Tag Archives: Medicare

The GOP’s Gift To Henry Waxman — Part II

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Cold War era Congressman Chet Holifield wanted the federal government to finance a network of underground bomb shelters. His successor, Henry Waxman, wanted the federal government to take over health care. Holifield failed; Waxman is still doing just fine. [Credit: NY Times]

Cold War era Con­gress­man Chet Holifield want­ed the fed­er­al gov­ern­ment to finance a net­work of under­ground bomb shel­ters. His suc­ces­sor, Hen­ry Wax­man, want­ed the fed­er­al gov­ern­ment to take over health care. Holifield failed; Wax­man did just fine. [Cred­it: NY Times]

Chet Holifield was obsessed with The Bomb.

Dur­ing a 32-year tenure that flow­ered dur­ing the Cold War, the Los Ange­les Con­gress­man sought fed­er­al mon­ey to help Amer­i­cans sur­vive a nuclear war.  He called for “a nation­wide sys­tem of under­ground shel­ters” in which to hud­dle, safe from irra­di­at­ed debris.

Though Holifield achieved suc­cess in oth­er areas – he was known as “Mr. Atom­ic Ener­gy” for his pro­mo­tion of nuclear pow­er — he left Con­gress in 1974 with­out ful­fill­ing his sub­ter­ranean vision. Con­tin­ue read­ing →

The GOP’s Gift To Henry Waxman — Part I

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Nancy Pelosi (D-CA) and John Boehner (R-OH) took a bow when the House passed a $141 billion health care bill. But Henry Waxman deserves the credit. [Credit: Politico]

Nan­cy Pelosi (D‑CA) and House Speak­er John Boehn­er (R‑OH) took a bow when the House passed a $141 bil­lion health care bill. But Hen­ry Wax­man deserves the cred­it. [Cred­it: Politico]

“What a way to cel­e­brate a birth­day!”  – House Minor­i­ty Leader Nan­cy Pelosi (D‑CA) after the House passed bipar­ti­san health care legislation

Sor­ry, Nan­cy.  It’s not about you.

The $141 bil­lion health care bill that cleared the House last month and that is expect­ed to win Sen­ate approval next week is a trib­ute from the GOP-con­trolled Con­gress to for­mer Con­gress­man Hen­ry Wax­man, a man who worked tire­less­ly – and with great suc­cess – to expand health care-relat­ed wel­fare spend­ing. Con­tin­ue read­ing →

When Dead Men Rule

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G.K. Chesterton worried that our predecessors would have too little influence on our politics. But Gene Steuerle says that they have too much. [Credit: christiancompletely blog]

G.K. Chester­ton wor­ried that our ances­tors would have too lit­tle influ­ence on our soci­ety. But a new book by the Urban Insti­tute’s Gene Steuer­le says that they exert too much con­trol over our pol­i­tics. [Cred­it: chris­tian­com­plete­ly blog]

“Tra­di­tion means giv­ing votes to the most obscure of all class­es, our ances­tors.  It is the democ­ra­cy of the dead.” – G.K. Chester­ton

Chester­ton fret­ted that mod­ern democ­ra­cies might show too lit­tle def­er­ence to past gen­er­a­tions.  But accord­ing to the Urban Institute’s Gene Steuer­le, the very oppo­site is true: in Amer­i­can democ­ra­cy, dead men rule. Con­tin­ue read­ing →

Tolerance, The Amish And Hobby Lobby

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Pamela Harris, shown here with her disabled son, prevailed at the Supreme Court this week in her challenge to an Illinois law requiring her to pay union dues. [Credit: Heartland Institute]

Pamela Har­ris, shown here with her dis­abled son, pre­vailed at the Supreme Court this week in her chal­lenge to an Illi­nois law requir­ing her to pay union dues. [Cred­it: Heart­land Institute]

For a brief time dur­ing the 1980s, I was Direc­tor of Pol­i­cy Devel­op­ment for the Social Secu­ri­ty Admin­is­tra­tion.  The title is more glo­ri­fied than the real­i­ty.  Social Secu­ri­ty is a big and ossi­fied pro­gram that resists “pol­i­cy devel­op­ment.”  Con­gress, ever cog­nizant of the polit­i­cal risks of tam­per­ing with the pro­gram, had been forced by its loom­ing insol­ven­cy to pass a mas­sive law hik­ing pay­roll tax­es and rais­ing the retire­ment age just a few years before.  They were in no mood to enter­tain addi­tion­al legislation.

But my job was to pre­pare options for the Commissioner’s con­sid­er­a­tion, so I met with career staff who had an idea: why not advo­cate for a bill requir­ing self-employed Amish farm­ers to pay social secu­ri­ty tax­es? Con­tin­ue read­ing →

Curly Howard And Our Health Care System

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Curly Howard didn't design our healthcare system, but his plumbing misadventure helps explain why it's such a mess -- before and after Obamacare. [Credit: wondersinthedark.com]

Curly Howard did­n’t design our health­care sys­tem, but his plumb­ing mis­ad­ven­ture helps explain why it’s such a mess — before and after Oba­macare. [Cred­it: wondersinthedark.com]

Curly Howard didn’t design the US health­care sys­tem. Or Oba­macare. Or Repub­li­can pro­pos­als to replace it. But he could have.

Howard, the most cre­ative of the Three Stooges, set out to fix a leak­ing pipe. His solu­tion: add a length of pipe. Each time he did, the flow of water was tem­porar­i­ly inter­rupt­ed, only to resume, this time out of the pipe he’d just added. Unde­terred, he added anoth­er length of pipe. By the end of the episode, a frus­trat­ed and sog­gy Curly is enmeshed in pipes. And still the water flows.

So it is with health­care. The leak, in this case, is the basic premise of insur­ance – that risk is inevitable and its cost must show up some­where. Curly’s pipe is reg­u­la­tion – the unceas­ing attempts by gov­ern­ment to divert and dis­guise the cost of that risk. The sys­tem that result­ed from per­pet­u­al inter­ven­tion resem­bles the one Curly pro­duced – cost­ly, cum­ber­some, inef­fi­cient and con­fus­ing. Con­tin­ue read­ing →

Should Obamacare Evolve Into “Medicare for All?”

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Federal agents storm a Los Angeles hospital engaged in a scheme to defraud Medicare. Such fraud is rampant, raising the question of whether "Medicare for All" is a good idea. [Credit: LA Times]

Fed­er­al agents storm a Los Ange­les hos­pi­tal engaged in a scheme to defraud Medicare. Such fraud is ram­pant, rais­ing the ques­tion of whether “Medicare for All” is a good idea. [Cred­it: LA Times]

Estill Mitts, a 68-year-old from Los Ange­les, came up with an enter­pris­ing idea some years back that made him mil­lions: pay home­less peo­ple from the city’s “Skid Row” dis­trict who were eli­gi­ble for Medicare or Med­ic­aid to check into local hos­pi­tals, even if they didn’t need to be there.

Set­ting up shop at a faux med­ical facil­i­ty that he dubbed the ”Assess­ment Cen­ter,” Mitts hired what he called “stringers” to pay home­less peo­ple small sums of mon­ey to go to one of three med­ical facil­i­ties that were in on the scam – City of Angels, LA Met­ro­pol­i­tan and Tustin Hos­pi­tal and Med­ical Cen­ter – where they were admit­ted whether or not they actu­al­ly required care. The hos­pi­tals billed Medicare or Med­ic­aid for the inpa­tient stays and made kick­back pay­ments to Mitts. Con­tin­ue read­ing →

Welfare or Work: A Difficult Choice

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The choice between welfare and work is not always an easy one, according to a new study by the Cato Institute. (Credit: LA Times)

The choice between wel­fare and work is not always an easy one, accord­ing to a new study by the Cato Insti­tute. (Cred­it: LA Times)

(NOTE: This post was updat­ed on Sep­tem­ber 23 to incor­po­rate the gov­ern­men­t’s new­ly-released pover­ty rate data.)

If forced to choose between a full-time job that paid $24.40 per hour and enrolling in a pack­age of gov­ern­ment ben­e­fits that paid a com­pa­ra­ble amount, which would you choose? Con­tin­ue read­ing →

Obamacare: We Don’t Need No Innovation

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The Ford Edsel didn't last, but the 1965 Medicare benefit remains largely unchanged nearly 50 years later. [Credit: phrenicea.com]

The Ford Edsel did­n’t last, but the anti­quat­ed Medicare ben­e­fit did, still large­ly unchanged near­ly 50 years lat­er. 
[Cred­it: phrenicea.com]

Begin­ning next Jan­u­ary, it will be ille­gal for insur­ance com­pa­nies to sell poli­cies mod­eled on the ben­e­fit that mil­lions of seniors receive through Medicare.

And that’s a good thing. Con­tin­ue read­ing →

WH Surrenders to Political Reality on Private Medicare Plans

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Photo of seniors (500x500)

The Oba­ma Admin­is­tra­tion sur­ren­dered to polit­i­cal real­i­ty yes­ter­day, grant­i­ng a pro­gram that seniors love and that it loathes a reprieve from what would have been dev­as­tat­ing cuts.

Con­tin­ue read­ing →

Budget Wars: Can They Bridge the Health Care Gap?

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Bud­get debates make good polit­i­cal the­ater. Each par­ty forces record­ed votes designed to score polit­i­cal points and embar­rass mem­bers of the oppos­ing par­ty. The House had fun yes­ter­day with some amend­ments before adopt­ing the Repub­li­can pro­pos­al writ­ten by Paul Ryan (R‑WI). The Sen­ate began debate on its pro­pos­al last evening and is brac­ing for Friday’s “vote-a-rama” – a day of record­ed votes on dozens of polit­i­cal­ly-barbed amend­ments advanced by mem­bers of both par­ties. Con­tin­ue read­ing →