Two short points today. We’re still working out the kinks here.
First, my view is that we ought to redo our health care system. I think this is a matter of national security, much more say than the imaginary weapons of a fictional dictator. People here actually die from lack of adequate health care. Now, since it’s a matter of national security, and since we continue to pay richly for imaginary threats to our national security, we ought to not complain about things that are real. This is why this kind of stuff from David Broder) raises one’s blood pressure:
Acknowledging that “clearly, we need radical reconstructive surgery to make our health-care system effective, affordable and sustainable,” Walker cautioned that “what we should not do is merely tack new programs onto a system that is fundamentally flawed” — and rapidly driving the national budget into ruin.
He proposes a four-part test of fiscal responsibility for any health reform plan: “First, the reform should pay for itself over 10 years. Second, it should not add to deficits beyond 10 years. Third, it should significantly reduce the tens of trillions of dollars in unfunded health promises that we already have. Fourth, it should bend down — not up — the total health-care cost curve as a percentage of” gross domestic product.
If only people had made this argument about Iraq and Afghanistan.
Next point, the Lewin group is an insurance company-funded group. One ought not to cite them as independent and impartial observers. Following directly from the above:
An analysis by the Lewin Group shows that the Energy and Commerce Committee bill that was the basic blueprint for the House measure comes close to meeting the first of those tests and fails the other three, according to Walker, “by a wide margin.”
A separate Lewin Group study of the Finance Committee bill from which Majority Leader Harry Reid is working on the Senate legislation shows it is almost as much of a fiscal failure. It fails the fourth test, falls short on the third, and passes the first two only by assuming that future Congresses will force reductions in reimbursements to doctors and hospitals that lawmakers in the past have refused to impose.
Here is the Washington Post on the Lewin group on 7.23/2009:
Generally left unsaid amid all the citations is that the Lewin Group is wholly owned by UnitedHealth Group, one of the nation’s largest insurers.
Doesn’t Broder read his own paper?