Leftwing baby boomers will really have have something to look forward to under Obamacare, look at what Britain’s National Institute for Health and Clinical Excellence (Nice –You have to love the acronym!) is doing for patients there.

Telegraph:

In a letter to The Daily Telegraph, a group of experts who care for the terminally ill claim that some patients are being wrongly judged as close to death.

Under NHS guidance introduced across England to help doctors and medical staff deal with dying patients, they can then have fluid and drugs withdrawn and many are put on continuous sedation until they pass away. …

The warning comes just a week after a report by the Patients Association estimated that up to one million patients had received poor or cruel care on the NHS. …

The scheme, called the Liverpool Care Pathway (LCP), was designed to reduce patient suffering in their final hours.

Developed by Marie Curie, the cancer charity, in a Liverpool hospice it was initially developed for cancer patients but now includes other life threatening conditions.

It was recommended as a model by the National Institute for Health and Clinical Excellence (Nice), the Government’s health scrutiny body, in 2004.

It has been gradually adopted nationwide and more than 300 hospitals, 130 hospices and 560 care homes in England currently use the system.

Under the guidelines the decision to diagnose that a patient is close to death is made by the entire medical team treating them, including a senior doctor.

They look for signs that a patient is approaching their final hours, which can include if patients have lost consciousness or whether they are having difficulty swallowing medication.

However, doctors warn that these signs can point to other medical problems.

Patients can become semi-conscious and confused as a side effect of pain-killing drugs such as morphine if they are also dehydrated, for instance.

When a decision has been made to place a patient on the pathway doctors are then recommended to consider removing medication or invasive procedures, such as intravenous drips, which are no longer of benefit.

If a patient is judged to still be able to eat or drink food and water will still be offered to them, as this is considered nursing care rather than medical intervention.

Dr Hargreaves said that this depended, however, on constant assessment of a patient’s condition.

He added that some patients were being “wrongly” put on the pathway, which created a “self-fulfilling prophecy” that they would die.

Ronald Dworkin, an anesthesiologist editorializing on Health Care Reform in the Wall Street Journal last Thursday, identified one very key impact of Obamacare which would guarantee the degradation of quality of American health care.

(US Health Care today) unites rich and poor in a common private insurance system.

Here’s how it works. When a rich person rolls into the operating room, the nurse asks him: “Would you like a warm blanket? How about a pillow?” The anesthesiologist numbs his skin before putting in the I.V. Every effort is made to make him happy.

People in the operating room pay attention to a rich patient’s wishes because they know a rich person can make their lives miserable. He can complain to the hospital president, or call the mayor. But the side effect is that their high quality care becomes habitual, and all patients receive it. When a poor person complains in most environments, no one listens. But in health care, through a common private insurance system, poor people go to the same hospitals and doctors as rich people and thus enjoy the benefit of rich people’s power.

The public option severs this link. Dissatisfied with government-run health care, the rich will exit the system. The poor and middle-class will be left to flounder alone inside the public system. Government-run health care will become like the public schools.

The best doctors will be opening luxury clinics in Carribean resort locations, and the wealthy will simply jet off for their health care, leaving everyone else experiencing the equivalent of inner city hospital emergency room service, endless queues, drastic rationing and triage.

Get out the shovels and start burying it, folks, before it starts to smell. It’s dead. The Obama Revolution is over. The high tide of American leftism has crested. The Retreat from Moscow is on.

In 2008, a glib and fortunate beneficiary of a massive legacy of liberal guilt was able to smooth talk his way into an electoral victory based on a sudden market crash created by the combination of long-standing democrat housing market interventions combined with well-founded fears of the possibility of his election.

Ironically, it was Mr. Market’s bipolar panic attack which actually assured that the nightmare of his own imaginings could and would become reality. The GOP turned chicken, too, and chose what the bosses thought must be the safest play, nominating the geriatric and politically incoherent John McCain, who ran an uninspired campaign, trying to oppose age to youth and promises of less to promises of everything paid for by somebody else. Everything fell apart at once. So the least qualified, most radical candidate ever, a community organizer and Alinskyite radical, whose best friends have been black Communist poets, Weathermen cop killers, and racist clergymen, waltzed into the White House, accompanied by a Star Wars bar’s assemblage of exotic representatives of the radical fringe, all bent of bringing Socialism to America.

He spent a few trillions in a matter of weeks, assuring a dimmer future to a generation of Americans, then gleefully nationalized General Motors delivering control of America’s largest auto maker to the UAW’s commissars. Barack Obama took to heart Rahm Emanuel’s dictum about using an economic crisis as an empowering opportunity. But that power was only on loan. The American people were frightened and willing to put their faith in the two party system, roll the dice, and give the party which had been out of power a chance. Their decision had only been based on the “we’re tired of A and unhappy, let’s try B for a while” approach. The assertion by democrats and by Barack Hussein Obama that the 2008 election gave them a mandate for Socialism has been proven wrong.

Obama in 2009 has wound up just like Napoleon in 1812. Flushed with a string of victories, armed with an unfilibusterable Congressional majority, backed by an enormous army of labor unions, interest groups, and activist organizations, funded by George Soros, allied to the mainstream media, and well-supported by the mass artillery of the leftwing blogosphere, the Obama Administration even succeeded in negotiating free passage for the invasion from large corporations like Walmart and the pharmaceuticals companies (no doughty Belgium in 1914, they). As always, capitalists will willingly sell the rope used to hang free enterprise to the bolsheviks for short term profit as long as the sellers get assurances that they themselves will be hanged last.

But the denoument is worthy of Tolstoy. The Grand Armee of Socialist Ideology, despite all its votes in Congress; its media support; its grand alliance of corrupt businesses, unions; the AMA and the AARP; ACORN and George Soros has been brought to a crashing halt. Its morale is crumbling. It is in complete disorder, and it will soon be in full retreat. Barack Obama has been dealt a devastating defeat, one which will permanently shatter his image of invincibility, and placing Barack Obama, the democrat party, and the American left on the defensive, struggling to avoid complete and total ruin.

The left is crying out that it was the weak and inferior forces of the Republican Party and the American Right that brought them low. I’m a Movement Conservative and a rock-ribbed Republican myself. I wish that it were so. But the truth is the Republican Party and the Conservative Movement have no such capabilities. What defeated Obamacare was the American People.

Barack Obama believed the American People are so stupid, so selfish, and so greedy that they would fall for democrat promises of health care free lunch, all the health care everybody needs or wants, paid for by the upper tiny few percent of staggeringly rich taxpayers (who won’t even miss it anyway). Uncle Sam will just nudge the taxes on Warren Buffett, Bill Gates, and the guys at Goldman getting those multi-million dollar bonuses up just a notch, essentially sneaking into their bedrooms and removing some extra spare change from the tops of their bureaus, and granny gets her hip replacement gratis, and Tiny Tim will walk again, even if Bob Crachit has no insurance.

None of these promises were true, of course. The democrat “health care reform” was never going to bring ordinary Americans the kind of care US Senators get, “just like me,” as Obama promised so persistently during the campaign. What it was going to do, obviously, was to create a new and enormous federal entitlement program necessitating a massive increase of government’s share of the US economy. Socialism would have made a scarce and desirable service, medical care, cost free, obviously dramatically increasing demand. Most Americans would inevitably pay more and get less, as the health care butter got spread by the federal knife onto ever more slices of bread.

America today is a rapidly aging nation. The time to offer the Woodstock Generation a nice socialist health care system was 40 years ago when we were young and perfectly healthy, and could not imagine ourselves ever really needing it. Today, there are lots of Boomer generation geezers out there who have a real personal interest in just how health care reform will affect them now and who are old enough to know better. A lot of people tried sharing the granola and peanut butter supply back on the commune in 1969. They know just how “sharing” works out.

It was not Dick Armey and Rush Limbaugh who showed up with greater strength and larger funding or who beat back the democrat advance with superior cunning. It was the American People, who are experiencing this country’s economy right now, who saw Obama’s stimulus package and his bailouts, who paid their income taxes, and who are beginning to become afraid, very afraid of where Barack Obama’s economic policies are leading us. It was the American People that said, No, we do not believe there is really such a thing as a free lunch. It is the American People who are turning out at those Town Halls, and whose negative opinions are showing up in all the polls. It is the American People, not the Republican Party, that has defeated Obamacare.

Mark Steyn finds that the triumph of American genetic Imperialism is just one more humiliating consequence of Canada’s nationalized health system.

My jaw doesn’t often drop, but this story had it heading for the basement:

Thousands of Canadians who are infertile in Canada have to place all their hopes on just 33 men who are Canadian sperm donors.

What? A nation of 30 million people has just 33 sperm donors? Apparently so. Now why would that be?

At one time Canada had two dozen sperm banks but when the Assisted Human Reproduction Act made it illegal to pay for sperm or egg donors they dried up in 2004.

Today there are very few men willing to give up their sperm for nothing.

…

“Today, there is one South Asian donor for all of Canada,” he says, noting that couples are often shocked at the limited choices.

One donor for thousands of wannabe parents? He must be working round the clock. Well, not quite. For Canadian womenfolk have now been reduced to the ultimate indignity:

Doctors and patients have had little choice but to use sperm and eggs from south of the border.

One of the biggest suppliers of donor sperm is Outreach Health Services which imports and distributes semen for assisted reproduction clinics across Canada. The company imports sperm from an agency that collects primarily from men in Georgia and northern Florida, where donors are paid about $100 per visit.

With so much sperm coming from the States, some estimate that up to 80 per cent of babies conceived in Canada through donor sperm have American DNA.

Wow. This isn’t your father’s War of 1812. The poor Canucks never saw it coming. Millions of Yank sperm leaping like salmon up the Ontario side of Niagara Falls.

A wait for semen seems pretty much the logical reductio of “free at the point of demand” health care. But, as Kathy Shaidle says, how can this go wrong? Canada, circa 2050: Eighty percent drawling rednecks demanding grits with their maple-creme donuts, and the remainder a vast tribe of intermarried step-siblings riddled with genetic disorders descended from “one South Asian donor.”

Peter Wehner explains that as Americans consider seriously the prospect of a nationalized health care system, they are increasingly realizing the costs are simply too great and finding they are not so discontent with things as they are right now as to willingly assume the burdens of paying for the universal program proposed by democrats. Nor are they really pleased with the prospect of accepting federal regulation, rationing, and control of their own health care.

Support for President Obama’s overhaul of the American health-care system is dropping because he’s not doing enough to “sell” the effort, according to a growing number of liberal voices. The public is deeply sympathetic to what Obama and Democrats want to do; the task for them is simply to instruct the unknowing masses on what is best for them (see Andrea Mitchell’s commentary here). In fact, the problem with Obama’s effort isn’t a failure to communicate; it is his inability to refute health-care facts and figures that, as they become more salient, are undermining his effort.

The most important facts are related to health-care costs. Barack Obama made “bending the curve” the cornerstone of his efforts. The status quo is unacceptable when it comes to the increasing cost of health care, Obama insists; his plan will make health care cheaper. On the contrary, it will dramatically increase costs. According to the Congressional Budget Office, the House bill would cost in excess of $1.2 trillion over the next decade; the Senate Finance Committee bill, around $1 trillion over 10 years. In the words of the CBO, “relative to current law, the [House] proposal would probably generate substantial increases in federal budget deficits during the decade beyond the current 10-year budget window.”

The second set of figures has to do with the number of people insured in America — 85 percent, according to the 2007 Census — and the vast majority’s (83 percent, according to a recent Washington Post–ABC News poll) being either “somewhat” or “very” satisfied with the health care they receive, with 81 percent feeling the same way about their insurance. The same poll also found that 84 percent of respondents said they were “very” or “somewhat” concerned that reform would increase their health-care costs, 82 percent worried it would reduce their health-insurance coverage, and 81 percent worried it would hurt the quality of their care.

President Obama is predicating his overhaul of health care on the assumption that most people are profoundly unhappy with the health care they are receiving. But when an overwhelming majority of the nation are more or less pleased with the product they are receiving, a radical redesign of the system becomes problematic.

There is an old saying: “Everyone’s your brother ’til the rent comes due.”

Free health care services for every indigent wino, junkie, and welfare recipient is a nice idea when somebody else is going to be paying for it, but as ordinary Americans come to their senses and realize that more health services for the uninsured really means less health services for those actually paying for it all, i.e. themselves, all that do-goody-good BS (as Pink Floyd puts it) looks a lot less attractive.

Tammy Bruce reports that posters depicting Barack Obama as the villainous and insane Joker (as portrayed by Heath Ledger in the 2008 film The Dark Knight) have been appearing recently in public places in Los Angeles.

Noel Sheppard (who is not easy to get to, since he is being flooded by readers from Drudge) says it has been seen in LA since last April and links a copy (with unreadable inscription on forehead) posted at a KFC near Atlanta.

Clifford Asness, a hedge fund manager blogging at StumblingOnTruth, debunks the left’s arguments for socialized health care and has some fun doing it.

Health Care Costs are Soaring

No, they are not. The amount we spend on health care has indeed risen, in absolute terms, after inflation, and as a percentage of our incomes and GDP. That does not mean costs are soaring.

You cannot judge the “cost” of something by simply what you spend. You must also judge what you get. I’m reasonably certain the cost of 1950’s level health care has dropped in real terms over the last 60 years (and you can probably have a barber from the year 1500 bleed you for almost nothing nowadays). Of course, with 1950’s health care, lots of things will kill you that 2009 health care would prevent. Also, your quality of life, in many instances, would be far worse, but you will have a little bit more change in your pocket as the price will be lower. Want to take the deal? In fact, nobody in the US really wants 1950’s health care (or even 1990’s health care). They just want to pay 1950 prices for 2009 health care. They want the latest pills, techniques, therapies, general genius discoveries, and highly skilled labor that would make today’s health care seem like science fiction a few years ago. But alas, successful science fiction is expensive.

In the case of health care, the fact that we spend so much more on it now is largely a positive. The negative part is if some, or a lot, of that spending is wasteful. Of course, that is mostly the government’s fault and is not what advocates of government control want you to focus upon. We spend so much more on health care, even relative to other advances, mostly because it is worth so much more to us. Similarly, we spend so much more on computers, compact discs, HDTV, and those wonderful one shot espresso makers that make it like having a barista in your own home. Interestingly, we also spend a ton more on these other items now than we did in 1950 because none of these existed in 1950 (well, you could have hired a skilled Italian man to live with you and make you coffee twice a day, so I guess that existed and the price has in fact come down; my bad, analogy shot). OK, you get the point. Health care today is a combination of stuff that has existed for a while and a set of entirely new things that look like (and really are) miracles from the lens of even a few years ago. We spend more on health care because it’s better. Say it with me again, slowly – this is a good thing, not a bad thing.

By the way, I do not mean that the amount we spend on health care in this country isn’t higher than it needs to be. …

In summary, if one more person cites soaring health care costs as an indictment of the free market, when it is in fact a staggering achievement of the free market, I’m going to rupture their appendix and send them to a queue in the UK to get it fixed. Last we’ll see of them. …

Socialized Medicine Works In Some Places

…The funny part is socialized medicine has never been truly tested. Those touting socialism’s success have never seen a world without a relatively (for now) free US to make or pay for their new drugs, surgical techniques, and other medical advancements for them. When (and I hope this doesn’t happen) the US joins in the insanity of socialized medicine we will see that when you remove the brain from the body, the engine from a car, the candy from the striper, it just does not work.

So, please, stop pointing to all those “successes” that even while living off the US still kill hard-working people who could afford their own health care while they stand in line for the government’s version (people’s cancers growing while waiting ten weeks for a routine scan, which these people could often afford on their own if allowed, is a human tragedy). Even the successes you gin up for them would not be possible without the last best hope of humankind (the US) on the front lines again making the miracles for the world. …

A Public Option Can Co-Exist with a Private Option

The government does not co-exist or compete fairly with private enterprise, anywhere. It does not play well with others. The regulator cannot be a competitor at the same time. It cannot compete fairly while it owns the armed forces and courts. Finally, it cannot be a fair competitor if when the “public option” screws up (can’t pay its bills), the government implicitly or explicitly guarantees its debts. We have seen what happens in that case and don’t need a re-run.

The first thing the government does is underprice the private system. You can easily be forgiven for thinking this is a good thing. Why not, cheaper is better, right? Wrong. They will underprice private enterprise by charging less to the purchaser of health insurance, not by actually creating it cheaper. Who makes up the difference? Well, you and your family do if you pay taxes, or your kids will pay taxes, or their kids will pay taxes. The government can always underprice competition, not through the old fashioned way of doing it better, they never do that, but by robbing Peter to pay for Paul. They are taking money from your left pocket and giving you a small portion of it back in your right pocket. They do it every day before breakfast, and take a victory lap for the small portion they return.

Second, the government ultimately always cheats when it’s involved in “honest” competition. Try mailing a first class letter through Fed-Ex, or placing an off-track bet on your favorite horse with a bookie, or playing a lottery through a private company. Uh, you can’t, so please stop trying, I don’t want you to hurt yourself. Once the government discovers it cannot win, it changes the rules. You see, the government has the power to legislate, steal, imprison, and even kill. Those are advantages most private firms do not have…

Health Care is A Right

Nope, it’s not. But we are at the nuclear bomb of the discussion. The one guaranteed to get me yelled at or perhaps picketed by a mob waving signs printed up with George Soros’s money. Those advocating socialized medicine love to scream “health care is a right.” They are loud, they are scary, but they are wrong about rights…

This is more philosophy than economics, and I’m not a philosopher. But, luckily it doesn’t take a superb philosopher to understand that health care simply is not a “right” in the sense we normally use that word. Listing rights generally involves enumerating things you may do without interference (the right to free speech) or may not be done to you without your permission (illegal search and seizure, loud boy-band music in public spaces). They are protections, not gifts of material goods. Material goods and services must be taken from others, or provided by their labor, so if you believe you have an absolute right to them, and others don’t choose to provide it to you, you then have a “right” to steal from them. But what about their far more fundamental right not to be robbed?

In fact, although it’s not the primitive issue, the constant improvement in health care gives another good example of why the “right” to health care makes little sense. Did you have a right to chemotherapy in 1600 AD? You could have protested to Parliament all you wanted, but chemo just didn’t exist. Then, did you have a right to it the moment some genius invented it? You did not pay for the research. You did not make the breakthrough. Where do you get the right? How did it come into existence for you the moment somebody else created these things? I’m pretty sure you cannot have rights to material goods that don’t exist, and I am pretty certain that the moment some genius (or business, or even government) brings them into the world your “rights” do not improve. …

So why do people scream health care is a “right” if it so obviously is not? If not a right it can still be willingly provided as charity by society. But those screaming “health care is a right” worry that this will not work out as well for them. In fact it would work out if all they cared about was good health care for all, and not power, but they do love that power.

Those seeking free health care could admit these are not rights but they simply want other people’s stuff, and be honest supplicants, or open thieves. However, they believe that guilt and the false moral high ground work better for them.

Read the whole thing.

Dick Morris observes that, in return for that tremendous tax increase and resulting economic stagnation and unemployment, older people, the principal current users of health care, can look forward to rationing at their expense.

Obama’s health care proposal is, in effect, the repeal of the Medicare program as we know it. The elderly will go from being the group with the most access to free medical care to the one with the least access. Indeed, the principal impact of the Obama health care program will be to reduce sharply the medical services the elderly can use. No longer will their every medical need be met, their every medication prescribed, their every need to improve their quality of life answered.

It is so ironic that the elderly – who were so vigilant when Bush proposed to change Social Security – are so relaxed about the Obama health care proposals. Bush’s Social Security plan, which did not cut their benefits at all, aroused the strongest opposition among the elderly. But Obama’s plan, which will totally gut Medicare and replace it with government-managed care and rationing, has elicited little more than a yawn from most senior citizens.

It’s time for the elderly to wake up before it is too late! …

Today, 800,000 doctors struggle to treat adequately the 250 million Americans who have insurance. Obama will add 50 million more to their caseload with no expansion in the number of doctors or nurses. Indeed, his plan will likely reduce their number by lowering reimbursement rates and imposing bureaucrats above them who will force medical decisions down their throats. Fewer doctors will have to treat more patients. The inevitable result will be rationing.

And it is the elderly who rationing will most effect. Who should get a knee replacement a 40 year old or a 70 year old? Who should get a new hip, a young person or an old person? Who should have priority in the operating room a seventy year old diabetic who needs bypass surgery or a younger person? Obviously, it is the elderly who will get short shrift under his proposal.

Read the whole thing.

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Skeptical? Just read between the lines of this New York Times article by radical leftwing ethicist Peter Singer, no less, hailing government rationing of heath care as inevitable and a fine thing, too. Says Singer:

The debate over health care reform in the United States should start from the premise that some form of health care rationing is both inescapable and desirable.

60% of Americans pay no income taxes right now. Democrats want people who do pay taxes to buy everybody their health care, too. How do they plan to pay for all this?

With more than a trillion dollars in new taxes, falling primarily on small business owners and investors, as the Wall Street Journal explains:

(The) draft bill would impose a “surtax” on individuals with adjusted gross income of more than $280,000 a year. This would hit job creators especially hard because more than six of every 10 who earn that much are small business owners, operators or investors, according to a 2007 Treasury study. That study also found that almost half of the income taxed at this highest rate is small business income from the more than 500,000 sole proprietorships and subchapter S corporations whose owners pay the individual rate.

In addition, many more smaller business owners with lower profits would be hit by the Rangel plan’s payroll tax surcharge. That surcharge would apply to all firms with 25 or more workers that don’t offer health insurance to their employees, and it would amount to an astonishing eight percentage point fee above the current 15% payroll levy.

Here’s the ugly income-tax math. First, Mr. Obama has promised to let the lower Bush tax rates expire after 2010. This would raise the top personal income tax rate to 39.6% from 35%, and the next rate to 36% from 33%. The Bush expiration would also phase out various tax deductions and exemptions, bringing the top marginal rate to as high as 41%.

Then add the Rangel Surtax of one percentage point, starting at $280,000 ($350,000 for couples), plus another percentage point at $400,000 ($500,000 for couples), rising to three points on more than $800,000 ($1 million) in 2011. But wait, there’s more. The surcharge could rise by two more percentage points in 2013 if health-care costs are larger than advertised — which is a near-certainty. Add all of this up and the top marginal tax rate would climb to 46%, which hasn’t been seen in the U.S. since the Reagan tax reform of 1986 cut the top rate to 28% from 50%.

States have also been raising their income tax rates, so in California and New York City the top rate would be around 58%. The Tax Foundation reports that at least half of all states would have combined state-federal tax rates of more than 50%.

Mr. Rangel also wants to apply his surcharges to investment income like capital gains. So the combined effect of repealing the Bush tax cuts and the new surcharges would be to raise the tax on stock appreciation by at least 60% — to as high as 24% from 15% today. President Obama has been worrying about a capital squeeze on small businesses, but raising the capital gains tax would only further starve them of funds. …

America’s successful small businesses would pay higher tax rates than the Fortune 500, and for that matter than most companies around the world. The corporate federal-state tax rate applied to General Electric and Google is about 39% in the U.S., and the business tax rate is about 25% in the OECD countries. So the U.S. would have close to the most punitive taxes on small business income anywhere on the globe.

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Greg Mankiw notes that the final tax impact after state sales taxes are included would take over half of top earners’ incomes.

(Some) calculations seem to ignore sales taxes, which are significant in many states. Because income earned will eventually be spent and thus subject to sales taxes, sales tax rates need to be combined with income tax rates to find the true tax wedge that distorts the consumption-leisure decision. Once sales taxes are included, a top earner in a typical state would face a marginal tax rate of about 55 percent.

So much for an economic recovery. If this monstrosity passes, get ready for many years of economic chaos and decline. Teach your kids how to ask “Will you have fries with that?” in Mandarin would be my advice.

Ilya Glazunov, Легенда о Великом Инквизиторе (The Legend of the Grand Inquisitor), 1985

David Brooks and David Frum have a new companion in the crowd of policy experts rushing to endorse the new era of Big Government.

Thaddeus G. McCotter reports in the American Spectator:

Breaking his half-a-millennium media silence from eternal damnation, Fyodor Dostoevsky’s Grand Inquisitor joined a chorus of presumed conservatives to endorse President Obama’s health care reforms.

Resplendently stooped beneath a banner reading “Enslave, But Feed Us!” the Grand Inquisitor commenced with a veiled shot at former President Bush: “The present fate of men may be summed up in three words: unrest, confusion, and misery! The bulk of humanity could never be happy under the old system, it is not for them.”

Inspired that Obama has made government capable of “saving mankind a millennium of useless suffering on earth,” the Grand Inquisitor averred that “only now has it become possible to us, for the first time, to give a serious thought to human happiness.” …

He was compelled to endorse the Obama plan because it matches his core principles for social justice: “There are three Powers upon earth, capable of conquering the conscience of these weak rebels—men—for their own good; and these forces are Miracle, Mystery, and Authority.”

Legendary as a master of abstruse statutory interpretation, the Grand Inquisitor praised the Obama plan’s specifics. “Receiving their bread from us, they will clearly see that we take the bread from them, the bread made by their own hands, but to give it back to them in equal shares. They will be only too glad to have it so.”

Regarding the dicey issue of patients’ choices, the Grand Inquisitor was dismissive. “Oh, never, never, will they learn to feed themselves without our help! No science will ever give them bread so long as they remain free, so long as they refuse to lay that freedom at our feet.” The goal, he said, was to find a universal health care plan “all others will believe in, and consent to bow down to in a mass.”

He said he empathized with the burden Obama selflessly carries upon his strapping shoulders. He urged critics to find common ground, but the grizzled visage lashed out at a Fox News reporter: “You have no right to add one syllable to that which was already uttered before!” The wizened wag then subtly positioned Republicans as the party of “no” in the health care debate by deriding its plans for patient-centered health care: “They have saved but themselves while we have saved all.”

Hat tip to Tristyn Bloom and Will Wilson.

Doug Ross sounds the alarm as democrats begin efforts to take control of your health care.

(N)ow the Statist Democrats are launching the most massive attack on the American people in the history of government.

They promise health care for everyone, but they will not — and they can’t possibly — deliver it.

While our health care system is certainly imperfect — because all humans are imperfect, including doctors, nurses, hospitals and insurance companies — they are more perfect, more competent, more informed, more capable than all of the bureaucrats to whom they’ll be forced to report: a bureaucracy that will make all decisions about your health care.

And it is easy to confirm the havoc that socialized medicine will wreak on American society. All you need to do is to look at how Democrats are trying to ram home socialized medicine: they’re doing it as fast as possible with as little debate as possible. For the indigent and the poor, we already have programs like Medicaid and SCHIP and dozens of state programs. Yet we’re told tens of millions of us must give up our private insurance and pay for a government-run program.

Democrats claim it will be more cost-effective and efficient. … The man who’s had the least experience at running anything is going to unleash the most massive federal leviathan in history, nationalizing nearly 20% of the economy.

This has been the dream of the Statist Democrats since FDR: to force each and every one of you, whether you like it or not, into a strait-jacket form of health care. It controls you; the actual being, the person.

Nameless, faceless bureaucrats substituting their decisions for those of your doctor.

Deciding whether you will have an operation or not. Whether you will have an MRI or not. Whether you will receive a life-saving, life-extending drug or not.

And we know this, because this is what occurs in Canada and Britain and other centralized bureaucracies, where you simply can not have access to advanced health care, period.

Where will their new drugs come from, since we produce half of them? Who will invent the new medical technologies for them, since we invent roughly three-fourths of them?

Who will run the hospitals and what will they look like when the government unions run them? …

They’ve been lying about the number of people without health care. They’ve been lying about whether the public is satisfied with health care. They’ve been lying about every aspect of health care.

They unleashed the slip-and-fall lawyers on the medical system, causing untold higher costs for medical practitioners. They’ve attacked the health care system relentlessly, driving up costs just like they’ve attacked the energy industry and the automakers.

And even when they have complete monopolistic control of a system, like the educational system in America, they want more control. It’s never enough. They want more money, more regulations. More. They need to “invest”. They need to raise taxes. They need to repress. They need to compel.

Read the whole thing.

Hat tip to the News Junkie.

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David B. Rivkin Jr and Lee A. Casey, in the Wall Street Journal, argue that, if the 14th Amendment protects a “central right of privacy” entitling freedom of choice on abortion, wouldn’t the same right protect freedom of choice in health care generally, precluding government confiscation, redistribution, and subsequent rationing of individual health care resources?

The Supreme Court created the right to privacy in the 1960s and used it to strike down a series of state and federal regulations of personal (mostly sexual) conduct. This line of cases began with Griswold v. Connecticut in 1965 (involving marital birth control), and includes the 1973 Roe v. Wade decision legalizing abortion.

The court’s underlying rationale was not abortion-specific. Rather, the justices posited a constitutionally mandated zone of personal privacy that must remain free of government regulation, except in the most exceptional circumstances. As the court explained in Planned Parenthood v. Casey (1992), “these matters, involving the most intimate and personal choices a person may make in a lifetime, choices central to personal dignity and autonomy, are central to the liberty protected by the Fourteenth Amendment. At the heart of liberty is the right to define one’s own concept of existence, of meaning, of the universe, and the mystery of human life.”

It is, of course, difficult to imagine choices more “central to personal dignity and autonomy” than measures to be taken for the prevention and treatment of disease — measures that may be essential to preserve or extend life itself. Indeed, when the overwhelming moral issues that surround the abortion question are stripped away, what is left is a medical procedure determined to be “necessary” by an expectant mother and her physician.

If the government cannot proscribe — or even “unduly burden,” to use another of the Supreme Court’s analytical frameworks — access to abortion, how can it proscribe access to other medical procedures, including transplants, corrective or restorative surgeries, chemotherapy treatments, or a myriad of other health services that individuals may need or desire?

Read the whole thing.

Mark Steyn notes that the claim that government can deliver a scarce item cheaper to more people resembles promises to sell you a certain well-known bridge.

When President Barack Obama tells you he’s “reforming” health care to “control costs,” the point to remember is that the only way to “control costs” in health care is to have less of it. In a government system, the doctor, the nurse, the janitor and the Assistant Deputy Associate Director of Cost-Control System Management all have to be paid every Friday, so the sole means of “controlling costs” is to restrict the patient’s access to treatment. In the Province of Quebec, patients with severe incontinence – i.e., they’re in the bathroom 12 times a night – wait three years for a simple 30-minute procedure. True, Quebeckers have a year or two on Americans in the life expectancy hit parade, but, if you’re making 12 trips a night to the john 365 times a year for three years, in terms of life-spent-outside-the-bathroom expectancy, an uninsured Vermonter may actually come out ahead.

As Louis XV is said to have predicted, “Après moi, le deluge” – which seems as incisive an observation as any on a world in which freeborn citizens of the wealthiest societies in human history are content to rise from their beds every half-hour every night and traipse to the toilet for yet another flush simply because a government bureaucracy orders them to do so. “Health” is potentially a big-ticket item, but so’s a house and a car, and most folks manage to handle those without a Government Accommodation Plan or a Government Motor Vehicles System – or, at any rate, they did in pre-bailout America. …

[B]y historical standards, we’re loaded: We have TVs and iPods and machines to wash our clothes and our dishes. We’re the first society in which a symptom of poverty is obesity: Every man his own William Howard Taft. Of course we’re “vulnerable”: By definition, we always are. But to demand a government organized on the principle of preemptively “taking care” of potential “vulnerabilities” is to make all of us, in the long run, far more vulnerable. A society of children cannot survive, no matter how all-embracing the government nanny.

When I was young, eons ago, when dinosaurs still walked the earth, doctors didn’t turn people away because they didn’t have health insurance. When Doctor Jones ran into an indigent patient, he simply shrugged, took care of the patent, and figured that it was his turn to do something charitable.

What has changed isn’t human nature, but the intensity of our regulatory environment and our politics. Government tax policy gradually created a health care corporate regime in which people employed by big companies used to get any amount of health services for absolutely nothing.

When you don’t pay for things, you have no incentive to economize, so demand rose and health care costs dramatically escalated. Meanwhile, government went along giving away more and more free health care to the elderly. So a while back, it became a joint interest of government and insurance companies to do something to control costs.

They made a deal. Government would set fixed prices for procedures and services delivered via medicare, and insurance companies would only pay at those same (lesser) medicare rates. Hard cheese for doctors, of course, but hey! cost cutting is important.

We have since experienced a bizarre regime of increasingly reduced health insurance benefits, managed by occult fine print to bamboozle beneficiaries into thinking they have coverage until doctors and hospitals subsequently surprise them by balance billing. The balance is the difference between what insurance companies are willing to pay and what health care providers want to charge.

The current situation featuring constant covert fighting over dollars makes charity its victim, too. If a hospital or physician treats that derelict indigent for free, ahem! the eyeshade-wearing bean-counter in Mega Insurance’s head office contends that was only possible by adding extra unjustified costs to the services Mega is paying for, and Mega wants a refund. That refund, you see, is supposed to come from your uncle and mine in Washington.

Thus, Capitalism is busily greasing the skids as we slide into Socialism.