Op-eds
An American Response to Loss of ObamaCare Subsidies
An American Response to Loss of ObamaCare Subsidies
By Jane M. Orient, M.D. This summer, the U.S. Supreme Court could, in King v. Burwell, uninsure 8 million Americans by finding that subsidies are illegal outside State Exchanges. Some Republicans are saying “Let it burn.” For Democrats, it’s “ObamaCare or nothing.” Can you detect a difference? How about an American, rather than a partisan response? One that is voluntary and constitutional. Amid the wreckage left by ObamaCare, one arrangement remains standing, exempt from the individual mandate: the healthcare sharing ministry. This offers the prospect of a solution to the real problems:Medical care costs too much, and so does medical... read more
The ‘Doc Fix’ and the End of Medicare
The ‘Doc Fix’ and the End of Medicare
By: G. Keith Smith, M.D. http://SurgeryCenterOK.com & http://MarketMedicine.org The “permanent” end to the yearly threatened cuts to doctors’ pay—the sustainable growth rate (SGR) formula—may satisfy my curiosity about what the end of a Ponzi scheme will look like. All Ponzi schemes are unstable and doomed to fail. Medicare and Social “Security” will be no different. The yearly postponement of SGR cuts was a bribefest held to tease and extort corporate health cronies and physicians. The “doc fix” was not an exception: just look at all the “stakeholders” acknowledged in its 263 pages. The purpose of the SGR was to delay... read more
Conscience vs. Cake and Pizza
Conscience vs. Cake and Pizza
By Tamzin A Rosenwasser, M.D. Discrimination, against black people, and against homosexuals, has been promulgated through actual laws. Jim Crow laws were laws, not individual choices. Marriage between people with dark pigment, ancestrally African, and people who were ancestrally European, as well as sexual relations between those of the same gender, were both matters of law. Those things were forbidden by the law. In the matter of public accommodations in restaurants, swimming pools, hotels, and so on, the laws preventing anyone from extending the same hospitality to “black” people as to “white” people were in force from the end of... read more
Missing From the Debate Over The Medicare Sustainable Growth Rate: Sanity
Missing From the Debate Over The Medicare Sustainable Growth Rate: Sanity
By Richard Amerling, M.D. A popular definition of insanity---doing the same thing over and over and expecting a different result---could well be applied to the Sustainable Growth Rate. Understanding the origins of this failed policy is highly instructive as to the effects of government price controls in the Medicare system. Costs within the Medicare system started to rise faster than predicted as soon as the program was instituted. This should have come as no surprise. Millions of seniors were handed an entitlement to medical services, which of course increased the demand for these services. Physicians were allowed to charge their... read more
Medicare Payments Being Decided This Week
Medicare Payments Being Decided This Week
By Jane M. Orient, M.D. This week Congress will, for the 18th time, decide whether to cut doctors’ Medicare fees across the board, according to the Medicare Sustainable Growth Rate, “SGR”, formula (the Clinton-Gingrich sustainable growth rate). This was enacted in 1997 as part of the Balanced Budget Act. It has been postponed 17 times because of the threat that seniors would lose access to medical care. And with each delay, the threatened future cut gets bigger. On March 31, the cut will be 21%, if it happens. Since doctors’ expenses consume at least half of what comes in, that... read more
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