Combs Spouts Off

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Posts Tagged ‘bureaucracy’

Vaccine shortage outrage

Posted by Richard on October 31, 2009

The local and national media are full of stories about the massive H1N1 vaccine shortage and canceled vaccination clinics. But I haven't seen any finger-pointing or even serious inquiries into why this has been such a cluster-f**k. Well, Be John Galt gathered a sampling of exactly such stories, pointing the finger at the President, and even one about a congressional investigation, led by Rep. Henry Waxman, which determined that the administration should have prevented the vaccine crisis.

Oh, wait — they're not about this year's 100-million-dose shortage of H1N1 vaccine. They're about the far more modest — and far less serious — shortage of regular flu vaccine in 2004. They're about blaming Bush! 

Almost nobody is interested in doing that sort of pointed inquiry and allocation of blame this year. Even though this time (unlike in 2004 and other years) it's a 100% federal government operation. Every single dose of H1N1 vaccine produced is turned over to and distributed by the federal government. The Obama administration insisted on that. Can't leave such things to the market, can we? It might not restrict the vaccine to "high-priority people with no medical coverage," i.e., the down-trodden and disadvantaged.

And almost nobody in the media is interested in asking why there are so few vaccine producers (only about half a dozen, as I recall, mostly foreign). That might bring up the fact that scores of pharmaceutical manufacturers have stopped all vaccine production in the last few years due to the tremendous liability risks. And that might lead to questions about why tort reform is completely off the table in the Democrat's various plans for "reforming" health care.

Posted in Uncategorized | Tagged: , , , | 1 Comment »

Vets told they’re going to die; oops, it was a mistake

Posted by Richard on August 24, 2009

Those of us opposed to government-controlled health care for everyone have pointed to the VA health care system as an example of what to expect — waste, fraud, abuse, inadequate care, and bureaucratic bungling. In the latest example of the latter, the VA erroneously notified 1200 veterans that they had ALS, or Lou Gherig's disease, which is fatal.

The letters to the 1200 were purportedly to inform them of benefits available to ALS patients. I can't help but wonder if one of the "benefits" they were offered was the "Your Life, Your Choices" workbook and associated counseling.

Hey, it's not a "death panel" — it's just a tool to help vets decide how to face their demise and whether they want to be a "burden for my family." No pressure — unless you consider "push-polling" feelings of helplessness and despair and laying a guilt trip on a vulnerable person in a stressful situation to be pressure.

The VA just wants to help vets with ALS decide what to do. If they decide to spare their families (and the VA budget) by getting out of the way now instead of waiting for their inevitable death, it's their choice, right? 

Oh, wait, I forgot. They don't have ALS, and they're not going to die. It was all just a mistake. I hope none of them have completed the "Your Life, Your Choices" workbook yet…

Posted in Uncategorized | Tagged: , , | 4 Comments »

Fascist medicine

Posted by Richard on August 20, 2009

Bob Bidinotto sees right through the Senate's "co-op alternative" to the much-reviled "public option":

Understand that the “co-op” would be funded by the government (i.e., the taxpayers). More importantly, to get admission into the co-op, insurers would have to abide by the new governmental regulations regarding coverage, treatments, premiums, etc.

… This is no liberal “retreat” from governmental health care. The new “co-op” is explicitly intended to be “a competitor to private insurers.” While ObamaCare would inject this new government entity into the healthcare marketplace, it simultaneously would:
 
1. Impose onerous, costly new mandates on private insurers

2. Mandate participation by unwilling individuals and small businesses, under penalty of whopping fines

3. Outlaw any private insurers that refused to adopt the new government-imposed rules

4. Compel taxpayers to fund the arrangement
 
Eventually, inevitably, the only private insurers that could survive this arrangement would have to operate like branch offices of the Medicare program — simply administering government “mandated” coverage, services, treatments, medicines, etc.

Rather than “single payer” socialized medicine, then, this would be more like fascist medicine: a merely nominal “private” system, in which a handful of big health care insurers and providers took their marching orders from the federal government.

The problem isn't the co-op, or even the public option. It's the rest of the bill. I've actually read most of H.R. 3200 (PDF) — admittedly, I skimmed much of the 1018 pages. I haven't seen any of the 3 or 4 Senate versions (no one has; only portions have been printed and released), but I suspect the fundamental features are the similar in all of them. 

The House bill strictly defines 3 levels of health insurance coverage and loosely defines a fourth, "premium plus" level, and these are the only policies that private insurers could legally offer. That's not just to get admission to the co-op, as Bidinotto believes, but to do business at all.

Every conceivable aspect of how health care is insured, provided, assessed, and reimbursed is mandated in excrutiating detail. All of that, and the 4 points Bidinotto listed above, would be there even if neither a "public option" nor a "co-op" were included. And Bidinotto's conclusion would still be the case. 

With or without a public option, with or without a co-op, with or without whatever other fillips they come up with or sops to squishy Republicans they propose, the Democrats' plan to "reform" health care will be an abomination, a monstrosity, an unmitigated evil that a free people cannot tolerate and must stop.

Posted in Uncategorized | Tagged: , , , , , | 3 Comments »

Obamacare, the House version

Posted by Richard on July 16, 2009

Remember that incredible chart back in 1993 showing how Hillary Clinton's health care plan would work? House Republicans have created a similarly striking graphic explaining the House Democrats' version of Obamacare:

House Democrats' health plan

Here's the full-sized chart (PDF).

Excuse me, I have to go lie down. Just looking at their health care plan makes me feel sick.

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Bureaucrats party on our dime

Posted by Richard on July 16, 2009

The financial situation of Social Security has dramatically worsened recently. A few years ago, it was expected to run a surplus until 2025. That was recently revised to 2017. Now, thanks to the recession, it looks like the fund will go into the red this year.

So what's the Social Security Administration doing to cope with this grim news? Well, they just treated hundreds of SSA executives and managers from all over the country to three days in Phoenix at the posh Arizona Biltmore Resort and Spa and a nearby casino. It was an "essential" conference for helping these bureaucrats learn how to relieve stress. 

Remember a few months ago when the Prez, Congress, and their PR mouthpieces (AKA the mainstream media) were chiding corporations for their "unseemly" conferences at lavish resorts and "junkets" to Las Vegas during these grim economic times? Apparently, the same standards that apply to private businesses and investors don't apply to government bureaucrats. 

They're not "public servants" anymore. They're the ruling class.

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HillaryCare v2.0

Posted by Richard on September 19, 2007

I haven't read much about Sen. Clinton's grand new health care plan, but lots of people — including Sen. Edwards — seem to think it borrows a lot from HillaryCare '93 and from Sen. Edwards' plan. I wonder if Clinton is on board with Edwards' compulsory doctor visits. Can't you just see the National Health Care Police dragging you off to the clinic and strapping you down on the examining table?

Dan Taylor doesn't think much of HillaryCare:

Here's what this plan is:

  1. It is an alligator that is 6 inches long now that turns into a 24 foot monster that eats you in 15 years because you're late with its dinner.

  2. It is a tax and spend social program that is guaranteed to provide nothing but the continued opportunity to tax and spend. It is Lyndon Johnson's War on Poverty with the same chance of victory.

  3. It is an early retirement incentive for 50% of the nation's physicians.

  4. It is a guarantee of health care delivered with the cheerfulness of the Post Office, the regulatory enforcement of the SEC and the sensitivity of The Bureau of Prisons.

  5. It is the last attempt to make into reality a very bad idea in theory. The difference between the idea in theory and the idea in reality is that in reality someone is always accountable.

But Taylor does think the plan has one big benefit:

The bad news is that Hillary announced her HealthCare Initiative. The good news is that it doomed her election chances.

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The world that works

Posted by Richard on July 23, 2007

In just the last seven years, the U.S. Department of Agriculture paid over a billion dollars in farm subsidies to dead farmers, according to The Washington Post. That's apparently on top of the $15 billion in "wasteful or redundant spending" on farmers reported by WaPo last year.

Farm subsidies are a terrible idea, period. As Don Surber noted, they're bad for the environment, the Third World, and the economy:

Farm subsidies are a disaster. They artificially keep in farming people who do not need to be farming, which increases supply, which drives prices down, which increases the demand for subsidies.

But set that aside for the moment. For the short term, at least, we're stuck with this abomination of a program. Can't we at least run it with some minimal degree of competence?

Apparently not. Despite the fact that there's nearly a one-to-one relationship between farmers and USDA employees, the USDA said it was just too busy to look into the 40% of cases that weren't reviewed at all. The GAO offered a suggestion:

Making database checks against a list of people reported as dead to the Social Security Administration "to verify that an individual receiving farm payments has not died is a simple, cost-effective method," the GAO said. The Agriculture Department said it has asked all field offices to review the eligibility of estates and plans to begin conducting database checks

Yeah, I'm sure they'll get right on that and work through the backlog. According to the WaPo, it includes farmers who died in the 70s and 80s.  

The USDA is the poster child for the dysfunctional bureaucracies that Newt Gingrich calls "the world that fails." Today in Washington, Gingrich is presenting a briefing about how to change that:

I am inviting you to join me for a briefing on how we can make our government bureaucracies work more like UPS and FedEx and less like, well, bureaucracies.

Please join me on Monday, July 23, from Noon to 6:00pm (EDT) for a briefing on "From the World That Fails to the World That Works: The Coming Transformation of Government." The briefing will be at the U.S. Chamber of Commerce in Washington. It will also be webcast at www.americansolutions.com.

If you can't join us on Monday, the briefing will be available for viewing anytime at www.americansolutions.com.

This is likely to be both informative and entertaining, as evidenced by the following 3-minute Gingrich video on the subject.

FedEx vs. Government Bureaucracy — Newt Gingrich 

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