Whose Medical Decisions? Parts (III & IV) – Thomas Sowell

The Associated Press Grand Junction CO USA

Amid all the controversies over medical care, no one seems to be asking a very basic question: Why does it take more than 1,000 pages of legislation to insure people who lack medical insurance?

Despite incessant repetition of the fact that millions of Americans do not have medical insurance, hardy souls who have actually read the mammoth medical care legislation being rushed through Congress have discovered all sorts of things there that have nothing whatever to do with insuring the uninsured-- and everything to do with taking medical decisions out of the hands of doctors and their patients, and transferring those decisions to Washington bureaucrats.

That's called "bait and switch" when an unscrupulous business advertises one thing and tries to sell you something else. When politicians do it, it is far more dangerous to far more people.

Deception is not an incidental aspect of this medical care legislation, but is at the very heart of it.

That such a massive change of the entire medical care system, from top to bottom, was attempted to be rushed through Congress before the August recess-- before anybody in or out of Congress had time to read it all-- should have told us from the outset that we were being played for fools.

Despite President Obama's statements that he is not advocating a "single payer" system for medical care-- which is to say, a government monopoly of power over life and death decisions-- just a few years ago, he was telling a union audience that he was in favor of a "single payer" system. At that time, he pointed out that it was unlikely that such a system could be put in place all at once, that it might take a number of years to advance, step by step, to that goal.

In other words, Barack Obama fully understood the "entering wedge" political strategy that has allowed so many government programs to start off small, and apparently innocuous-- and then grow to gigantic size and scope over the years.

If telling us that he is not for a single payer system will soothe us into going along, then it is perfectly understandable why he said it. But that is no reason for us to believe him.

As for those uninsured Americans who are supposedly the reason for all this sound and fury, there is remarkably little interest in why they are uninsured, despite the incessant repetition of the fact that they are.

The endless repetition serves a political purpose but digging into the underlying facts might undermine that purpose. Many find it sufficient to say that the uninsured cannot "afford" medical insurance. But what you can afford depends not only on how much money you have but also on what your priorities are.

Many people who are uninsured have incomes from which medical insurance premiums could readily be paid without any undue strain. But they choose to spend their money on other things. Many young people, especially, don't buy medical insurance and elderly people already have Medicare. The poor have Medicaid available, even though many do not bother to sign up for it, until they are already in the hospital-- which they can do then.

Throwing numbers around about how many people are uninsured may create the impression that the uninsured cannot get medical treatment, when it fact they can get medical treatment at any hospital emergency room.

Is this ideal? Of course not. But nothing is going to be ideal, whether the current medical care legislation passes or not. The relevant question is: Are the problems created by the current situation worse than the problems that will be created by the pending legislation? That question never seems to get asked, much less answered.

No small part of our current medical care problems have been created by politicians who drive up the cost of medical insurance by mandating that insurance cover things that many people are unwilling to pay for.

Many of us are willing to pay for treatment of a sprained ankle ourselves, if we can get less expensive insurance to cover us just for catastrophic illnesses. But that is one of many decisions that politicians have taken out of our hands. There will be many more decisions taken out of our hands if Obamacare passes.

(Part IV)

The serious, and sometimes chilling, provisions of the medical care legislation that President Obama has been trying to rush through Congress are important enough for all of us to stop and think, even though his political strategy from the outset has been to prevent us from having time to stop and think about it.

What we also should stop to think about is the mindset behind this legislation, which is very consistent with the mindset behind other policies of this administration, whether the particular issue is bailing out General Motors, telling banks who to lend to or appointing "czars" to tell all sorts of people in many walks of life what they can and cannot do.

The idea that government officials can play God from Washington is not a new idea, but it is an idea that is being pushed with new audacity.

What they are trying to do is to create an America very unlike the America that has existed for centuries-- the America that people have been attracted to by the millions from every part of the world, the America that many generations of Americans have fought and died for.

This is the America for which Michelle Obama expressed her resentment before it became politically expedient to keep quiet.

It is the America that Reverend Jeremiah Wright denounced in his sermons during the 20 years when Barack Obama was a parishioner, before political expediency required Obama to withdraw and distance himself.

The thing most associated with America-- freedom-- is precisely what must be destroyed if this is to be turned into a fundamentally different country to suit Obama's vision of the country and of himself. But do not expect a savvy politician like Barack Obama to express what he is doing in terms of limiting our freedom.

He may not even think of it in those terms. He may think of it in terms of promoting "social justice" or making better decisions than ordinary people are capable of making for themselves, whether about medical care or housing or many other things. Throughout history, egalitarians have been among the most arrogant people.

Obama has surrounded himself with people who also think it is their job to make other people's decisions for them. Not just Dr. Ezekiel Emanuel, his health care advisor who complains of Americans' "over-utilization" of medical care, but also Professor Cass Sunstein, who has written a whole book on how third parties should use government power to "nudge" people into making better decisions in general.

Then there are a whole array of Obama administration officials who take it as their job to pick winners and losers in the economy and tell companies how much they can and cannot pay their executives.

Just as magicians know that the secret of some of their tricks is to distract the audience, so politicians know that the secret of many political tricks is to distract the public with scapegoats.

No one is more of a political magician than Barack Obama. At the beginning of 2008, no one expected a shrewd and experienced politician like Hillary Clinton to be beaten for the Democratic nomination for President of the United States by someone completely new to the national political scene. But Obama worked his political magic, with the help of the media, which he still has.

Barack Obama's escapes from his own past words, deeds and associations have been escapes worthy of Houdini.

Like other magicians, Obama has chosen his distractions well. The insurance industry is currently his favorite distraction as scapegoats, after he has tried to demonize doctors without much success.

Saints are no more common in the insurance industry than in politics or even among paragons of virtue like economists. So there will always be horror stories, even if these are less numerous or less horrible than what is likely to happen if Obamacare gets passed into law.

Obama even gets away with saying things like having a system to "keep insurance companies honest"-- and many people may not see the painful irony in politicians trying to keep other people honest. Certainly most of the media are unlikely to point out this irony.

by Thomas Sowell - One of the clearest thinkers of our generation is a senior fellow at the Hoover Institute & Author of The Housing Boom and Bust

And let us not forget: Co-Op = Public Option = Single Payer

Related Resource:

• Whose Medical Decisions? Part I
• Whose Medical Decisions? Part II
• If You Want Total Security, go to Prison… “Utopia vs. Freedom”
• Healthcare Benefits Advisory Committee Determines What Is Covered – Which Is Worrisome if You Understand Obama Administration Healthcare Advisors Per……
• No Turning Back from Obamacare
• Obamacare: Beware the Rhetoric
• Prescription for Truth – Daniel Hannan From England: HealthCare Worse for Elderly
• Rep. Tom Price (former physician) Admonishes Government Takeover of Healthcare
• Kennedy: Let’s Ration Healthcare
• Senator Grassley (and others): Democrats Want to Nationalize Healthcare
• HR 3200 Kills the Private Insurance Industry
• Catholics Fear ‘Stealth’ Abortion Push in Healthcare – Could Cause Hospital Closures and Doctor Shortages
• Healthcare Bill Requires Free Translation Services
• Woman in Oregon Told Healthcare Would Not Pay for Cancer Treatment But Would Pay for Assisted Suicide
• The Irony of “Reconciliation”
• Meet Dr. Ezekiel Emanuel: Deny Coverage to Elderly and Disabled for the Greater Good
  • Obama’s Rogues Gallery: Ezekiel Emanuel – Goodnight Grandma
  • Complete Lives System by Ezekiel Emanuel
  • Ezekiel Emanuel, architect of ObamaCare..please read
  • Meet Your Science Czar
  • Ghoulish Science Plus Obamacare Equals Health Hazard
  • Absolutism Redux – Review of the Second Bill of Rights: FDR’s Unfinished Revolution and Why We Need It More Than Ever
  • Useless Eaters
• Dirty Secret #1 in Obamacare
• British HealthCare - Don't Treat The Old!! - And Senator Coburn Warns Same For USA
• Universal Health and Old People
• Healthcare: Does Canada Do It Better?
• Obamacare for Illegal Aliens – While Granny Gets Duty to Die Lecture
• Kristol: Kill It, And Start Over
• ACORN CRACKED: Exposes ACORN"S Push for Socialized Medicine
• Malkin on ObamaCare Thuggary...
• Catastrophe – Book the Dick Morris that deals with Healthcare Reform subject in great detail

*Judge Andrew Napolitano, Jay Seculo: Attorney for the American Center of Law and Justice and Tim Lynch from The Cato Institute stated earlier today that the act of government taking over health care is “unconstitutional” The powers granted to the federal government are enumerated in the Constitution. Speak up America and keep up the pressure.

“It is only when the Congress feels the heat that they see the light!”. Nancy Pelosi said earlier today that Healthcare Reform without a Public Option was unacceptable. It was going to be all or nothing, and you can be sure that she/they will try to ram this bill through without the Republican’s input and against the wishes of the people.

Armey: We’ll March on Washington Against Obamacare - See Video: Former House Majority Leader Dick Armey talks about the movement to defeat Obamacare - Click Here Now

Posted: Knowledge Creates Power