[owen] A MUST READ for all seniors and those close to that age

[Roger Owen]

Pay particular attention to the yellow shaded areas

Feb. 9 (Bloomberg) -- Republican Senators are questioning whether President
Barack
<http://search.bloomberg.com/search?q=Barack+Obama&site=wnews&client=wnews&p
roxystylesheet=wnews&output=xml_no_dtd&ie=UTF-8&oe=UTF-8&filter=p&getfields=
wnnis&sort=date:D:S:d1>  Obama's stimulus bill contains the right mix of tax
breaks and cash infusions to jump-start the economy. 

Tragically, no one from either party is objecting to the health provisions
slipped in without discussion. These provisions reflect the handiwork of Tom
<http://search.bloomberg.com/search?q=Tom+Daschle&site=wnews&client=wnews&pr
oxystylesheet=wnews&output=xml_no_dtd&ie=UTF-8&oe=UTF-8&filter=p&getfields=w
nnis&sort=date:D:S:d1>  Daschle, until recently the nominee to head the
Health and Human Services Department. 

Senators should read these provisions and vote against them because they are
dangerous to your health. (Page numbers refer to H.R.
<http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.+1:>  1 EH, pdf version). 

The bill's health rules will affect "every individual in the United States"
(445, 454, 479). Your medical treatments will be tracked electronically by a
federal system. Having electronic medical records at your fingertips, easily
transferred to a hospital, is beneficial. It will help avoid duplicate tests
and errors. 

But the bill goes further. One new bureaucracy, the National Coordinator of
Health Information Technology, will monitor treatments to make sure your
doctor is doing what the federal government deems appropriate and cost
effective. The goal is to reduce costs and "guide" your doctor's decisions
(442, 446). These provisions in the stimulus bill are virtually identical to
what Daschle prescribed in his 2008 book, "Critical: What We Can Do About
the Health-Care Crisis
<http://www.amazon.com/Critical-What-About-Health-Care-Crisis/dp/0312383010/
ref=pd_bbs_1?ie=UTF8&s=books&qid=1234118804&sr=8-1> ." According to Daschle,
doctors have to give up autonomy and "learn to operate less like solo
practitioners." 

Keeping doctors informed of the newest medical findings is important, but
enforcing uniformity goes too far. 

New Penalties 

Hospitals and doctors that are not "meaningful users" of the new system will
face penalties.  "Meaningful user" isn't defined in the bill. That will be
left to the HHS <http://www.hhs.gov>  secretary, who will be empowered to
impose "more stringent measures of meaningful use over time" (511, 518,
540-541) 

What penalties will deter your doctor from going beyond the electronically
delivered protocols when your condition is atypical or you need an
experimental treatment? The vagueness is intentional. In his book, Daschle
proposed an appointed body with vast powers to make the "tough" decisions
elected politicians won't make. 

The stimulus bill does that, and calls it the Federal Coordinating Council
for Comparative Effectiveness Research (190-192). The goal, Daschle's book
explained, is to slow the development and use of new medications and
technologies because they are driving up costs. He praises Europeans for
being more willing to accept "hopeless diagnoses" and "forgo experimental
treatments," and he chastises Americans for expecting too much from the
health-care system. 

Elderly Hardest Hit 

Daschle says health-care reform "will not be pain free." Seniors should be
more accepting of the conditions that come with age instead of treating
them. That means the elderly will bear the brunt. 

Medicare <http://www.medicare.gov>  now pays for treatments deemed safe and
effective. The stimulus bill would change that and apply a cost-
effectiveness standard set by the Federal Council (464). 

The Federal Council is modeled after a U.K. board discussed in Daschle's
book. This board approves or rejects treatments using a formula that divides
the cost of the treatment by the number of years the patient is likely to
benefit. Treatments for younger patients are more often approved than
treatments for diseases that affect the elderly, such as osteoporosis. 

In 2006, a U.K. health board decreed that elderly patients with macular
degeneration had to wait until they went blind in one eye before they could
get a costly new drug to save the other eye. It took almost three years of
public protests before the board reversed its decision. 

Hidden Provisions 

If the Obama administration's economic stimulus bill passes the Senate
<http://www.senate.gov>  in its current form, seniors in the U.S. will face
similar rationing. Defenders of the system say that individuals benefit in
younger years and sacrifice later. 

The stimulus bill will affect every part of health care, from medical and
nursing education, to how patients are treated and how much hospitals get
paid. The bill allocates more funding for this bureaucracy than for the
Army, Navy, Marines, and Air Force combined (90-92, 174-177, 181). 

Hiding health legislation in a stimulus bill is intentional. Daschle
supported the Clinton administration's health-care overhaul in 1994, and
attributed its failure to debate and delay. A year ago, Daschle wrote that
the next president should act quickly before critics mount an opposition.
"If that means attaching a health-care plan to the federal budget, so be
it," he said. "The issue is too important to be stalled by Senate protocol."


More Scrutiny Needed 

On Friday, President Obama called it "inexcusable and irresponsible" for
senators to delay passing the stimulus bill. In truth, this bill needs more
scrutiny. 

The health-care industry is the largest employer in the U.S. It produces
almost 17 percent of the nation's gross domestic product. Yet the bill
treats health care the way European governments do: as a cost problem
instead of a growth industry. Imagine limiting growth and innovation in the
electronics or auto industry during this downturn. This stimulus is
dangerous to your health and the economy. 

 

 

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