Wintery Knight

…integrating Christian faith and knowledge in the public square

We have single-payer health care already in the VA system – is it working?

VA health care wait times

VA health care wait times

This is health care policy expert Sally Pipes, writing in Investors Business Daily.

She writes:

new report from the Government Accountability Office has confirmed that the Department of Veterans Affairs can’t take care of those it’s supposed to serve.

The GAO has placed the VA’s health system on the “high risk” list of federal programs that are vulnerable to “fraud, waste, abuse, and mismanagement.” The agency is still struggling to recover from an 8-month-old internal audit that revealed that returning soldiers had to wait more than 90 days for care. Some patients died while waiting.

The GAO’s findings apply far beyond the VA. The agency’s problems — which include long wait-times and out-of-control costs — demonstrate what happens in any government-run, single-payer health care system.

The VA’s failings ought to give pause to the liberal politicians and policy analysts who would love to introduce single-payer health care for all Americans. But they don’t seem to have heeded the GAO report. Within a week of its release, Rep. John Conyers, D-Mich., called for “Medicare for All.”

Champions of socialized medicine used to point to the VA as proof that single-payer worked. In 2011, economist Paul Krugman called it “a huge policy success story, which offers important lessons for future health reform.” In a 2009 debate with me, Princeton professor Uwe Reinhardt said that there’s an example of a single-payer system in the U.S. that works — the VA.

The VA offers lessons about health reform — just not the ones single-payer’s proponents have in mind.

Defenders of government-run health care claim that it will control costs by cutting out middlemen such as insurance companies. The evidence shows otherwise. According to the GAO, the VA budget more than doubled between 2002 and 2013 even as enrollment increased by less than a third.

Single-payer’s “guarantee” of access to high-quality care is a myth, too.

“Despite these substantial budget increases,” the GAO report says, “for more than a decade there have been numerous reports … of VA facilities failing to provide timely health care.”

Over the last decade, more than 63,000 veterans have been unable to get a doctor’s appointment. At least 40 veterans have died because of long waits.

Things aren’t likely to get better anytime soon. The VA has yet to act on more than 100 GAO recommendations for improving care.

Last summer, lawmakers allocated $10 billion to a program intended to reduce wait times by permitting veterans to see private doctors outside the VA system. So far, the agency has only authorized 31,000 vets to seek private care — out of a possible 8.5 million.

That has to change — 88% of veterans say that they want the ability to choose where they receive their care.

However, there is one military person who is getting health care – convicted traitor Bradley Manning. He’s getting sex-change surgery while he is in jail for leaking national security secrets to our enemies. He won’t have to wait at all for his health care. This is what happens when you take money out of your wallet, give it to the government, and then hope that when you get sick, someone in the government will decide that you are worthy of treatment. Which you aren’t, unless they want your vote.

It’s not just the VA health care system – government-run health care doesn’t work in other places:

The United Kingdom’s National Health Service, for instance, is notorious for denying patients everything from certain cancer medications to hip replacements.

The program is also financially unsustainable. According to its own medical director, Bruce Keogh, “if the NHS continues to function as it does now, it’s going to really struggle to cope because the model of delivery and service that we have at the moment is not fit for the future.”

In Canada’s single-payer system, the average wait time between referral from a general practitioner and the actual receipt of treatment by a specialist was more than four months in 2014. That’s nearly double the wait time of two decades ago.

The Canadian system is the one that Democrats want to emulate – but Canada’s rich left-wing politicians come here when they want care. They don’t want to wait in line. Why should we want to wait in line? We need to prefer consumer-driven health care over government-controlled health care.

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Vermont governor cancels single-payer health care because of costs

Reported by the Daily Signal:

Gov. Peter Shumlin announced this week he has called off his plans for single-payer health care in Vermont for 2015, saying “now is not the right time.”

At an unannounced news conference, Shumlin said he received the final modeling for financing single-payer health care on Tuesday and concluded the taxes required to fund a publicly financed system were simply unaffordable.

“As we completed the financing modeling in the last several days, it became clear that the risk of economic shock is too high at this time to offer a plan I can responsibly support for passage in the legislature,” Shumlin said.

“It was clear to me that the taxes required to replace health-care premiums with a publicly financed plan that would best serve Vermont are, in a word, enormous.”

The surprise announcement, which came nearly two weeks ahead of schedule, included details that Green Mountain Care’s new-revenues requirement had ballooned to $2.6 billion — up from prior high estimates of $2.2 billion. The overall cost for Green Mountain Care’s operations and coverage is estimated at $4.3 billion.

According to Shumlin’s financing plan, paying for Green Mountain Care would require a new 11.5 percent payroll tax on all Vermont businesses plus a new sliding-scale income tax of up to 9.5 percent, based on income level and family size.

Under Shumlin’s plan, a family of four with $100,000 of income or more would pay the full 9.5 percent tax. The maximum income tax for any single household would be capped at $27,500.

At the news conference, Shumlin called single-payer “the greatest disappointment of my political life so far,” and he explained why he abandoned his signature policy initiative of the past four years.

Recall that single-payer health care is the holy grail of the left. It is a massive opportunity for vote-buying because it involves mandatory taxation for “health care” which is then doled out to patients as the government sees fit. Money from people who don’t use or need health care (e.g. – young, single men) is taken by mandatory taxation and then used to buy votes of people by making things like contraceptives, breast enlargements, sex changes, IVF, etc. into “health care”.

Canada has a single-payer system. How much does this system cost the average Canadian taxpayer?

CTV News reports on a study published by the Fraser Institute.

It says:

A typical Canadian family with two parents and two kids will pay up to $11,786 for public health care insurance this year, according to a new study from the conservative think tank Fraser Institute.

Using data from Statistics Canada and the Canadian Institute for Health Information, the Fraser Institute study estimated the amount of taxes Canadian families will pay for public health insurance this year. The study also looked at how much the cost of public health insurance has increased over the last decade.

According to the study, Canadian families will pay on average between $3,592 to $11,786 for public health insurance in 2014, depending on the size of their family. For the purposes of their research, the study authors looked at six different family types.

The study found that over the last 10 years, the cost of public health care insurance for the average Canadian family has increased:

  • 1.5 times faster than average income
  • 1.3 times as fast as the cost of housing
  • 1.6 times as fast as clothing costs
  • More than three times as fast as the cost of food

Not only are the costs higher, but the quality is lower when measuring patient outcomes.

We should avoid this system at all costs. Free-market health care is better than government-run health care at keeping costs down. The more we reduce government control of health care, increase competition among health care providers and improve consumer choice, the lower the costs will be.

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Obama silent as Venezuelan government violently represses democratic opposition

Socialism in Venezuela

Socialism in Venezuela

From the Heritage Foundation.

Excerpt:

Thousands of supporters and opponents of Venezuela’s socialist government have taken to the streets this past week. Initiated by student groups, the protestors are voicing their grievances against soaring crime rates, high inflation, a shortage of basic goods, and a lack of political and economic freedom.

All the while, the Obama Administration has been relatively silent. The occasional press release from the State Department uses the same recycled lines of “deep concern” that we’ve come to expect from an indifferent Administration. Not even the expulsion of three U.S. diplomats Sunday evening could elicit a stronger statement.

So far, three people have been killed and hundreds have been arrested and tortured. Some even disappeared thanks to government security forces. Videos, pictures, and eyewitness testimony blame the governing regime for the deaths of two of the victims. Armed with automatic weapons, tear gas, grenades and even tanks, the military and police are using all means to silence the democratic opposition.

Much like the Arab Spring, demonstrators have taken to social media—mainly Twitter—to relay information to the international community.

Yet a few days into the demonstrations, the Venezuelan government shut down Twitter and one of the last private cable broadcasters, Colombia’s NTN24. The government has even called for the arrest of leading opposition figurehead Leopoldo Lopez.

At the helm of this sinking ship is Venezuela’s leader, Nicolas Maduro. The former union leader and bus driver-turned-ordained president, he was handpicked by his successor Hugo Chavez.

Meanwhile on Wednesday, CNS News reported on the latest developments.

Excerpt:

Violent clashes flared up across Venezuela on Wednesday as the nation waited to learn what charges jailed opposition leader Leopoldo Lopez will face for organizing mass protests that have breathed new life into the movement challenging socialist rule in the oil-rich nation.

[…]There was no immediate word on whether there were any new casualties, after a week of demonstrations and clashes that have resulted in at least six deaths and more than 100 injuries.

[…]The president also said he would take harsh measures in Tachira, an opposition stronghold on the western border with Colombia where there have been fierce clashes between National Guard troops and opposition protesters. Maduro said he is prepared to declare a “state of exception,” a form of martial law.

“If I have to decree a state of exception for Tachira and send in the tanks, I am ready to do it,” he said.

[…][I]n Valencia, the third largest city… National Guard troops fired rubber bullets and unknown gunman on motorcycles fired live rounds at protesters. Genesis Carmona, a 22-year-old university student who had been Miss Tourism 2013 for the state of Carabobo, was struck in the head and killed by a bullet, a death that reverberated in a country that prizes beauty queens.

You can always count on big government socialists to resort to violence when their communist policies fail.

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How well are Democrat economic policies working in Venezuela and Argentina?

Are Barack Obama and Hugo Chavez very different?

Are Barack Obama and Hugo Chavez very different?

I have been reflecting sorrowfully on some of the outright lies spoken by the President in his recent State of the Union address. I am thinking specifically of lies that are almost universally rejected by economists across the ideological spectrum – lies so obvious that you would have to be an illiterate peasant living in a village in Venezuela or Argentina in order to believe it.

Three of his lies stand out – the minimum wage lie, the global warming lie and women pay gap lie. Each of these lies is as false as saying that the Sun goes around the Earth, or that the Earth is flat. What bothers me is not that the President spoke them, because I expect someone with no scientific background and no private sector experience to say things that are not true. But what bothers me is that the American electorate is now incapable of identifying such obvious lies.

Let’s take a look at this article from the leftist Washington Post.

Excerpt:

On aisle seven, among the diapers and fabric softener, the socialist dreams of the late Venezuelan president Hugo Chávez looked as ragged as the toilet paper display.

Employees at the Excelsior Gama supermarket had set out a load of extra-soft six-roll packs so large that it nearly blocked the aisle. To stock the shelves with it would have been pointless. Soon word spread that the long-awaited rolls had arrived, and despite a government-imposed limit of one package per person, the checkout lines stretched all the way to the decimated dairy case in the back of the store.

[…]Pathetic, in a country with the world’s largest petroleum reserves and oil prices at nearly $95 a barrel, yet unable to supply basic goods because of its crumbling local currency and a shortage of U.S. dollars.

[…]Nearly a year after Chávez’s death of complications from cancer at age 58, his hand­picked successor, Nicolás Maduro, is struggling to contain food shortages, spiraling inflation and rampant crime.

The arrival of basic staples such as cooking oil, chicken, flour or milk brings Venezuelans running to supermarkets and touches off surreal mob scenes, even as the government imposes price caps and rationing to prevent hoarding.

Maduro squeaked past opposition candidate Henrique Capriles in April’s presidential election, and Maduro’s United Socialist Party won enough races in Dec. 8 local elections to push back against perceptions that Chávez loyalists were deserting him. Just before the vote, with television cameras rolling, he sent soldiers into an appliance store accused of price gouging and ordered huge markdowns on televisions and microwaves. Apparently it gave his party a final boost at the polls.

There’s not a dime worth of difference in terms of vision between the Democrats in the USA and the socialists in Venezuela. The same people who think that sending armed troops to nationalize industry in Venezuela are nationalizing health care in this country right now. We will eventually see the same lines for health care that form in Canada and the UK. When you tax, regulate, and even attack those who provide services and products, you get shortages. Period. And yet big government redistribution of wealth seems to be winning over low-information voters in Venezuela and in the United States.

Are Barack Obama and Cristina Kirchner very different?

Are Barack Obama and Cristina Kirchner very different?

Venezuela has 56% currency inflation right now thanks to “stimulus” spending, but that is not the only place where Democrat policies are in force. Consider this article from the leftist Guardian about Argentina, where Democrat “stimulus” spending policies have led to rising prices of consumer goods.

Excerpt:

Every morning around 8am, the stern-faced cabinet chief Jorge Capitanich stands behind a podium at the Casa Rosada presidential palace for a televised verbal blast at the perceived enemies of the “victorious decade” presided over by the current president and her husband, the late Nestor Kirchner. Without naming them, Capitanich lashes out against the “visible and invisible” politicians, labour representatives, businessmen and journalists he blames for the sudden collapse of the peso and the explosive price increases that followed the forced devaluation.

Argentina’s economic earthquake has placed a huge question mark over the political future of the stateswoman so powerful she is referred to as Queen Cristina by both the opposition press and her supporters. In the past week, Capitanich has attempted to pin the price lurch on faceless foreign speculators, whom he accuses of a “strategy of domination” to gain control of Argentina’s oil and freshwater reserves, pandering to the widespread belief here, often underlined by the president in her speeches, that “vultures” of the leading industrial countries harbour secret plans to siphon off natural reserves from this resource-rich South American nation.

Capitanich has also blamed “anti-patriotic” farmers and large retailers, allegedly in league with independent, corruption-probing journalists, of fuelling price rises by “generating psychological action of permanent destabilisation” against Fernández de Kirchner.

But critics of the government point to inept administration and populist spending by a government that considers itself to be leading a revolution against Argentina’s erstwhile oligarchy.

Just like Obama, the socialists in Argentina are always looking to blame others for the problems they cause with their own policies. The problem is never bad policies that attack job creating businesses, it’s always a lack of loyalty and patriotism. We are disloyal to our economically-illiterate elites who only want to help us, they say. Leftist economic policies can work if we just believe in the leader, they say. And many ignorant peasants believe that, even when the failure is right in front of them.

Not just in Venezuela and Argentina

Of course in America, we have a different kind of policy failure. We have Obamacare. Conservatives warned the public about it for years, but our peasants went ahead and voted for it anyway when we re-elected a know-nothing in 2012. He said that we could keep our health care plans and that we could keep our doctors. He said he would reduce the cost of health care. And we believed him. We believed him because the uneducated stand-up comedians we watched on the Comedy Channel made us believe him.

Take a look at the peasants realizing that not every piece of happy talk read from a teleprompter by a celebrity is automatically true:

Human Events explains the story behind that video.

Excerpt:

All of Barack Obama’s phony rhetoric about how wonderfully the Affordable Care Act is chugging along means less than nothing compared to the cold reality that awaited the employees of a Pennsylvania company, as a local news station captured their stunned reactions to ObamaCare price hikes in real time.

[…][They] learned they’d be facing premium hikes of over 30 percent, with higher deductibles.  Even their co-payments for doctor visits have doubled.  And the numbers hitting these good people aren’t as bad as the premiums and deductibles slamming into other ObamaCare victims around the country.  The great second wave of damage in the larger group insurance market is about to get under way.

“I don’t know how President Obama thinks he’s helping us,” one employee sighs, “because we can’t afford this, we can’t afford to pay these co-pays, to pay these deductibles on what we’re making.”

Another repeats the sarcastic but accurate observation made by ObamaCare critics since day one: “there’s nothing affordable” about the Affordable Care Act.  It is observed that average people can’t just cough up three hundred dollars a month, because that’s a big chunk of a rent check or mortgage payment.  One shell-shocked woman, looking at a $400 monthly premium increase plus a $4000 deductible, confesses she has no idea how she’s going to pay it.

[…]Needless to say, none of these people will be invited to come on stage with President Obama and talk about their ACA experiences.  They’re learning the hard way that political control of an industry means distant commissars picking winners and losers.  You can do everything right and still get socked by the biggest middle-class tax increase in history, because the imperial President and his court have decided other people need lower premiums, and you must be squeezed to pay for it.

We have a generation of people who have been educated to value rhetoric from celebrities over the Constitution and sound economics in general. We must not think that we can be as ignorant as South American peasants now and avoid the consequences of that ignorance. We need to turn off the TV and pick up the Thomas Sowell book.

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Federal court approves taxpayer-funded sex change for man convicted of murdering his wife

Fox News reports.

Excerpt:

A federal judge on Tuesday ordered state prison officials to provide taxpayer-funded sex-reassignment surgery to a transgender inmate serving life in prison for murder.

[…]Kosilek was born male but has received hormone treatments and now lives as a woman in an all-male prison. Robert Kosilek was convicted of murder in the killing of his wife in 1990.

U.S. District Judge Mark Wolf is believed to be the first federal judge to order prison officials to provide sex-reassignment surgery for a transgender inmate.

Kosilek first sued the Massachusetts Department of Correction 12 years ago. Two years later, Wolf ruled that Kosilek was entitled to treatment for gender-identity disorder but stopped short of ordering surgery. Kosilek sued again in 2005, arguing that the surgery is a medical necessity.

In his ruling Tuesday, Wolf found that surgery is the “only adequate treatment” for Kosilek’s “serious medical need.”

“The court finds that there is no less intrusive means to correct the prolonged violation of Kosilek’s Eighth Amendment right to adequate medical care,” Wolf wrote in his 126-page ruling.

[…]In a telephone interview last year with The Associated Press, Kosilek said the surgery is a medical necessity, not a frivolous desire to change his appearance.

“Everybody has the right to have their health care needs met, whether they are in prison or out on the streets,” Kosilek said. “People in the prisons who have bad hearts, hips or knees have surgery to repair those things. My medical needs are no less important or more important than the person in the cell next to me.”

[…]Kosilek’s lawsuit has become fodder for radio talk shows and lawmakers who say the state should not be forced to pay for a convicted murderer’s sex-change operation — which can cost up to $20,000 — especially since many insurance companies reject the surgery as elective.

The Boston Globe had this to say:

Gay & Lesbian Advocates & Defenders issued a statement hailing the ruling.

“Like the district court before it, the First Circuit has affirmed that constitutional rights belong to everyone,” said Jenifer Levi, director of GLAD’s Transgender Rights Project. “The Appeals Court affirmed that the District Court properly found that Michelle Kosilek needed this lifesaving medical care. If she needed treatment for cancer or heart disease, this case would never have wound up in court. If we are to call ourselves a civilized society, there is a baseline of care that has to be provided to all prisoners, including prisoners who are transgender.”

The man is now 64 years old. He strangled his wife to death  in 1990.

My personal opinion on this man is that he should have been executed by the state a few minutes after he was convicted.

Sarcastic WK

We have a lot of people in this country who are very compassionate handing out other people’s money. They don’t like discipline, judging or obedience to the law. They keep on voting for bigger government and more government spending to enable people avoid the consequences of their own actions. They believe that nothing we do is our fault, because we are all victims. They believe that nothing you earn is really yours, because everyone just gets up and does what they like every day.

If a musician gets up and does what he likes and a surgeon wakes up and does what he likes, why should they be paid differently? Work is meant to be fun and fulfilling, so we should resdistribute wealth from the surgeon to the musician, so they can both have sex changes, if they want them. People need money for free condoms, or a free abortion, or free breast implants, or free IVF, or free sex changes, or free health care for STDs. We should just take money from people who have it and give the other people whatever they want.

That’s why I go to work, you know, so that I can pay the government elected by the compassionate, non-judgmental people to give convicted murderers sex changes. It’s not like I need the money I earned for anything, like funding opportunities for Christians scholars to defend God’s reputation. At one point, I planned to get married and have children, too. What a waste of money my plans are – the government is right to take my money and use it on “compassion”. And when we have single payer health care, sex changes will be free for everyone, just like in Ontario, Canada and the UK. In the UK, you can even get breast implants for “free”. Isn’t that more compassionate and non-judgmental?

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