Category Archive 'Health Care Reform'
25 Mar 2010

Castro Congratulated Obama Too Soon

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As HuffPo explains, it’s back to the House, where Pandora’s Box opens again.

Senate Republicans succeeded early Thursday morning in finding two flaws in the House-passed health care reconciliation package. Neither is of any substance, but the Senate parliamentarian informed Democratic leaders that both are in violation of the Byrd Rule.

One is related to Pell Grants and the other makes small technical corrections. Why they’re in violation of the Byrd Rule doesn’t matter; the upshot is that Republicans will succeed in at least slightly altering the legislation, which means that the House is once again required to vote on it. With no substantial changes, House Speaker Nancy Pelosi (D-Calif.) should have little problem assembling the same coalition of 220 Democrats who passed the measure Sunday night. That’s already four more than the minimum 216 required for passage.

But the ruling might give Democrats another option — the public one.

Democratic leadership no longer has to worry that additional amendments would send it back to the House, since it must return to the lower chamber regardless. The Senate is now free to put to the test that much-debated question of whether 50 votes exist for a public option. Democrats could also elect to expand Medicare or Medicaid, now that they only need 50 votes in the Senate and the approval of the House.

The question then becomes whether House Speaker Nancy Pelosi (D-Calif.) could pass the reconciliation changes with a public option. She has long maintained that the House has the votes to do so. Indeed, it did so in late 2009. Since then, however, two members who supported the public option are no longer in the House. But with fewer members, the House also needs two fewer votes than the 218 required for a majority in November, alleviating some of that pressure.

Would they have the votes?

25 Mar 2010

Obamacare Receives Key Endorsement

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Great work, Comrade Barack!

Washington Post:

Cuban revolutionary leader Fidel Castro on Thursday declared passage of American health care reform “a miracle” and a major victory for Obama’s presidency, but couldn’t help chide the United States for taking so long to enact what communist Cuba achieved decades ago.

“We consider health reform to have been an important battle and a success of his (Obama’s) government,” Castro wrote in an essay published in state media, adding that it would strengthen the president’s hand against lobbyists and “mercenaries.”

But the Cuban leader also used the lengthy piece to criticize the American president for his lack of leadership on climate change and immigration reform, and for his decision to send more troops to Afghanistan, among many other things.

And he said it was remarkable that the most powerful country on earth took more than two centuries from its founding to approve something as basic as health benefits for all.

“It is really incredible that 234 years after the Declaration of Independence … the government of that country has approved medical attention for the majority of its citizens, something that Cuba was able to do half a century ago,” Castro wrote.

I agree with Castro. It is incredible that the United States managed to preserve freedom so long.

25 Mar 2010

What Would Jefferson Say?

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As democrats complain loudly that Congressmen who voted for Obamacare are being threatened and harassed by outraged voters, John Hinderaker asks aloud, “What Was That Line About the Tree of Liberty and the Blood of Tyrants?”

The peril of the socialist legislators is doubtless being exaggerated in order to score political points, but Power Line makes a telling point in response. If a measure abridging liberty and expanding government authority is so unpopular that legislators are receiving threats from ordinary Americans, doesn’t that suggest that those legislators are not really functioning very effectively as representatives of the people and that something has gone seriously awry in the relationship between the governing and the governed?

24 Mar 2010

Nanny State to Bully State

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After Leviathan has seized control of health services and is picking up the tab for your health care, Patrick Basham notes, government intrusion into your personal life and government efforts to reform your bad habits will inevitably assume a lot more urgency. Methods of altering citizens’ behavior are likely to get a lot tougher than a new series of public service messages.

During the course of this decade we will witness a global battle over the fate of the nascent Bully State. The Bully State will be this decade’s ‘bad cop’ to the Nanny State’s ‘good cop’ of past decades.

The past generation of welfare statism saw the unduly protective Nanny State bleed into every sinew of our daily lives. Sociologist David Marsland explains that, ‘Once you have a big welfare state in place, the excuse for state nannying is infinite in scale’, he says. ‘This … continues the process of reducing self-reliance and handing responsibility for ourselves to external bodies.’

Yet, just when you thought things could not get worse, they did. Two years ago, Oxford University’s Nuffield Council of Bioethics published a seminal report that provided the international public health establishment with the explicit rationale for a dramatic change in the relationship between the citizen and the State.

Did anyone think national health care was really going to be free?

Hat tip to the News Junkie.

23 Mar 2010

Some Animals More Equal Than Others Department

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A particularly nice detail of the Health Care Bill is noted by Ben Domenech:

One such surprise is found on page 158 of the legislation, which appears to create a carveout for senior staff members in the leadership offices and on congressional committees, essentially exempting those senior Democrat staffers who wrote the bill from being forced to purchase health care plans in the same way as other Americans.

23 Mar 2010

The Regime of Sarastro

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Christopher Demuth explains that, in endeavoring to establish European-style national health care in America, the left is acting upon a core belief: its faith in the calculative power of human reason to perfect the world.

[M]any liberals today are also progressives. They believe that the natural course of history is the emergence of secular rationality as the true way to think about problems and of state power as the effective way to organize society along rational lines. If that is your worldview, then such things as revealed religion, cultural tradition, and the marketplace (whose outcomes are spontaneous, not rationalized) are vestiges of our primitive past, sure to be displaced by the spreading application of human reason. When liberal politicians describe themselves as “progressives,” that is not just because “liberal” has acquired unpopular connotations but because progressive is the more accurate word for their core beliefs. President Obama, House Speaker Nancy Pelosi, and Senator Majority Leader Harry Reid are progressives in this sense; many recent Democratic presidential candidates were as well—John Kerry, Al Gore, and Michael Dukakis.

The grip of progressivism is probably the best explanation for the Democratic Party’s astonishing campaign to nationalize the U.S. healthcare sector by all means necessary. To attempt to enact a radical and unpopular program in a bill that includes many corrupt provisions, on a party-line vote and through a procedural trick (if the “Slaughter solution” is employed) that seems clearly unconstitutional, appears quite mad and self-defeating to the outsider. But it is not mad at all to those who think it natural and obvious and historically inevitable that the government must administer medical care. In this view, the political actor is simply holding history’s coat while it does its work. Political untidiness, even the loss of an election, are transitory considerations. The progressive mindset also explains, as more than populist demagoguery, the contempt that the proponents of ObamaCare exhibit for doctors and pharmaceutical and medical-insurance companies—for they are the practitioners of a benighted form of healthcare that is about to be swept away by a new and higher form.

The best artistic expression of leftist faith is a new world ruled by secular experts is Mozart’s Masonic opera The Magic Flute (K. 620, 1791).

Liberalism/leftism is a secular religion, and the liberal impulse toward federalizing charity stems from a number of consistently present liberal impulses. Liberalism is a cult with the state at its center in which the credentialed intelligentsia is its priesthood. Anything expanding the power and responsibility of the state inevitably also aggrandizes and affirms the importance of its priesthood, so all state enlargement is good. Socializing, regulating, and nationalizing everything is seen as the fulfillment of the promise that the entire universe can be subdued and rationalized by the calculative powers of human reason wielded by the super-enlightened, educated class of experts. Mankind’s destiny and the fulfillment of the telos of History consists in the continual reduction of the natural, free, and disordered condition of mankind, the market and the world into an ordered, regulated, and managed sphere administered by the intelligentsia under the aegis of the state.

“Es lebe Sarastro! Sarastro soll leben! Er ist es, dem wir uns mit Freuden ergeben. Stets mög’ er des Lebens als Weiser sich freun, Er ist unser Abgott, dem alle sich weihn.”

9:28 video

The poor are invaluable to the priesthood of Leviathan, since it is their neediness which allows the most spoiled and privileged element of society to complain bitterly on their behalf and to demand indignantly that ordinary people surrender to them ever-increasing portions of their liberty and wealth. The poor must be assisted and cared for, you see.

The theoretical elimination of poverty by coercive wealth transfer and social engineering is a key goal of the left’s statist agenda. The replacement of the untidy state of Nature with a manicured and properly managed society is expected to demonstrate irrefutably the superiority of human reason over the former. The leveling of social and biological differences, the abolition of tragedy, and the replacement of charity with entitlement will also firmly establish the leftwing ideal of Égalité, it is supposed, as reality.

The implementation of this costly and coercive agenda is, of course, wholly agreeable to the left because each step in the process only enlarges the power, privilege, and importance of mankind’s enlightened new masters, and the entire process was always intended to be funded at the expense of the ordinary citizen, the general population.

22 Mar 2010

Tweet of the Day

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Jacob S. Lybbert: Does #Obamacare cover a parliamentary ‘morning after’ pill for last night’s Democrat orgy?

22 Mar 2010

“We Have Not Yet Begun to Fight”

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“Fight on, my men,” says Sir Andrew Barton,
“I am hurt, but I am not slain;
I’ll lay me down and bleed a while,
And then I’ll rise and fight again.

John Hinderaker observes that the fight is not yet over, and we have some genuine cause for satisfaction. The Republican Party and a majority of the American people have firmly and decisively rejected socialism and the European-style welfare state. The real America still exists. We just need to win in November, clean house in Washington, and repeal this thing.

The health care battle is just beginning. Next, the Senate will try to enact the House’s “fixes” to the original Senate bill. Some Senators say that won’t happen. If not, then President Obama has the option of signing the original Senate bill–now passed by the House–Cornhusker Kickback and all. I assume he would do that, but the resulting blowback from House Democrats, not to mention the American people, would be something to behold.

The health care bill’s taxes will go into effect promptly, but its substantive provisions are, for the most part, deferred for four years. This means that we have plenty of time to repeal the legislation. Sure, it will take a new Congress and new President. But repealing this disaster of a bill will by a rallying cry for the American people for years to come. Moreover, even if the Republicans only take over the House in November, and not the Senate, won’t it be possible to throw roadblocks in the way of the bill’s implementation? Won’t budget appropriations be necessary to sustain the various federal tentacles the bill seeks to establish? What will happen if the House simply refuses to fund them?

I’ve never been prouder to be a Republican. The party’s Congressional leaders have fought this battle to the end on behalf of the American people–with intelligence, toughness, persistence and good humor. The contrast between the parties has never been starker than in today’s debate. If any intelligent Democrats were watching–there must be some left–they had to be embarrassed for their party. …

The health care debate has energized the conservative movement and awoken the sleeping giant, that is, the American people. The Democrats misinterpreted their electoral victories in 2006 and 2008 as a mandate for socialism. Now a majority of voters are intent on disabusing them of that misapprehension. Just about all of the political energy today is on the right–a remarkable fact, only sixteen months after the Democrats’ high-water mark in November 2008.

Barack Obama has used his political capital–pretty much all of it–on unpopular legislation that will continue to rile the voters for years to come. As a result, Obama is a remarkably unpopular second-year President. And he hasn’t even experienced any bad luck yet. It is hard to see how he will be able to regain his footing.

So, be of good cheer. To paraphrase a great American, we have not yet begun to fight.

22 Mar 2010

Another European Welfare State

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Let’s hope the Supreme Court strikes it down, or the new GOP Congress repeals the damned thing next Fall. As Mark Steyn observes, the Bismarkian welfare state dramatically changes the relationship of nations to government making citizens into clients and dependents, and there are other inevitable consequences.

[I]t’s hard to overestimate the magnitude of what the Democrats have accomplished. Whatever is in the bill is an intermediate stage: As the graph posted earlier shows, the governmentalization of health care will accelerate, private insurers will no longer be free to be “insurers” in any meaningful sense of that term (ie, evaluators of risk), and once that’s clear we’ll be on the fast track to Obama’s desired destination of single payer as a fait accomplis.

If Barack Obama does nothing else in his term in office, this will make him one of the most consequential presidents in history. It’s a huge transformative event in Americans’ view of themselves and of the role of government. You can say, oh, well, the polls show most people opposed to it, but, if that mattered, the Dems wouldn’t be doing what they’re doing. Their bet is that it can’t be undone, and that over time, as I’ve been saying for years now, governmentalized health care not only changes the relationship of the citizen to the state but the very character of the people. As I wrote in NR recently, there’s plenty of evidence to support that from Britain, Canada, and elsewhere.

More prosaically, it’s also unaffordable. That’s why one of the first things that middle-rank powers abandon once they go down this road is a global military capability. If you take the view that the U.S. is an imperialist aggressor, congratulations: You can cease worrying. But, if you think that America has been the ultimate guarantor of the post-war global order, it’s less cheery. Five years from now, just as in Canada and Europe two generations ago, we’ll be getting used to announcements of defense cuts to prop up the unsustainable costs of big government at home. And, as the superpower retrenches, America’s enemies will be quick to scent opportunity.

Longer wait times, fewer doctors, more bureaucracy, massive IRS expansion, explosive debt, the end of the Pax Americana, and global Armageddon.

22 Mar 2010

After the Health Care Bill

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Megan McArdle explains why the democrats’ success in getting their way represents a procedural precedent likely to change the legislative process permanently.

Regardless of what you think about health care, tomorrow we wake up in a different political world.

Parties have passed legislation before that wasn’t broadly publicly supported. But the only substantial instances I can think of in America are budget bills and TARP–bills that the congressmen were basically forced to by emergencies in the markets.

One cannot help but admire Nancy Pelosi’s skill as a legislator. But it’s also pretty worrying. Are we now in a world where there is absolutely no recourse to the tyranny of the majority? Republicans and other opponents of the bill did their job on this; they persuaded the country that they didn’t want this bill. And that mattered basically not at all. If you don’t find that terrifying, let me suggest that you are a Democrat who has not yet contemplated what Republicans might do under similar circumstances. Farewell, social security! Au revoir, Medicare! The reason entitlements are hard to repeal is that the Republicans care about getting re-elected. If they didn’t–if they were willing to undertake this sort of suicide mission–then the legislative lock-in you’re counting on wouldn’t exist.

Oh, wait–suddenly it doesn’t seem quite fair that Republicans could just ignore the will of their constituents that way, does it? Yet I guarantee you that there are a lot of GOP members out there tonight who think that they should get at least one free “Screw You” vote to balance out what the Democrats just did.

But I hope they don’t. What I hope is that the Democrats take a beating at the ballot boxand rethink their contempt for those mouth-breathing illiterates in the electorate. I hope Obama gets his wish to be a one-term president who passed health care. Not because I think I will like his opponent–I very much doubt that I will support much of anything Obama’s opponent says. But because politicians shouldn’t feel that the best route to electoral success is to lie to the voters, and then ignore them.

Read the whole thing.

21 Mar 2010

Alcee Hastings on the Rule of Law

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Alcee Hastings

0:08 video

In 1989, the future Rep. Alcee Hastings (D – 23FL) became the sixth federal judge in American history to be impeached and removed from office. He was found guilty of bribery and corruption, having accepted $150,000 to arrange a favorable sentence.

Hastings was subsequently nonetheless elected to the House of Representatives from a safe seat representing a “minority-majority” racially-gerrymandered district in 1992. Hastings was in line to succeed to the Chairmanship of the House Intelligence Committee when democrats regained the majority in 2006 and Nancy Pelosi expressed the intention of passing over Jane Harman (D – 36CA), but Hastings’ dishonorable past was just little too much. Hastings is now chairman of the Legislative/Budget Process sub-committee of the House Rules Committee, where he gets to “just make stuff up.”

20 Mar 2010

Coburn Pledges to Foil Bribes for Health Care Votes

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The New York Times reports on a very intelligent move by Tom Coburn (R – OK) attempting to counteract at least a portion of the wholesale exchange of favors for House votes for Obamacare. Nancy Pelosi’s preposterous attempt to strike a pose of moral superiority is good for a derisive laugh.

Raising the bar on Republican opposition maneuvers in the Senate, Mr. Coburn on Thursday threatened to put future holds on any Democratic House members who switch their vote in favor of the health care bill, lose their election as a result next November, and then are rewarded with a high-ranking job in the Obama administration.

“If you voted no and you vote yes and you lose your election and you think any nomination to a federal position isn’t going to be held in the Senate, I’ve got news for you, it’s going to be held,” said Mr. Coburn, a physician known somewhat affectionately around the Senate as Dr. No.

Mr. Coburn, appearing at a news conference with 10 fellow Republican lawmakers who are also doctors, promised to scour upcoming spending bills for any special projects that may be given to lawmakers who reluctantly back the health care bill.

“If you think you can cut a deal now and it not come out until after the election, I want to tell you that isn’t going to happen and be prepared to defend selling your vote in the House,” Mr. Coburn warned those making up their minds across the rotunda. …

“There is no limit to what the other side will do to protect the insurance companies,” Speaker Nancy Pelosi said.

Hat tip to Karen L. Myers.

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