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You Only Thought You Wanted to Keep Your Hospital

Liberals assure us we don't really want the best care available.

by
Jean Kaufman

Bio

January 10, 2014 - 12:07 am
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Liberal New Republic editor Jonathan Cohn admits that under Obamacare the California networks have become exceedingly restrictive regarding doctors and hospitals. He even points out that one of Los Angeles’ finest hospitals, Cedars-Sinai, isn’t in the new Obamacare networks.

But don’t be upset, Cohn coos, Cedars-Sinai isn’t all it’s cracked up to be. And people just wanted to go there for the snob appeal, anyway, in order to hobnob with the rich and famous.

So don’t worry, be happy. You didn’t really know what you wanted, or you wanted it for bad reasons.

Get ready for this sort of argument to come your way from other liberals who are still actively promoting the wonders of Obamacare:

…[W]hile we might think we know what’s good for us medically, the relationship between hospital prestige and hospital quality is a lot weaker than it may seem. Health insurance is changing for some Americans because of Obamacare, but the changes are not the catastrophe many of them think….

Ratings from HealthGrades, a Denver-based company that uses government data and other information to judge hospitals around the country, [indicate] Cedars is “better than average” at preventing death following a serious complication from surgery, for example, but “worse than average” at letting patients get bed sores and bloodstream infections from catheters….

According to official government data, the readmission rate for heart failure and pneumonia patients is well below both the national average and the rates at other area teaching hospitals. But that doesn’t mean Cedars is the place to go when you have a routine broken arm.

But you may have already guessed that Cohn is merely warming us up for the biggie, the solution to all these woes and the conclusion of his piece:

The only way to avoid these problems altogether is to have government do the job instead. In other words, you need a single-payer system in which all hospitals accept everyone’s insurance. But that conversation never got past the phrase “government-run medicine,” and Americans, perhaps unwittingly, chose to place their faith in market forces. The insurers have adapted and so have the hospitals. Now it’s the consumers’ turn, and that means relinquishing the idea that cachet always equals quality. For many people, the hospital of the stars may seem like just another piece of the Beverly Hills lifestyle tantalizingly out of reach. But like so many other things in Hollywood, the true value of care at Cedars-Sinai might involve a little make-believe, too.

That last paragraph gives the reader the full flavor of Cohn’s agenda and assumptions, as well as his style. Americans “perhaps unwittingly” chose “market forces.” Those stupid Americans again, who don’t know what they’re doing. Of course, Cohn ignores the fact that Americans never actually chose Obamacare at all. It was never popular, and was passed through devious and Byzantine means. And “market forces”? Obamacare is so far from being an insurance system based on market forces that Cohn’s statement is quite simply ludicrous. He knows better, but he’s hoping we ignorant “unwitting” folk don’t.

Comments are closed.

Top Rated Comments   
I go to my local hospital because it's my local hospital. If Obamacare screws my local hospital, it screws me.
32 weeks ago
32 weeks ago Link To Comment
Let me translate Mr. Cohen's words into English. Elite hospitals are for the elite. Third world care is good enough for you peasants.
32 weeks ago
32 weeks ago Link To Comment
Cohn advocates for State control of health decisions.

The STATE has made some nice death panels for you. They have declared that they are "going to let you die". Out loud and on the record.

Bill Ayers and the Weathermen contemplated how to get rid of 25 million bitter clingers and Cloward-Piven hypothesized how to overwhelm the system so that it would collapse. George Soros plotted how to take down the banking system...and the radical left found a way to exempt themselves ...living in a leftist bubble safe from the effects designed and aimed only at "the other".

One sixth of the economy and one hundred percent of your healthcare freedom will be relegated to the Chicago Bulls colors, black market healthcare and red market healthcare.

The IRS will be sicced on you if you dare to protest. Illegals will stream in and take your place in long lines for quack care and declined procedures. All pre-decided by government flunkies and Workers Party hacks...not from your home state, which will have no say...in Cohn's "Proctors Without Borders".
32 weeks ago
32 weeks ago Link To Comment
All Comments   (65)
All Comments   (65)
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Or you could do like me if you are a VET and just rely on the VA which is ACA Aproved, and cost nothing.
32 weeks ago
32 weeks ago Link To Comment
My Aunty Julia got a nine month old Mitsubishi only from working part time off a macbook... have a peek here ,,,,,,,,,,,,,••►►►► http://ddp.net/9xm
32 weeks ago
32 weeks ago Link To Comment
Liberals, get government the hell out of my life. Liberalism, it's a mental illness.
32 weeks ago
32 weeks ago Link To Comment
hey cf:

Being a big fan of leftist dialect I have been struggling to sling it back the other way with a short witty phrase that describes obamacare.

I came up with a new word:

Anal rectonomy.

What do you think?

32 weeks ago
32 weeks ago Link To Comment
"Americans never actually chose Obamacare at all. It was never popular, and was passed through devious and Byzantine means."

You are way too kind here in my opine. Lies, deciet, bribery, and criminal thugory I think is a better description of how this went down.
32 weeks ago
32 weeks ago Link To Comment
I hope Concierge Care takes hold, but, according to my doctor friends, the Feds are already starting to attack doctors in small groups or private practices through DEA and IRS harassment, raids, audits, and threats.

Agree with observations on varying hospital care depending on specialty. If you go to the wrong hospital for your ailment, you take a great risk with your life. For instance, there are different classes of Emergency Departments (EDs). Go to the wrong hospital for ED treatment and you stand a good chance of dying vice surviving from a misdiagnosed case of pneumonia or stroke or heart attack, etc. I've actually witnessed ED doctors testify under oath that they did not know how to treat common ED complaints, didn't know nor follow established protocols, couldn't properly interpret medical tests including radiology images, wouldn't consult with specialists, etc. Most hospitals are good for some things but very few are good at all things.
32 weeks ago
32 weeks ago Link To Comment
My bad. I mistakenly, accidentally, and quite unintentionally "reported" your comment. Pure carelessness. I was aiming for kateejohn, and hit your's instead.

Please accept my apology.
32 weeks ago
32 weeks ago Link To Comment
Yep. I was a false flag virgin until yesterday myself. Welcome to the club.
32 weeks ago
32 weeks ago Link To Comment
"The choice of accepting those lower reimbursement rates or going out of business," should read "the choice of accepting those lower reimbursement rates AND going out of business." Insurers did not refuse to include hospitals; hospitals refused to be part of those plans because reimbursement was perceived to be below cost for them, and they could not accept such low payments without jeopardizing their financial status. Whether that is true, or whether they are more inefficient than other hospitals, or don't feel they want those patients for other reasons, we will probably never find out. Even Cedars-Sinai would not turn away profit making business if they can handle it. In that particular locality, they will do fine for at least the next year. After that , who knows. It depends on how tightly the Secretary of HHS decides to control prices. Once employer insurance falls under her aegis, I expect a good third of hospitals to go out of business. This will be a real crisis in rural areas, but will help drive the country populations into the urban areas (another hidden goal of all this.)

It is certainly true, especially in California, that Medicaid patients will almost always cost much more than the hospitals or providers will get reimbursed. With ObamaCare the ability to cost-shift is getting squeezed, and that hurts the Medicaid patients the most. If HHS sets Medicare and exchange payments near the Medicaid level, healthcare will descend to a third-world level.

And don't even hope for any further advances in medical technology if this catastrophe lasts. New technologies will never make it past the "evidence-based" effectiveness standards (which are mostly political anyway.) What you see now is as good as it will ever be if this monster isn't killed soon.
32 weeks ago
32 weeks ago Link To Comment
To Ann in L.A.:

Actually, almost all the other plans in the exchanges exclude Cedars-Sinai. What's more, the plan you mention (the Health Net Bronze) is only available to people in the following counties: Los Angeles, San Bernardino, Riverside, Orange and San Diego. For example, if you live in Santa Barbara, for example, you can't buy it (see this [https://www.healthnet.com/portal/shopping/content/iwc/shopping/marketplace/ifp/ppo.action].

What's more, even in those counties where Health Net does sell that Bronze plan you mentioned, Cedars-Sinai is not available if you don't buy a Bronze Plan. The Health Net Silver, Gold, and Platinum plans are HMOs as opposed to PPOs (the Bronze HealthNet plan is a PPO).

Bronze plans have low-ish premiums but very high out-of-pocket costs. And although poorer people (who cannot afford the out-of-pocket costs of a Bronze plan) can qualify for reductions in the deductibles and the co-pays (in addition to premium subsidies) on Obamacare, they only get those reductions in deductibles and co-pays for Silver plans, not Bronze.

So the plan you cite is a very limited one. That's the reason Cohn wrote the piece; he would never have written it if Cedars-Sinai had been readily available to the majority of people in California.

As far as your suggestion that Californians buy plans off the networks goes, I haven't done research on every single insurance company, but the ones I have called in the last few weeks (such as, for example, Anthem) have made it very clear that the individual policies they now are selling in California off the networks are exactly the same ones as they are selling in California on the networks. This is apparently because, if they sell non-compliant plans, people will still have to pay the penalties for noncompliance with Obamacare. So they have re-designed all their individual policies to meet the Obamacare regulations. The only people who have other policies are policies that were grandfathered in, and those cannot be purchased by new buyers. So it appears that your suggestion on that would not work for people buying individual policies.
32 weeks ago
32 weeks ago Link To Comment
There was an Emergency! episode in which John Gage was always losing at cards. So he invented a game with rules that seemed to vary according to days of the week, where you sat at the table, etc. Sounds like the plans on the exchanges were written the same way.
Or they got the rules from Calvinball: "The score is still Q to 12!"
32 weeks ago
32 weeks ago Link To Comment
I wish we could make a deal with the Little Father in Moscow so we could transport all these Lefties, from Obama on down, to Siberia, to the gulag Archipelago, never to return. In this fashion, they would learn the lifestyle they wish to impose upon the rest of us, the people that make their very lives possible. Social parasites need to understand Lenin's dictum, which he quotes from St Paul, "Who will not work shall not eat". we are tired of these people being bothersome. Either they shut the bleep up or move to the Taymyr Peninsula, far away so they won't bother us any more. it is high time for them to learn the work ethic instead of being bloodsucking leeches, poisoning the minds of our children.
32 weeks ago
32 weeks ago Link To Comment
FYI: Cedars-Sinai is available to people on the exchanges. HealthNet offers a bronze plan that does include C-S. If you're not getting a subsidy, and buy directly from insurers, then there are more plans available with C-S as a provider.
32 weeks ago
32 weeks ago Link To Comment
How does Obamacare replace a (CFL) light bulb?
Since the lumens you need are not in the formulary, they'll send you two bulbs that are half the lumens, or they'll send you one that's twice the lumens and tell you to cut it in half.
32 weeks ago
32 weeks ago Link To Comment
and don't forget that if you like your medicine you may not be able to keep it either, as if the drug isn't on government formulary, you don't get it covered.
32 weeks ago
32 weeks ago Link To Comment
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