Reason’s Shikha Dahlmia seems to have identified what is very possibly the health care bill’s most alarming feature.
There are a great many things wrong with Obamacare, but the biggest is perhaps one that neither party is paying any attention to: It is one huge entrapment scheme that will turn patients and providers into criminals. …
It has created a new interagency task force called HEAT (Health Care Fraud Prevention and Enforcement Action Team) under which health-care officials will collaborate with the FBI to go after Medicare fraud. In addition, it has expanded to several cities the Medicaid Fraud Strike Force that authorizes FBI and Drug Enforcement Agency agents to jointly analyze Medicare claims data in real time to detect and investigate irregularities by area doctors.
More chillingly, however, the administration is defining Medicare fraud down to include â€œunnecessaryâ€ and â€œineffectiveâ€ care. And to root this out, it plans to make expanded use of private mercenariesâ€”officially called Recovery Audit Contractsâ€”who will be authorized to go to doctorsâ€™ offices and rummage through patientsâ€™ records, matching them with billing claims to uncover illicit charges. Whatâ€™s more, Obamacare increases the fine for billing errors from $11,000 per item to $50,000 without the government even having to prove intent to defraud.
This is utter insanity. And it has been caused by the transformation of health care into a government-controlled industry where the natural, self-regulating forces of the market have been badly subverted. There is nothing left but the coercive apparatus of the state to keep patients and doctors in line. This would be unimaginable where the customers receiving or contracting for services are actually the ones paying for it. If Whole Foods â€œoverbilledâ€ its shoppers, they would just go to Trader Joeâ€™s. No one would think of summoning the police. If a mechanic submitted unjustified bills to All State Insurance for car repairs, All State would contract with someone else. There would be no need for an FBI stakeout.
Obamacare is pushing America down the road to serfdom, but neither its opponents nor advocates seem to have noticed. It is time for civil libertarians in both parties to wake up and strangle it before it strangles whatâ€™s left of American freedoms.