Wintery Knight

…integrating Christian faith and knowledge in the public square

NHS appeals decision allowing midwives to conscientiously object to performing abortions

What happens when you let a secular government take over health care provisioning?

Here is a story from the BBC about the state-run health care system in the UK.

Excerpt:

The UK’s highest court will hear legal arguments on whether midwives have a right to refuse to take any part in abortion procedures on moral grounds.

NHS Greater Glasgow and Clyde appealed to the Supreme Court after judges in Scotland said Roman Catholic midwives had a right to conscientious objection.

[…]Five judges in London will hear the case. A ruling is expected next year.

Ms Doogan, from Garrowhill in Glasgow, and Mrs Wood, from Clarkston in East Renfrewshire, were employed as labour ward co-ordinators at the Southern General Hospital in Glasgow.

[…]This landmark case tests the balance between those whose religious beliefs do not allow them to play any part whatsoever in abortion, and the health authorities’ duty under the law to enable women to have an abortion. Many Christian groups back the midwives’ position.

The midwives’ counsel, Gerry Moynihan QC, told the court in the women’s earlier successful appeal that the law was clear that the right to conscientious objection contained in the Abortion Act was intended to apply to the whole team whose involvement was necessary to achieve the procedure.

If the Supreme Court upholds the midwives’ earlier successful appeal, it could set a legal precedent, allowing other midwives who object to abortion to take the same stance.

The Royal College of Midwives and the women’s charity British Pregnancy Advisory Service have both warned that any such ruling could have severe implications for the care of women choosing to terminate their pregnancy.

The BPAS is the largest abortion provider in the UK. I blogged before about their leader, Ann Furedi, who supports sex-selection abortions. I thought then that sex-selection abortions was the worst thing about abortion, but now I see that she would actually force her moral views on other people, compelling them by the power of government to act against their beliefs. There is something deep inside me that just recoils from making a person do something that they think is morally wrong. But I guess pro-abortion people don’t share my concern.

When I blogged before about these two midwives when they won their appeal case, I wrote this:

If the health care system were private, then it would be easy for midwives to find another company to work for that did not violate their consciences. But when the government runs the whole health care system, where are you supposed to go? They are a monopoly and they make the rules. Yet another reasons for Christians to vote for smaller government. In a free market, if you don’t want to buy something from one store, you can go to another store. There is competition. But where are these nurses supposed to go? They are midwives, and the government and the courts make the rules in a government-run health care system.

This is why we need to keep the government OUT of health care. When you work for a government monopoly, and they want you to do something that you don’t want to do, you have two choices – do what they want or leave the country. If the only health care system is government-run, then if you want to practice health care, you have to leave. That seems unfair to me.

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White House review of VA finds “corrosive culture” to blame for poor patient care

The Wall Street Journal reports.

Excerpt:

A White House review of the VA health system points to a culture that has degraded the timely delivery of care and requires a restructuring to improve transparency and accountability.

Acting Secretary of Veterans Affairs Sloan Gibson and Rob Nabors, White House deputy chief of staff, told President Barack Obama on Friday that significant further action was needed to address systemic problems.

Six weeks after the president dispatched Mr. Nabors to assess problems within the VA, the president’s aide outlined a long list of issues affecting access to timely care at VA medical facilities.

Mr. Nabors’s work is the latest in a series of reviews and reports issued in the past two months, including those from the VA’s independent inspector general, the Office of the Special Counsel and the VA itself. The new report found what Mr. Nabors described as a “corrosive culture” that affects employee performance and patient care. He added that the Veterans Health Administration structure has “impeded appropriate management, supervision and oversight.”

The review also found that the VA’s goal for scheduling many medical appointments within 14 days is “arbitrary, ill-defined and misunderstood.” That goal had been set in 2011. The VA recently eliminated that 14-day target.

Mr. Gibson praised the report. “We know that unacceptable, systemic problems and cultural issues within our health system prevent veterans from receiving timely care,” he said in a statement.

The White House has scrambled to respond to evidence of widespread mismanagement within the VA and to fill a growing number of vacancies in top posts. An internal assessment also revealed improper appointment-scheduling procedures and efforts to hide long wait times across the VA health system.

Another interim report from the VA inspector general confirms that:

The VA’s independent inspector general office has said it would likely issue in August its full report on its sweeping review of the department. An interim report, issued just days before Mr. Shinseki’s resignation, showed problems throughout the VA. They included employees tinkering with official patient appointment wait times to make them seem much shorter than the actual times veterans were having to wait.

In case you were wondering why this is all happening in the VA health care system and not in the private health care system, it’s because the VA is 100% pure government-run health care, as health care expert Avik Roy explains in Forbes magazine. The VA is not scandal is not some sort of aberration from government-run health care. Long wait times and patient deaths are essential to government run health care, in practice.

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Walmart’s health care plans are cheaper and offer more coverage than Obamacare plans

The Washington Examiner takes a look at the numbers.

Excerpt: (links removed)

Walmart offers its employees two standard plans, a Health Reimbursement Account and an alternative it calls “HRA High” that costs more out of employees’ pockets but has lower deductibles. Blue Cross Blue Shield manages both plans nationally.

Also offered is a Health Savings Account plan that includes high deductibles but allows tax-free dollars to be used for coverage.

For a monthly premium as low as roughly $40, an individual who is a Walmart HRA plan enrollee can obtain full-service coverage through a Blue Cross Blue Shield preferred provider organization. A family can get coverage for about $160 per month.

Unlike Obamacare, there are no income eligibility requirements. Age and gender do not alter premium rates. The company plan is the same for all of Walmart’s 1.1 million enrolled employees and their dependents, from its cashiers to its CEO.

A Journal of the American Medical Association analysis from September showed that unsubsidized Obamacare enrollees will face monthly premiums that are five to nine times higher than Walmart premiums.

JAMA found the unsubsidized premium for a nonsmoking gouple age 60 can cost $1,365 per month versus the Walmart cost of about $134 for the same couple.

The medical journal reported a 30-year-old smoker would pay up to $428 per month, in contrast to roughly $70 each month for a Walmart employee.

A family of four could pay a $962 premium, but the same Walmart family member would pay about $160.

Low premiums are not the only distinguishing feature of the Walmart plan. The retailer’s employees can use eight of the country’s most prestigious medical facilities, including the Mayo Clinic, Pennsylvania’s Geisinger Medical Center and the Cleveland Clinic.

At these institutions, which Walmart calls “Centers of Excellence,” Walmart employees and their dependents can get free heart or spinal surgery. They can also get free knee and hip replacements at four hospitals nationwide.

Many top-rated Walmart hospitals — such as the Mayo and Cleveland clinics — are left out of most Obamacare exchange plans.

But the real difference between Obamacare and Walmart can be seen in the levels of day-to-day access to doctors and hospitals.

Robert Slayton, a practicing Chicago independent insurance agent for 11 years and the former president of the Illinois State Association of Health Underwriters, described to the Examiner the differences between Walmart and Obamacare provider networks.

Slayton said the BlueChoice exchange network for President Obama’s hometown has very limited hospital participation. “In downtown Chicago, the key is the number of hospitals: 28,” he said.

“Now we’re going to the national network — this is what the Walmart network would most likely be — and you have 54 hospitals. That’s a big difference,” he said.

[…]Slayton said the gap between doctor availability in Chicago under the Obamacare and Walmart plans is dramatic.

“You will notice there are 9,837 doctors [under Obamacare]. But the larger network is 24,904 doctors. Huge, huge difference,” he said.

Walmart also offers a free preventive health plan that mirrors the Obamacare plan. Its employees can take advantage of a wide range of free exams and counseling, including screenings for colorectal cancer, cervical cancer, chlamydia, diabetes, depression and special counseling for diet and obesity.

Their children can get more than 20 free preventive services, ranging including screenings for genetic disorders, autism and developmental problems to obesity, lead poisoning exposure and tuberculosis. There are also 12 free vaccinations, and free hearing and vision testing.

Walmart employees pay as little as $4 for a 30-day supply of generic drugs and only $10 for eye exams through a separate vision plan.

And Wal-Mart didn’t need to waste $600 million of taxpayer money on the web site. See why we need to led the private sector handle these things? Obamacare sucks, and that’s why the Democrats voted to exempt themselves and all their staff from it.

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New York Democrats object to having their wealth redistributed by Obamacare

From the radically leftist New York Times, of all places. (H/T Just One Minute via Ari)

Here’s the problem:

Many in New York’s professional and cultural elite have long supported President Obama’s health care plan. But now, to their surprise, thousands of writers, opera singers, music teachers, photographers, doctors, lawyers and others are learning that their health insurance plans are being canceled and they may have to pay more to get comparable coverage, if they can find it.

They are part of an unusual, informal health insurance system that has developed in New York, in which independent practitioners were able to get lower insurance rates through group plans, typically set up by their professional associations or chambers of commerce. That allowed them to avoid the sky-high rates in New York’s individual insurance market, historically among the most expensive in the country.

But under the Affordable Care Act, they will be treated as individuals, responsible for their own insurance policies. For many of them, that is likely to mean they will no longer have access to a wide network of doctors and a range of plans tailored to their needs. And many of them are finding that if they want to keep their premiums from rising, they will have to accept higher deductible and co-pay costs or inferior coverage.

And here’s the yummy, yummy schadenfreude:

“I couldn’t sleep because of it,” said Barbara Meinwald, a solo practitioner lawyer in Manhattan.

Ms. Meinwald, 61, has been paying $10,000 a year for her insurance through the New York City Bar. A broker told her that a new temporary plan with fewer doctors would cost $5,000 more, after factoring in the cost of her medications.

Ms. Meinwald also looked on the state’s health insurance exchange. But she said she found that those plans did not have a good choice of doctors, and that it was hard to even find out who the doctors were, and which hospitals were covered. “It’s like you’re blindfolded and you’re told that you have to buy something,” she said.

[…]“We are the Obama people,” said Camille Sweeney, a New York writer and member of the Authors Guild. Her insurance is being canceled, and she is dismayed that neither her pediatrician nor her general practitioner appears to be on the exchange plans. What to do has become a hot topic on Facebook and at dinner parties frequented by her fellow writers and artists.

“I’m for it,” she said. “But what is the reality of it?”

Man, I love the taste of the liberal tears on a cold Monday morning. It tastes like… victory (in 2014). What is the reality of it? Maybe if you stopped reading the New York Times, you would know the reality of it.

Well why are healthy people with $10,000 New York policies losing their coverage? Did those policies not provide free contraceptives? Not at all:

The predicament is similar to that of millions of Americans who discovered this fall that their existing policies were being canceled because of the Affordable Care Act.

[…]But while those policies, by and large, had been canceled because they did not meet the law’s requirements for minimum coverage, many of the New York policies being canceled meet and often exceed the standards, brokers say. The rationale for disqualifying those policies, said Larry Levitt, a health policy expert at the Kaiser Family Foundation, was to prevent associations from selling insurance to healthy members who are needed to keep the new health exchanges financially viable.

Siphoning those people, Mr. Levitt said, would leave the pool of health exchange customers “smaller and disproportionately sicker,” and would drive up rates.

I must have written over a 100 posts warning people about the effects of Obamacare from 2009 to November of 2012, and no Democrats would listen to me. Well, now they know what conservatives knew before the 2012 election. And just wait until the employer mandate hits and drives 129 million people of their existing health care plans by the end of 2014. 

Related posts

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Cancer victim who alerted media about dropped health plan draws IRS audit

Mark Steyn at National Review reports.

Excerpt: (links removed)

A couple of weeks back, cancer patient Bill Elliot, in a defiant appearance on Fox News, discussed the cancelation of his insurance and what he intended to do about it. He’s now being audited.

Insurance agent C Steven Tucker, who quaintly insists that the whimsies of the hyper-regulatory bureaucracy do not trump your legal rights, saw the interview and reached out to Mr Elliot to help him. And he’s now being audited.

As the Instapundit likes to remind us, Barack Obama has “joked” publicly about siccing the IRS on his enemies. With all this coincidence about, we should be grateful the President is not (yet) doing prison-rape gags.

Meanwhile, IRS chief counsel William Wilkins, in his testimony to the House Oversight Committee over the agency’s systemic corruption, answers “I don’t recall” no fewer than 80 times. Try giving that answer to Wilkins’ colleagues and see where it gets you. Few persons are fond of their tax collectors, but, from my experience, America is the only developed nation in which the mass of the population is fearful of its revenue agency. This is unbecoming to a supposedly free people.

Elliot is being audited back to 2009. Tucker is being audited all the way back to 2003.

More from The Blaze.

Excerpt:

Appearing this week on “Rocky D” on Charleston, S.C.’s WQSC, Elliott said that after a media frenzy, his insurance company worked it out with him to allow him to keep his coverage — but there’s a new hitch.

“Monday I got a certified letter, I went down and got it and it’s from the IRS and they are auditing my books from 2009,” Elliott said.

He said he didn’t own a business at that time, and in fact was working for the government. He said he’s paid his taxes every year and is not any kind of a tax evader.

There was one more part of the notice — Elliott said that “due to federal budget cuts,” the meeting between him and the IRS won’t take place until April 2014.

“It doesn’t matter. It could’ve been today if they wanted it to,” he said.

The radio host said, “you stood up and spoke out about how Obamacare screwed over your insurance and probably would kill you and what’s the next thing that happened? You get audited by the IRS. That is not a coincidence.”

“No it’s not,” Elliott said.

And it might not just be Elliott: C. Steven Tucker, an insurance broker who contacted Elliott after his Fox News appearance, said that after he helped assist Elliott with his coverage, the IRS “are now coming after ME all the way back to 2003.”

Elliott told Kelly that he actually voted for Obama over Mitt Romney last year specifically because he liked what Obama had promised about being able to keep your doctors and your insurance plans.

People sometimes complain at me for using the word fascism, but I don’t know what else to call this. What do you call it when your government goes after you for speaking out against them? I call that fascism. It’s government stepping in to impose their views on individuals by force.

Look, if you want big government to make everyone “equal” by redistributing wealth and nationalizing private industry, then you’re a fascist. That’s where your view leads. Fascism is the normal endpoint of destroying the free enterprise system under the guise of pursuing “equality”. When government takes over industries from the private sector, you are going down the road to fascism. If you don’t like private property, you’re a fascist. If you don’t like the rule of law, you’re a fascist. If you don’t like free trade, you’re a fascist.

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