Video: How ObamaCare will ration care

posted at 4:05 pm on August 10, 2009 by Ed Morrissey

Short, funny, and to the point, from our friends at the Independence Institute. If you want to know how ObamaCare will likely control costs, look no further than Oregon’s management of Medicaid spending. Instead of having doctors give “best practices” and having treatment decisions stay between a patient and his/her doctor, Oregon’s politicians draw up a priority list each year for treatment funding. If your condition is higher on the politicians’ list, you’ll get more priority for treatment. If it’s lower, or not on it at all, then you can expect to deal with a pain in the ass — literally:

Advanced breast and prostate cancers aren’t covered, but anti-smoking treatment is? Acute respiratory infections aren’t covered, but weight loss is? You can get treatment covered for moderate depression, but serious anti-social behavior is left untreated? Sounds like the anti-tobacco lobby did a good job in Oregon.

As for the fissure problem, that definitely sounds like a job for Congress. In fact, it sounds exactly like Congress.


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Oregon is healthcare Lobbyist paradise. BELIEVE IT.

portlandon on August 10, 2009 at 4:09 PM

When Granny comes home in a plastic bag, Hurrah! Hurrah!
Obama will give her a hearty high five then, Hurrah! Hurrah!
The Emanuels will cheer, the Kevorkians will shout
The eugenicists they will all turn out
And the old folks will all be dead by Christmas time next year!

Get ready for the Josef Mengele Jubilee
Hurrah! Hurrah!
We’ll give Dr Obama three times three
Hurrah! Hurrah!
The Doctor of Life and Death degree is ready now
To place upon his Godly brow
And we’ll all feel gay
When Pallbearers carry Grandma and Grandpa to the funeral home

Cheshire Cat on August 10, 2009 at 4:09 PM

And don’t forget kids, assisted suicide is covered under the Oregon Health Plan.

And, whotta surprise, Earl Blumenauer, a Democratic congressman from Oregon, is a supporter of Oregon’s assisted suicide law, and is responsible for inserting the end-of-life counseling provision into the health care bill.

No hidden agenda here…

Realist on August 10, 2009 at 4:10 PM

Pretty effective spot.

BadgerHawk on August 10, 2009 at 4:11 PM

This chick w/ the Yes We Can shirt and the dude with ASPD basically represent your typical Obama voter.

bluelightbrigade on August 10, 2009 at 4:11 PM

Seems like every year I get some socialist trying to get me to sign a petition for universal healthcare in Oregon. The best ones are smoking a cigarette when they do it.

Browncoatone on August 10, 2009 at 4:12 PM

But, but, but Palin is off her rocker.

lorien1973 on August 10, 2009 at 4:13 PM

Has this been reported to flag@whitehouse.gov?

wildcat84 on August 10, 2009 at 4:14 PM

Death Anal Panel?

BPD on August 10, 2009 at 4:14 PM

Slavery is freedom. Ignorance is strength. Death is living.

Cheshire Cat on August 10, 2009 at 4:15 PM

With Barney Frank being on a Congressional HC committee, I can only imagine what will be covered.

Bishop on August 10, 2009 at 4:15 PM

Really good – thanks for posting it Ed.

TooTall on August 10, 2009 at 4:16 PM

You Americans better not let this thing pass. Once it does, you are screwed. Only people wealthy enough to leave the country and fly to Switzerland will get the help they need.

How many of you are wealthy enough to fly to a Swiss clinic?

keep the change on August 10, 2009 at 4:16 PM

“As for the fissure problem, that definitely sounds like a job for Congress.”

Barney Frank is licking his lips………..

Seven Percent Solution on August 10, 2009 at 4:17 PM

Has this been reported to flag@whitehouse.gov?

wildcat84 on August 10, 2009 at 4:14 PM

Don’t worry. We are already on it.

DasObamaReich on August 10, 2009 at 4:17 PM

They forgot to mention the lottery – tens of thousands of people in line for 3,000 spots on the Oregon Health Plan.

http://speakmymindblog.com/2009/08/10/oregon-health-plan-ohp-a-peek-into-the-future-of-obamacare/

sherryande on August 10, 2009 at 4:18 PM

ObamaCare: Ridding America of those pesky unborns and old folks.

faraway on August 10, 2009 at 4:21 PM

Here’s an actual hospital “wait times” website from Canada.

Note that it hasn’t been updated since… last March!

http://www.smalldeadanimals.com/archives/011966.html

As blogger Kate/SDA says: up here in Canada…

“There’s even a wait time for your wait times!”

fivefeetoffury on August 10, 2009 at 4:22 PM

Anal Panel?

BPD on August 10, 2009 at 4:14 PM

Why not? We’ll all be taking it in the @$$ if this crap sandwich passes.

CurtZHP on August 10, 2009 at 4:23 PM

test

Jed_Eckert on August 10, 2009 at 4:24 PM

The government plan is internally inconsistent. Consider this: They state Medicare reimbursement fees will go up. This will increase the willingness of doctors to treat Medicare patients. This is a fairly obvious, and valid, conclusion. However, they also want to cut Medicare costs by $500B. Gee, they are cutting costs and increasing utilization at the same time. The obvious question is: How is this possible? Well it isn’t. Some simple high school Algebra I shows why:

Assume the reimbursement rate is $50 per patient and the total amount paid by Medicare is $100,000. This means ($100,000 / $50 =) 2,000 patients are seen.

Assume the reimbursement rate is increased to $60 per patient, then:

In order to see the same 2,000 patients the Medicare budget must be increased to ($60 x 2,000) = $120,000.

If the number of patients seen is increased by 400 (an increase of 20%) then the Medicare budget must be increased to ($60 x 2,400) = $144,000.

However, the situation is the Medicare budbet will be decreased. Assume that the Medicare budget is decreased to $90,000 (10% decrease). This means ($90,000 / $60 =) 1,500 patients are seen. You can’t have it both ways.

Jed_Eckert on August 10, 2009 at 4:25 PM

ha ha so misleading it’s awesome

Dave Rywall on August 10, 2009 at 4:30 PM

Obama really is a Muslim – he prefers death over life…..

izoneguy on August 10, 2009 at 4:30 PM

Meanwhile -

As our economy braces for round two of the residential real estate collapse, the commercial real estate market is in full blown collapse.

KentAllard on August 10, 2009 at 4:26 PM

I told someone that the other day and they accused me of fear mongering and
that I was afraid of Obama’s leftist policies…

izoneguy on August 10, 2009 at 4:32 PM

Cheshire Cat on August 10, 2009 at 4:09 PM

Again, you gotta work on your meter.

Akzed on August 10, 2009 at 4:32 PM

ObamaCare: Ridding America of those pesky unborns and old folks.

faraway on August 10, 2009 at 4:21 PM

We could solve this problem by getting rid of the real drag on America – The Obamatrons….

izoneguy on August 10, 2009 at 4:33 PM

I told someone that the other day and they accused me of fear mongering and
that I was afraid of Obama’s leftist policies…

izoneguy on August 10, 2009 at 4:32 PM

What’s their point?

Cindy Munford on August 10, 2009 at 4:34 PM

Another result from single-payer health care:

Significant numbers of children in the UK are suffering from preventable levels of disability, particularly blindness, and premature death because of poor diagnosis of brain tumours.

David Walker, Professor of Paediatric Oncology at the Children’s Brain Tumour Research Centre, University of Nottingham, said: “Our study showed that the UK health system is the slowest system for making this diagnosis compared to reports from other countries. It takes more than 13 weeks in the UK to make this diagnosis for half of the patients, whilst in the US and Poland this is achieved within 5 weeks. The research also showed that symptoms increased in number and that disability increased in severity as time passed before diagnosis. This indicates that delays in diagnosis are affecting the severity of disability for the children and young people, which can have life-long consequences. ”

http://communications.nottingham.ac.uk/News/Article/Delays-in-UK-child-brain-tumour-diagnosis.html

pearson on August 10, 2009 at 4:34 PM

With Barney Frank being on a Congressional HC committee, I can only imagine what will be covered.

Bishop on August 10, 2009 at 4:15 PM

Sorry Barney, Anal fissures are not covered…Wait that’s right
he is not covered under ObamaCare….Sorry Barney, go ahead
and bend over for your butt buddies – the taxpayer has your fat ass covered…

izoneguy on August 10, 2009 at 4:36 PM

Again, you gotta work on your meter.

Akzed on August 10, 2009 at 4:32 PM

It is of the highest importance in the art of analysis to be able to recognize out of a number of factors which are incidental and which vital, otherwise your energy and attention must be dissipated instead of being concentrated.

semloh on August 10, 2009 at 4:36 PM

I told someone that the other day and they accused me of fear mongering and
that I was afraid of Obama’s leftist policies…

izoneguy on August 10, 2009 at 4:32 PM

What’s their point?

Cindy Munford on August 10, 2009 at 4:34 PM

They did not have one….much like the SEIU protesters….

izoneguy on August 10, 2009 at 4:37 PM

ha ha so misleading it’s awesome

Dave Rywall on August 10, 2009 at 4:30 PM

I’m from Oregon Mr. Rywall, and the video is spot on.

Browncoatone on August 10, 2009 at 4:37 PM

ha ha so misleading it’s awesome

Dave Rywall on August 10, 2009 at 4:30 PM

I’m from Oregon Mr. Rywall, and the video is spot on.

Browncoatone on August 10, 2009 at 4:37 PM

Clearly Mr. Rywall needs an enema. Do you know if he can get weekly ones under the Oregon plan?

Cheshire Cat on August 10, 2009 at 4:40 PM

“Oregon’s politicians draw up a priority list each year for treatment funding. If your condition is higher on the politicians’ list, you’ll get more priority for treatment. If it’s lower, or not on it at all, then you can expect to deal with a pain in the ass — literally”

It’s also a great way to drum up campaign contributions.

Dusty on August 10, 2009 at 4:40 PM

I’m from Oregon Mr. Rywall, and the video is spot on.

Browncoatone on August 10, 2009 at 4:37 PM

Didn’t you see where he backed up his claims? No, you didn’t? Me either. He rarely does.

MarkABinVA on August 10, 2009 at 4:41 PM

ha ha so misleading it’s awesome

Dave Rywall on August 10, 2009 at 4:30 PM

In what way? Obama swears, though he doesn’t actually know any of the details yet, that costs will be much lower under Obamacare. How exactly will they be reduced? Oregon’s plan does indeed have a priority list, and the priorities are set by political appointees.

I’m sure Obamacare will be much different. How will Obamacare set priorities? Best guess: a group of political appointees. They may be doctors, they may be tax delinquents, but they will be politically connected.

applebutter on August 10, 2009 at 4:41 PM

Clearly Mr. Rywall needs an enema. Do you know if he can get weekly ones under the Oregon plan?

Cheshire Cat on August 10, 2009 at 4:40 PM

I’m pretty sure that enemas are just below treatment of spastic colons on the list. In either case, Dave’s covered.

applebutter on August 10, 2009 at 4:45 PM

Crazy talk!! Outrageous!!

chief on August 10, 2009 at 4:46 PM

Love it; short, sweet and succinct. Obama supporters won’t understand it because there’s no “nuance”.

yogi41 on August 10, 2009 at 4:47 PM

The only possible way Obamacare could reduce medical spending is if they eliminate malpractice lawsuits. Hmmm… government paid doctors immune from malpractice suits? No doctor would be able to afford to practice without working for the government.

Buford Gooch on August 10, 2009 at 4:48 PM

Exactly – health care will be politicized.

We’ll be reduced to beggging Democrats for care and being threatened by them, if we oppose them.

Is there any question of that at all?

Let these corrupt incompetents manage health care is a death/poverty sentence.

NoDonkey on August 10, 2009 at 4:49 PM

I finally figured out what the Green Jobs are and where they are coming from: Soylent Green.

barnone on August 10, 2009 at 4:52 PM

We’ll be reduced to beggging Democrats for care and being threatened by them, if we oppose them.

I think that one of the key variables in determining the allocation of scarce medical resources is “contributions to the community”. The Health Priorities Allocation Board will undoubtedly take such factors into consideration.

Realist on August 10, 2009 at 4:54 PM

ha ha so misleading it’s awesome

Dave Rywall on August 10, 2009 at 4:30 PM

I was wondering when you clowns were going to show up. Talking points meeting run long?

CurtZHP on August 10, 2009 at 4:55 PM

If it’s lower, or not on it at all, then you can expect to deal with a pain in the ass — literally:

You would not believe how many potatoes people fall upon accidentally in this country.

Rhinoboy on August 10, 2009 at 5:01 PM

fivefeetoffury on August 10, 2009 at 4:22 PM

Hi, Kathy. :-)

But, did you have to bring Rywall with you?

Yoop on August 10, 2009 at 5:05 PM

The people deserve the government they get. And in Oregon’s case, got what they deserve. Just like the poor fools next door in the People’s Republik of Kalifornia.

GarandFan on August 10, 2009 at 5:36 PM

GarandFan on August 10, 2009 at 5:36 PM

Gee, I guess we all deserve the Obamanation.

Disturb the Universe on August 10, 2009 at 5:43 PM

Cheshire Cat on August 10, 2009 at 4:40 PM

The enema may clear out his colon but it won’t ever cure the neurosynaptic disease he is afflicted with.

chemman on August 10, 2009 at 5:47 PM

Yep, here in Oregon, we have the “Oregon Health Plan” which at this point in time, covers just about everything for kids and pregnant women, but then uses a priority list for everyone else that is accepted onto the plan.

I could be wrong, but I’m pretty sure there was about a 3 year period earlier in the decade where there was no money so they weren’t accepting any new enrollment on the Oregon Health plan. When they did open it up, I think it had pretty long waiting lists.

I have an acquaintance who is currently on here own with 3 young kids while her husband is currently in drug rehab. Her 1 yr. old needed an MRI for a condition and their insurance had just expired the previous month. She assumed she was eligible and applied for the OHP, and took her son to get the care he needs. After submitting her application online, she was told she would be notified within 40 days whether the kids were accepted or not. If they are, the coverage is effective on the date of the application. She has no way to pay for the MRI otherwise, so she’s crossing her fingers.

I searched the State of Oregon’s OHP website for a couple of hours trying to figure out what the eligibility standards were, but could not find it. The closest I got was a private health insurer’s website who had a glossary of terms and defined OHP and said that there are various factors that go into eligibility, but in general your income had to be below 133% of the federal poverty line. I looked up the federal stats, and that would be about $30,000, as best I can tell. Since she currently has no income (she’s trying to find a job and make arrangements for child care, but no luck so far), one would think she’s got a good chance, but why does it take 40 days to find out?

Is this really the kind of beauracratic nightmare we want to extend to the entire population?

willamettevalley on August 10, 2009 at 6:21 PM

Top of the list:
#1 Breast Cancer
Bottom of the list
#29,877
Lung Cancer

Jeff from WI on August 10, 2009 at 6:49 PM

I finally figured out what the Green Jobs are and where they are coming from: Soylent Green.

barnone on August 10, 2009 at 4:52 PM

LOLOLOL

http://datacore.sciflicks.com/soylent_green/sounds/soylent_green_from_people.wav

Jeff from WI on August 10, 2009 at 6:51 PM

How many of you are wealthy enough to fly to a Swiss clinic?

keep the change on August 10, 2009 at 4:16 PM

Obama, Kennedy, Pelosi, Hoyer, Frank, Dodd, Olbermann, Matthews…Shall I go on?

Kafir on August 10, 2009 at 8:38 PM

Jeff from WI on August 10, 2009 at 6:49 PM

This system is all about saving the boobs. Ya know, the ones in DC.

boomer on August 11, 2009 at 12:27 AM

Kafir on August 10, 2009 at 8:38 PM

Speaking of Kennedys, Fox is reporting that Eunice Shriver just kicked off…

Cylor on August 11, 2009 at 6:19 AM

Kafir on August 10, 2009 at 8:38 PM

Speaking of Kennedys, Fox is reporting that Eunice Shriver just kicked off…

Cylor on August 11, 2009 at 6:19 AM

Another Kennedy bites the dust. Time to celebrate.

Jeff from WI on August 11, 2009 at 10:58 AM

Instead of having doctors give “best practices” and having treatment decisions stay between a patient and his/her doctor, Oregon’s politicians draw up a priority list each year for treatment funding. If your condition is higher on the politicians’ list, you’ll get more priority for treatment. If it’s lower, or not on it at all, then you can expect to deal with a pain in the ass — literally:

Much better to have for-profit insurance companies making the priority lists, right?

orange on August 11, 2009 at 1:07 PM

I was wondering when you clowns were going to show up. Talking points meeting run long?

CurtZHP on August 10, 2009 at 4:55 PM

Apparently not, if that’s the best they could give Drywall.

runawayyyy on August 11, 2009 at 2:38 PM

Much better to have for-profit insurance companies making the priority lists, right?

orange on August 11, 2009 at 1:07 PM

Hey dummy, if I don’t like the way my insurance company rations, I can go find another one. If you like the way govt rations, why don’t you just go to a country that already does this, instead of screwing up the system 86% of Americans like just fine?

runawayyyy on August 11, 2009 at 2:42 PM