Comment

What Would You Ask About Health Care?

77
bnichols108/11/2009 3:35:58 pm PDT

8. A lot of people have been upset about Congress passing bills that they haven’t had time to read—and they haven’t even finished writing the health-care bill yet. But what I want to know is, with a bill this big and complex, have you taken the time to read it and understand it? Can you really say that anyone has had the time to figure out how all the parts will work together and what all of the consequences will be? With a bill this big, is it even possible to figure out all of that and really know what you’re voting for?

9. President Obama and the Democratic leadership are making us a lot of promises about what we will get and what we won’t get from this health-care bill. But what is or isn’t in this one particular bill is not the end of the story. For example, how many times has Medicare changed over the last forty years? As more and more of us become dependent on the government for our health-care coverage, won’t we have to worry about what some future Congress or some future bureaucrat will decide to cover or not cover?

10. The defenders of the health-care bill claim that it’s going to lead to all sorts of savings, not by actually cutting any services or denying care, but just by finding “inefficiencies” that will save money. Do you think this is remotely plausible? When has anybody ever said, “This project has to be lean and efficient—let’s get the government do it”?

11. One of the ways that has been proposed for government-provided health insurance to save money is by substituting Medicare reimbursement rates for market rates when paying doctors and hospitals. But many private hospitals and medical practices have said that if they have to accept these lower rates, they can’t cover their expenses, and they will go out of business. So doesn’t this bill guarantee an immediate shortage of doctors and medical services?

12. Medicare cuts costs by paying lower rates to doctors and hospitals, who then shift these costs to those of us with private health insurance, who get charged higher rates. But if the government takes over and starts dictating Medicare reimbursement rates for everyone, who will the costs get shifted to then?

13. When the government starting portraying people in the financial industry as villains and started limiting their pay and subjecting them to more regulations, banks reported a “brain drain” as smart and well-educated people left the industry or went overseas looking for better pay and less stress. But the term “brain drain” was originally coined in the 1960s when doctors and medical researchers left Britain to escape socialized medicine. Aren’t you afraid we might see the same kind of brain drain from the medical profession here in America?

14. Do you know the meaning and significance of the term “quality adjusted life year”? (For this question, you will need the answer, which you can supply if your congressman is forced to admit that he doesn’t know it—preferable after some stammering and a long, awkward pause. “Quality adjusted life year” is a term used under socialized medicine to determine whether elderly patients are allowed to get expensive drugs or treatments, depending on some bureaucrat’s calculation of how many good years they have left. You should ask your congressman: Can you assure us that the same thing won’t happen here?)