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American College of Surgeons & Governor Palin: Deeply Disturbed Over Obama's Uninformed Comments

Friday, August 14, 2009 2 Responses

Is response to Obama’s uniformed comments about high-quality care in the US. Governor Palin posted this statement from the American College of Surgeons on her Facebook page:


Chicago, IL — The American College of Surgeons is deeply disturbed over the uninformed public comments Obama continues to make about the high-quality care provided by surgeons in the United States. When the President makes statements that are incorrect or not based in fact, we think he does a disservice to the American people at a time when they want clear, understandable facts about health care reform. We want to set the record straight.


Yesterday during a town hall meeting, Obama got his facts completely wrong. He stated that a surgeon gets paid $50,000 for a leg amputation when, in fact, Medicare pays a surgeon between $740 and $1,140 for a leg amputation. This payment also includes the evaluation of the patient on the day of the operation plus patient follow-up care that is provided for 90 days after the operation. Private insurers pay some variation of the Medicare reimbursement for this service.


Three weeks ago, Obama suggested that a surgeon’s decision to remove a child’s tonsils is based on the desire to make a lot of money. That remark was ill-informed and dangerous, and we were dismayed by this characterization of the work surgeons do. Surgeons make decisions about recommending operations based on what’s right for the patient.


We agree with Obama that the best thing for patients with diabetes is to manage the disease proactively to avoid the bad consequences that can occur, including blindness, stroke, and amputation. But as is the case for a person who has been treated for cancer and still needs to have a tumor removed, or a person who is in a terrible car crash and needs access to a trauma surgeon, there are times when even a perfectly managed diabetic patient needs a surgeon. Obama’s remarks are truly alarming and run the risk of damaging the all-important trust between surgeons and their patients.


We assume that the President made these mistakes unintentionally, but we would urge him to have his facts correct before making another inflammatory and incorrect statement about surgeons and surgical care.


About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 74,000 members and is the largest organization of surgeons in the world.


http://www.facs.org/news/obama081209.html


http://www.facebook.com/posted.php?id=24718773587&share_id=250745755306&comments=1&ref=mf#s250745755306


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Governor Palin Targets Low-Lifes In The Obama Administration

Friday, August 14, 2009 1 Response

I join millions of Americans in expressing appreciation for the Senate Finance Committee’s decision to remove the provision in the pending health care bill that authorizes end-of-life consultations (Section 1233 of HR 3200). It’s gratifying that the voice of the people is getting through to Congress; however, that provision was not the only disturbing detail in this legislation; it was just one of the more obvious ones.


As I noted in my statement last week, nationalized health care inevitably leads to rationing. There is simply no way to cover everyone and hold down the costs at the same time. The rationing system proposed by one of President Obama’s key health care advisors is particularly disturbing. I’m speaking of the “Complete Lives System” advocated by Dr. Ezekiel Emanuel, the brother of the president’s chief of staff. President Obama has not yet stated any opposition to the “Complete Lives System,” a system which, if enacted, would refuse to allocate medical resources to the elderly, the infirm, and the disabled who have less economic potential. [1] Why the silence from the president on this aspect of his nationalization of health care? Does he agree with the “Complete Lives System”? If not, then why is Dr. Emanuel his policy advisor? What is he advising the president on? I just learned that Dr. Emanuel is now distancing himself from his own work and claiming that his “thinking has evolved” on the question of rationing care to benefit the strong and deny the weak. [2] How convenient that he disavowed his own work only after the nature of his scholarship was revealed to the public at large.


The president is busy assuring us that we can keep our private insurance plans, but common sense (and basic economics) tells us otherwise. The public option in the Democratic health care plan will crowd out private insurers, and that’s what it’s intended to do. A single payer health care plan has been President Obama’s agenda all along, though he is now claiming otherwise. Don’t take my word for it. Here’s what he said back in 2003:


“I happen to be a proponent of a single payer universal health care plan.... A single payer health care plan – universal health care plan – that’s what I would like to see.” [3]


A single-payer health care plan might be what Obama would like to see, but is it what the rest of us would like to see? What does a single payer health care plan look like? We need look no further than other countries who have adopted such a plan. The picture isn’t pretty. [4] The only way they can control costs is to ration care. As I noted in my earlier statement quoting Thomas Sowell, government run health care won’t reduce the price of medical care; it will simply refuse to pay the price. The expensive innovative procedures that people from all over the world come to the United States for will not be available under a government plan that seeks to cover everyone by capping costs.


Our senior citizens are right to be wary of this health care bill. Medical care at the end of life accounts for 80 percent of all health care. When care is rationed, that is naturally where the cuts will be felt first. The “end-of-life” consultations authorized in Section 1233 of HR 3200 were an obvious and heavy handed attempt at pressuring people to reduce the financial burden on the system by minimizing their own care. Worst still, it actually provided a financial incentive to doctors to initiate these consultations. People are right to point out that such a provision doesn’t sound “purely voluntary.”


In an article I noted yesterday, Charles Lane wrote:


“Ideally, the delicate decisions about how to manage life’s end would be made in a setting that is neutral in both appearance and fact. Yes, it’s good to have a doctor’s perspective. But Section 1233 goes beyond facilitating doctor input to preferring it. Indeed, the measure would have an interested party -- the government -- recruit doctors to sell the elderly on living wills, hospice care and their associated providers, professions and organizations. You don’t have to be a right-wing wacko to question that approach.” [5]


I agree. Last year, I issued a proclamation for “Healthcare Decisions Day.” [6] The proclamation sought to increase the public’s knowledge about creating living wills and establishing powers of attorney. There was no incentive to choose one option over another. There was certainly no financial incentive for physicians to push anything. In fact, the proclamation explicitly called on medical professionals and lawyers “to volunteer their time and efforts” to provide information to the public.


Comparing the “Healthcare Decisions Day” proclamation to Section 1233 of HR 3200 is ridiculous. The two are like apples and oranges. The attempt to link the two shows how desperate the proponents of nationalized health care are to shift the debate away from the disturbing details of their bill.


There is one aspect of this bill which I have not addressed yet, but it’s a very obvious one. It’s the simple fact that we can’t afford it. But don’t take my word for it. Take the word of Doug Elmendorf, the director of the nonpartisan Congressional Budget Office. He told the Senate Budget Committee last month:


“In the legislation that has been reported we do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount. And on the contrary, the legislation significantly expands the federal responsibility for health care costs.” [7]


Dr. Elmendorf went on to note that this health care legislation would increase spending at an unsustainable rate.


Our nation is already $11.5 trillion in debt. Where will the money come from? Taxes, of course. And will a burdensome new tax help our economy recover? Of course not. The best way to encourage more health care coverage is to foster a strong economy where people can afford to purchase their own coverage if they choose to do so. The current administration’s economic policies have done nothing to help in this regard.


Health care is without a doubt a complex and contentious issue, but health care reform should be a market oriented solution. There are many ways we can reform the system and lower costs without nationalizing it.


The economist Arthur Laffer has taken the lead in pushing for a patient-center health care reform policy. He noted in a Wall Street Journal article earlier this month:


“A patient-centered health-care reform begins with individual ownership of insurance policies and leverages Health Savings Accounts, a low-premium, high-deductible alternative to traditional insurance that includes a tax-advantaged savings account. It allows people to purchase insurance policies across state lines and reduces the number of mandated benefits insurers are required to cover. It reallocates the majority of Medicaid spending into a simple voucher for low-income individuals to purchase their own insurance. And it reduces the cost of medical procedures by reforming tort liability laws.” [8]


Those are real reforms that we can live with and afford. Once again, I warn my fellow Americans that if we go down the path of nationalized health care, there will be no turning back. We must stop and think or we may find ourselves losing even more of our freedoms.


- Sarah Palin


[1] See http://www.scribd.com/doc/18280675/Principles-for-Allocation-of-Scarce-Medical-Interventions

[2] See http://washingtontimes.com/news/2009/aug/14/white-house-adviser-backs-off-rationing/

[3]See http://www.youtube.com/watch?v=-hsqzSKuC44

[4] See http://article.nationalreview.com/?q=N2M0ODk0OTNkZjkwNGM4OGMyYTEwYWY3ODUzMzFiOTc=

[5] See http://www.washingtonpost.com/wp-dyn/content/article/2009/08/07/AR2009080703043.html

[6] See http://www.gov.state.ak.us/archive.php?id=1094&type=6

[7] See http://blogs.abcnews.com/thenote/2009/07/cbo-sees-no-federal-cost-savings-in-dem-health-plans.html

[8] See http://online.wsj.com/article/SB10001424052970204619004574324361508092006.html


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