Archive for the “Obama” Category

Posted from Life Site News

By Kathleen Gilbert — A series of recent public opinion polls and anti-Obamacare petitions have shown that President Obama and his health care overhaul are continuing to decline in popularity at the end of a turbulent Congressional recess.

The public disapproval rating of Obama’s handling of health care has jumped nine points since July to 52 per cent, according to an Associated Press-GfK survey released today.  In the same poll, 49 said they disapproved of Obama’s overall performance, up from 42 per cent in July. 

The most recent Rasmussen Reports Daily Presidential Tracking Poll shows that 31 per cent of the nation’s voters strongly approve of Obama’s presidential performance, while 39 per cent said they strongly disapprove, giving Obama a Presidential Approval Index rating of -8. 

Scott Rasmussen noted in an August Wall Street Journal opinion piece that the polls indicate Obama’s efforts to galvanize support for his plan have grim prospects of success: only 25 per cent of American voters strongly favor the health care reform, while 41 per cent strongly oppose it.  Among independent voters in August, 60 per cent opposed the bill while 35 per cent were in favor, with 47 per cent strongly opposed and 16 per cent strongly favoring. 

Obama is scheduled to speak today to a joint session of Congress, presumably the latest attempt to persuade reluctant bipartisan lawmakers to accept his health reform agenda.

A Zogby Interactive Survey released August 31 noted that the August drop in support ran across several of Obama’s core constituencies.  Democrats, liberals, African-Americans, and young voters in the survey who approved of Obama’s job performance all showed a drop of about 8-9 points since July 24.

Read the rest of the story at LifeSiteNews.com

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From the Weekly Standard

BarnesBy Fred Barnes — President Obama’s speech to Congress last night can be summed up rather easily. It was 40 minutes of boilerplate followed by a socko, emotional finish exploiting the death of Senator Teddy Kennedy. Which leads to this question: was Obama’s finishing kick sufficient to achieve his goal of “reframing” the national debate on health care that hasn’t been going his way? I don’t think so.

Obama didn’t come close to offering a persuasive explanation of how he’d pay for ObamaCare. And that remains his biggest problem. He promises much, much more in guaranteed health benefits and says it will cost less. Even Obama himself couldn’t really believe that. No one else who can add and subtract does. Cut “waste, fraud, and abuse?” Not a chance.

There was one mild surprise. Instead of scaling back his plan to comply with public sentiment, Obama stuck to every promise and provision on which he’s dwelled in more than two dozen speeches. There was nothing new, except the size of his audience.

From this, it’s clear he’s decided to push a partisan bill through Congress with Democratic votes alone. We could tell this from the pleased expression House Speaker Nancy Pelosi had on her face throughout the speech. She’s belongs to the no-compromise school.

But unless Obama has suddenly transformed public opinion, Pelosi and Senate Majority Leader Harry Reid won’t be able to find enough Democrats, even among the usually malleable Blue Dogs,

willing to vote for ObamaCare. Defy the public to bail out a president in trouble? Only Democrats in safe seats are likely to do that.

I had five questions that I looked for Obama to answer in his address. I wanted to see if he was serious about achieving moderate, bipartisan health care. It turns out he’s not. Here are the questions.

1) Did he advocate real tort reform to curb health care costs? Nope. He simply talked up a pilot project that he said was President Bush’s idea. This was a trifle.

2) Did he offer anything of significance to Republicans? No.

3) Did he bring up his favorite straw man about those whose alternative to ObamaCare is to do nothing at all to reform the health care system? Yes, more than once.

4) Did he demonize the health care providers he’s actually made deals with? Well, not all of them, but the health insurers took their usual beating.

5) Did he repeat the false claims he’s made repeatedly in earlier speeches? Yes indeed. He brought up nearly all of them, including the ones on no abortion coverage, no loss of one’s current health insurance, and the “savings” that would come from more preventive care.

As a matter of stagecraft, Obama made a big mistake. He spent precious minutes delivering his same old arguments that have left a majority of Americans cold. He should have started with the Kennedy riff.

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The amendment process surrounding the health care ‘reform’ bills in Congress exposes the fact that President Obama and his allies are not being honest with the American people regarding their plans for ObamaCare.  While the supporters of ObamaCare are making statements like “you can keep your plan”, “the plan will be deficit-neutral”, and “there’s no coverage for abortion or illegal aliens”, the actions of Congressional Democrats show this simply is not the case.  The following list of amendments and their associated votes exposes the real truth about ObamaCare (source – FactReal).

OBAMACARE WON’T LET YOU KEEP THE PLAN YOU LIKE

Government will determine what is “acceptable” health insurance coverage and benefits.

Amendments to protect freedom to choose a plan you like: BLOCKED

Amendment from Rep. Eric Cantor (R-VA) to preserve Americans’ freedom to choose & keep the coverage they like
i.e., high deductible plans, Health Savings Account (HSA)
Amendment from Rep. Cliff Stearns (R-FL) to ensure that nothing in the bill could prevent individuals from keeping their current health benefit plan
Amendment from Rep. Mike Rogers (R-MI), Rep. Jim Matheson (D-UT), and Rep. Phil Gingrey (R-GA) to include HSAs plans in the bill’s definition of a “qualified health benefits plan.”
Amendment from Rep. Rep. John Kline (R-MN) to give employees greater say regarding the preservation of their employer-sponsored health insurance (This amendment was soundly defeated, with 28 Democrat members voting no.)
Amendment from Rep. Paul Ryan (R-WI) to let Americans keep the insurance they like by striking the government-run plan
(Democrats defeated this amendment: 25-15)

OBAMACARE WON’T ALLOW YOU TO ENROLL IN PRIVATE INSURANCE

Americans would be prohibited by law from enrolling in a private individual health insurance plan and would be forced by the federal government to buy a different health plan in the national Health Insurance Exchange. The Democrats’ bill says that beginning in 2013 the health plans that provide coverage for Americans enrolled in individual market health plans could no longer enroll new members.

Amendment to allow Americans to choose private coverage: BLOCKED

Amendment from Rep. Dave Reichert (R-WA) to repeal the prohibition to allow Americans to continue to enroll in private individual market health plans (Democrats defeated this amendment: 26-15)  

OBAMACARE TO DENY DOCTORS & HOSPITALS THE RIGHT TO CHOOSE IN WHICH PLANS TO PARTICIPATE

Government could force anyone to offer services in ObamaCare that will underpay doctors and hospitals

Amendment to allow doctors & hospital to choose plans they want: BLOCKED

Amendment from Rep. Charles Boustany (R-LA) to ban the Health and Human Services Secretary from forcing providers to participate in the government-run plan (Democrats defeated this amendment: 25-16)
  
OBAMACARE TO FUND ABORTION

Presently, all government-subsidized health care plans (SCHIP, DOD, Medicaid, etc.) prohibit abortion coverage. In HR3200 & Senate bills, there are no provisions that would prevent federal officials from mandating that health insurance plans include abortion services. There is nothing to prevent the Secretary of HHS from including abortion coverage since the decisions over benefits are left to the Secretary of HHS and to a newly created Health Care Benefits Advisory Committee. Based on the failure of anti-abortion amendments, taxpayers would end up financing abortion since the federal government could mandate that abortions be covered by health insurance plans available through the national health insurance exchange.

Amendments to prevent taxpayer-financed abortion: BLOCKED

Amendment from Rep. Sam Johnson (R-TX)
to prohibit any federal requirements on insurance plans to cover abortions (Democrats defeated it: 23-18)
Amendment from Rep. Eric Cantor (R-VA)
to prevent taxpayer dollars from being used to fund abortions
(Democrats defeated this amendment: 22-19)
Amendment from Rep. Mark Souder (R-IN)
to prevent requirements to cover abortions in group health plans
Amendment from Rep. Mark Souder (R-IN)
to prohibit the use of taxpayer dollars to fund abortions
Republican Senators in the Senate HELP Committee
attempted to exclude abortions services from the bill but were defeated
Amendment from Rep. Joe Pitts (R-PA) and Rep. Bart Stupak (D-MI)
to specifically prohibit federal funds from being used to cover abortion services
Amendment from Roy Blunt (R-MO), Rep. Joe Pitts (R-PA) and Rep. Bart Stupak (D-MI) to block any government requirement on health insurance networks to include abortion
 
 Amendment pro-abortion: PASSED

Amendment from Rep. Lois Capps (D-CA) to require at least one insurance plan to cover abortion in each geographical region, to cover ALL abortion services, and allow affordability credits (taxpayer-funded subsidies) to be used for health insurance plans that cover abortions.

OBAMACARE NOT DEFICIT NEUTRAL

ObamaCare will increase the deficit: According to the CBO’s and JCT’s assessment enacting H.R. 3200 would result in a net increase in the federal budget deficit of $239 billion over the 2010-2019 period.  What’s wrong with high deficits? The CBO director explains: “Large budget deficits would reduce national saving, leading to more borrowing from abroad and less domestic investment, which in turn would depress economic growth in the United States. Over time, accumulating debt would cause substantial harm to the economy.”

Amendment to keep ObamaCare deficit neutral: BLOCKED
To help Obama keep his promise that his health care reform will not add to the deficit, these Congressmen proposed these amendments:

Amendment from Rep. Patrick Tiberi (R-OH) to require the Secretary of HHS to submit an annual report to the President and Congress, comparing the expected revenue and spending under the bill’s provisions for the upcoming 10-year period.
Amendment from Rep. Tom McClintock (R-CA) to prevent major provisions of the bill from being enacted/implemented, if the Director of the Office of Management and Budget found that they were not deficit-neutral.
 
OBAMACARE WILL HURT EMPLOYEES, BUSINESSES, & THE ECONOMY

The House bill has an employer “pay-or-play” mandate, which include a tax on employers of up to 8 percent if they do not offer a federally approved benefits package to their workers. Taxes on employers are generally passed on to employees in reduced wages or other compensation, including job loss.

Amendments to protect jobs: BLOCKED

Amendment from Rep. Pete Hoekstra (R-MI) to suspend employer mandate provisions if the national unemployment rate equaled or exceeded 8% for 2 consecutive months
Amendment from Rep. Sam Johnson (R-TX) to strike new tax increases in the bill:
(i.e., an 8% payroll tax on employers who can’t afford to offer health insurance to their employers; offer health coverage to their employees but government considers it “insufficient”; offer “sufficient” coverage but the employee enrolls through a spouse’s employer; or aren’t paying at least 72.5% of an employee’s premium)
(Democrats defeated it: 26-15)
 
 OBAMACARE = GOVERNMENT INTRUSION, CONTROL & RATIONING

The House bill calls for increased Comparative Effectiveness Research (CER) to gather data & determine which treatments are the most cost-effective. Government officials may be able to use CER to make payment, treatment, and coverage decisions.

Amendment against government making medical decisions; government rationing & control: BLOCKED

Amendment from Rep. Wally Herger (R-CA) prohibit the Centers for Medicare and Medicaid Services (CMS) from using CER to make coverage determinations 

Amendment for government to set prices: PASSED  

Amendment from Rep. Jan Schakowsky (D-IL) to put the government in control of setting prices for insurance premiums for seniors’ prescription drug coverage, placing a government price cap on premiums, and allow the Secretary of HHS to “negotiate” the drug prices in Medicare Part D and Medicare Advantage plans. 

OBAMACARE = LONG WAITS

 Federal officials may resort to rationing care and controlling access to physicians to save money. Based on the experience of other countries, this process would result in long wait times for patients. The Brady amendment failed on a straight party-line vote.

Amendment to protect Americans from long wait times: BLOCKED

Amendment from Rep. Kevin Brady (R-TX) to eliminate the public plan if its enrollees experienced longer wait times than in private health plans. These people would then be able to enroll in private health plans offered on the Health Insurance Exchange.

 OBAMACARE WILL COVER ILLEGALS

The House bill does not offer clear guidelines to ensure that illegal immigrants cannot access taxpayer-funded health care benefits.
It will be unsustainable to give benefit to millions of illegals already in the U.S. and the many millions to come if Obama passes his open-border immigration reform.
The Heller amendment failed on a straight party-line vote.

Amendment to keep illegals out of ObamaCare: BLOCKED 

Amendment from Rep. Dean Heller (R-NV) to verify that only citizens can access federal health care (Democrats defeated this amendment: 26-15) 

SENIORS TO FINANCE OBAMACARE

Bill proposes reductions to Medicare Advantage (MA)

Amendment to stop the payment reductions to Medicare Advantage (MA) plans: BLOCKED

Amendment from Rep. Mike Rogers (R-MI) to prevent the House bill’s MA reductions from being implemented unless the Secretary of HHS could certify that those provisions would not cause seniors to lose their current MA plans or be forced to switch plans

 Amendment for government to set prices in Medicare: PASSED   

Amendment from Rep. Jan Schakowsky (D-IL) to put the government in control of setting prices for insurance premiums for seniors’ prescription drug coverage, placing a government price cap on premiums, and allow the Secretary of HHS to “negotiate” the drug prices in Medicare Part D and Medicare Advantage plans.

MEMBERS OF CONGRESS WON’T ENROLL IN OBAMACARE 

If ObamaCare is so good, why members of Congress, Senate & Obama Administration will be exempted from getting ObamaCare?
This Heller amendment failed, with 21 Democrats voting no.

Amendment to require Congress to enroll in ObamaCare: BLOCKED  

Amendment from Rep. Dean Heller (R-NV) to require Congress to enroll in ObamaCare & drop from their successful Federal Employees Health Benefits Program (FEHBP) (Democrats defeated this amendment: 21-18)
 
 OBAMACARE’S SINGLE-PAYER 

Here is how easy it will be for Obamacare to lead to single-payer (a.k.a state-run, government-run health care, universal, co-op….whatever name they give to it, it’s about government control)

Amendment to adopt a state-based system of socialized medicine: PASSED  

Amendment from Rep. Dennis Kucinich (D-OH) to allow a state to get an Employee Retirement Income Security Act (ERISA) waiver if they set up a single-payer system in their state
  
OBAMACARE WILL NOT PROVIDE TORT REFORM 

Democrats side with trial lawyers instead of lowering health care costs.

Amendment to reduce health costs: BLOCKED

Amendment from Rep. John Linder (R-GA) to limit participation to states with meaningful medical malpractice reforms to reduce frivolous lawsuits (Democrats defeated it: 26-15)

OTHER REPUBLICAN AMENDMENTS BLOCKED BY DEMOCRATS
Democrats block common-sense changes to Health Care bill

● Stop the government-run health plan
● Prohibit new taxes until Medicare fraud rate is reduced to below 1%
● Prevent bureaucrats from making personal medical decisions for patients
● Establish a $1 trillion deficit cap
● Waive the employer mandate if it will cause layoffs, worker salary cuts, or reductions in hiring
● Protect employers from unfair taxation
● Protect employers who offer health care coverage to their workers
● Create small business health plans
● Require the government-run plan to operate under the same rules as private health plans
● Specify that Congress should read the health care bill before voting on it
● Keep President Obama’s tax pledge not to raise taxes
● Ensure that workers who like their current health plan can keep it
● Ensure Americans cannot be forced into a government-run health care plan
● Stop seniors from being stripped of their health care choices
● Prohibit unfair advantages for government-run health plan
● Keep the federal government from choosing “favored” physicians
● Allow states to opt out
● Slow Medicare’s march toward bankruptcy
 

SOURCES – THE HOUSE BILL H.R.3200:

The three House committees (Education and Labor, Ways and Means, Energy and Commerce) which have been working together on health insurance reform, have now each approved health care legislation. H.R.3200 is expected to be considered by the full House in September.
● House Committee on Education and Labor: markup, and here, members (Democrat majority), roll call: passed 26-22
● House Committee on Ways and Means: markup, members (Democrat majority)
● House Committee on Energy and Commerce: markup, and here, members (Democrat majority), roll call: passed 31-28
Democratic Leaders Block 31 Common-Sense Changes to Health Care Bill
The House Education and Labor Markup: Making a Bad Bill Worse
The House Health Bill: The House Ways and Means Amendments
The House Health Bill: Energy and Commerce Amendments

SOURCES – THE SENATE BILL:

● Senate HELP (Health, Education, Labor and Pensions) Committee: passed a health care overhaul along party lines, No transparency
The Senate Health Bill: Chock-Full of Bad Health Policy

 

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Posted from The American Spectator

Last week, Barack Obama treated us to a traveling road show crusading for his heath care overhaul plan. But what he actually said at those staged, orchestrated, town halls packed with his fervent supporters was so unhinged from the reality of the Congressional legislation he is supporting that he must have consciously decided to challenge us all with the dare: “Catch me if you can.”

President Obama keeps repeating over and over that his plan does not include any cuts in Medicare. But the legislation he is supporting specifies $500 billion in reduced funding for Medicare, scored by CBO. When arguing that his health overhaul is paid for, he wants credit for these cuts. But when challenged, he wants to deny before the whole country in broad daylight that he is doing it. I can’t recall any precedent for such a Presidential disconnect from reality.

In trying to deny these Medicare cuts, President Obama said at one town hall that AARP had endorsed his plan. He said, “AARP would not be endorsing a bill if it was undermining Medicare, okay?” But just the night before, AARP was on national television denying that it had endorsed the Obama health plan. It issued a press release saying the same just after Obama’s town hall misstatement.

President Obama also repeats over and over in these town halls that his health plan will reduce health costs, thereby reducing federal spending and deficits. But CBO, which is now in complete control of the Democrat Congressional majorities, says just the opposite. It says the Obama health overhaul plan will increase federal spending by close to a trillion dollars or more, and increase the federal deficit by hundreds of billions. On health costs, CBO Director Doug Elmendorf told Congress,

In the legislation that has been reported we don’t see the sort of fundamental changes that would be necessary to reduce the trajectory of federal spending by a significant amount…[O]n the contrary, the legislation significantly expands the federal responsibility for health costs….[The government public option for health insurance] raises the amount of [spending] that is growing at this unsustainable rate.

And here’s a dirty little secret. The CBO surely underestimates the costs of the Obama health plan, just as it regularly does for new government programs, health programs in particular. The official government estimates for Medicare when it was adopted in 1965 projected that the program would cost only $12 billion by 1990. But the actual costs of the program by that year were $109.7 billion, nine times larger than the original estimate.

Independent private estimates have ranged far higher than what CBO projects. HSI Network used its proprietary ARCOLA simulation model to estimate that the House bill would cost $3.5 trillion in additional federal spending alone over 10 years. HSI estimates that the Senate bill would cost $4.1 trillion over 10 years. These estimates seem far more realistic than the CBO estimates. In my study of the Obama health plan for the Heartland Institute (www.heartland.org), I explain in thorough detail how and why the Obama health overhaul will raise rather than lower health costs. 

But in the town halls, President Obama just goes from bad to worse. In Colorado on Saturday, President Obama even suggested that his health overhaul scheme would “bend the cost curve,” reducing “health care inflation” so much that the enormous long-term deficit of Medicare (unfunded liability: $89 trillion) would be eliminated! He said that without his health overhaul plan, “We’ll either have to cut Medicare, in which case seniors then will bear the brunt of it, or we’ll have to raise taxes, which nobody likes.” But the CBO has never ever come anywhere near to confirming anything like this. This is just abusive.

Screwing Seniors on Medicare Advantage

Among the cuts in Medicare under the Obama health plan is $177 billion in cuts for what he misleadingly calls “subsidies” for health insurance companies, or “sweetheart deals for insurance companies that don’t make anybody any healthier.” Translating this into straight talk, what Obama is talking about here are the reimbursements Medicare pays to the private insurance companies operating the Medicare Advantage option. Seniors enjoy the freedom today to choose one of these Medicare Advantage insurance companies to provide their coverage and benefits under Medicare. Almost one-fourth of seniors have chosen this Medicare Advantage option because they believe they get better benefits from it than from standard Medicare.

But Obama thinks that what Medicare is paying to these insurance companies to provide Medicare coverage and benefits is somehow a “subsidy” or a “sweetheart deal.” So he is proposing to pay for his health care overhaul in part by slashing these payments by $177 billion. At a minimum, these cuts will force these plans to cut back on the benefits they provide to seniors. Or the Medicare Advantage plans may just go out of business altogether, dumping the almost one-fourth of seniors who have made this choice because they are getting a better deal from these plans.

President Obama continually promises over and over that if you like your health insurance, you can keep it. He said at the town hall in Colorado on Saturday, “I just want to be completely clear about this: I keep on saying this but somehow folks aren’t listening — if you like your health care plan, you keep your health care plan.” But this promise apparently doesn’t extend to seniors on Medicare Advantage, which he is slashing because he is ideologically opposed to private options for Medicare.

Nor can anyone else rely on this false promise either. If you have employer-provided health insurance, under the Obama health plan the decision as to whether you keep that insurance will not be up to you. It will be up to your employer, who Obama entices with incentives to dump you into the public option government health insurance plan so beloved by the Far Left. The employer can just dump your current health coverage and pay an 8% payroll tax instead. If you make $50,000, the payroll tax will cost $4,000 for you, which is probably less than the cost of your current coverage.

This is why the Lewin Group, an independent, expert, health care consulting firm, estimates that under the Obama health plan “about 88.1 million workers would shift from private employer insurance to the public plan” to start. That’s a lot of workers not keeping their current health coverage if they like it.

Even if you purchase health insurance directly on your own, you will not be able to keep that insurance if your insurer is driven out of business by the public option, government health plan. One big reason that will happen is that the government has the power to dictate what doctors and hospitals would be paid by the government plan. Medicare now pays doctors almost 20% below market rates, and hospitals more than 30% below market. Medicaid pays 30% to 40% less than Medicare. The health reform bills now pending in Congress authorize the public option to follow these payment practices.

Private health plans will not be able to compete with a public government plan that has lower costs because it dictates lower payment rates to doctors and hospitals. Indeed, the current experience with Medicaid and Medicare is that these government plans drive up the cost of private health plans, as doctors and hospitals underpaid by the government health plans try to recover the losses by charging more to privately insured patients. Private health plans trying to compete with the government public option would consequently be at even more of a competitive disadvantage.

Obama also repeatedly says that under his health plan if you like your doctor, you will be able to keep him, or her. But the question is whether under his plan, with the government so sharply underpaying the doctors, your doctor will be willing to keep you.

Government-Run Health Care

In the town hall meeting in New Hampshire last week, Obama said about his health care overhaul plan “This is not about putting the government in charge of your health insurance.”

Oh, really. Faithfully to the Obama plan, the bills before Congress create a government bureaucracy that will dictate to the insurance companies exactly what benefits and coverage they must provide. The bills also dictate who the insurers must cover, with guaranteed issue for whoever shows up regardless of health condition. The bills also specify in detail what the insurance companies can charge, with community rating for everyone who applies, regardless of health condition. The government will let the insurer vary premiums by age up to a ratio of 2 to 1. How flexible.

The government will also dictate what deductibles, co-pays, and other out of pocket expenses the insurance company can offer. If you are one of the almost 12 million Americans with low cost Health Savings Account insurance plans or similar high deductible plans, and you like it, too bad, because Obama’s promise of allowing you to keep your plan does not apply to you.

The bills also provide for a government bureaucracy that will “risk adjust” premium income to insurance companies by redistributing funds from insurers whose covered customers are healthier and lower cost than average, to insurers whose covered customers are sicker and higher cost than average, as determined by the bureaucracy.

Oh, no. The Obama plan “is not about putting the government in charge of your health insurance.” No way.

Peddling Still More Falsehoods

Also in the New Hampshire town hall last week, President Obama said that under his health plan,

[I]nsurance companies…will not be able to drop your coverage if you get sick. They will not be able to water down your coverage when you need it. Your health insurance should be there for you when it counts — not just when you’re paying premiums, but when you actually get sick. And it will be when we pass this plan.

But dropping or watering down your health insurance coverage after you get sick has long been illegal in America, and well it should be. Health insurance that can be cut off after you get sick is like fire insurance that can be cut off after your house catches fire. That is not health insurance, it is fraud.

The prohibition against this fraud was nationalized by the Congressional Republican majorities in the landmark HIPAA legislation in 1996. That legislation even provided that if you lose employer provided health insurance coverage for any reason (changing jobs, layoffs, employer goes out of business, divorce) any private insurer you apply to within 2 months must take you, regardless of health condition. Even failing that, Republicans have long advocated uninsurable risk pools for every state, which would provide government subsidized coverage to anyone who couldn’t get coverage anywhere else. Such risk pools have long worked quite well in over 30 states.

There may still be some loopholes in the employer group market that should be closed. But in making this argument, President Obama is trying to take credit for solving a problem that has already been basically solved, and does not require the massive government takeover of health care that he is advocating.

Rationing and Denying You Health Care

Finally, President Obama and his left wing supporters laugh off the notion that there will be any government health care rationing under his plan. Again, my recent study on the Obama health plan for the Heartland Institute explains in full detail exactly how this rationing would be imposed under that plan. The talking heads who appear on TV or radio flatly denying that as misinformation either haven’t read the bills or don’t understand what they have read.

The legislation already provides for the establishment of government bureaucracies with the power to decide on “cost-effectiveness” in health care, which means the government will decide whether the benefits of your health care to you are worth the costs to the government or other payers. This is the grounds for the extensive government health care rationing we see in other countries with such systems such as Great Britain and Canada, or even in Oregon in the Medicaid program, where those needing life saving care have been told that such care is not cost effective, but the government will pay for physician assisted suicide instead.

The legislation already provides for bureaucracies with the power to decide “comparative effectiveness,” where the government is empowered to decide what health care “works” and what doesn’t. This is what your doctor is for, to decide what will work and what won’t for you. But now a government bureaucracy that doesn’t even know you will be involved, and if your doctor doesn’t follow its decisions, he will be penalized in his reimbursements for your care under “pay for performance.”

And when the steep underpayment of doctors and hospitals under the payment practices of Medicaid and Medicare is extended more generally through the public option government health plan, incentives to invest in health care will be obliterated. That means no investment in new, expanded clinics and hospitals, or even the maintenance of existing ones, no investment in the high tech medical equipment Americans have far greater access to than anywhere else in the world, no investment in the scientific breakthroughs that would provide for the next generation of high tech medical advances, no investment in development of new life saving and pain saving miracle drugs. It means the departure of doctors, specialists and surgeons from current practices, and far fewer new ones coming up. There’s your rationing, your long waiting lines we see in all these other countries, the people dying while waiting for care from their government. Even this is not the whole story, which again is discussed in my Heartland study. The bottom line is, as others have said, the whole Obama health plan is a death panel.

What all of the above means is that Obama is willing to say anything no matter how transparently ridiculous and absurd to pass his government takeover of health care. At this point, you can’t believe a word he says about it.

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Posted from the Washington Examiner

They aren’t carrying swastikas, either, contrary to House Speaker Nancy Pelosi’s rant about the legions of worried citizens who have been standing up in multiple town halls and congressional forums to demand straight answers from their congressmen about what they are doing under the guise of “health-care reform.” Pelosi’s attempt to smear honest citizens as Nazis is only the most reprehensible manifestation of a White House-directed propaganda campaign to discredit anyone who disagrees with President Obama’s health-care proposal. A growing list of major national surveys suggests that the people targeted by the campaign represent a clear majority of Americans, if not something very close to it. And they are being portrayed by some in their government as its enemy.

The Obama White House has established a health care reform snitch line and encouraged its supporters to turn in critics for allegedly spreading false information about Obamacare. In its effort to intimidate and silence dissenter, the administration is also working hand-in-hand with the Democratic congressional leadership, the Democratic National Committee, Organizing for America (formerly the 2008 Obama campaign committee), friendly journalists in the liberal media, tax-exempt supposedly non-partisan non-profits like AARP, and the AFL-CIO, SEIU, and other labor unions. This campaign is creating the spectacle of Democratic congressmen being shielded from constituents by squads of union goons.

We are witnessing something terribly ugly in America this summer. Obama is leading a campaign to shift our peaceful democratic process away from civil discussions of programs and candidates to using the power of the state to bully those who oppose the majority party’s policy proposals. The threat may be as subtle as the fear of being reported by a neighborhood informant to the White House, or as overt as stick-wielding union toughs who might not approve of the way you ask your congressman a question.

During his campaign last year, the president famously told his supporters to “get in the faces” of those who disagreed with his vision for America. One of his Chicago mentors recalled in a 2007 New Republic profile that Obama, as a community organizer, was “the best student he ever had, a natural, the undisputed master of agitation” to gain political power. Sadly, now that he has it, he is turning it against those who oppose him.

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Posted from Wall Street Journal

We have entered uncharted territory in the fight over national health care. There’s a new tone in the debate, and it’s ugly. At the moment the Democrats are looking like something they haven’t looked like in years, and that is: desperate.

They must know at this point they should not have pushed a national health-care plan. A Democratic operative the other day called it “Hillary’s revenge.” When Mrs. Clinton started losing to Barack Obama in the primaries 18 months ago, she began to give new and sharper emphasis to her health-care plan. Mr. Obama responded by talking about his health-care vision. He won. Now he would push what he had been forced to highlight: Health care would be a priority initiative. The net result is falling support for his leadership on the issue, falling personal polls, and the angry town-hall meetings that have electrified YouTube.

In his first five months in office, Mr. Obama had racked up big wins—the stimulus, children’s health insurance, House approval of cap-and-trade. But he stayed too long at the hot table. All the Democrats in Washington did. They overinterpreted the meaning of the 2008 election, and didn’t fully take into account how the great recession changed the national mood and atmosphere.

And so the shock on the faces of Congressmen who’ve faced the grillings back home. And really, their shock is the first thing you see in the videos. They had no idea how people were feeling. Their 2008 win left them thinking an election that had been shaped by anti-Bush, anti-Republican, and pro-change feeling was really a mandate without context; they thought that in the middle of a historic recession featuring horrific deficits, they could assume support for the invention of a huge new entitlement carrying huge new costs.

The passions of the protesters, on the other hand, are not a surprise. They hired a man to represent them in Washington. They give him a big office, a huge staff and the power to tell people what to do. They give him a car and a driver, sometimes a security detail, and a special pin showing he’s a congressman. And all they ask in return is that he see to their interests and not terrify them too much. Really, that’s all people ask. Expectations are very low. What the protesters are saying is, “You are terrifying us.”

What has been most unsettling is not the congressmen’s surprise but a hard new tone that emerged this week. The leftosphere and the liberal commentariat charged that the town hall meetings weren’t authentic, the crowds were ginned up by insurance companies, lobbyists and the Republican National Committee. But you can’t get people to leave their homes and go to a meeting with a congressman (of all people) unless they are engaged to the point of passion. And what tends to agitate people most is the idea of loss—loss of money hard earned, loss of autonomy, loss of the few things that work in a great sweeping away of those that don’t.

People are not automatons. They show up only if they care.

What the town-hall meetings represent is a feeling of rebellion, an uprising against change they do not believe in. And the Democratic response has been stunningly crude and aggressive. It has been to attack. Nancy Pelosi, the speaker of the United States House of Representatives, accused the people at the meetings of “carrying swastikas and symbols like that.” (Apparently one protester held a hand-lettered sign with a “no” slash over a swastika.) But they are not Nazis, they’re Americans. Some of them looked like they’d actually spent some time fighting Nazis.

Then came the Democratic Party charge that the people at the meetings were suspiciously well-dressed, in jackets and ties from Brooks Brothers. They must be Republican rent-a-mobs. Sen. Barbara Boxer said on MSNBC’s “Hardball” that people are “storming these town hall meetings,” that they were “well dressed,” that “this is all organized,” “all planned,” to “hurt our president.” Here she was projecting. For normal people, it’s not all about Barack Obama.

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The Democratic National Committee chimed in with an incendiary Web video whose script reads, “The right wing extremist Republican base is back.” DNC communications director Brad Woodhouse issued a statement that said the Republicans “are inciting angry mobs of . . . right wing extremists” who are “not reflective of where the American people are.”

But most damagingly to political civility, and even our political tradition, was the new White House email address to which citizens are asked to report instances of “disinformation” in the health-care debate: If you receive an email or see something on the Web about health-care reform that seems “fishy,” you can send it to flag@whitehouse.gov. The White House said it was merely trying to fight “intentionally misleading” information.

Sen. John Cornyn of Texas on Wednesday wrote to the president saying he feared that citizens’ engagement could be “chilled” by the effort. He’s right, it could. He also accused the White House of compiling an “enemies list.” If so, they’re being awfully public about it, but as Byron York at the Washington Examiner pointed, the emails collected could become a “dissident database.”

All of this is unnecessarily and unhelpfully divisive and provocative. They are mocking and menacing concerned citizens. This only makes a hot situation hotter. Is this what the president wants? It couldn’t be. But then in an odd way he sometimes seems not to have fully absorbed the awesome stature of his office. You really, if you’re president, can’t call an individual American stupid, if for no other reason than that you’re too big. You cannot allow your allies to call people protesting a health-care plan “extremists” and “right wing,” or bought, or Nazi-like, either. They’re citizens. They’re concerned. They deserve respect.

The Democrats should not be attacking, they should be attempting to persuade, to argue for their case. After all, they have the big mic. Which is what the presidency is, the big mic.

And frankly they ought to think about backing off. The president should call in his troops and his Congress and announce a rethinking. There are too many different bills, they’re all a thousand pages long, no one has time to read them, no one knows what’s going to be in the final one, the public is agitated, the nation’s in crisis, the timing is wrong, we’ll turn to it again—but not now. We’ll take a little longer, ponder every aspect, and make clear every complication.

You know what would happen if he did this? His numbers would go up. Even Congress’s would. Because they’d look responsive, deliberative and even wise. Discretion is the better part of valor.

Absent that, and let’s assume that won’t happen, the health-care protesters have to make sure they don’t get too hot, or get out of hand. They haven’t so far, they’ve been burly and full of debate, with plenty of booing. This is democracy’s great barbaric yawp. But every day the meetings seem just a little angrier, and people who are afraid—who have been made afraid, and left to be afraid—can get swept up. As this column is written, there comes word that John Sweeney of the AFL-CIO has announced he’ll be sending in union members to the meetings to counter health care’s critics.

Somehow that doesn’t sound like a peace initiative.

It’s going to be a long August, isn’t it? Let’s hope the uncharted territory we’re in doesn’t turn dark.

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