Combs Spouts Off

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Posts Tagged ‘health care’

Help the South Dakota medical marijuana initiative

Posted by Richard on October 21, 2010

Some really fine people in South Dakota are working hard to pass Measure 13, an initiative to allow qualifying patients access to medical marijuana. It's a pretty restrictive and highly regulated access — the most restrictive medical marijuana law in the country — but it's a start, and better than nothing.

The South Dakota Coalition for Compassion is waging this battle on a shoestring, and they could use some help. Even a small donation will be greatly appreciated, put to good use, and potentially make a big difference. Can you spare a few bucks? Please join me in supporting the South Dakota Coalition for Compassion.

Note: After completing your donation, you'll be taken to a 404 error page instead of a receipt. Don't worry, an email receipt is sent almost instantly.  

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Bad news, good news

Posted by Richard on October 9, 2010

James Taranto, commenting on news that three dozen people at an Obama rally received medical treatment after become dizzy and fainting:

The bad news is, President Obama made them sick. The good news is, they can still get insurance even though they have a pre-existing condition.

<rimshot />

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An uhappy anniversary

Posted by Richard on September 23, 2010

The abomination known as Obamacare became law six months ago, and several new Obamacare mandates took effect today. Starting today, health insurance policies must cover "children" to age 26, provide a bunch of new "preventive care" coverage, and have no lifetime limits.Those of us who don't believe in the tooth fairy or free lunches know what that means: insurers' costs are going up, so our premiums are going up. Of course, the government could try forcing them to operate at a loss, but that's not working out too well in Massachusetts

Also, health insurers can no longer refuse to write a policy for a child with a pre-existing condition. Those of us who like to warn about the unintended consequences of attempting to legislate away reality predicted the result: insurers have stopped writing policies for children, period. 

Here are some interesting reads about this unfortunate anniversary: 

ObamaCare Is Six Months Old And The Obama Administration Wants Everyone To Know How Proud It Is

Top 10 Failures of ObamaCare After Six Months  

Democrats guess wrong on health care 

The President is wrong: ObamaCare harms our generation

How Seniors Will Pay for ObamaCare

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Health care choice on the ballot in Colorado

Posted by Richard on August 28, 2010

The Independence Institute has succeeded in placing the Right to Health Care Choice Initiative on the ballot as Amendment 63. It's similar to Missouri's Healthcare Freedom Act, which passed earlier this month with over 71% of the vote:

If passed by Colorado voters in November, the “Right to Health Care Choice” citizens amendment would accomplish two hugely important steps to protect Coloradans from the ongoing takeover of health care by government, and to make Colorado a “sanctuary state” for quality health care. The “Right to Health Care Choice” amendment would:

Write into the Colorado Constitution that the State of Colorado cannot force its citizens to purchase a public or private health insurance product, either on its own, or on behalf of the federal government. In other words, Colorado would not be able to implement a Massachusetts-style insurance mandate (otherwise know as Romney Care).

The amendment would also constitutionally protect fee-for-service health care by ensuring the right to pay out of pocket for health care services and products if you so choose. This means even if Colorado were to implement a single payer heath care system, you would be free to engage in voluntary exchange with a health care provider outside the system.

I predict Colorado voters will approve this by a big margin. And I'll certainly do what I can to help make that happen. You can help, too. 

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A huge win for Healthcare Freedom Act in Missouri

Posted by Richard on August 5, 2010

On Tuesday, Missouri voters overwhelmingly supported Proposition C, the Healthcare Freedom Act. Prop C prohibits the government from requiring citizens to purchase health insurance or penalizing those who don't — the "individual mandate" that's at the core of ObamaCare. It passed with more than 71% of the vote.

The MSM, including the WSJ, are downplaying this as "largely symbolic." But ObamaCare depends on state-administered insurance pools and state cooperation. Emphatic rejections of such cooperation, if replicated in other states, will undermine the entire bureaucratic house of cards.

The MSM also dismiss the lopsided vote because it was mainly Republican primary voters. But 24th State crunched some of the numbers (emphasis in original): 

From some back of the envelope calculations, 15% of ballots that were cast in the Democratic Senate primary statewide voted Yes on Prop C.  Even in St Louis City, almost 20% of the ballot cast just for Robin Carnahan also voted Yes on Prop C.  The number is even higher for the State Auditor race.  When 1 in 6 Democratic primary votes decide they want the state of Missouri to defend them from the signature issue of the Democratic Party, you’ve got a recipe for electoral disaster.

Statewide, almost 100,000 voters pulled Yes on Prop C but did not vote in the Republican Senate Primary.  Note that Missouri is also an open primary system.  Crossover Democrats who wished to vote for weaker Republican candidates and who voted No On C wouldn’t count in this total.  Those are astonishing numbers.

St. Louis County voted 55-45 for Kerry and 60-40 for Obama. But it passed Prop C by a 62-38 margin. The Democrats and their media shills can try to shrug this off, but they're whistling past the graveyard. 

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Join the Obamacare Class Action lawsuit

Posted by Richard on July 31, 2010

Tennessee's attorney general refused to join the lawsuit filed by 22 states against the Patient Protection and Affordable Care Act (PPACA), a.k.a., Obamacare, a.k.a. the government takeover of health care. So East Tennessean Van Irion, a constitutional attorney admitted to practice before the U.S. Supreme Court, decided to file suit himself and invited other Tennesseans to join him in a class action. Soon, people from all over the country were asking to join, and Irion opened up the class to all Americans.

Read about the Obamacare Class Action and, if you like the idea, sign on. Irion is handling the case pro bono and covering the court costs, so it needn't cost you anything. But he does accept voluntary donations, and $10 is suggested. I love the idea (although I acknowledge it's a bit quixotic), because it aims at the heart of the problem: 

The Obamacare Class Action (OCA) is a Federal lawsuit challenging the Constitutionality of the entire Patient Protection and Affordable Care Act (PPACA) on the basis that Congress does not have the authority under Article 1, Section 8 of the U.S. Constitution to regulate the health care industry and is specifically barred from doing so by the 10th Amendment.

The OCA is unique among the many lawsuits filed against the PPACA. The 22 States that have joined lawsuits challenging the constitutionality of PPACA direct their challenges at the individual mandate to purchase health insurance and the unequal treatment of different groups. While we agree that these aspects of the PPACA are unconstitutional, and we encourage the States challenges, the OCA challenges the PPACA in its entirety.

… The OCA lawsuit seeks to re-establish the original meaning of the enumerated powers and of the 10th Amendment by re-establishing that the Commerce Clause was intended to allow Congress only the authority to prevent one state from creating trade barriers to doing business with another state.

The chances of success in the courts are slim. Nevertheless, I think the case is extremely worthwhile. Irion already has over 25,000 plaintiffs. If that number rises into six figures and the case draws significant public attention, it can be a wonderful educational opportunity.

Van Irion is also a candidate for Congress in Tennessee's heavily Republican 3rd District. He appears to be a long-shot in the crowded Republican primary for the open seat (incumbent Zach Wamp is running for Governor). But I wish this self-described "Constitutionalist" well.

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Some animals are more equal than others

Posted by Richard on July 19, 2010

David Catron at Pajamas Media (emphasis added):

If you’re like most Americans, you had probably never heard of Donald Berwick before July 7, when President Obama installed him as Administrator of the Centers for Medicare & Medicaid Services (CMS). And, unless you’re a health policy wonk, the news that Obama circumvented the normal Senate confirmation process with a recess appointment probably elicited no response beyond a briefly raised eyebrow and a stifled yawn. But this CMS decision deserves another look. Dr. Berwick has been granted the power to reach out and touch you in ways undreamed of by higher profile appointees like Elena Kagan. Whether you’re paying attention or not, he will have a profound impact on the quality of your life.

CMS isn’t some Beltway backwater with a few clerks processing Medicare and Medicaid claims. It’s a gigantic bureaucracy with thousands of employees, a budget larger than the Pentagon’s, and the authority to dictate treatment standards for the nation’s hospitals, nursing homes, and clinical laboratories. It also administers policies that directly affect how many physicians are available to provide medical treatment for you and your family. Moreover, Berwick isn’t just another political hack or Ivy League gasbag. He’s an experienced, sophisticated administrator who knows how to get what he wants. And what he wants for Medicare, Medicaid, and eventually the entire U.S. health care system is rationing.

Unlike his boss in the White House, Dr. Berwick has made no secret of his views on this issue, and has never avoided the “R” word. In a 2009 interview for Biotechnology Healthcare, for example, Berwick praised the heavy-handed rationing methods of Britain’s National Institute for Health and Clinical Excellence (NICE) and said, “The decision is not whether or not we will ration care; the decision is whether we will ration with our eyes open.” Unfortunately, the interviewer failed to ask the obvious follow-up question: “Who’s we?” It turns out that what the good doctor really means when he says “we” is “you.” For himself and his wife, he has arranged to opt out of the health care system he plans to impose on the hoi polloi.

But before we get to that, it’s important to flesh out what Berwick has in mind when he talks about rationing. His praise of NICE is significant. The apparatchiks of that soulless health care bureaucracy have, quite literally, calculated how much money a single year of the average Brit’s life is worth (about $45,000). And if a patient needs treatment or drugs that exceed that amount, he’s out of luck. Consequently, the British news media are full of stories like those of Jack Rosser and Albert Baxter, both of whom were denied cancer drugs. The former is only alive today because an American benefactor came to his rescue. The latter killed himself when informed that he would not receive treatment.

But Dr. Berwick won't have to worry about his life not being judged worth saving. His life is more valuable than yours and mine, so the chilling calculus he plans to apply to us won't apply to him. Read the whole thing.

We are no longer citizens, we are subjects. And they are no longer our servants, they're our masters rulers.

(HT: Instapundit)

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Madness … chilling madness

Posted by Richard on July 8, 2010

Mohammed Abu Mustafa, a Palestinian infant from Gaza, was just four and a half months old and facing death in the Sheba Medical Center at Tel Hashomer, Israel. He had a genetic immune system deficiency. According to Haaretz, his mother Raida had experienced this heartbreaking situation before:

"I had two daughters in Gaza," she continued, her black eyes shimmering. "Both died because of immune deficiency. In Gaza I was told all the time that there is no treatment for this and that he is doomed to die. The problem now is how to pay for the [bone marrow] transplant. There is no funding." 

Shlomi Eldar, a reporter for Israel's Channel 10 News, went to the hospital to report little Mohammed's story. He ended up spending eight months filming the family, creating a full-length documentary, Precious Life, that's set to premier this week at the Jerusalem Film Festival. It's already won effusive praise. 

But first, Mohammed's life was in the balance and depended on a marrow transplant. Eldar reluctantly went to the hospital to do a story about the infant, convinced that nothing good would come of it: 

"I got to her after all the attempts to find a donation for the transplant had failed," he relates. "I understood that I was the baby's last hope, but I didn't give it much of a chance. At the time, Qassam rockets falling on Sderot opened every newscast. In that situation, I didn't believe that anyone would be willing to give a shekel for a Palestinian infant."

He was wrong. Hours after the news item about Mohammed was broadcast, the hospital switchboard was jammed with callers. An Israeli Jew whose son died during his military service donated $55,000, and for the first time the Abu Mustafa family began to feel hopeful. Only then did Eldar grasp the full dramatic potential of the story.

Thanks to the generous donations of countless Israeli Jews, Mohammed Abu Mustafa's life was saved. And despite his editor's misgivings, Shlomi Eldar decided that the story should be followed, leading to the documentary film.

Based on the lengthy interview with him by Haaretz, it's clear that Eldar is a compassionate, liberal (in the best sense of the word) person who feels deeply for the suffering of the people of Gaza, who was conflicted about Israel's conflict with Hamas, and who covered the conflict in a way sympathetic to the suffering of the residents of Gaza. But that's not the point of this post.

No, the point of this post is an exchange Eldar had with Raina Abu Mustafa, little Mohammed's mother, that almost led him to abandon the film project (emphasis added): 

From an innocent conversation about religious holidays, Raida Abu Mustafa launched into a painful monologue about the culture of the shahids – the martyrs – and admitted, during the complex transplant process, that she would like to see her son perpetrate a suicide bombing attack in Jerusalem.

She also explained to Eldar exactly what she had in mind. "For us, death is a natural thing. We are not frightened of death. From the smallest infant, even smaller than Mohammed, to the oldest person, we will all sacrifice ourselves for the sake of Jerusalem. We feel we have the right to it. You're free to be angry, so be angry."

And Eldar was angry. "Then why are you fighting to save your son's life, if you say that death is a usual thing for your people?" he lashes out in one of the most dramatic moments in the film.

"It is a regular thing," she smiles at him. "Life is not precious. Life is precious, but not for us. For us, life is nothing, not worth a thing. That is why we have so many suicide bombers. They are not afraid of death. None of us, not even the children, are afraid of death. It is natural for us. After Mohammed gets well, I will certainly want him to be a shahid. If it's for Jerusalem, then there's no problem. For you it is hard, I know; with us, there are cries of rejoicing and happiness when someone falls as a shahid. For us a shahid is a tremendous thing."

That was enough to drain Eldar's motivation and dissolve all the compassion he had felt for Raida and Mohammed.

… 

Madness. Disturbing, chilling madness. 

How do you coexist with people who not only despise your mere existence, but don't value their own? Or even their children's? How do you coexist with people who will rear their son to perpetrate a suicide attack on the very people whose donations made his survival possible?

It cannot be done.

If your eyes fill with tears upon reading this — you're not alone.

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More doctors turning away Medicare patients

Posted by Richard on June 23, 2010

Remember that Presidential promise, “If you like your doctor, you can keep your doctor”? Well, if you’re a Medicare patient, that may not be true for long. Congress hasn’t acted to rescind a 21% reimbursement cut that took effect last week (they removed the so-called “doc fix” from the Obamacare bill in order to maintain the fiction that it would reduce health care spending). Since Medicare reimbursements averaged only 78% of private insurance payments before the 21% cut, more and more doctors are refusing to take new Medicare patients or opting out of Medicare entirely:

The number of U.S. doctors refusing new Medicare patients has increased to record levels as low government payment rates force them out, statistics show.

USA Today notes the doctors’ exodus comes just six months before millions of baby boomers begin enrolling in the federal government healthcare program.

“Physicians are saying, ‘I can’t afford to keep losing money,'” said Lori Heim, president of the American Academy of Family Physicians.

AAFP reports 13 percent of doctors who responded to a survey said they didn’t participate in Medicare last year, up from 8 percent in 2008 and 6 percent in 2004.

The American Medical Association said 17 percent of more than 9,000 doctors surveyed said they restrict the number of Medicare cases, and the rate rises to 31 percent for primary care physicians.

Shortages of primary care physicians already alarm many experts, and the seniors group AARP says record numbers of doctors refusing Medicare will make matters worse.

So “you can keep your doctor” is just as false as “you can keep your health care plan” (emphasis added):

Employers would lose grandfathered status if they switch insurance companies — unless the plan is covered by a union contract or the employer pays claims out of its own funds and uses the insurer only to administer the plan.

It isn’t clear how much the restrictions on co-payments and deductibles will save consumers, because health plans can still raise premiums. The rules issued Monday say plans would relinquish grandfathered status if they reduce the percentage of the premium they pay by more than five percentage points. The broader health-care law includes checks on unreasonable increases, which have not been defined.

The administration estimated that by 2013, health plans covering as few as 39 percent and as many as 69 percent of employees could lose protected status. For small employers, the total could be as high as 80 percent; for large ones, it could reach 64 percent.

The picture isn’t actually as rosy as the Washington Post tries to paint it. The hundreds of pages of restrictions and regulations in the Obamacare bill, coupled with the implementation rules announced last week, coupled with the rules yet to come, will ensure that existing “grandfathered” plans become unprofitable and untenable, and they will go away. That, as I’ve argued before (for instance, here and here), is part of their plan to force everyone into a single-payer system.

If some insurance companies try to maintain their existing plans by emulating Medicare — cutting reimbursements for health care providers — they’ll find themselves between the same rock and hard place that Medicare is now in: providers will simply stop providing under those conditions. Unless the government steps in and forces them to do so.

And if the government forces health care providers to provide their services against their will — well, I recall something Ayn Rand said about socialized medicine decades ago (I’m paraphrasing): Do you want your life in the hands of a doctor who resents being forced to treat you? Do you want your life in the hands of a doctor who doesn’t?

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Kiss your health care plan goodbye

Posted by Richard on May 8, 2010

After Obamacare was signed into law, several major corporations took well-publicized charges (as required by SEC rules) because of the anticipated revenue loss due to elimination of a tax deduction. This angered Rep. Henry Waxman, chairman of the House Energy and Commerce Committee, and other Socialist Democrats. They demanded that the companies turn over all Obamacare-related internal documents and explain themselves at Congressional hearings.

Oddly enough, however, after the Socialist Democrats received the documents, they promptly canceled the hearings and declared that there was nothing to see. Why? 

According to Fortune, it's because the internal documents from AT&T, Caterpillar, Deere, and Verizon revealed the dirty secret of Obamacare — "If you like your health care plan, you can keep your health care plan" was a lie (emphasis added): 

Internal documents recently reviewed by Fortune, originally requested by Congress, show what the bill's critics predicted, and what its champions dreaded: many large companies are examining a course that was heretofore unthinkable, dumping the health care coverage they provide to their workers in exchange for paying penalty fees to the government.

That would dismantle the employer-based system that has reigned since World War II. It would also seem to contradict President Obama's statements that Americans who like their current plans could keep them. And as we'll see, it would hugely magnify the projected costs for the bill, which controls deficits only by assuming that America's employers would remain the backbone of the nation's health care system.

In 2009, it cost AT&T $2.4 billion to provide health care coverage for its active employees. The alternative cost of paying the penalties for not providing coverage: $0.6 billion. It's hard to ignore math like that. AT&T could give its workers a nice raise to compensate them for dropping health care and still come out ahead.

And the numbers will likely get worse, as all four companies predicted significantly higher costs in the future due to Obamacare's new taxes, the expansion of coverage to "children" up to age 26, and other new mandates. 

Instead of dumping their health care benefits completely, many companies may find it economically and politically more palatable to offer only the basic government "pool" plan.

In any case, as many of us insisted at the time, you can kiss your current health care plan goodbye. And as at least some of us have argued all along, that's not going to be an unintended consequence — it's by design. The ultimate goal of the Socialist Democrats has always been "single payer," and Obamacare implements their stealth plan to destroy the private health care industry and eventually leave us with a "public option" as the only option.

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Controlling the people and redistributing the wealth

Posted by Richard on March 26, 2010

For a long time, the Socialist Democrats have hidden their true agenda from the American people. No more. They're now so cocky and confident (and so contemptuous of their opposition) that they're dropping the facade of moderation and centrism.

On Tuesday, Rep. John Dingell (SD-MI) was asked on a Michigan radio program why Obamacare would not be fully implemented until 2014 when so many people are dying each year due to lack of insurance (a claim based on a totally bogus study, BTW). Dingell explained that "it takes a long time to do the necessary administrative steps that have to be taken to put the legislation together to control the people."

The same day, a New York Times story (I'll link to the excellent fisking at Sweetness & Light) made it clear that the government takeover of the health care industry is "the federal government's biggest attack on economic inequality since inequality began rising more than three decades ago" and the centerpiece of Obama's plan to reverse the Reagan Revolution and redistribute wealth. 

And just today, as the Senate was preparing to pass the "reconciliation" bill containing the House "fixes" for Obamacare, Sen. Max Baucus (SD-MT) addressed the Senate as follows: 

Too often, much of late, the last couple three years the mal-distribution of income in America is gone up way too much, the wealthy are getting way, way too wealthy, and the middle income class is left behind. Wages have not kept up with increased income of the highest income in America. This legislation will have the effect of addressing that mal-distribution of income in America.

So. Now that it's a done deal, the Socialist Democrats are proudly proclaiming what they previously and angrily denied, what they previously denounced as right-wing lies and fear-mongering: the government takeover of the health care industry is intended to control the people and redistribute the wealth. It's intended to turn citizens into subjects and to ensure equality of misery.

They're slightly less crazy-sounding, but fundamentally not all that different from Hugo Chavez.

But don't worry about the constitutionality.  Rep. John Conyers (SD-MI), chairman of the House Judiciary Committee and noted constitutional scholar, has assured us that it's all authorized by the Constitution's "Good and Welfare Clause."

Costa Rica's looking better all the time. Or maybe Honduras, where they still respect the rule of law.

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Health care haiku

Posted by Richard on March 25, 2010

This poetic gem was posted as a comment on Hot Air:

If you have a Right
To the service I provide,
I must be a Slave.

Haiku Guy on March 24, 2010 at 5:25 AM

(HT: Doug Ross)

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Sowell and Williams on the health care vote

Posted by Richard on March 23, 2010

Two of my favorite living economists have slightly different takes on the House vote for government-controlled health care. Dr. Thomas Sowell, as I would have guessed, has a somewhat pessimistic take:

With the passage of the legislation letting the federal government take control of the country's medical care system, a major turning point has been reached in the dismantling of America's values and institutions.

Even the massive transfer of crucial decisions from millions of doctors and patients to Washington bureaucrats and advisory panels — as momentous as that is — does not measure the full impact of this largely unread and certainly unscrutinized legislation.

With politicians now having access to our most confidential records and having the power of granting or withholding medical care needed to sustain ourselves or our loved ones, how many people will be bold enough to criticize our public servants, who will in fact have become our public masters?

The corrupt manner in which this massive legislation was rammed through Congress, without any of the committee hearings or extended debates that most landmark legislation has had, has provided a road map for pushing through more such sweeping legislation in utter defiance of what the public wants.

Too many critics of the Obama administration have assumed that its arrogant disregard of the voting public will spell political suicide for congressional Democrats and for the president himself. But that is far from certain.

Dr. Walter Williams, predictably, is somewhat more optimistic: 

If there is anything good to say about Democrat control of the White House, Senate and House of Representatives, it's that their extraordinarily brazen, heavy-handed acts have aroused a level of constitutional interest among the American people that has been dormant for far too long.

Part of this heightened interest is seen in the strength of the Tea Party movement around the nation. Another is the angry reception that many congressmen received at their district town hall meetings.

Yet another is seen by the exchanges on the nation's most popular radio talk shows such as Rush Limbaugh, Sean Hannity, Mark Levin and others. Then there's the rising popularity of conservative/libertarian television shows such as Glenn Beck, John Stossel and Fox News.

 Read both columns, please. I think both make valuable points. I agree with Sowell that this is a terrible turning point, and one that could usher in a new era in which this country permanently abandons the ideals and principles that have made it unique among nations.

I also agree with Williams that there are reasons for optimism — that the brazen and outrageous nature of this bill's passage and the contempt Democrats have shown for the will of the people will serve to awaken the populace and lead to a wide-spread public reaction and "Constitutional reawakening." 

Of course, I hope Dr. Williams is right. But I won't just hope. I'll do what I can to help make it come to pass. 

I hope you will, too. 

And keep an eye out for that new Reagan or Thatcher, too. We could really use one. 

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Boehner: This is the people’s House… Shame on this body

Posted by Richard on March 22, 2010

Shortly before the vote for government-run health care, Rep. John Boehner (R-OH) addressed the House:


[YouTube link]

Aside from a few idiots chortling over the political benefit of letting the Democrats pass such an unpopular bill, the Stupid Party has acquitted itself pretty well during the struggle over government-controlled health care. Maybe — just maybe — some of them have actually learned from their well-deserved drubbing in 2006 and 2008.

The Evil Party, on the other hand, has interpreted public repudiation of Republicans (to be precise, candidates pretending to be Republicans) as a mandate to become even more evil. This fall, they may learn what a mistake that was.

I just hope we can find another Reagan — or better yet, a Thatcher — in the next three years.

If we don't, I'll look into retiring in Costa Rica. Or Belize. Or maybe Honduras — the people of that little country have recently demonstrated great courage and great respect for democracy and the rule of law. I might really like it there. 

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House passes socialist health care takeover

Posted by Richard on March 22, 2010

Concluding the most corrupt and sleazy legislative process of my lifetime, the House moments ago passed a 2700-page bill enacting the complete government takeover of the health care industry. A bill that will lead inexorably to America's decline.

Tonight, I weep for my country. 

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