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	<title>Comments on: Healthcare and Obama&#8217;s insecurity (Updated by Airblogging)</title>
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	<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/</link>
	<description>The blog of the mystery writer, screenwriter and CEO of Pajamas Media</description>
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		<title>By: JonathonT</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135382</link>
		<dc:creator>JonathonT</dc:creator>
		<pubDate>Thu, 23 Jul 2009 20:55:28 +0000</pubDate>
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		<description>TomMD;

You are typical of the culture that thinks life should be prolonged in every case, in any case, no matter what the quality or horrendous cost to the rest of us or the discomfort to the patient.  

That&#039;s why we&#039;re in the mess we&#039;re in.

If you want to live forever, do it on your own dime, not the taxpayer&#039;s.</description>
		<content:encoded><![CDATA[<p>TomMD;</p>
<p>You are typical of the culture that thinks life should be prolonged in every case, in any case, no matter what the quality or horrendous cost to the rest of us or the discomfort to the patient.  </p>
<p>That&#8217;s why we&#8217;re in the mess we&#8217;re in.</p>
<p>If you want to live forever, do it on your own dime, not the taxpayer&#8217;s.</p>
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		<title>By: Marty</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135379</link>
		<dc:creator>Marty</dc:creator>
		<pubDate>Thu, 23 Jul 2009 20:19:14 +0000</pubDate>
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		<description>Another problem I have with the approach being taken is the focus on years of life extension, with some attention to the &quot;quality&quot; of those years as judged by someone else, but if a treatment does not prolong life, but makes it better, even to the point of letting the person work and add to the GDP numbers (a pretty crass measure) it counts for nothing in all these formulations.

This is idiocy and all too typical of what happens when govt gets involved--simplistic measures, misapplied.</description>
		<content:encoded><![CDATA[<p>Another problem I have with the approach being taken is the focus on years of life extension, with some attention to the &#8220;quality&#8221; of those years as judged by someone else, but if a treatment does not prolong life, but makes it better, even to the point of letting the person work and add to the GDP numbers (a pretty crass measure) it counts for nothing in all these formulations.</p>
<p>This is idiocy and all too typical of what happens when govt gets involved&#8211;simplistic measures, misapplied.</p>
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		<title>By: southernsue</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135378</link>
		<dc:creator>southernsue</dc:creator>
		<pubDate>Thu, 23 Jul 2009 20:01:44 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135378</guid>
		<description>i cannot believe my country, electing such a horrible administration as this. remember that our country is suppose to be free from government, now we are having discussions about our government deciding who will live and who will die and who will get this treatment and who will not get this treatment. 

who are the uninsured? how many people die from not getting medical treatment because of being turned away from hospitals? if this were such a problem it would be headlines everyday. i worked in a non profit hospital and we never turned anyone away. you want a quick solution to our medical care problem, end welfare as we know it and reform immigration. a lot of the doctors, nurses and medical people i worked with volunterred at clinics for free and worked into late hours at night. obamba&#039;s plan will kill this kind of american kindness.

also, it is up to our GOD to decide when our time is up on this earth, not obamba and his ilk.</description>
		<content:encoded><![CDATA[<p>i cannot believe my country, electing such a horrible administration as this. remember that our country is suppose to be free from government, now we are having discussions about our government deciding who will live and who will die and who will get this treatment and who will not get this treatment. </p>
<p>who are the uninsured? how many people die from not getting medical treatment because of being turned away from hospitals? if this were such a problem it would be headlines everyday. i worked in a non profit hospital and we never turned anyone away. you want a quick solution to our medical care problem, end welfare as we know it and reform immigration. a lot of the doctors, nurses and medical people i worked with volunterred at clinics for free and worked into late hours at night. obamba&#8217;s plan will kill this kind of american kindness.</p>
<p>also, it is up to our GOD to decide when our time is up on this earth, not obamba and his ilk.</p>
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		<title>By: Marty</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135376</link>
		<dc:creator>Marty</dc:creator>
		<pubDate>Thu, 23 Jul 2009 19:27:07 +0000</pubDate>
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		<description>#2

Yes, but you don&#039;t know it was the last 6 mo. until AFTER they&#039;re dead.  Some things (advanced pancreatic cancer) are pretty obvious, or severe trauma where the extent of damage is well known and a clear decision can be made, but in a lot of cases the attempts at care are not unreasonable, and many such may work for every one that doesn&#039;t.</description>
		<content:encoded><![CDATA[<p>#2</p>
<p>Yes, but you don&#8217;t know it was the last 6 mo. until AFTER they&#8217;re dead.  Some things (advanced pancreatic cancer) are pretty obvious, or severe trauma where the extent of damage is well known and a clear decision can be made, but in a lot of cases the attempts at care are not unreasonable, and many such may work for every one that doesn&#8217;t.</p>
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		<title>By: TomMD</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135362</link>
		<dc:creator>TomMD</dc:creator>
		<pubDate>Thu, 23 Jul 2009 14:46:57 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135362</guid>
		<description>Free Quark: You are an Obamaphile. You know, just know, what&#039;s best for others. I recommend you let others make their own decisions.
When Social Security was enacted, effective for 65 year-olds, the life expectancy for white males born that year was 62.
Your end-of-life logic, applied in the &#039;30s, would have snuffed out lives  that you now wish to prolong because folks in their 50s are too young to die (today).
My advice is to grant individuals the opportunity to make individual decisions, like DNR orders, instead of mandating death for cost management reasons.
BTW, I will not/do not have a living will, finding them very flawed and dangerous in their inability to address unknown future contingencies.</description>
		<content:encoded><![CDATA[<p>Free Quark: You are an Obamaphile. You know, just know, what&#8217;s best for others. I recommend you let others make their own decisions.<br />
When Social Security was enacted, effective for 65 year-olds, the life expectancy for white males born that year was 62.<br />
Your end-of-life logic, applied in the &#8217;30s, would have snuffed out lives  that you now wish to prolong because folks in their 50s are too young to die (today).<br />
My advice is to grant individuals the opportunity to make individual decisions, like DNR orders, instead of mandating death for cost management reasons.<br />
BTW, I will not/do not have a living will, finding them very flawed and dangerous in their inability to address unknown future contingencies.</p>
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		<title>By: Free Quark</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135359</link>
		<dc:creator>Free Quark</dc:creator>
		<pubDate>Thu, 23 Jul 2009 13:22:55 +0000</pubDate>
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		<description>Ned;

I agree that the age of the person should be taken into consideration.  It is not reasonable to resuscitate a very elderly person from a heart attack.  Spending huge amounts of money to keep an 85 year old alive for a few more months just isn&#039;t possible anymore.  We need to focus more on palliative care for the elderly.

One of the disadvantages of advanced medical technology is that you can be kept alive longer than you want to.  That&#039;s why people get DNRs.</description>
		<content:encoded><![CDATA[<p>Ned;</p>
<p>I agree that the age of the person should be taken into consideration.  It is not reasonable to resuscitate a very elderly person from a heart attack.  Spending huge amounts of money to keep an 85 year old alive for a few more months just isn&#8217;t possible anymore.  We need to focus more on palliative care for the elderly.</p>
<p>One of the disadvantages of advanced medical technology is that you can be kept alive longer than you want to.  That&#8217;s why people get DNRs.</p>
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		<title>By: Who IS John Galt?</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135358</link>
		<dc:creator>Who IS John Galt?</dc:creator>
		<pubDate>Thu, 23 Jul 2009 12:52:41 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135358</guid>
		<description>It is interesting to note that when Medicaid and Medicare were created in 1965, no one was arguing that the poor and the elderly were being denied medical care. No one was arguing that because it simply wasn’t true.  At the time, “lack of access to medical care” was not a significant cause of death among either the poor or the elderly.

In fact, those pushing socialized medicine knew -- and generally admitted -- that doctors were very generously, and quite voluntarily, treating indigent patients free of charge -- and were happy to do so.  For instance, the Prime Minister of the Canadian Province of Saskatchewan, Woodrow Lloyd, who instituted full-scale socialized medicine throughout his province in 1962, said at the time, &lt;i&gt;“Doctors have a fine tradition of providing services without charge to those who are unable to pay….”&lt;/i&gt;

What, then, was the argument for creating these programs? What problem were they attempting to solve?  The problem, according to Lloyd, was this: “Many people are uncomfortable in asking for and obtaining something for which they cannot pay”.  

As former president Harry Truman said at signing ceremony where Medicare and Medicaid became law: 

&lt;i&gt;“These people (the indigent and the elderly) are our prideful responsibility…&lt;/i&gt; (Oh, really, Mr. Truman? And just &lt;b&gt;why&lt;/b&gt; is &lt;b&gt;your&lt;/b&gt; grandmother &lt;b&gt;my&lt;/b&gt; responsibility?) &lt;i&gt;…and they are entitled, among other benefits, to the best medical protection available. Not one of these, our citizens, should ever be abandoned to the indignity of charity. Charity is indignity when you have to have it. But we don&#039;t want these people to have anything to do with charity…&lt;/i&gt;

So the purpose of these programs was not to help the “needy”  -- such help was already being provided -- the purpose was to help the &lt;b&gt;dishonest&lt;/b&gt; “needy”, i.e. to help those who wished to evade the fact that they are charity cases.

Now comes looter-in-chief Obama who proposes to practice vastly more such “forced charity” with an enormous additional looting of the American taxpayer, all to bribe the American people into acquiescing in the government takeover of some 16% of the economy.</description>
		<content:encoded><![CDATA[<p>It is interesting to note that when Medicaid and Medicare were created in 1965, no one was arguing that the poor and the elderly were being denied medical care. No one was arguing that because it simply wasn’t true.  At the time, “lack of access to medical care” was not a significant cause of death among either the poor or the elderly.</p>
<p>In fact, those pushing socialized medicine knew &#8212; and generally admitted &#8212; that doctors were very generously, and quite voluntarily, treating indigent patients free of charge &#8212; and were happy to do so.  For instance, the Prime Minister of the Canadian Province of Saskatchewan, Woodrow Lloyd, who instituted full-scale socialized medicine throughout his province in 1962, said at the time, <i>“Doctors have a fine tradition of providing services without charge to those who are unable to pay….”</i></p>
<p>What, then, was the argument for creating these programs? What problem were they attempting to solve?  The problem, according to Lloyd, was this: “Many people are uncomfortable in asking for and obtaining something for which they cannot pay”.  </p>
<p>As former president Harry Truman said at signing ceremony where Medicare and Medicaid became law: </p>
<p><i>“These people (the indigent and the elderly) are our prideful responsibility…</i> (Oh, really, Mr. Truman? And just <b>why</b> is <b>your</b> grandmother <b>my</b> responsibility?) <i>…and they are entitled, among other benefits, to the best medical protection available. Not one of these, our citizens, should ever be abandoned to the indignity of charity. Charity is indignity when you have to have it. But we don&#8217;t want these people to have anything to do with charity…</i></p>
<p>So the purpose of these programs was not to help the “needy”  &#8212; such help was already being provided &#8212; the purpose was to help the <b>dishonest</b> “needy”, i.e. to help those who wished to evade the fact that they are charity cases.</p>
<p>Now comes looter-in-chief Obama who proposes to practice vastly more such “forced charity” with an enormous additional looting of the American taxpayer, all to bribe the American people into acquiescing in the government takeover of some 16% of the economy.</p>
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		<title>By: Fen</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135348</link>
		<dc:creator>Fen</dc:creator>
		<pubDate>Thu, 23 Jul 2009 04:39:18 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135348</guid>
		<description>So, the government won&#039;t allow me cancer treatments but they won&#039;t let me kill myself either. Wonderful.</description>
		<content:encoded><![CDATA[<p>So, the government won&#8217;t allow me cancer treatments but they won&#8217;t let me kill myself either. Wonderful.</p>
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		<title>By: Terrye</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135344</link>
		<dc:creator>Terrye</dc:creator>
		<pubDate>Thu, 23 Jul 2009 03:12:48 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135344</guid>
		<description>Abu:

No, medicare does not pay for open ended care in a nursing home.</description>
		<content:encoded><![CDATA[<p>Abu:</p>
<p>No, medicare does not pay for open ended care in a nursing home.</p>
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		<title>By: Steve DeMarcus</title>
		<link>http://pjmedia.com/rogerlsimon/2009/07/21/healthcare-and-obamas-insecurity/#comment-135342</link>
		<dc:creator>Steve DeMarcus</dc:creator>
		<pubDate>Thu, 23 Jul 2009 02:50:42 +0000</pubDate>
		<guid isPermaLink="false">http://pajamasmedia.com/rogerlsimon/?p=5789#comment-135342</guid>
		<description>Although it started with federal funds the only one I could come up with is TVA (Tennessee Valley Authority) which now is pretty much self sufficient, but hey they are a monopoly, but even at that it would be hard to compete with them anyway due to the regulation and red tape a private concern would have to go through to even try to compete with them.</description>
		<content:encoded><![CDATA[<p>Although it started with federal funds the only one I could come up with is TVA (Tennessee Valley Authority) which now is pretty much self sufficient, but hey they are a monopoly, but even at that it would be hard to compete with them anyway due to the regulation and red tape a private concern would have to go through to even try to compete with them.</p>
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