Most of ObamaCare’s unrealistic “savings” come from cranking down the way Medicare calculates its price controls, and Mr. Foster writes that they’ll grow “more slowly than, and in a way that was unrelated to, the providers’ costs of furnishing services to beneficiaries.” He expects that 15% of hospital budgets may be driven into deficits, thus “possibly jeopardizing access to care for beneficiaries.” Isn’t reform grand?
The official who will preside over this fiscal trainwreck is Donald Berwick, the Harvard professor and chief of the Institute for Healthcare Improvement who the White House has nominated to run Medicare. Dr. Berwick explained in an interview last year that the British National Health Service has “developed very good and very disciplined, scientifically grounded, policy-connected models for the evaluation of medical treatments from which we ought to learn.” He added that “The decision is not whether or not we will ration care—the decision is whether we will ration with our eyes open. And right now, we are doing it blindly.”
In fact, the real choice with medical care, as with any good or service, is between rationing via politics and bureaucratic lines or via a competitive market and prices. As Democrats are showing by trying to pass a new insurance bill, they want all U.S. health care to function like price-controlled Medicare. Dr. Berwick’s job as the country’s largest purchaser of health care will be to find ways to offset the higher insurance and medical costs that ObamaCare’s subsidies and mandates will cause, which will inevitably mean political rationing of care.
Join the conversation as a VIP Member