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| The End of Medicare As We Know It | Do the Math, Mr President |
by Christopher Chantrill
April 28, 2011 at 1:08 pm
SOME CONSERVATIVES are getting squiffy about the polls on Medicare. Apparently about 80 percent of Americans are opposed to cuts in Medicare. Mona Charen, for one, is steeling herself for the inevitable Mediscare campaign from the Democrats.
The Democrats have always how to scare the pants off grannie at any suggestion of cuts to Medicare and Social Security. For years and years, Republicans didnt know how to respond to their Mediscare. But now things are different. These days the American people are good and scared about debts and deficits. So its now possible to scare the pants off grannie if we dont fix Medicare.
And this time, we have the president on our side. President Obama obligingly brought up the Independent Payment Advisory Boardthe death panel that exercised Sarah Palin a couple of years agofor praise in his George Washington University speech April 13. Said the president.
And we will slow the growth of Medicare costs by strengthening an independent commission of doctors, nurses, medical experts and consumers who will look at all the evidence and recommend the best ways to reduce unnecessary spending while protecting access to the services that seniors need.
The IPAB is not in the business of lowering health costs, The Wall Street Journal writes. Its mandate has nothing to do with bending the cost curve. Its job is to lower Medicare reimbursements.
Since the board is not allowed by law to restrict treatments, ask seniors to pay more, or raise taxes or the retirement age, it can mean only one thing: arbitrarily paying less for the services seniors receive, via fiat pricing.
The IPABs job is to lower prices paid to providers by Medicare. Its job is price control. And this is not a proposal in a budget put together by a congressman that nobody knows. This is the law as passed by a Democratic Congress and signed by President Obama.
Its the law that to keep Medicare costs down we are going to throw grannie into the snow. The proposal by Rep. Paul Ryan (D-WI) is just that: a proposal.
Now Im not an expert in campaign speechifying, but if I were putting together a compelling sound bite on the IPAB suitable for delivery on the campaign trail, Id say this. Mr. President, Id say. The science is in on this. Theres a consensus among economists about bureaucratic price controls. They cause shortages, inflation, and they institutionalize crony capitalism as businesses hurt by price controls learn to game the political system in order to escape the governments mandate and stay in business. You cant bend the cost curve with price controls. All you can do is wreck the health care system. Your Obamacare is going to throw grannie out into the snow.
Actually, Id continue, theres a real question about whether the presidents death panel would ever summon up the courage to pull the trigger on its price controls. After all, the administration has been promising to lower Medicare reimbursements every year, and every year Congress rescinds the cuts and kicks the can down the road one more time. But one day soon when the government defaults on its debt it wont be the can you kick; it will be grannie.
So who is going to bell the cat? Who is going to do the Mediscare on the Democrats? And who will have the cojones to get out and rally the American people when the community organizers get busy and start putting their government employees and program beneficiaries into the street, and the MSM reports that minorities and women are hardest hit?
Isnt it glaringly obvious? Ive nothing against Mitt Romney (MA), Mitch Daniels (IN), and Tim Pawlenty (MN). They have shown gobs of leadership as governors, but they dont exactly stir the passions of the faithful. Im all in favor of Newt Gingrich, except he does come over as a know-it-all. Donald Trump must be the best publicity hound ever whelped. So he should stick to dog shows.
Sarah Palin is the politician that first put her finger on the death panels. Sarah Palin is the politician with a solid Drill, Drill, Drill record on energy. Sarah Palin was the politician talking about a bullet train to bankruptcy before it turned out that the Chinese bullet trains were going bankrupt. Sarah Palin is the politician that came out and told the union members in Wisconsin that their pensions were sacred and that Gov. Scott Walker was the guy making sure that his state would have the money to pay them.
Of any politician in the United States today, it may be said that Sarah Palin comes closest to perfect pitch. Why then are the big Poo-bahs counting her out? Do they know something we dont know? Or is it just that she doesnt owe them anything, and they dont like that?
I say Give em hell, Harry Sarah.
Christopher Chantrill blogs at www.roadtothemiddleclass.com. His Road to the Middle Class is forthcoming.
[W]hen I asked a liberal longtime editor I know with a mainstream [publishing] house for a candid, shorthand version of the assumptions she and her colleagues make about conservatives, she didn't hesitate. Racist, sexist, homophobic, anti-choice fascists, she offered, smiling but meaning it.
Harry Stein, I Can't Believe I'm Sitting Next to a Republican
[T]he way “to achieve a system of determining admission to the public schools on a nonracial basis,”
Brown II, 349 U. S., at 300–301, is to stop assigning students on a racial basis. The way to stop
discrimination on the basis of race is to stop discriminating on the basis of race.
Roberts, C.J., Parents Involved in Community Schools vs. Seattle School District
[T]he Liberal, and still more the subspecies Radical... more than any other in these latter days seems under the impression that so long as he has a good end in view he is warranted in exercising over men all the coercion he is able[.]
Herbert Spencer, The Man Versus the State
[In the] higher Christian churches… they saunter through the liturgy like Mohawks along a string of scaffolding who have long since forgotten their danger. If God were to blast such a service to bits, the congregation would be, I believe, genuinely shocked. But in the low churches you expect it every minute.
Annie Dillard, Holy the Firm
[Every] sacrifice is an act of impurity that pays for a prior act of greater impurity... without its participants having to suffer the full consequences incurred by its predecessor. The punishment is commuted in a process that strangely combines and finesses the deep contradiction between justice and mercy.
Frederick Turner, Beauty: The Value of Values
Within Pentecostalism the injurious hierarchies of the wider world are abrogated and replaced by a single hierarchy of faith, grace, and the empowerments of the spirit... where groups gather on rafts to take them through the turbulence of the great journey from extensive rural networks to the mega-city and the nuclear family...
David Martin, On Secularization
What distinguishes true Conservatism from the rest, and from the Blair project, is the belief in more personal freedom and more market freedom, along with less state intervention... The true Third Way is the Holy Grail of Tory politics today - compassion and community without compulsion.
Minette Marrin, The Daily Telegraph
These emerge out of long-standing moral notions of freedom, benevolence, and the affirmation of ordinary life... I have been sketching a schematic map... [of] the moral sources [of these notions]... the original theistic grounding for these standards... a naturalism of disengaged reason, which in our day takes scientistic forms, and a third family of views which finds its sources in Romantic expressivism, or in one of the modernist successor visions.
Charles Taylor, Sources of the Self
There was nothing new about the Frankish drive to the east... [let] us recall that the continuance of their rule depended upon regular, successful, predatory warfare.
Richard Fletcher, The Barbarian Conversion
The Union publishes an exact return of the amount of its taxes; I can get copies of the budgets of the four and twenty component states; but who can tell me what the citizens spend in the administration of county and township?
Alexis de Tocqueville, Democracy in America
The recognition and integration of extralegal property rights [in the Homestead Act] was a key element in the United States becoming the most important market economy and producer of capital in the world.
Hernando de Soto, The Mystery of Capital
The primary thing to keep in mind about German and Russian thought since
1800 is that it takes for granted that the Cartesian, Lockean or Humean scientific and
philosophical conception of man and nature... has been shown by indisputable evidence to be
inadequate.
F.S.C. Northrop, The Meeting of East and West
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©2007 Christopher Chantrill