you're in the hospital for pneumonia, and 3 weeks later, you break your leg.......too bad. Medicare will not pay the hospital to fix your leg.

A little later a man was brought in by ambulance, very sick, in pain, and near death. I did my usual evaluation and treatment, doing my best to ease pain and stabilize this man's illness. He needed to be admitted. To my chagrin I found out that he had been treated for the SAME problem at a DIFFERENT HOSPITAL about 10 days prior. If I admitted this man, our hospital would be paid nothing. I admitted the man.

My friends I am caught in a terrible position. I could have given treatment to both of these people and sent them out. There is no doubt that both of them would have died. Oh, I could also be sued for malpractice, but nobody cares about that. That's why we have insurance, right?

My other choice is to admit the person, knowing full well that the hospital will have to absorb the cost of care without hope of remuneration.

This is the climate we as healthcare providers find ourselves in today. How many small and struggling hospitals will survive under such ludicrous payment schemes? Indeed many facilities will close their doors. Many doctors will retire early or simply go do something else. As more and more are added to the Obamacare rolls, there will be less and less access. People will get sicker and yes, people will die because of it.

I had a sick and sinking feeling in the pit of my stomach today after both of these incidents. We have a good hospital. Our nurses, technicians, and support staff work very hard and they deserve to be paid for their efforts. I am not so worried about myself as I am near retirement, but I worry for all the younger folks in the healthcare business and I worry about our seniors who are in the long run going to be sacrificed as the government implements cost cutting shenanigans to cover up their broken promise made way back in 1964.

Folks, this is a nightmare!

Remember when Nancy Pelosi said that we had to pass the bill to know what was in the bill?  We now know what is in the bill.  AND WE DON'T LIKE IT!

If you will, please pass this along.  Either through Facebook, Twitter and/or on your own blog.  And remember to vote on Nov. 6th to remove the problem that caused this disaster:  President Barack Hussein Obama.

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