Green Room

Obamacare’s IPAB is a rationing board that’s destined to fail, says…Howard Dean

posted at 3:22 pm on July 29, 2013 by

A somewhat curious critique coming from a guy who supports the sort of government-run, single-payer healthcare system that relies upon bureaucratic rationing — but we’ll take it.  In case you missed it in the headlines earlier:

One major problem is the so-called Independent Payment Advisory Board. The IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them. There does have to be control of costs in our health-care system. However, rate setting—the essential mechanism of the IPAB—has a 40-year track record of failure. What ends up happening in these schemes (which many states including my home state of Vermont have implemented with virtually no long-term effect on costs) is that patients and physicians get aggravated because bureaucrats in either the private or public sector are making medical decisions without knowing the patients. Most important, once again, these kinds of schemes do not control costs. The medical system simply becomes more bureaucratic. The nonpartisan Congressional Budget Office has indicated that the IPAB, in its current form, won’t save a single dime before 2021. As everyone in Washington knows, but less frequently admits, CBO projections of any kind—past five years or so—are really just speculation. I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont.

Um, yes.  To all of that.  The Obamacare coalition continues to fracture.  Incidentally, one of bankrupt Detroit’s recovery plans is to dump its employees into Obamacare’s exchanges, which is sure to solve everything.  “Own it,” Democrats!

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Somewhere, somehow… a layer in Hades froze over. Howard DEAN of all people??

BTW BISHOP!

Turtle317 on July 29, 2013 at 3:45 PM

OMG – pigs are flying over the building!!! Death panels!!!!

NJ Red on July 29, 2013 at 3:52 PM

Yeearrrrrgggggggghhhhhhhh!!!!

viking01 on July 29, 2013 at 3:58 PM

That has to be the most coherent thing to ever make it’s way out of Howie’s empty skull.

Stu Gotts on July 29, 2013 at 4:50 PM

Maybe just leaving a digital trail for later political cover? It’s a default practice by the devious left.

Don L on July 29, 2013 at 5:01 PM

And those on the Right were saying that very thing BEFORE this monstrosity got passed by the Democrats.

krome on July 29, 2013 at 5:33 PM

I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont is exactly what Palin warned us about.

HotAirian on July 29, 2013 at 6:37 PM

I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont is exactly what Palin warned us about.

HotAirian on July 29, 2013 at 6:37 PM

Exactly!!

Drained Brain on July 29, 2013 at 7:01 PM

The IPAB is essentially a health-care rationing body.

Howard isn’t as dumb as he seems, it only took him 2~3 years to figure out what Sarah Palin knew way back then.

RJL on July 29, 2013 at 7:15 PM

Obamacare’s IPAB is a rationing board

call it what it is a death panel and Gov Dean should give Gov Palin a apology.

unseen on July 29, 2013 at 8:01 PM

Somewhere, somehow… a layer in Hades froze over. Howard DEAN of all people??

BTW BISHOP!

Turtle317 on July 29, 2013 at 3:45 PM

Where in the EFF is this Hades place I keep hearing about ?? I have heard of he11!

cableguy615 on July 29, 2013 at 8:25 PM

For Agreeing with Palin, Will Howard Dean Win Politifact’s ‘Lie of the Year’

In December of 2009, Politifact, a left-wing website that poses as an objective fact checker, awarded former Alaska governor Sarah Palin its “Lie of the Year.” Politifact claimed that Palin’s use of the term “death panel” to describe the rationing that will come with ObamaCare was the biggest whopper of ’09:

Of all the falsehoods and distortions in the political discourse this year, one stood out from the rest.

“Death panels.” …

[Palin's] assertion — that the government would set up boards to determine whether seniors and the disabled were worthy of care — spread through newscasts, talk shows, blogs and town hall meetings. Opponents of health care legislation said it revealed the real goals of the Democratic proposals. Advocates for health reform said it showed the depths to which their opponents would sink. Still others scratched their heads and said, “Death panels? Really?”

Yes, really.

And Democrat Howard Dean agrees. In a Monday Wall Street Journal op-ed, Dean writes:

One major problem [with ObamaCare] is the so-called Independent Payment Advisory Board. The IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them.

Here is what Palin wrote four years ago:

The Democrats promise that a government health care system will reduce the cost of health care, but as the economist Thomas Sowell has pointed out, government health care will not reduce the cost; it will simply refuse to pay the cost. And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course.

If what Dean fears comes true, specifically that “IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them,” it takes no leap of logic or faith to fear which expensive and/or experimental procedures will not be covered.

Of course that kind of thinking is most likely to hurt those seen as the least desirable by bureaucrats — those unable to “contribute”: the elderly, disabled, and sick. (Palin forgot one group: the unborn.)

IPAB is what Palin directly referred to in her “death panel” post. And for spelling out the truth about the obvious human consequence of a rationing problem both she and Howard Dean agree is very real, she was awarded Politifact’s “Lie of the Year.”…….

http://www.breitbart.com/Big-Journalism/2013/07/29/Howard-Dean-Politifact-lie-of-the-year

unseen on July 29, 2013 at 8:55 PM

Howard Dean says Palin was right.

The world is indeed upside freaking down.

Chaz706 on July 30, 2013 at 12:23 AM

However, rate setting—the essential mechanism of the IPAB—has a 40-year track record of failure.

Government price fixing has an unbroken record of failure for thousands of years. It’s never worked because it can’t work. It’s called the LAWS of economics, not the suggestions.

RadClown on July 30, 2013 at 9:00 AM

Howard Dean is a raaaaaacist!

Marxism is for dummies on July 30, 2013 at 9:22 AM

I’m sure that Politifact will rescind their 2009 Lie of the Year award any day now. /

Aitch748 on July 30, 2013 at 10:43 AM

Now the media is picking winners and losers when it comes to life & death:
“Jun 6, 2013 – A federal judge intervened in the case of a 10-year-old girl with cystic fibrosis who needs a lung transplant, ordering HHS Secretary Kathleen”

Anyone with a sympathetic story, access to good PR and an attorneys will undermine the entire system.

2nd Ammendment Mother on July 30, 2013 at 11:38 AM

So are any of the d bags going to apologize to Sarah Palin? They ridiculed her and anyone who agreed with her assessment of death panels. Guess we are starting to know whats in it just like Pelousy said. The thing is that whats in it is exactly what those of us on the right said is on it. Rationing, single payer, increased costs, take the blue pill. Did anyone hear the news yesterday? Apparently cancer treatments are all of a suddenly less necessary. Hmmmm sounds like take the blue pill to me. Defund NOW!

neyney on July 30, 2013 at 12:40 PM

Say what we might about Wowie Howie, he IS a doctor, and has the sense to realize that a doctor knows better how to treat a patient’s illness than some 15-member board of bureaucrats.

Maybe he should run for Senate in Vermont (where any Democrat can be elected), then work with the other doctor in the Senate (Barrasso, R-WY) to defund Obamacare!

Steve Z on July 30, 2013 at 4:33 PM