Friday, August 21, 2009

Pulling the Cord on Grandma

The recent claim by Republicans that Obamacare would lead to death panels has unleashed a firestorm of protest from Democrats. How could anyone suggest, they cry, that our system would mean pulling the cord on Grandma?

The term "death panel" is perhaps hyperbolic, but the underlying concern is exactly right.

The administration has asserted that Obamacare can slow the growth of government spending on health insurance by enough to cover health insurance for another 46 million people, all without limiting care for those who already have coverage.

This claim does not pass the sniff test; neither common sense, nor history, suggests that creating more government can reduce government expenditure!

The administration is right, of course, that the US system is inefficient: we spend money on unproductive tests and procedures, we use reimbursement policies that encourage excessive care, we waste money on litigation and malpractice, and we fail to adopt certain cost-effective treatment approaches on wide scale.

But it is one thing to say the system is broken, and another thing to fix it. Most of the inefficiencies result from insurance, especially government-subsidized insurance. The way to improve the system, therefore, is to reduce government subsidized insurance, not increase it.

It is possible, of course, to expand subsidized health insurance and spend less on health care: by rationing. This might even be better than just subsidizing insurance; sometimes, for example, it might be better to withhold costly measures that extend life only minimally and instead use those resources for other purposes. That is, it might be efficient, in some cases, to pull the cord on grandma.

The crucial question, however, is who decides: government panels or indivduals, families, and their doctors. Obamacare will require rationing to avoid burgeoning expenditures, so it will mean more and more decisions made by government.

If advocates of Obamacare want to argue for death panels, that is their right. But they cannot avoid having that debate.

26 comments:

Laurent GUERBY said...

Currently it looks like totally unaccountable private death panels are making the choice instead of individuals,families and their doctors:

http://en.wikipedia.org/wiki/Linda_Peeno

It's hard to make the case than government can do worse than the current private death panels, and even more so if you look at the rest of the world outside the USA...

Anonymous said...

How do you claim that most of the inefficiencies result from Government provided health insurance, when private companies take 30% overhead compared to the Medicare=plan's 3%? And when Medicare payment rates are much lower than the deals worked out between cronies of the private insurance and private medical establishment?

My mother-in-law gets great care through Medicare, at a cost 1/5th that charged to my private plan. I would say that is saving American consumers a heck of a lot of money, and doctors here are still on the top of the financial pecking order (ie doing better than most in our economy). So what is wrong or inefficient about that?

Anonymous said...

Don't stop posting such articles. I love to read blogs like that. BTW add more pics :)

Anonymous said...

Nice blog you got here. It would be great to read more concerning this matter. Thank you for giving that material.

Anonymous said...

Every Other Day Diet -
Farm Ville Secrets -
Plugin To Green Profits -
Rapid Mass Traffic -
Tinnitus Miracle -
Tweetomatic Profiteer -
Woodworking 4 Home -
24 Hour Internet Business -
Blogging To The Bank -
Burn The Fat -
Earth 4 Energy -
Fap Turbo -
Fat Burning Furnace -
Fat Loss 4 Idiots -
Foex Auto Money -
Hemorrhoid Miracle -
Legit Online Jobs -
Magic Of Making Up -
Magni Work -
Micro Niche Finder -
Plr Article Software -
Pregnancy Miracle -
Software Submitter Pro -
The Affiliate Code -
The Diet Solution Program -
Truth About Abs -
Zygor Guides -
burnthefat -
burn the fat -
carb rotation diet -
catch spouse cheating -
chikara reiki do -
combat the fat -
conversationalhypnosis -

Anonymous said...

conversational hypnosis -
copy that game -
cure gout now -
dl guard -
dog training online -
driver checker -
driver robot -
drop shipping wholesalers -
earth4energy -
earth 4 energy -
easy backup wizard -
eatstopeat -
eat stop eat -
error fix -
error killer -
error smart -
evidence eraser -
evidence nuker -
ex girlfriend guru -
fatburningfurnace -
fat burning furnace -
fatloss4idiots -
fat loss 4 idiots -
final uninstaller -
fitnessmodelprogram -
fitness model program -
fit yummy yummy -
flattenyourabs -
flatten your abs -
flat to fab -
forex grid bot -
get google ads free -
get paid to draw -
get this off my chest now -

Anonymous said...

governmentregistry -
government registry -
heartburn no more -
homemadeenergy -
home made energy -
honest riches -
learn photoshop now -
linden method -
malware removal bot -
marketing on the fringe -
maternityacupressure -
maternity acupressure -
meet your sweet -
musclegainingsecrets -
muscle gaining secrets -
my online income system -
negative calorie diet -
no adware -
one minute cure -
one week marketing -
online pickup secrets -
partenon -
pc on point -
perfect optimizer -
perfect uninstaller -
pick the gender of your baby -
power cash secret -
profit lance -
publicrecordspro -
public records pro -
push button marketer -
quit smoking today -
registry easy -
registry easy download -

Anonymous said...

registry fix -
registry winner download -
reverse mobile -
reverse phone detective -
richard mackenzie direct -
rocket spanish -
rss power plus -
sem business blueprint -
silent sales machine -
spam bully -
sports betting champ -
spyware cease -
spyware nuker -
spyware remover -
starting a day care center -
the bad breath report -
the cb code -
thedietsolutionprogram -
the diet solution program -
the super mind evolution system -
traffic travis -
truth about abs -
turbulencetraining -
turbulence training -
twitter affiliate cash -
twitter decoded -
video piggy -
video web wizard -
vincedelmontefitness -
vince del monte fitness -
warp speed fat loss -
wedding speech 4u -
windo fix -

Anonymous said...

your bill killer -
you will get paid -
zygor guides -
20 day persuasion -
advanced pc tweaker -
adware bot -
affiliate naire -
apple patch diet -
article submitter -
art of approaching -
burnthefat -
burn the fat -
carb rotation diet -
cold sore freedom in 3 days -
conversationalhypnosis -
conversational hypnosis -
copy that game -
cure for bruxism -
cure hemorrhoids -
cyber link pro -
dl guard -
driver checker -
driver robot -
drop shipping wholesalers -
earth4energy -
earth 4 energy -
easy backup wizard -
easy click mate -
easy photo biz -
eatstopeat -
eat stop eat -
epinoisis -
error fix -
error killer -

Anonymous said...

error smart -
evidence nuker -
fap turbo -
fatburningfurnace -
fat burning furnace -
fatloss4idiots -
fat loss 4 idiots -
final uninstaller -
fitnessmodelprogram -
fitness model program -
fit yummy yummy -
flattenyourabs -
flatten your abs -
flat to fab -
governmentregistry -
government registry -
heartburn no more -
hippo jaw -
homemadeenergy -
home made energy -
honest riches -
hot video squeeze templates -
instant website creation -
jump manual -
keyword research pro -
linden method -
malware removal bot -
maternityacupressure -
maternity acupressure -
meet your sweet -
micro niche finder -
musclegainingsecrets -
muscle gaining secrets -
muscle gain truth -

Anonymous said...

my traffic strategy -
nasty dirty money -
negative calorie diet -
no adware -
pc optimizer pro -
perfect uninstaller -
pergola plans -
pick the gender of your bady -
plr ebook club -
pregnancy without pounds -
profit lance -
publicrecordspro -
public records pro -
questions for couples -
quit smoking today -
ready made review sites -
reg genie -
registry easy -
registry easy download -
registry winner -
registry winner download -
retrievea lover -
reverse mobile -
richard mackenzie direct -
rocket italian -
rocket spanish -
roulette sniper -
rss ground -
secret affiliate weapon -
secrets book -
spam bully -
spyware cease -
spyware nuker -
spyware remover -

Anonymous said...

spy zooka -
starting a day care center -
tattoo fever -
team idemise -
the bad breath report -
the cb code -
thedietsolutionprogram -
the diet solution program -
the rich jerk -
the super mind evolution system -
turbulencetraining -
turbulence training -
vincedelmontefitness -
vince del monte fitness -
warp speed fat loss -
wedding speech 4u -
windo fix -
wrap candy -
zygor guides -
7day ebook -
360 fix kit -
advanced pc tweaker -
adware bot -
affiliate naire -
art of approaching -
beating adwords -
believe and manifest -
blogging in action -
body building revealed -
burthefat -
burn the fat -
carb rotation diet -
cheat your way thin -
cold sore freedom in 3 days -

Anonymous said...

conversationalhypnosis -
conversational hypnosis -
convert 2 ev -
cure for bruxism -
cure hemorrhoids -
digi cam cash -
digital media solution -
dl guard -
driver checker -
earth4energy -
earth 4 energy -
easy backup wizard -
easy member pro -
easy tv soft -
eatstopeat -
eat stop eat -
error fix -
error killer -
evidence nuker -
fap turbo -
fatburningfurnace -
fat burning furnace -
fatloss4idiots -
fat loss 4 idiots -
final uninstaller -
fitnessmodelprogram -
fitness model program -
flatten your abs -
gamers testing ground -
gov auction -
governmentregistry -
government registry -
gov records -
herbal hair solution -

Anonymous said...

homebre ware -
home job group -
homemadeenergy -
home made energy -
inteli gator -
joanas world -
joyful tomato -
kidney stone remedy -
learn digital photography now -
learn elements now -
linden method -
lose man boobs -
malware removal bot -
maternityacupressure -
maternity acupressure -
meet your sweet -
muscle gaining secrets -
muscle gain truth -
niche adsense themes -
ninety day powerseller -
pc optimizer pro -
pregnancy miracle -
pregnancy without pounds -
privacy control -
publicrecordspro -
public records pro -
quit smoking today -
reg genie -
registry easy -
registry genius -
registry smart -
registry winner -
registry winner download -
retrievea lover -

Anonymous said...

reverse mobile -
richard mackenzie direct -
rocket italian -
save my marriage today -
secrets book -
seo elite -
spyware cease -
spyware remover -
spy zooka -
stock assault -
talking to toddlers -
the action machine -
thebadbreathreport -
the bad breath report -
thedietsolutionprogram -
the diet solution program -
the rich jerk -
tonsil stones remedies -
top secret fat loss secret -
turbo cash generator -
turbulence training -
twitter online system -
uncle sams money -
underground hypnosis -
vincedelmontefitness -
vince del monte fitness -
warp speed fat loss -
water 4 gas -
wedding speech 4u -
wp goldmine -
wrap candy -
xsite pro -
zygor guides -
37 days to clean credit -

Anonymous said...

advanced defrag -
adware alert -
adware bot -
affiliate prophet -
affiliate video brander -
anti spyware -
art of approaching -
atomic blogging -
auction classified cash -
automated cash formula -
bbq book -
bloggers pay check -
blogging in action -
body building revealed -
burnthefat -
burn the fat -
carb rotation diet -
cheat your way thin -
chopper tattoo -
cleanup the profits -
cold sore freedom in 3 days -
commission blueprint -
conversationalhypnosis -
conversational hypnosis -
cure for bruxism -
declutter fast -
driver checker -
earth4energy -
earth 4 energy -
easy member pro -
easy tv soft -
eatstopeat -
eat stop eat -
fap turbo -

Cinthya said...

Aaliyah Jolie
Aaliyah Yi
Aaralyn Barra
Aarielle Alexis
Aaron Colt
Aaron Stuart
Abata Kupffer
Abbey Brooks
Abbie Lebon
Abby Rode
Adam Harlow
Adam Wilde
Adam Wood
Addision Rose
Adicktion
Adina Jewel
Adriana Amante
Adriana Davis
Adriana Deville
Adriana Esteve
Adriana Faust
Adriana Russo
Adriana Sage
Adriana Wild

Cinthya said...

anime gfs
anime girls
anime girlfriends
wild anime gfs
black teen girlfriends
black gfs
young black gfs
cute black gfs
daddys little gfs
teen gfs
young gfs
little gfs
real emo girlfriends
emo gfs
emo girlfriends
alt gfs
real teenie gfs
teenie gfs
teen gfs
horny teen gfs
really wasted gfs
wasted gfs
durnk gfs
trashed gfs
stick gfs
gfs cumshots
gfs blowjobs
amateur gfs
young asian gfs
asian gfs
wild asian gfs
teen asian gfs

Cinthya said...

gf tits
gf boobs
girlfriend tits
girlfriend boobs
gfs huge boobs
gfs huge tits
natural tits
busty amateur
juicy boobies
girlfriend orgasms
girlfriend sexy
girlfriend amateur
gfs cute
gfs homemade
hottest tens
gfs young
real girlfriend
slut girlfriend
dirty gfs
jizz on my gf
gfs cum face
gfs cumshots
gfs creampies
gfs cum
jizz girlfriends
jizz gfs
girlfriend facials
gfs facial

Cinthya said...

amateur cumshots
me and my asian
asian gfs
cute asians
asian girlfriends
sexy asian gfs
teen asian gfs
asian amateur
amateur asian gfs
asian kinky gfs
hot asian girlfriends
my alternative gf
my suicide gf
emo gfs
punk gfs
alt gfs
indie gfs
emo girlfriends
alternative gfs
amateur emo
dirty emo gfs
my gf loves anal
anal gfs
anal girlfriends
amateur anal
homamade anal
tight anal
hot anal
sexy anal

Cinthya said...

amateur anal gfs
anal pleasure
oral girlfriends
oral gfs
amateur oral
dirty oral
homemade oral
oral cocksucking
oral blowjobs
kinky oral
naughty oral
sexy oral gfs
trashed girlfriends
trashed gfs
drunk gfs
drunk girlfriends
wasted gfs
wild gfs
drunk girls
wild girls drunk
party gfs
fest girlfriends
Benson and Hedges
Benson and Hedges Special Filter KS
Camel
Camel Blue
Camel Filter
Camel Orange Mild KS
Camel Silver Super Lights
Captain Black
Captain Black Regular Tobacco
Cohiba
Cohiba Mini cigarillos
Cohiba Siglo III Slb
Cohiba Siglo V Slb
Davidoff
Davidoff 2000
Davidoff 2000 Tubos

Cinthya said...

Davidoff Classic
Davidoff Light Gold
Davidoff Lights Gold Slims
Drum
Drum Halfzware Blue Tobacco + paper
Drum Mild Tobacco + paper
Dunhill
Dunhill Button Blue Lights KS
Dunhill Fine Cut Silver
Fortuna
Fortuna
Fortuna Blue KS
G.B.
G.B. Gold
G.B. Silver
Gauloises
Gauloises Blondes Blue
Gauloises Blondes Red
Gauloises Blondes Ultra Light Yellow
Gauloises Brunes Non Filter
Gitanes Brunes Non Filter
Gitanes Filter
Golden Gate
Golden Gate KS Hard Pack
Golden Virginia
Golden Virginia Tobacco
H. Upmann
H. Upmann Petit Corona
Henri Wintermans
Henri Wintermans Cafe Creme
Henri Wintermans Cafe Creme Arome
Henri Wintermans Cafe Creme Filter Arome
Henri Wintermans Cafe Creme Mild
Henri Wintermans Half Corona
Henri Wintermans Slim Panatellas
John Player Special
John Player Special KS
Karelia

stop pre ejaculation said...

Thanks a lot for this time sharing about PULLING THE CORD ON GRANDMA. This is really a nice reading to be sharing.

Cinthya said...

obsessed with myself
self-shooting hotties
sexy webcam girls
amateur webcam hotties
dirty wives exposed
hot wives
sexy housewives
amateur milf
amateur housewives
horny housewives
hot milf
sexy milf
gf melons
girlfriend boobs
gfs huge boobs
gfs huge tits
natural tits
busty amateur
juicy boobies
girlfriend sexy

Cinthya said...

my alternative gf
emo girlfriends
dirty emo gfs
anal gfs
anal girlfriends
amateur anal
homamade anal
tight anal
hot anal
sexy anal
anal pleasure
oral cocksucking
oral blowjobs
drunk girlfriends
drunk girls
wild girls drunk
homemade gfs
hot girlfriends
sexy girlfriends
watch my girlfriend
cute gfs
teen asian gfs
young asian gfs
gfs blowjobs
gfs cumshots
really wasted gfs
teen gfs
real teenie gfs
emo girlfriends
real emo girlfriends

felicity said...

This is an awesome blog post found here... Would like to say thanks very much for the share..

stop pre ejaculation
home treatments for hemorrhoids
No.1 Natural Cure From Japan