Publicado: 08-28-2010 09:14 AM
THOMAS SOWELL: ObamaCare’s Deadly Consequences
By Thomas Sowell On August 27, 2010 In FrontPage
There is so much political spin, and so many numbers games being played, when it comes to medical care, that we have to go back to square one and the simplest common sense, in order to get some rational idea of what government-run medical care means. In particular, we need to examine the claim that the government can “bring down the cost of medical care.”
The most basic fact is that it is cheaper to remain sick than to get medical treatment. What is cheapest of all is to die instead of getting life-saving medications and treatment, which can be very expensive.
Despite these facts, most of us tend to take a somewhat more parochial view of the situation when it is we ourselves who are sick or who face a potentially fatal illness. But what if that decision is taken out of your hands under ObamaCare and is being made for you by a bureaucrat in Washington?
We won’t know what that leads to until the time comes. As Nancy Pelosi said, we will find out what is in the bill after it has passed. But even now, after ObamaCare has been passed, not many people want to read its 2,400 pages. Even if you did, you would still not know what it would be like in practice, after more than 150 boards and commissions issue their specific regulations.
Fortunately— in fact, very fortunately— you don’t have to slog through 2,400 pages of legalistic jargon or turn to a fortune teller to divine the future. A new book, “The Truth About ObamaCare” by Sally Pipes of the Pacific Research Institute lays out the facts in the plainest English.
While she can’t tell you the future, she can tell you enough about government-run medical systems in other countries that it will not take a rocket scientist to figure out what is in store for us if ObamaCare doesn’t get repealed before it takes full effect in 2014. It is not a pretty picture.
We hear a lot about how wonderful it is that the Canadians or the British or the Swedes get free medical treatment because the government runs the system. But we don’t hear much about the quality of that medical care.
We don’t hear about more than 4,000 expectant mothers who gave birth inside a hospital, but not in the maternity ward, in Britain in just one year. They had their babies in hallways, bathrooms and even elevators.
British newspapers have for years carried stories about the neglect of patients under the National Health Service, of which this is just one. When nurses don’t get around to taking a pregnant woman to the maternity ward in time, the baby doesn’t wait.
But the American media don’t tell you about such things when they are gushing over the wonders of “universal health care” that will “bring down the cost of medical care.”
Instead, the media spin is that various countries with government-run medical systems have life expectancies that are as long as ours, or longer. That is very clever as media spin, if you don’t bother to stop and think about it.
Author Sally Pipes did bother to stop and think about it in her book, “The Truth About ObamaCare.” She points out that medical care is just one of the factors in life expectancy.
She cites a study by Professors Ohsfeldt and Schneider at the University of Iowa, which shows that, if you leave out people who are victims of homicide or who die in automobile accidents, Americans live longer than people in any other Western country.
Doctors do not prevent homicides or car crashes. In the things that doctors can affect, such as the survival rates of cancer patients, the United States leads the world.
Americans get the latest pharmaceutical drugs, sometimes years before those drugs are available to people in Britain or in other countries where the government runs the medical system. Why? Because the latest drugs cost more and it is cheaper to let people die.
The media have often said that we have higher infant mortality rates than other countries with government medical care systems. But we count every baby that dies and other countries do not. If the media don’t tell you that, so much the better for ObamaCare.
But is life and death something to play spin games about?
Publicado: 08-28-2010 03:25 PM
OBAMA IS THE MOST FISCALLY IRRESPONSIBLE PRESIDENT IN AMERICAN HISTORY.
Current federal budget trends are capable of destroying this country
By Mortimer B. Zuckerman
There is an instinctive conclusion among the American public that President Obama’s stimulus package has failed to create a sustained recovery. Unemployment has increased, not declined; consumers have retrenched; housing starts have crashed along with mortgage applications; and there is a fear that a double-dip recession may very well be in the pipeline.
The public perception, reflected in Pew Research/National Journal polls, is that the measures to combat the Great Recession have mostly helped large banks and financial institutions, and that’s a view common to Republicans (75 percent) and Democrats (73 percent). Only one third of either political leaning thinks government policies have done a great deal or a fair amount for the poor.
There is another instinctive conclusion among the American people. It is that the national deficit, and the debts we have accumulated, are of critical political importance. On the national debt, the money the government has spent without the tax revenues to pay for it has produced mind-numbing numbers so large as to be disconnected from reality. Zeros from here to infinity. The sums are hard to describe; it is hard to describe an elephant, but you know one when you see one. The public knows that, shuffle the numbers as you may, the level of debt is unsustainable.
Who could be surprised since millions of voters have discovered that for themselves? As one realizes the morning after the night before, there is an unavoidable penalty for excess. It is unnerving to wake up and learn that you have a mortgage on your home that exceeds the value of the property. Or, and too often both, you have a credit card line that you cannot repay and the issuer has you on the rack for ever bigger compound interest on the debt.
The lesson has been well and truly learned that debt catches up with you. Millions understand that they are just going to have to find a way to live within their means—and then still eke out some savings to pay down debt. And there are well over 14 million Americans without a paying job, so the level of discontent is very high. Just how are they going to regain control of their lives?
In a usnews.com post on July 26, Jodie Allen of the Pew Research Center reported that in recent weeks more academic and market economists have been urging the government to defer budget cuts and tax increases and instead provide additional stimulus to a still-fragile economy, some by continuing the Bush tax cuts. But among the public there has been a suggestive shift of opinion the other way, reflecting worries about debt.
“Deficit and government spending” has jumped from 10th or 11th place as a priority for the federal government to one that is second only to job creation and economic growth. The drift of opinion is manifest in other recent polls.
For instance, a CBS poll conducted July 9-12 assessed the most important problem facing the country as the economy and jobs (38 percent), with concern about the budget deficit and national debt way down at 5 percent. Yet CNN (July 16-21) has 47 percent preoccupied first with the economy, and 13 percent with the federal deficit. In a recent Time magazine poll, two thirds of the respondents say they oppose a second government stimulus program and more than half say the country would have been better off without the first one.
People see the stimulus, fashioned and passed by Congress in such a hurry, as a metaphor for wasted money. They are highly critical about the lack of discipline among our political leaders. The question that naturally arises is how to forestall a long-term economic decline.
The Fed has lowered rates dramatically to keep the economy ticking and maybe continue the painfully slow recovery, but at the receiving end there is no feeling of relief at all. People know that the stimulus is about to stop stimulating. They know that money is petering out. They know that states are preparing to cut $200 billion to balance their budgets.
They realize that the Great Recession has wiped out huge amounts of wealth and that, unlike other recessions, this will not be followed by the kind of economic boom when people who had sat on their money during the lean years unleash pent-up demand for all sorts of goods and services.
There is no sign of that happening this time around. Households and businesses have kept their hands in their pockets. And so while many think that the only way to revive the economy and to inject more money into it is through governmental spending, the general feeling is that we can’t afford that right now. The government will be writing more IOUs on top of those we already can’t afford. Why plan a second stimulus if the first stimulus couldn’t prevent high unemployment?
Of course, the question remains whether public sentiment coincides with sound economics. The challenge we face as a country is how to get growing vigorously again while achieving fiscal sustainability. We are learning from the Europeans what happens when the risks that came with excessive debt become realities. There seems to be an emerging consensus that if there is to be any additional stimulus, it must be explicitly linked to credible fiscal restraint down the road. This would include a commitment to binding legislation that would change the algebra so that both programs and budget procedures get us on a benign trajectory.
There are two warning signs of a budget crisis: rising debt and the loss of confidence that the government will deal with it. This administration is on the verge of fulfilling both conditions. In fairness, there is no majority coalition in Congress for deficit reduction today. It is also true that the growth of public debt has been driven by a dramatic diminution of tax receipts due to the recession, the extra spending to avoid sinking into a self-perpetuating depression, and all those billions we invested to save the financial sectors from their sins.
Voters see the politicians most vociferous about reining in the federal budget as those who are out of power and want to use it against the majority party. Too many politicians claim they are all for balanced budgets—but only by reducing the other party’s priorities. Republicans want to reduce social spending. Democrats want to reduce military spending. It is Washington as usual.
Amid the clamor and counterpromises, the historic record is worth keeping in mind. We paid for World War II through growth. The national debt, as a percentage of gross domestic product, fell sharply through the postwar presidencies of Truman, Eisenhower, Kennedy, and Johnson (despite the Vietnam War) and continued edging down through most of Nixon’s, rising a little with Ford’s. We marked time in the stagflation of the Carter years, and then the debt percentage increased dramatically during the Reagan-Bush presidencies. It shot up again to the present dangerous levels under George W. Bush and Obama. The only good years were Clinton’s.
An old saying that can apply to the deficit is called the “rule of holes” and goes as follows: “When you’re in one, stop digging.” But Washington politics remains the barrier. Government programs seem to live on forever. The budget becomes a perpetual-motion machine for higher spending. New programs for new needs get piled on top of old programs for old needs.
Then there are the retirees. Their numbers and their health costs will keep on rising. There were 35 million Americans over 65 in 2000 and the number of retirees is expected to double by 2030. The impending retirement of millions of baby boomers, with their claims on federal retirement programs, comes at a time when both parties seem to be willing to worsen tomorrow’s problems to win more of today’s votes. The result is that the federal budget is drifting into a future of huge deficits or unprecedented tax increases, or both.
Federal spending is moving toward a higher plateau—from roughly 18 percent of the GDP to almost 25 percent by 2030. We don’t know how we are going to pay for this. We don’t know how the economy would fare with much higher taxes. We have seen the clouds gathering for years but haven’t invested in an umbrella by adjusting federal retirement programs or taking other steps to reduce entitlements.
One response would have been to begin gradually phasing in eligibility ages and tying benefits more to income. No doubt we have to think about raising the eligibility age for Social Security and Medicare, perhaps by one month for each two-month increase in average life expectancy. We will have to think of ways to reduce the cost-of-living increases on Social Security benefits for wealthy seniors by slowly increasing their Medicare premiums and leaving everybody else’s untouched. We may have to allow the Bush tax cuts to expire, certainly for households earning more than $250,000 (and more for the super-rich) given the concentration of wealth in the top 1 percent of the population. It is entirely appropriate that they begin to make a greater contribution to our longer-term fiscal health.
The United States simply seems to lack a system that can fund the government that the people say they want. We are good at crises, but we do not seem to be good at tackling chronic problems. If we wait until a crisis happens, it will be too late. It is simply not possible to close the gap entirely with the tax increases on the rich that Democratic liberals so desperately believe in. Nor can we close the gap with spending cuts, as the Republicans would like. The liberals will have to concede that benefits and spending ought to be reduced. Conservatives will have to concede the need for higher taxes.
Hope may lie in a new bipartisan panel headed by Erskine Bowles and Alan Simpson, two unique, wise, and centrist political leaders whose characters raise some degree of confidence that they might be able to come forth with productive programs. As former President Clinton said of them, they “are free enough to disregard the polls but smart enough to take them into account.”
But let’s not forget, current budgetary trends are capable of destroying the country. As Bowles pointed out, according to a Washington Post report, we can’t just grow our way out of this. We can’t just tax our way out of this. We have to do what governors do—cut spending or increase revenues in some combination that will begin to pull us back from the cliff.
Obama must know that if he doesn’t address this, he will be the president who drove us toward a debt crisis. And so too must Congress, for both have now participated in the most fiscally irresponsible government in American history.