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THE HEALTH CARE DEBATE

Heritage Foundation Responds to President's Claims that Government Medical Rationing is 'Centrist Approach'

Ed Feulner, president of The Heritage Foundation, writes: President Obama cited The Heritage Foundation’s research in an attempt to sell his health care package as a “middle of the road, centrist approach.” We take great exception to this misuse of our work and abuse of our name. This is but the latest act in a campaign to sell this big-government program as a moderate law that incorporates conservative ideas.

Americans should not be fooled. Let’s be very clear: We oppose this new law because it is a radical new intrusion into the daily lives of all Americans and a massive takeover of one-sixth of the U.S. economy. We view the President’s health care law as inimical to our national interests and offensive to the historic American dedication to the principle of self-government.

Our research has shown that President Obama’s health approach is financially unsustainable and will ultimately lead to health care rationing, a lower quality of care and a greater degree of dependence on government. We deplore those outcomes and are committed to making the intellectual case for this law’s repeal.
What part of that does President Obama not understand?

Specifically, President Obama told NBC’s Today Show host Matt Lauer that a centerpiece of his health care package, “in terms of the exchange, just being able to pool and improve the purchasing power of individuals in the insurance market—that originated from The Heritage Foundation.”

But the President knows full well—or he ought to learn before he speaks—that the exchanges we and most others support are very different from those in his package. True exchanges are simply a market mechanism to enable families to choose their health insurance. President Obama’s exchanges, by contrast, are a vehicle to introduce sweeping regulation and federal standardization on health insurance.

Moreover, we completely disagree that President Obama’s law improves the purchasing power of individuals in the insurance market. On the contrary, it will create a staggeringly complex and costly insurance system that will drive up premiums for Americans.

The President’s health care law is only eight days old, and already it has cost our economy billions of dollars. Late last week, AT&T alone took a $1 billion charge because of the impact of the bill, and the consulting firm Towers Watson told the Wall Street Journal that the total hit this year will reach nearly $14 billion. It is sad, given the present state of our economy, that the President’s party in Congress has reacted not by trying to find ways to spare the jobs that will be lost because of this law. Instead, they are trying to intimidate companies that take such charges with threats that they will be hauled in before the Energy and Commerce Committee.

It is also revealing that President Obama is still struggling to sell the American people on a bill that he and his party rammed through passage by a narrow margin in the face of bipartisan opposition. It is a sign of desperation that he, his handlers and the media echo chamber are reverting to the campaign practice of selling the President and his policies as centrist, middle of the road and aisle-crossing. As the country has found out the hard way in the past 15 months, they are none of those things.

The President has made a habit of using conservative talking points when trying to sell a liberal ideology because he knows that this is a center-right country that rejects his agenda when articulated honestly. His supporters have even tried to pin the blame of the potentially unconstitutional individual mandate on us. This approach brushes over the details of our research and ignores our ability to evolve past further developed research.

Thousands of new IRS employees will be hired by the government to enforce the President’s mandate on the American people. The President’s health care plan also raises premiums, taxes, and costs while lowering quality, and expanding Medicaid. These are not conservative ideas.

And let’s be clear, these are not ideas Heritage has ever, or would ever, support.

We made every effort over the past year to share our ideas for better health care reform with the President and members of both parties in Congress, but were not invited behind the closed doors. Now, after the bill is signed, it seems the President wishes we were along for the ride. We were not. We remain fervently opposed to the President’s partisan plan, and urge its immediate repeal. This is not common politics, it’s common sense.

Had President Obama limited his bill to centrist elements, he would have won wide bipartisan support for effective reform both within Congress and among the American people. He would have won it, too, at a fraction of the cost of this intolerable, huge and intrusive legislation. He would not now be facing popular rejection by the American people. And he would not need to misrepresent Heritage policies and positions in an attempt to give his radical health plan the patina of respectability.

Health Care Boondoggle to Cost Arizona Staggering $11.6 Billion over First 10 Years

March 26, 2010

PHOENIX -- Arizona Gov. Jan Brewer issued this statement in response to the passage last week of the federal health care boondoggle:

“Given the many questions raised about the fiscal impact of federal health care reform legislation on Arizona, I asked the Arizona Health Care Cost Containment System (AHCCCS) to prepare updated cost estimates based on the changes approved on Sunday by the United States House of Representatives.  I am sharing this information to ensure Arizonans have accurate information about the impact of this legislation.  The full report can be found at http://www.azahcccs.gov/reporting/federal/legislation.

“Taking into account the changes included in the federal legislation, as well as the recently enacted state budget for FY 2011, the updated analysis shows that the costs to the State of Arizona of these unprecedented federal mandates total a staggering $11.6 billion over the next 10 years.  Despite claims of “savings” due to increased federal funding, maintenance of effort requirements obligate Arizona to spend over $1 billion annually to access those increased federal funds. 

“Having the courage to live within our means as a State is critically important to our children and our families.  Their safety and their education are just two important aspects of their lives that are deeply affected by the challenging budget decisions we have made.  As I have noted in numerous communication with Arizona’s Congressional delegation, I have been concerned about the impacts of federal maintenance of effort requirements on Arizona’s ability to manage through this fiscal crisis.  I urged the delegation to demand removal of such provisions from any legislation.  Unfortunately, the bill as sent to the President included the provisions that caused me such concern.  These provisions have an immediate impact of creating a shortfall of roughly $400 million in the FY 2011 budget that was just passed by the Legislature.  Any additional federal funds reportedly available to fill this gap are included in separate federal legislation that has yet to make its way to the President’s desk.   I have recently asked Arizona’s Congressional delegation to admit the true costs of this new mandate, and to provide the federal funds to pay for it if they continue to support it.”

Arizona Responds: Your Tax Dollars and Abortion

By Cathi Herod, President, Center for Arizona Policy
March 26, 2010

PHOENIX -- Arizona Attorney General Terry Goddard has declined to join other state attorney generals in a challenge to the federal government's takeover of health care. In response, Arizona Gov. Jan Brewer has called a special session starting Monday to give her authority to sue on behalf of our state.

As I watched the U.S. House vote last Sunday, I was so very disappointed and outraged by the betrayal of the pro-life cause by supposedly pro-life legislators who voted yes after President Obama promised to sign an executive order that prohibited federal funding of abortions.

Unfortunately, the order is truly meaningless, as groups on both sides of the aisle recognize. Stay tuned. We are working with state legislators to make sure Arizona does not participate in any federal health care program that funds abortions. On another front, Senate Bill 1305 sponsored by Sen. Linda Gray and Rep. Nancy Barto will ensure that your state tax dollars do not fund abortion through insurance coverage for government employees. SB 1305 passed the Senate and the House Health committee Wednesday. You can track all our bills on our web site.

Federal health care reform means paying more for less

By Byron Schlomach, Goldwater Institute
March 26, 2010

 
PHOENIX -- One of my relatives received a letter Tuesday from his primary-care physician announcing that he would no longer accept private insurance or government payment. This doctor is moving immediately to accepting only direct payment from patients for his services. This is just the beginning of a cascade of consequences from passage of the federal health care bill.

stethescopeHere's some insight into things to come:
· Health insurance will get more expensive for most of us. A few unhealthy people will spend less because of federal subsidies. But two mandates make higher premiums inevitable: Everyone is guaranteed insurance coverage and everyone in your community will pay the same premium. Combine these requirements with the relatively modest IRS fine for not buying insurance as required by law, and it increases the likelihood that only the already-sick will buy coverage. Therefore, insurance premiums will increase.

· It will become harder to get health care. Many doctors, like my relative's physician, will stop taking insurance (private or government-run), or they will move to another country where we can visit them. Or they will just leave the profession, not wanting to deal with the intrusion that will accompany the new federal mandates.

· States will raise taxes. The federal law expands Medicaid and states are required to match federal funding for the program. States are not as free to borrow and they cannot print money like the federal government. Short of miraculous levels of revenue growth then, states will have to raise taxes to cover the new mandatory expense.
This will only be the beginning. We may not be able to see the ultimate end today, but one thing is certain: save for the few, health care in America just got a lot more expensive.

Republicans Introduce Bill to Repeal Government Bill

WASHINGTON -- The text of the legislation backed by Inhofe and introduced by Sen. Jim DeMint (R-S.C.) reads as follows:  
 
“To repeal the Patient Protection and Affordable Care Act. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. REPEAL. The Patient Protection and Affordable Care Act, and the amendments made by that Act, are repealed.”

61 Percent Say Start from Scratch on Health Care Reform

QUOTABLE

"Congress is considering setting doctor co-pay amounts and deductible levels. Once the government is authorized to make health care decisions on such a micro level, any future plan design modifications would require an act of Congress or a decision by an executive branch agency. Rigid uniformity would replace flexible, cost-effective decision making. Employer plans would be forced to cover things workers may not want to pay for. That would increase costs and turn health coverage decisions into political decisions. As innovation slows and insurance costs rise, some employers would be forced to reduce or cancel their coverage. Millions of Americans would lose their private health insurance."
Wes Dyck, "Like Your Health Plan? Too Bad," The Heritage Foundation,  December 15, 2009

"Outside of the income and payroll taxes and Prohibition, the individual mandate might be the most intrusive peacetime measure ever undertaken by the federal government. It will require people to buy a private good or service as a basic condition of living in the U.S. If the Constitution weren’t all but a dead letter on such questions, there’d be a roiling debate over what authority the federal government has for this coercive extravagance."
Rich Lowry, "
One Cheer for Howard Dean," National Review, Dec. 18, 2009

"“What’s left of the bill compels universal participation in a system that everyone agrees is a failure without reforming that system, and even exacerbates its foremost problem — the problem of exploding costs.”
Yuval Levin, Ethics and Public Policy Center, as reported in Rich Lowry, "
One Cheer for Howard Dean," National Review, Dec. 18, 2009

"This 'personal responsibility' provision of the legislation, more accurately known as the "individual mandate" because it commands all individuals to enter into a contractual relationship with a private insurance company, takes congressional power and control to a striking new level. Its defenders have struggled to justify the mandate by analogizing it to existing federal laws and court decisions, but their efforts do not withstand serious scrutiny. An individual mandate to enter into a contract with or buy a particular product from a private party, with tax penalties to enforce it, is unprecedented-- not just in scope but in kind--and unconstitutional as a matter of first principles and under any reasonable reading of judicial precedents. Congress has a responsibility, pursuant to the oath of all Senators and Representatives, to determine the constitutionality of its own actions independently of how the Supreme Court has previously ruled or may rule in the future. But it is very unlikely that the Court would extend current constitutional doctrines, or devise new ones, to uphold this new and unprecedented claim of federal power."
Randy Barnett, Nathaniel Stewart, and Todd Gaziano, "Why the Personal Mandate to Buy Health Insurance Is Unprecedented and Unconstitutional," The Heritage Foundation, Dec. 9, 2009

"Very little in the Obama health plan is new or original. Many of its policy initiatives are recycled from the ill-fated Clinton health plan of 1993 and the Kerry health plan of 2004 and strongly resem­ble a detailed proposal by the Commonwealth Fund, a prominent liberal think tank. In general, the Obama plan would give the federal government even more control of health care dollars and deci­sions—accelerating the federal domination of the U.S. health care system."
Robert Moffit and Nina Owcharenko, "Executive Summary: The Obama Health Care Plan: More Power to Washington," The Heritage Foundation, Oct. 15, 2009

"The most significant change in the Obama plan is a proposal to consol­idate even more control of health care dollars and decisions in Washington, D.C. This is a radical departure from the decentralized decision-mak­ing system that sets the United States apart from other developed countries. His plan includes sev­eral initiatives that would give the federal govern­ment extensive control of the financing, delivery, and management of health care. These govern­ment initiatives would likely precipitate a rapid evolution toward a federal monopoly over the health care sector. ... Despite the Senator’s rhetoric of "choice and competition," his plan is laden with new regulations and government authority that would leave ordinary Americans with even less control of their health care dollars than they exer­cise today."
Robert Moffit and Nina Owcharenko, "Executive Summary: The Obama Health Care Plan: More Power to Washington," The Heritage Foundation, Oct. 15, 2009

"While taxes on health insurers, drug companies, and medical-device manufacturers would start in 2010, Americans would not enjoy health reform’s reputed benefits until 2014. Thus, Obamacare is like calling 911, except that the ambulance shows up 48 months late. The lives that Obamacare so urgently must save presumably will keep expiring until the middle of Obama’s second term . . . or his successor’s first."
Deroy Murdock, "A $2.5 Trillion Self-Contradiction," National Review, Dec. 18, 2009

“The American people already know that Mr. Obama's plan to lower health costs while expanding coverage and bureaucracy is a myth, a promise of something that never was and never will be -- a bureaucracy lowering costs in a free society. Either the costs go up or the free society goes away.”
Ben Stein, The American Spectator


"At the end of the day, whether it's Obamacare version 1.0 or 2.0 or 3.0, it is going to be government health care. If you think there is outrage now, wait until this thing passes and people have to live with it. There is going to be more outrage than you can possibly understand."
 
Rush Limbaug

FACTS

The Congressional Budget Office concluded that under Senate Majority Leader Harry Reid’s (D., Nev.) bill, “average premiums per policy in the non-group market in 2016 would be roughly $5,800 for single policies and $15,200 for family policies under the proposal, compared with roughly $5,500 for single policies and $13,100 for family policies under current law.
Deroy Murdock, "
A $2.5 Trillion Self-Contradiction," National Review, Dec. 18, 2009

Compared to doing nothing, Richard Foster estimated that “total national health expenditures under this bill would increase by an estimated total of $234 billion (0.7 percent)” between 2010 and 2019. U.S. health spending would grow from 16 percent of GDP to 20.9 percent.
Deroy Murdock, "A $2.5 Trillion Self-Contradiction," National Review, Dec. 18, 2009

Under a government healthcare system:

  1. As a patient, you will not be able to make your own healthcare decisions.
  2. I, as your physician, will not have the primary authority to prescribe drugs, authorize treatment and/or make swift referrals for specialist care.  
  3. Previously independent and private healthcare decisions will be disrupted via government intervention, regulation and penalty enforcement.  Essentially, the sanctity of “our” doctor-patient relationship will be destroyed. 
  4. Health insurance premiums will soar.
  5. The number of highly trained and experienced physicians will plummet, especially within the specialist ranks. 
  6. The quality, efficiency and availability of healthcare will dramatically decrease.
  7. The United States will forfeit its position as the world’s leader in medical technology, innovation and drug development.

Docs4PatientCare