If Obamacare Dies, What’s Next for Health Care?
The Supreme Court declaring Obamacare dead will not necessarily help Governor Romney and the Republicans — the death of one monarch may lead to another monarch. We need the proper bill to replace it.
When I was a health care advisor for the John McCain campaign — and an ardent, vocal opponent of Obamacare — I wrote of many possible solutions to alleviate our health care dilemma. It is time to reiterate them, with some adjustments. My basic mantra for health care reform: Keep it simple, stupid. Listen up, Governor Romney:
1. Abolish all state mandates. State mandates contribute to billions in additional costs to the basic insurance premiums. Let the market dictate what is covered.
2. Allow health insurance coverage to cross state lines.
3. Allow affinity groups to offer insurance to their members. This would allow churches, synagogues, AAA, AARP, and even Costco to offer health care insurance to their members. The sheer numbers from membership will bring competition from the different carriers to provide the most coverage for the least cost. Some of these groups may even offer lifetime memberships, which in turn would afford the member similar health coverage regardless of job insurance.
4. Allow catastrophic or major illness insurance. By removing forced state mandates, you will allow very reasonable catastrophic insurance policies. A 20-year-old healthy person should not be forced to pay for colon cancer screening.
5. Allow physicians to be just that. If a physician — notice I did not call him or her a health care provider — is a “provider” for a particular health insurance plan, then whatever he or she orders must be accepted by that plan. The insurance company can economically credential these physicians every two years. They can even remove them if they feel they are too “generous.” The patient should not be used as a pawn.
The above five constitute the “easy” solutions. Now come the hard ones.
6. We must remove the Vegas-style gambling on medical law suits. You’ve seen the commercials: “Have you ever had a headache? You may be entitled to compensation.” I’ve proposed several solutions over the past few years, but have come to the conclusion that the simplicity of the English system — the “loser pays” system — would be best for America. No one is prevented from suing, but there would be no free roll of the dice. There must be money on the table to force accountability. There is always risk in life: if you sue and lose, you pay the cost.
7. Allow re-importation of drugs. It is simple and it is safe. Did I mention simple?
8. This one is a stretch, but I love it. Make medical school free, and shorten the four years of college, four years of medical school to six total years. Make all state schools free or nearly so. In return, the young doctor will give back to his state two to three years of service: two years if served after basic training (general practice), or three years after specialty training. This will encourage generalists. Private schools will still run the same, but will be at the cost of the student.
When confronted with a complex medical condition, we as physicians are trained to find as simple a solution as possible by breaking down the components and solving the critical problems first, and then worrying about the minor ailments. While these eight steps may not “cure” what ails all of health care, they will allow the freedom of choice that Americans are entitled to. There is no one-size-fits-all answer.
Why do we insist on fixing what isn’t broken?
Yes…healthcare is expensive but nobody ever dies. People come from other countries to get the best healthcare here.
Do we really want to ‘fix’ that?
I’m not sure how to ameliorate the cost problem though. I think ‘across the state’ competitive insurance would be a good start.
People die obviously. lol I just mean, we save a lot of lives. *bangs head against computer-board*
US is way down the list in terms of delivering health care and has been for a while. (see for example http://www.photius.com/rankings/world_health_performance_ranks.html) But outspends every other country in the world. Most of the populations of the world including the US population have been duped into looking at the health care system or insurance system or medicare system or the free market system or put in your choice of system as the problem. The issue is how do you get a healthy population that doesn’t need all these expensive systems. The answers are available for anybody who cares to look and it is not more and better DRUGS etc.
First, I would not trust any data from any U.N. organization, including the WHO. Second, some of this data seems pretty subjective, making it even less trustworthy. Third, cost data is particularly untrustworthy. There are so many ways cost data can be manipulated.
That being said, our system certainly has its inefficiencies, most of which are caused by excessive government interference in the market. And, American lifestyles often make medical care more expensive because they lead to a greater need for healthcare.
But, I would prefer to get my medical care in the U.S. rather than any other place in the world. It would seem that a lot of people believe that, so we must be doing at least a few thing right.
The UN one is utterly worthless because part of their rating system is “How socialist is the healthcare system?”
The UN study you are referring to is horribly inaccurate. First, it relies on countries to be more or less honest about their healthcare, which gives closed countries like Cuba a free ride. Second, factors unrelated to healthcare, such as stillborn births, are included in some countries’ calculations but not others, and are even different among those that are. Third, affordability is a factor, which is also not indicative of good healthcare; a voodoo priest is cheaper than a real doctor but the service is quite different in quality.Fourth, many studies by the UN (don’t know if it is the particular one) include public perception or some form of how good people feel about it as a criteria. Perception has no hold on reality. The United States has the highest quality healthcare system in the world. It is expensive because we also have to invent every good procedure and drug, and keep people alive extremely long.
1-5 are good but the point no 8 is not, being neither sufficient nor necessary.
#4-Nor should a 56 year old woman be forced to pay for maternity coverage!
From the title I was prepared to hate the article. But I liked it. Don’t know how you’ll keep states from making their own mandates,though I wish it were possible.
I also detest #8. Future doctors should go to four-year colleges like other professionals, and take a few courses in Liberal Arts and Social Sciences. I also recoil from the words “give back” in a mandatory scheme, the military being the exception.
Liberal arts and Social Sciences are all well and good, but they are also fairly worthless the way most schools teach them. A good history course (emphasis on good) will provide all the skills and experience English, Social Science, and writing courses are supposed to. Romantic poetry and Freud are an acceptable, if somewhat poncy, hobby, but they are worthless in a real world setting beyond impressing people.
I have a problem with #1. States have the right (rightly and wrongly) to dictate the rules & regulations within their own borders. However, a insurance company should be allowed to sell across state lines. For example: credit card companies incorporate in places like Delaware and South Dakota, but their products and services are valid in every state and territory in the Union.
Once the Federal Govt. can dictate what states business rules can be (even it is ‘you can’t have any rules’), you have given them the right to pass their own insurance mandates, inflicting them on every state of the country. Eventually, we will end up where people in NJ are: Where a healthy 25 year old male can’t fund his own insurance because the plans are outrageously expensive. While in PA, he would pay less than $150 per month for catastrophic care.
I see a glaring issue with #8 that you already pointed out in number 6. The lack of money on the table. Without some money down; without some COMMITMENT that you are personally invested in, the medical schools will be inundated with a massive deluge of kids wanting to “try their luck” at Med-School, RISK-FREE.
For instance, I could start at a 4 year college, saying I’ll be a Doctor. I’ll work through my first 2 years doing all my general courses, and then suddenly decide I want to be a florist instead, change majors, and now I have 2 years of free, transferable credits.
I’m perfectly happy with a government-loan system where they subsidize a substantial portion of the cost of Med School (not the 4 year college, because they get their own reward for that degree). in exchange for 2-3 years of service. Majors in STEM already do that through the SMART program, and it is a pretty good deal for all involved, taxpayers included.
Make it easier, in exchange for service; but if you make it free, you’ll get a bunch of kids without any serious thought or commitment trying it out because it’s Free.
So everybody agree on 1-5, and get some timely hero from outside of politics to recommend it to the public and Congress at the same time, so neither political party can claim credit for bringing the nation together on it. I suggest a conspiracy in which, for every person who rescues a trapped motorist or treed kitten, or wins a golf tournament or whatever, and is interviewed in the mainstream media, at some point the latest hero should say, “and you know, I think we could begin to overhaul healthcare like this: …” followed by one or more of points 1-5 here. After a short time–a few months–everyone would think they thought of it themselves, along with their favorite hero of course.
If Obamacare is struck down Obama will ignore the SCOTUS and continue as if he had won.
We do need more doctors, it has been estimated that the US could use a half million more physicians. I think the funding for that education could come from not the state, but the specific town or county that wants to send one of its own (or someone who will enter into a contract with them) to med school. KISS indeed.
I would love to see a situation in which there are so many physicians that they must again make house calls. It is so hard to get my ailing dad in to see the healthy doctor. Why can’t they do house calls like the home health care nurses? More doctors, more competition, and the consumer will benefit greatly. Waiting a month or more to get in to see a specialist would be a thing of the past because we would finally have enough physicians.
In Illinois, if you are on Medicare and have a debilitating medical issue, you have the right to have a Physician AND Nurse come to your home.
Just a FYI.
The problem with #7 is that some foreign governments insist that drugs be priced at a level only slightly above the marginal cost of production. This eliminates the ability of drug manufacturers to recover the very substantial costs of drug invention, development, and testing. If re-importation from such countries became a significant portion of the market, then new drug development would be stifled.
Not to worry Wayne. Cheaper drugs in countries like Canada are only cheaper because the Canadian govt subsidizes them for Canadian citizens. If Americans start taking advantage of the Canadian tax payers by importing their subsidized drugs, the Canadians will put a stop to those exports very quickly.
What would be really funny if that happened would be if someone studied up the number of Mexican citizens in America who would be getting the cheap drugs. Canadian taxpayers would probably find that they’re subsidizing drugs for the entire continent of North America!
Other countries may partially subsidize drugs for their citizens, but as ChrisS implies, much of the price differential is extortion: sell us your drugs cheaply or we’ll ignore your patents, manufacturing them ourselves. As a result drug companies must largely recoup their investments in the US market while other countries including Canada free ride.
Re-importation would be an attempt to free ride on ourselves. Can you carry yourself piggyback? I can’t. The situation is unfair, but the drug companies and we are joint victims. Our turning against each other isn’t going to help.
Far better that we clip the wings of the FDA. That would do some real good.
So, basically, you’re saying that Health Insurance should be more like an insurance program and less like a gym membership where you pay and pay but never use the services? Although, you have choices in gym memberships so it’s probably closer to an HOA Club Membership where everybody pays to use the pool but only a select few actually get to use it.
But, #7 – the Re-importation of Drugs, is problematic. If we allow the practice, and thus stop subsidizing the Nationalized Health Care Schemes around the world, then those benevolent nations will simply confiscate the patents and make their own drugs. Sadly, there’s no stomach in DC for allowing “evil” drug companies to stay in the business of improving our lives. So it’s going to have to be “inform the public why re-importation of drugs is currently prohibited and watch the backlash against the thieving nations”.
I would restate #7 to change FDA drug/medical device approval process to be more like Europe or Canada. That will bring drug costs down more than anything else I can think of.
Number 8 is not necessary. There is a better way to get colleges more affordable, like stop federal government student loan/grants. The Feds are telling colleges charge what ever you want, we will cover it. So many kids are graduating with huge loans for worthless degrees that they will never be able to pay off.
As far as medical degrees, I think your idea about a more steam line medical school program has merit.
You left off the most important one.
End the connection between employment and health insurance.
Which could be accomplished with a few revenue neutral changes to the tax code.
Exactly. Right now, you can’t deduct the cost of health insurance from your income taxes unless you are self-employed or you are a business paying for health insurance for your employees. Allow individuals to deduct the cost of individual health insurance on Schedule A and actual out of pocket expenses without the 7.5% AGI limitation.
Dinking with our current tax code is a PROBLEM, not a solution.
If you got an express way to repeal the 16th amendment let me know, I’ll get on board 110%.
Until that is done, all we have is tinkering with the current tax code.
Overall, an excellent plan. Simple, understandable and straightforward (with room for a few clarifications as several above noted).
Another remarkable feature (are you listening Romney et al?): It can be easily summarized in one page.
It is real sweet of central planning to have great concerns that American health care is a goverment or insurance industry or physicians’ problem, but it is not. The emphasis on any health care plan must be sternly lectured from the bully pulpit that it the individuals’ problem to take care of their own health and to not be coddled by the blame game. The top ten killer diseases are all dietary. 15% of patients consume 65% of medical expenses.
Find a politician who will wag their finger at the electoriate and tell them to get in shape, put down the doughnuts and drugs and take individual responsibility first, and only then can agencies help those who would help themselves. This is not going to happen but like every impossible dream, it must be tried and repeated.
From the Agency for Healthcare Research and Quality
Estimated spending for the 10 most expensive conditions:
•Heart conditions ($76 billion)
•Trauma disorders ($72 billion)
•Cancer ($70 billion)
•Mental disorders, including depression ($56.0 billion)
•Asthma and chronic obstructive pulmonary disease ($54 billion)
•High blood pressure ($42 billion)
•Type 2 diabetes ($34 billion)
•Osteoarthritis and other joint diseases ($34 billion)
•Back problems ($32 billion)
•Normal childbirth* ($32 billion)
Not sure how many of these you would classify as dietary caused….but I’m pretty sure that little skinny people are affected by all of the above conditions.
I know you said top 10 killer diseases but you’re still wrong. Only 3 or 4 have been ‘proven’ to be directly related to diet.
So while I agree that everyone has substantial control over their health, some diseases don’t really give a crap how well you take care of yourself. Healthy, active people die every day. Mother nature is always out to kill you and she works 24/7.
All of which has nothing to do with the question.
It is NOT the government’s job to manage, provide, or in any way be involved in health care.
It’s an individual’s responsibility.
Period.
In case you were replying to me, I never even inferred that the government should be involved. But I’m afraid their involvement is irreversible already.
“It is NOT the government’s job to manage, provide, or in any way be involved in health care.”
Then I take it you don’t belive we should have the FDA, the CDC, state medical boards, or health care provider licensing requirements.
Mental disorders? Such a joke. We are the Prozac nation after all. You broke up with your girl/boyfriend? You’re depressed, here take this drug.
Fully preventable.
Asthma and COPD? Another one that has been fabricated. Do you realize that asthma didn’t even exist until a pharmacy company accidentally invented a drug for a disease that didn’t exist in the late ’70s? COPD stems from repeated use of inhalers and other “asthma” drugs.
Fully preventable.
Back problems? Most cases are just someone getting old and doesn’t want to admit it. If we weren’t forced to act and be pack mules, a lot of injuries would not happen.
Preventable with proper equipment.
Normal childbirth? Childbirth is free. It’s your choice if you decide to have your child in a hospital with all the “fancy” equipment available “just in case”. Women have been giving birth for centuries without the aid of a hospital. They would like you to believe you can’t have a child on your own anymore. If you believe it, that’s your problem.
Fully preventable.
That saves 174 BILLION on “diseases” that are fully preventable. I won’t go into the others that are also preventable or a hoax.
Asthma doesn’t exist? Tell that to someone having an asthma attack, gasping for air. Are we aggravating allergies by being too sanitized? Most likely, yes, and that may also explain the rise of asthma, but that doesn’t mean that the throat closing up from inflammation isn’t both real and dangerous.
Post Script:
In the macro,health care costs are the issue and in this market the demand has and continues to exceed the supply. The demand is disease and the supply is medical costs. Funneling the supply and cost controls do nothing but aggravate the burgeoning demand. U.S. health care cost are soaring because is is an unhealth nation with an increased life span.
In the micro if we use Joe’s list, The Agency for Healthcare Research and Quality would do well to categorize the individual patients as to weather their conditions are self inflicted. Effect must have a cause.
Dr. Weiss… timely commentary.
Not just is it critical that Obamacare is fully and totally repealed, but that it is replaced by free market reforms that actually work.
The financial future of America (you and me) will be decided within the next one or two presidential terms. For our country to avoid what is now a certain train-wreck, real market-based healthcare reforms absolutely must be included.
Because if we let this brief window of opportunity pass by, it will be just a matter of time before the sequel, “Son of Obamacare”, will rear its ugly head. Escalating costs and inefficiencies within our present system will, sooner rather than later, have people screaming for relief… any “kind” of relief.
And Dr. Weiss… #7 may be not be needed, and #8 is a non-starter.
Doctor – all interesting ideas and I’m sure with some “tweeking” they’d all work and improve the availability of health care for the masses, but: none of your solutions provide for more centralized government control and planning of every aspect of my life, thus they will never be enacted:)
1-7 are great ideas. However, number eight does not pass the smell test. Nothing is free. The campus isn’t free, the instructors aren’t free, the supplies, texts, power, comupters, internet access, and everything else associated with education isn’t free. Additionally, the horrid doctors in my hometown could use extra education not less.
Have to disagree with most here about #1 – removing state mandates.
This should remain within the sovereign police power of the states to set as they wish. Some state mandates will be reasonable and just, others not so. States with excessive mandates will have higher costs for their citizens, creating a potential adverse personal and business climate. Citizens can vote at the ballot box or can vote with their feet.
As to #8, medical schools support a labor monopoly in doctors. The point of #8 is to both lower the cost of entry and to remove monopoly restrictions on supply. The goal is worthy and maybe this is a way to get there but there may be other, better routes.
Some of these would work, some not.
#7 is bogus because it assumes drug prices exist in a vacuum. Other countries are forcing drug companies to underprice their product, and we subsidize it at higher prices. The R&D still has to happen, and it’s ridiculously expensive; so too are lawsuits. And profits must still be made, or more companies fold and we get fewer new drugs out of it. I agree with other commenters that FDA reform is the clearer, better option, as it directly impacts the problem of drug cost instead of trying to smear it around in the hopes that it will work itself out.
#1 is Unconstitutional. It’s stupid that states have such mandates, but they have that power and the Federal government has no right to intervene without an Amendment. However, the Commerce Clause applies directly to #2 and can be invoked at any time, and merely adding competition between states has a good chance of forcing many state mandates to (eventually) fall by the wayside. Insurers will gravitate toward “open” states and more insured will buy from those locations, placing economic pressure on other states to open up as well.
And I’d put #6 in the top list, because some kind of tort reform is a no-brainer.
“And I’d put #6 in the top list, because some kind of tort reform is a no-brainer.”
You’re right. We DO need to start holding physicians responsible for their actions.
They can cut off the wrong leg, or paralyze a person, and walk away without even a blip on their record.
All because one of their “brother/sisters” wouldn’t speak out against them.
God forbid you are on the receiving end of medical malpractice. It will change your perspective.
Does anyone think Romney will go the way of true capitalism in healthcare.
http://www.usanewsfirst.com/2012/06/25/ron-paul-get-government-out-of-healthcare/. I don’t agree with Rep. Paul on many issues, but, he is spot on with healthcare IMHO.
If we get rid of mandates, what’s to stop insurance companies from making all policies capped and dumping anyone with pre-existing conditions?
My fear is that similar to how airlines have decreased prices of seats but suddenly you have to pay for “frills” like bag checking and food.
Sure you can get the super cheap health policy, but it barely gets you from point a to b and has a yearly and lifetime cap. If you want to protect your house and life savings it’s going to cost you more.
Part of the free market is figuring out how to make you pay more for what you’re already consuming. You can say that insurers will compete for your dollar, but by that logic shouldn’t air carriers remove unpopular bag fees? Instead, the small number of business stakeholders drive the status quo.
8 is extremely weird, so weird that it that it casts doubt on the merits of the first seven.
Can medical school ever be “free”? Will the academic and non-academic staff be slaves?
I think what the good doctor meant was that medical students shouldn’t be charged tuition. But that doesn’t make it “free”. I think what the doctor is recommending is that the ALL costs of medical education be shifted from students to taxpayers. My sense tells me that this kind of shifting will create distortions that are worse than the current system.
Could you please clarify point #8: You said make medical school free. I’m sure you know nothing is free, even if you label it that way. So who pays for this “free” education, and how does the money get administered? If it’s via the government, I’ll pass.
This a good start. This is the kind of debate we should of had the first time around.. Open honest debate. People can offer ideas. The ideas can be reviewed and scored by CBO and/or other reliable studies. Than we make a bill in the house to pass, one in the Sentate to pass. Conference. More debate and some amendment adding, HC only amendments, and we send to the president.. Simple easy and we can walk and chew gum mean other things can be done at the same time, like methods to fix medicare, SS, deficit spending, etc…
One other addition, maybe included in list somehow. Let smaller companies pool or band with other companies to expand and reduce their risk pools to bring the cost of employee proveided insurnace down, especially for small business.
I think people like the 26yo thing, but the person is paying for it, so it can be kept.
For the pre-existing condition situation, which I think is a red herring. But make companies include a 5%, if that is the number, mandatory pre-existing condition requirment. This preads the risk over all insurance companies and people to help those with those types of conditions. Maybe some condition could be included in medicare, if we fix medicare…
Lots can be done, but you have to open, honest debate and sharing.. Some sacrifice, but have ALL sacrifice not just a few like the left wants… Also the goal of the healthcare plan is to improve heathcare, not creat a single payer or increase union membership like obamacare is…
1-6 are easy; 7 and 8 are doubtful and dubious.
The most important “reforms” would be in the area of government controlled or financed health care. Medicare alone has up to $100 billion annually in waste and fraud according to Harvard’s Malcomb Sparrow. Add to that Medicaid abuse and the inefficiency of the Veterans Administration system and you’re beginning to talk about some real opportunities for improvement.
http://hallofrecord.blogspot.com/2012/05/surface-of-tip-of-medicare-fraud.html
Your first seven suggestions are good or possibly good. But the eighth is – Communism.
Cureses, foiled again.
Dr. Weiss has good ideas; the very LAST thing I want is unaccountable, ignorant, uncaring bureaucrats making medical decisions for my family and myself; that’s the very essense of Obamacare.
Health insurers do have to compete with each other like other businesses do; those that offer poor service, cap coverage too low, have too few “providers” will loose business to those better able to meet customers’ demands.
That’s the way the free market works, freedom of choice.
If you don’t like the service from government, where can you take your business?
#1 is fine, IF by that you mean that the states decide to do so. On the other hand, if you mean that the fed.gov should abolish them, NO. The fed.gov has no authority to do so. It is NOT superior to the states. It’s the other way around.
#8 would be a huge mistake for a variety of reasons, not the least of which is that it entails an expansion of government power.
The rest sound pretty good.
Missed the biggest one: Do away with the tax advantage that incentivizes company sponsored health insurance. Many companies will immediately offer the alternative of a higher salary instead of offering health care coverage. As a result, individuals will carry their own health insurance just like they do car and home owners, etc. This will allow them to shop around, and let the market forces drive down costs and increase services. Many people will go for catastrophic with a high deductible and pay their own day-to-day health care.
This.
Libertarians have been arguing for decades that the best way to “reform” health care is to get “government” out of the picture completely. Most of you reading this probably aren’t old enough, but at one time we had what was called “fair trade laws”. These laws put a minimum legal price on most consumer goods. “Main Street” loved these laws, but the consumers hated them. Then eventually these laws were repealed and the “superstores” like Walmart came into being. The consumer started paying “less” for most everything he bought. That meant that for a given income, you could have “more”. The same thing is true today with health care. Government enforced monopoly from A to Z. Medical services here in the US cost more than medical services anywhere else. Of course for those involved in health care, this is a great deal. For the rest of us, the opposite. For example, prescription laws just about double the cost of taking care of your own health. Take the blood pressure medication I take. $40 a year at Walmart. But because it is “prescription”, my “rent seeking” doctor can make a few hundred extra a year off of me by unnecessary office visits, unnecessary lab tests. Great deal for doctors, for the health care industry in general. Bad news for everyone else, especially those without insurance. And one reason your medical insurance is so expensive is because the health care industry charges so much. There’s little reason for most medical drugs to be “prescription”. For the narcotics and stuff, yes. For blood pressure medicine, just a way to earn a higher income.
Why is tort reform the top of every physicians list? We don’t need tort reform, we need accountability on the part of the physician. If they would stop covering for their brother/sister, maybe catastrophic injuries due to medical malpractice would lessen.
Physicians themselves have made it a one free roll system by not accepting what they have done, and God forbid, apologizing for paralyzing someone or removing the wrong limb.
In today’s tort system, a physician can walk into the operating theater drunk, knowingly cut off the wrong limb, but unless you have another physician say “yep, he shouldn’t have done that” you get nothing but a “have a good day”. Not even an I’m sorry.
You as their next patient will never know about it either.
Is this fair? Is this right?
Are you aware there are THOUSANDS (almost 6 digits worth) of physicians with MULTIPLE serious infractions against them STILL practicing medicine? It’s predominately Doctors that trained overseas.
We need to start holding physicians responsible for their actions. I know medicine is not an exact science and they are human. Then be HUMAN and say I’m sorry when you destroy a persons life. That’s usually all that is wanted.
I know that’s all my husband wanted when the doctor paralyzed him for life, and LAUGHED about it. Even put it in writing if he would just say I’m sorry, I messed up. He didn’t even get that.
Our insurance problems start with the “cozy in bed” relationship of the physicians and insurance companies.
We also need to break the “rally the wagons around our brother” physician brotherhood.
Maybe then we can have REAL health care reform.
I realize this will not be a popular post, but those who have experienced the DARK side of medicine will agree. (and there are a lot of us)
Stop cookbook medicine…with chapters added every day…
(from lowering numbers> (HTN/DM) to adding diagnoses> obese/grief counseling?)!
This madness has to STOP and it will–one way or another.
If Obamacare stays the MD & nurses will quit…if not… common sense will return:)
Lord have mercy! So much at stake. Good start to common sense btw. Hopeful RN
# 8 is, well, moronic in principle. Instead of having one really bad physician in every community, we will have really bad physicians on every street corner.
A well intentioned attempt, not one to subvert it, to improve healthcare is a first step in the right direction. But nothing about Obama’s attempt to manipulate one sixth of our economy for his own devious ends was well intentioned.
As I said right here, months before Nancy Pelosi urged signing the law so we know what’s in in, this piece of legislative afterbirth (Obamacare) is dead on arrival. Obama takes a 6th of our economy and screws it up royally. Obama is more devious than a cat burglar. Greedier than a bank robber. More Marxist than Lenin.
The sooner we get the whole nut of ObamaCare declared unconstitutional and this communist mole out of office, the faster we can get this country back on the right track.
Obama’s every decision has been to weaken America.
He’s the domestic terrorist that should be led out of the White House in handcuffs with his high spending vacation wife frowning behind him. There a cancer on American values, a spreading virus wherever freedom and liberty seek to flourish. Traitors to the core. Obama isn’t an just an example of a President gone bad, he’s a President gone rogue, intending to destroy the very fabric of our nation and tear it asunder. He’s done nothing good for America; no eventuality would be too bad for him.
How I Know OBAMACARE WINS!
Largely unreported today is the fact that on November 8th last year this was a headline and story…
-D.C. Court Of Appeals Upholds Constitutionality Of Obamacare, Stuns Conservatives-Forbes
The shocker here is that Senior Judge Lawrence Silberman, who is widely respected in conservative circles as one of the true conservative intellectuals sitting on the United States Court of Appeals and a man lauded for his opinion that the District of Columbia’s handgun law was unconstitutional, was expected by most to find the mandate provisions of the ACA to be illegal.
[Silberman wrote]
“The right to be free from federal regulation is not absolute and yields to the imperative that Congress be free to forge national solutions to national problems.”-
I was listening to Rush Limbaugh (who vacations with Clarence Thomas) when this verdict came down, it was like he had been punched in the stomach and he moaned….’Folks…this is the most conservative Reagan appointed judge in the country.’ And he’s been depressed about it ever since and never uses it as a rallying cry against Obama. Two days ago (after the Arizona Immigration ruling) he went after John Roberts like crazy! He said ‘I could tell you come things about Roberts that would really surprise you, just in terms of his thoughts and ideas, I’m not at liberty to say, I shouldn’t have brought it up, no, I can’t talk about it, but believe me, it would surprise you…..’
El Rushbo knows! Clarence told him!
GAO Report: $400 Billion Wasted Annually On 1,500 Duplicative, Fragmented, Inefficient Government Programs
http://budget.senate.gov/republican/public/index.cfm/files/serve?File_id=5b942c34-d1e5-49de-be92-a85dad8aa191&SK=42ED5BBA6767481D74B2057AC359ACD4