Healthcare Reform

All who are cheering our new healthcare reform ought to be studying the National Health Service in England.  In particular they ought to be looking at one of the many bureaucractic offices set up to run the Health Service “fairly”.   N.I.C.E. is the acronym for National Institute for Health and Clinical Excellence.  In reality it is set up to determine such things as how many quality years a person has left.  QALY (Quality Adjusted Life Years) puts you in your proper place in the rationing queue.  If you are an older person, or if you have a condition which someone from N.I.C.E. determines as causing your quality of life to be less, your QALY score is lower, and you either wait longer for care, or you don’t get it at all.  N.I.C.E. also determines such things as whether the NHS should offer certain treatments to anyone at all.  If a treatment helps some people, but not enough people, it is taken off the schedule completely and no one gets it.  Its not cost effective to use it for just a few.  So now everyone’s worth is determined by their QALY score and the cost effectiveness of treating them.  In fact the Brits call N.I.C.E.  by other names such as “National Institute of Cost Effectiveness” and “Nazi Institute for Commoner Extermination”.  The two men most instrumental in setting up N.I.C.E., Sir Michael Rawlings and Simon Stevens are both working with the U.S. government to determine the most efficient ways to run Medicare.  Sir Michael Rawlings has had video conferences with our health bureaucrats, and Simon Stevens is now living in the U.S. and advising Medicare.  In the Healthcare Reform package which just passed congress is a plan to save $500 billion from Medicare over 10 years.  This is supposed to help finance the reform. Mr. Stevens, one of the architects of N.I.C.E., is architect of that part of healthcare reform.  Nancy Pelosi hailed Healthcare Reform as being a historical landmark like Medicare.  Medicare looks like it will soon be a plan senior citizens will wish they could escape.  Although the quote was frequently thrown at us that Europe has better health statistics than we do, England does not.  England’s cancer survival rates trail ours by 10-20%, and so do their cardiovascular survival rates. That is despite Britain having had universal healthcare for 60 years.  As my own father used to say, “Everything costs something.”  Nothing is free.  If we want to give free health insurance to people who by choice do not work full time, and have the taxpayers cover it, something else has to give.  I just can’t champion Medicare when I paid into it for 40 years of my working life and now can’t find a doctor who will see Medicare patients because of its abysmal reimbursement to doctors.  Our new healthcare reform model is mirroring the British model, which has been a complete failure.  Wake up America, and keep your sense of urgency until November when we have another chance to elect a new congress and do healthcare reform right.

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