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Premature Baby Left to Die Under Britain’s Socialized Medicine
Written By : Dave Blount

Comrade Obama is all heart when it comes to bailing out bloated corporations, but he’s less sympathetic regarding the most vulnerable people on the planet — as when he aggressively defended the policy of leaving the survivors of botched abortions unattended until they die. This is fortunate, because it takes unsentimental resolve to impose socialized medicine. The latest from Airstrip One:

Doctors left a premature baby to die because he was born two days too early, his devastated mother claimed yesterday.

Sarah Capewell begged them to save her tiny son, who was born just 21 weeks and five days into her pregnancy – almost four months early.

They ignored her pleas and allegedly told her they were following national guidelines that babies born before 22 weeks should not be given medical treatment.

Miss Capewell, 23, said doctors refused to even see her son Jayden, who lived for almost two hours without any medical support.

She said he was breathing unaided, had a strong heartbeat and was even moving his arms and legs, but medics refused to admit him to a special care baby unit. …

Medics allegedly told her that they would have tried to save the baby if he had been born two days later, at 22 weeks.

When medical professionals are reduced to government bureaucrats, saving lives takes a back seat to regulations.

Meanwhile, in a country where socialist thugs have not yet seized control of the healthcare industry…

[Miss Capewell] was shocked to discover that another child, born in the U.S. at 21 weeks and six days into her mother’s pregnancy, had survived.

Amillia Taylor was born in Florida in 2006 and celebrated her second birthday last October. She is the youngest premature baby to survive.

Lucky for Amillia she made it out before ObamaCare, which is likely to make the womb a very dangerous place.

On a tip from Bernie D. Cross-posted at Moonbattery.

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  • http://Kingfisher Kingfisher

    HEY, any of you fuckwad leftists still think socialized medicine is OK? I am FUMING after reading this.

    Anybody who wants socialized medicine after reading this should go fuck themselves! I don't care if I get banned, any leftist that supports socialized medicine beware, I'll unload on you like never before!

  • tblrk2006

    This is worse than any of you can imagine. Her live baby boy was left to die in her hands b/c a govt panel decided he was not worth the cost. So yes, lets get the obama plan that slowly drives everybody to the same govt approved plan. Im with the govt and im here to help. ha.

  • whats_up

    Anybody who wants socialized medicine after reading this should go fuck themselves! I don't care if I get banned, any leftist that supports socialized medicine beware, I'll unload on you like never before!

    Posted by Kingfisher

    2009-09-09 15:40:48

    Yep King I still support socialized medicine, I will wait patiently.

  • http://conservativebootcamp.com martinhale

    Hey, this wonderful story was made possible by the same brilliant minds which brought us the Liverpool Care Pathway for end of life care. What is that, you ask? The LCP consists of withdrawing all fluids and medications from the patient assigned chosen for whom death is the only option, save morphine and other palliatives to keep the patient sedated and to keep them from aspirating on their own vomit. The soon-to-be cadaver patient slowly dies, drugged into sleep, from either the disease they have, or dehydration. That, dear friends, is the Liverpool Care Pathway. It's the product of Britain's version of that panel of experts to which Mr. Obama has referred several times.

    Key concept: "It's the best that we can do."

  • Mike_M

    I don't think it will be much longer before I begin openly rooting of Britain's radical Muslims to overthrow the government. As opressive and backward as Sharia law may be, they at least let their kids grow up enough to be decent-sized human shields.

  • Lizard

    NIGHTMARE MODE: Read the lowest rated comments

    It's very sad but this woman would have been consigning her child to a terrible life, quite apart from the financial implications of trying to save a child as tiny as this. The NHS is not capable of financing extraordinary efforts to save one person's life.

    - Caroline, Glasgow

    How much money would it cost to "save" a "baby" like Jayden? That is money that cannot be used to do other things on the NHS, like save children who are already with us on this planet and maybe have cancer or have been hit by a car and need to have an operation. Choices have to been made – not all are easy. There needs to be a cut-off, unfortunately, this means that things like this can happen but if any of us had to choose between a foetus and a child who was already born but maybe had a disease or an accident – how many of us would choose to spend the money on a foetus who would probably not survive? If it was between a foetus and my child, I know who I would chose.

    - Elizabeth, Cambridge

    At what point did this turn into a forum for Americans to comment negatively on the NHS? At least we have a healthcare system!! No one is really interested in your opinions. As the majority of you don't have a passport l find it difficult to see how you can comment on other countries…..

    - Erin, London, UK

  • http://Kingfisher Kingfisher

    Yep King I still support socialized medicine, I will wait patiently.

    Posted by whats_up

    2009-09-09 15:55:23

    Since you obviously have no problem with this innocent life, why don't you kill yourself to show us how much you're willing to support socialized medicine.

    I have absolutely no sympathy for fuckwads like you who accept what happens and only hope that you will have to suffer far more than this innocent baby had to suffer. I would enjoy watching you suffer while you utter, "I love socialized medicine, I love socialized medicine."

    Maybe when you're suffering, I can laugh at you and make jokes about it.

    There, I said it, what are you going to do about it? If I'm banned, so be it.

  • http://Kingfisher Kingfisher

    If it was between a foetus and my child, I know who I would chose.

    - Elizabeth, Cambridge

    If it was between a fetus and her, I know what I would choose.

    Anyone who would allow the most innocent to suffer deserves to suffer themselves. I have absolutely no sympathy to anyone who simply dismisses this.

    The baby was allowed to die and whats_up is fine with that. May he suffer horribly as well.

  • http://Kingfisher Kingfisher

    quite apart from the financial implications of trying to save a child as tiny as this. The NHS is not capable of financing extraordinary efforts to save one person's life.

    - Caroline, Glasgow

    Once upon a time, Caroline was once as tiny as this baby yet someone had the compassion to let her live.

  • Lizard

    Ever notice how other "Westernized" nations claim such a lower infant mortality rate than the US? This is why.

    In the UK, baby Jayden is counted as a "miscarriage", and unworthy of birth or death certificates.

    In the US, he would have been rightfully counted as a deceased infant.

    Hence, the US infant mortality rate balloons and all the other nations make fun of our backwards healthcare system.

  • http://guardian.blogdrive.com/ CavalierX

    Well, so much for the idea of "universal" health care. Or have the Libs already stopped claiming that "everyone would be covered" under such a horrible system?

  • Lizard

    "universal" has always been known to mean "only if you're deemed useful to society" Cav

    The very young and the very old are chaff, because they lack the strong backs needed to prop up glorious socialism.

  • http://Kingfisher Kingfisher

    Too bad nobody had the forethought to toss whats_up into the trash when he was only a clump of cells. The world would have been better off for it.

    Easy for you to toss somebody else into the trash when you're alive, isn't it whats_fucked_up?

  • http://conservativebootcamp.com martinhale

    Posted by Lizard

    2009-09-09 17:00:36

    My UK cousins and the few remaining aunts and uncles I have there have all been universally brainwashed to accept that people over 60 don't deserve extraordinary care. I gave up long ago trying to point out the intentional and devastating ageism inherent in the NHS. Like good little Eloi, when the siren song of the NHS calls, they file mindlessly into it's arms, not seeming to know that the Morlocks of the NHS await their arrival with syringes drawn and death protocols at the ready. The people there just seem to accept that some people never come back from the Morlock temples. That Wells bloke was right prescient, he was.

    It's funny how they hem and haw when it comes to talking about their direct relative, my mum, who at 85 is the oldest survivor of the family. We can all talk about 'evidence-based' this that and the other thing 'till we're blue in the face, but the fact is that as a retiree, thus no longer funding the NHS, had she remained in England, her cancer at age 63 would have likely been her demise. Instead, having emigrated to America after WWII, she's had 22 years of full life with family, friends, and community and is still going strong.

  • TheBaud

    Easy for you to toss somebody else into the trash when you're alive, isn't it whats_fucked_up?

    Posted by Kingfisher

    2009-09-09 17:17:37

    Liberals are all for killing a child seconds before it is born. Why shoudl they have any compunction about killing that child AFTER it is born.

    Obama would do it.

  • http://Kingfisher Kingfisher

    At least we have a healthcare system!! No one is really interested in your opinions. As the majority of you don't have a passport l find it difficult to see how you can comment on other countries…..

    - Erin, London, UK

    Dear Erin,

    I didn't realize that an individual needed a passport to log on to a website to comment on the activities on other countries. That fails to explain why I've been able to comment for years without a passport.

    Do you have a passport? If so, let's see it.

    - Kingfisher

  • http://Kingfisher Kingfisher

    How much money would it cost to "save" a "baby" like Jayden?

    Why? Are you worried about profits?

    That is money that cannot be used to do other things on the NHS, like save children who are already with us on this planet and maybe have cancer or have been hit by a car and need to have an operation.

    Ah, so human lives will now have priority. I guess the "upper crust" of British society have priority.

    Choices have to been made – not all are easy.

    When you need medical help, perhaps someobdy will make the "hard choice" and let you die. That will save a lot of money.

    There needs to be a cut-off, unfortunately, this means that things like this can happen but if any of us had to choose between a foetus and a child who was already born but maybe had a disease or an accident – how many of us would choose to spend the money on a foetus who would probably not survive?

    There does need to be a cut-off. I say let all liberals die since they're only parasites to society. Not only will we save health care costs but we won't have freeloaders taking from the treasury.

    Once again, selfishness rears its ugly head. Let the "less deserving" die to save the "enlightened." Interesting how everyone considers themselves to be worthy.

    If it was between a foetus and my child, I know who I would chose.

    Fortunately, in our system, third parties cannot make the choice. That will change when Obama is in power.

  • http://Kingfisher Kingfisher

    This is worse than any of you can imagine. Her live baby boy was left to die in her hands b/c a govt panel decided he was not worth the cost.

    whats_up: Who-hoo, he's going to die! Cheers!

    Remember, if an insurance company decided this, w_u would attack the company for putting profits ahead of life. But, saving government money is a different story.

  • TheBaud

    There needs to be a cut-off, unfortunately, this means that things like this can happen but if any of us had to choose between a foetus and a child who was already born but maybe had a disease or an accident

    Posted by Kingfisher

    2009-09-09 17:30:24

    The really sad and pathetic part of her letter is that this child WAS BORN, and was then denied the medical care necessary for him to remain alive.

    Here is another compassionate Liberal who has decided that they can determine when life begins.

    The next time they have a child in this situation, I suggest that they immediately kill Elizabeth in Cambridge and use her medical care to treat the child.

  • http://www.2008news.com jimg

    Yep King I still support socialized medicine – crthns

    Then one can only hope karma has a big helping of nasty for you.

    In other words, that you die banging on the doors of a clinic that won't accept you because your condition fails to meet government standards requiring treatment.

    And you'd deserve it. Fully.

  • http://networdblog.blogspot.com/ Christopher_Taylor

    The NHS is universally despised in England and it serves as a severe, awful warning, like a pile of skulls writhing with maggots in the road: don't go here, don't go even close.

    Because they cannot get rid of the National Health Service now, its permanent until England finally collapses entirely. Don't even take a step toward this, because if its not perfect and handled with exactitude and care… you'll be trapped under the crushing burden of such an evil here too.

    Government programs don't go away, they just get bigger and worse.

  • libliever

    Problem with this is we don't know any hardcore facts. We have a mother screaming that he was breathing on his own.

    Anybody with rudimentry knowledge knows that this is just not possible.

    Take for example surfactant:
    http://oac.med.jhmi.edu/res_phys/Encyclopedia/Sur

    Premies lack surfactant and the more premature the more likely they will have respiratory distress to say the least.

    I would like to read a first hand account by the MD who was at the scene and know for example if surfactant was an option or not.

  • aharris

    You can see the desparation in those comments. The one saying that the NHS should help a child who has cancer instead of trying to help a newborn who came into the world a bit early. It's the rabid warfare of citizen against citizen as they all scramble for what little care is offered to them. None of them care who has to suffer and die for lack of the resources they took up.

  • http://Kingfisher Kingfisher

    Problem with this is we don't know any hardcore facts. We have a mother screaming that he was breathing on his own.

    We do know this is a pre-existing condition and we do know that NHS decided to put money ahead of healthcare. We also know that some "compassionate" libs supported this decision.

    If this was under our current system you would have denounced this big time. Since this is a government operation, you have no problem with this.

    Interesting that no doctor decided to check out the baby to make sure that the baby was alive. That's why you won't see a doctor's report.

    Now what is your opinion?

  • http://Kingfisher Kingfisher

    Posted by aharris

    2009-09-09 19:19:26

    Well said.

    Naturally, the supporters are in favor of NHS helping THEIR children but screw the others.

  • http://Kingfisher Kingfisher

    Premies lack surfactant and the more premature the more likely they will have respiratory distress to say the least.

    Note the highlight. Dr. dickhead believes that it is more LIKELY so nobody should try.

    When you have cancer, we'll vote if you're "likely" to survive and decide if you're worthy to save. Chew on that for awhile.

  • Mike_M

    "Problem with this is we don't know any hardcore facts. We have a mother screaming that he was breathing on his own."

    Fact is this kid would have at least gotten care if he had been born in the United States.

    You liberals want to bring us a system where babies are left on a shelf to die because some government bureaucrat wrote an arbitrary guideline.

    No, instead you blame the mother and call her a liar (based on your vast medical expertise, I'm sure) just because you can't possibly say anything that would damage Obama and his march to fascism.

    I thought Ayn Rand was exaggerating when she said collectivist liberals worship death. Thanks for proving her right.

  • libliever

    You guys couldn't choose between tylenol and ibuprofen for a headache.

    Save the emotionalism, and let the people that handle more reality in a day then you will ever see in a lifetime, make the hardcore decisions.

    You just sit back and relax.

    Take a pill or drink.

    Oh and get back to me when you have done a gig on a neonatal unit.

    I would love to hear your war stories.

  • Bildo

    Posted by libliever

    2009-09-09 19:15:18

    "Anybody with rudimentry knowledge knows that this is just not possible."

    Anybody with rudimentary knowledge knows that it is quite possible.

    http://www.dailymail.co.uk/health/article-437236/

    and as stated in the article which is the topic of this thread, a baby has been born at under 22 weeks and survived. The fact that the baby survived two hours with no care shows that with proper neonatal care it at least had a fighting chance.

    "Premies lack surfactant and the more premature the more likely they will have respiratory distress to say the least."

    The fact that it is possible, or even probable, is not enough for douchebags like you to have the power to snuff out their life.

    "I would like to read a first hand account by the MD who was at the scene and know for example if surfactant was an option or not."

    From the article it was obvious that the doctors didn't examine the child. They aren't allowed to. It was treated as a miscarriage before it was even born.

    From the article that you didn't read:

    Experts on medical ethics advised doctors not to resuscitate babies born before 23 weeks in the womb, stating that it was not in the child's 'best interests'.

    The guidelines said: 'If gestational age is certain and less than 23+0 (i.e at 22 weeks) it would be considered in the best interests of the baby, and standard practice, for resuscitation not to be carried out.'

    Medical intervention would be given for a child born between 22 and 23 weeks only if the parents requested it and only after discussion about likely outcomes.

    So bureaucrats, not doctors are setting the rules about whether someone lives or dies…

    In the end, by separating the powers of insurance, medical care, and governmental regulation, you end up with a more expensive, but far higher quality healthcare system. Combine two of the entities into a single unit, and you end up like the airline passengers stuck on a tarmac while the toilets overflow. Nobody has the courage to defy the bureaucrats for fear of losing their careers. Combine it all into a single entity and you end up like baby Jayden, dead because it's dictated so by higher ups. Nobody is even willing to question whether the regulations are humane.

  • http://networdblog.blogspot.com/ Christopher_Taylor

    Libliever knows better than you do, bildo. You don't handle reality like the experts do; according to him you have to be a doctor to be able to even consider criticizing any health care decisions, everyone else is too stupid and inferior, apparently.

    This is known as an ad hominem appeal to authority: rather than showing how something is wrong, you say "this expert says so and you're not an expert." Its called a fallacy because it fails to refute the argument.

  • http://Kingfisher Kingfisher

    Oh and get back to me when you have done a gig on a neonatal unit.

    I would love to hear your war stories.

    Posted by libliever

    2009-09-09 19:47:26

    Get back to us when you have evidence that you've paid for other people's health care out of your own pocket.

    And this "gig" that you did, are you a doctor?

  • http://Kingfisher Kingfisher

    Save the emotionalism, and let the people that handle more reality in a day then you will ever see in a lifetime, make the hardcore decisions.

    You mean, like politicians? Even better, unaccountable czars?

    Do us a favor, fuck off and die. Save the planet.

  • whats_up

    Posted by Kingfisher

    2009-09-09 17:02:01

    King you make me laugh every day, this rant was pretty good, sad but good, keep it up man, keep it up.

  • http://conservativebootcamp.com martinhale

    So, libliever, are you a qualified NICU nurse, OB surgical tech, a midwife, OB PA/NP, or perhaps a physician? If so, do tell us. If not, please stop trying to play the expert that you're not.

    I noticed that the web page you used as a cite said at the bottom:

    Surfactant is formed relatively late in fetal life; thus premature infants born without adequate amounts experience respiratory distress and may die.

    There are a couple of things about that sentence which belie the certitude with which you portray matters.

    Firstly, the sentence clearly states that only infants who are born without adequate amounts of surfactant will experience respiratory distress. The logical mind realises that not all infants develop uniformly in utero, and so it's clear that not all premature births involve neonates who are deficient in surfactant. Only those who are surfactant deficient experience respiratory distress.

    Secondly, the sentence establishes that those neonates who are born in a surfactant-deprived condition and who suffer respiratory distress may die. Not will die; not have to die. Not must die. May die. May as in might. May as in possibly. Again the logical mind recognises that the person who wrote that sentence is stating clearly that not all neonates born prematurely will die due to respiratory distress from surfactant deficiency, in fact, not even all of the neonates who are born surfactant deficient will die.

    So, again, if you're schooled in the healing arts in some capacity, please step forward and identify yourself. But even if you are a practitioner who is experienced with neonates, especially prematurely born neonates, you've chosen a very weak cite with which to bolster your case that baby Jayden was necessarily doomed to die.

  • http://Kingfisher Kingfisher

    King you make me laugh every day, this rant was pretty good, sad but good, keep it up man, keep it up.

    Posted by whats_up

    2009-09-09 20:20:09

    Good, maybe we'll be lucky and somebody will put a bullet into your head. Then I'll be laughing.

    How's that for a rant?

  • http://Kingfisher Kingfisher

    Like I said whats_up, don't fuck with me on this thread. You're happy with this baby dying so why should I be concerned about your life?

    See what happens when you devalue human life?

  • http://www.superdickery.com mightysamurai

    Yep King I still support socialized medicine

    I see we have Whats_up openly supporting what can only be called the murder of infant children. Any other liberals want to join him?

  • Mike_M

    "Oh and get back to me when you have done a gig on a neonatal unit."

    I'm sure your experience mopping the floor provided you with so much insight and knowledge…

    Besides, the issue here isn't about this baby's odds of survival. It's about the fact that he got no care whatsoever and was left alone to die because of an arbitrary bureaucratic rule laid down by a socialist death panel.

    I don't care if you're the head of a neonatal unit at a prestigious hospital. Not a damn thing you say can possibly mitigate the fact that this was an outrageous and criminal act caused by socialized medicine.

  • http://PatriotPost.US bthewolf

    What a bunch of fucking hypocrits, Lib will stand there and calim conservatives are heartless and mean beacuse we don't to pay for another persons healthcare through a govt plan, but have no problem snuffing out an innocent life that MIGHT cost more money to save.

    Well WU you and anyone else who supports this kind of hypocritical BULLSHIT can fuck off and DIE!! You are monsters for supporting a system that allows this to happen to people who are innocent and are NEVER GIVEN A SAY IN THE MATTER!!

  • http://Kingfisher Kingfisher

    Hey whats_up, why haven't you responded? Or are you upset that I wish that you suffer miserably and rot in hell?

    I see we have Whats_up openly supporting what can only be called the murder of infant children. Any other liberals want to join him?

    Posted by mightysamurai

    2009-09-09 21:03:50

    That's exactly what this is…the expectation and hope of the death of "unwanted" children, all in the name of "health care."

    Remember a certain leader in Germany killed 3 million people all in the name of social improvement. When we devalue human life then the ones who cannot speak for themselves are often the first to go. In this case cost was more important than life. Remember, whats_up bitched yesterday about "excessive profits" but accepts this wholeheartedly.

    Whats_up, please proclaim this from the highest point. You'll do the conservative movement a favor.

  • http://Kingfisher Kingfisher

    Well WU you and anyone else who supports this kind of hypocritical BULLSHIT can fuck off and DIE!!

    Better yet, I hope somebody takes care of whats_up for the rest of society's benefit. Very painfully.

    Maybe when he's in the hospital, we can pull the plug and end it.

  • Pingback: Cassy Fiano » Health care outrage: UK hospital left premature newborn to die

  • klaatuwolf

    I see things like this and take them quite personally. I have a neice who was an extreme premmie (just under 23 weeks). She spent her first two years of life in the hospital and endured a dozen different surgeries at a cost of almost a million and a half dollars. My brother and his wife were told that Jessica likely wouldn't live much beyond her fourth or fifth birthday, and I imagine that if she were born over in the UK, she would have ended up like baby Jayden. Today Jessica is a happy 20 year old young woman with a father who absolutely dotes over her even tho she's disabled to the point of requiring a 24 hour caregiver. I feel the world would be much worse off if she'd been deemed 'unworthy' of care at her birth by some beauracratic bean counter.

    So, I agree with Kingfisher when he says to WU that he can FOADIAF. You wanna kill babies that *might* not live, then kill your own kids. Don't tell doctors how to treat mine and my families.

  • airfr8er

    Posted by libliever

    2009-09-09 19:47:26

    If this kid had been 2 days later they would have helped, Lib. TWO FUCKING DAYS DICKBAG! 2 DAYS! Also you have no idea what anyone on this site has gone through. So I say this with all my heart. Take your post, print 5 copies of it, wad them into a ball, shove the ball down your throat and choke on it.

  • whats_up

    I see we have Whats_up openly supporting what can only be called the murder of infant children. Any other liberals want to join him?

    Posted by mightysamurai

    2009-09-09 21:03:50

    I see your logic is failing you again, I dont support murder of infant children, never have claimed to, I do support socialized medicine so that others wont die because they cant afford medical care, why do you want them to die mighty?

  • http://Kingfisher Kingfisher

    I see your logic is failing you again, I dont support murder of infant children, never have claimed to,

    But your failure of outrage proves you wrong.

    I do support socialized medicine so that others wont die because they cant afford medical care, why do you want them to die mighty?

    Posted by whats_up

    2009-09-10 11:31:24

    Tell that to the mother of this baby. The baby couldn't afford heath insurance, where is he now?

    Now fuck off and die a horrible death.

  • airfr8er

    Posted by whats_up

    2009-09-10 11:31:24

    Please track down the % of people who die here because they can't afford med care vs. the % of people who die because of socialized medicine. Oh, I forgot. research to you = facts to you= sunlight to vampires.

  • http://Kingfisher Kingfisher

    Please track down the % of people who die here because they can't afford med care vs. the % of people who die because of socialized medicine. Oh, I forgot. research to you = facts to you= sunlight to vampires.

    Posted by airfr8er

    2009-09-10 11:51:51

    The only addition I would make to your excellent comment is the % of those people who died were denied care under Medicare, Medicaid or SCHIP.

    You're right, however, whats_up isn't interested in facts.

  • libliever

    Posted by airfr8er

    2009-09-10 10:09:15

    Do you know all these peoples' stories airhead?

    Let's get one thing straight. If you are going to provide care for a 5 mo old premie then you better do it for all of them.

    IOW, you have two premies one five months and one seven months. You only have so much money, this is the bottom line, only so much resources.

    Who do you save?

    You spend almost your entire budget on the five month premie and less than you want on the 7 month premie because of it.

    The seven month premie dies are you going to be self righteous for that seven month premie that didn't make it like you are with the five month premie who has practically no chance to live but you hold on to the 1 percent chance no matter what?

    Where do you get the money?

    Do you deficit spend and the hell with it and just let healthcare costs go totally out of control?

    I'm there believe me I'm there I'll do it just appropriate the money.

    But don't tell me it's raining out when your peeing on my leg because we've been deficit spedning in healthcare for years and its catching up to us.

    There are people that have to make tough choices it's easy to sit on your high horse in total anonymity and spout: save the baby, save the baby at any cost.

    What is the cost that your willing to spend out of your own pocket?

    That's what I want to know.

    If you say whatever it takes then fine like I said I'm there, I'm with you.

    The reality is a baby that doesn't have a chance will be sacrificied for those that have a fighting chance.

  • http://conservativebootcamp.com martinhale

    "…we've been deficit spedning in healthcare for years and its catching up to us."

    Do tell. Do you have concrete evidence of this deficit spending (I'm presuming you mean as a nation), or are you just engaging in a bit of good old-fashioned hyperbole? Right now, it would be hard to attach the blame for our national deficits to any one programme. That's not to say that we're not overspending, it's only to note that no one budget line item is the one which is at fault. When looked at individually, Medicare is paid for through block grants to the states and represents just one more line item in the budget every year. Medicare, as poorly as it's run, still isn't bankrupt – but again, since it's just another line item on the budget, who's to say that Medicare is causing our deficit.

    Now, if you meant to say that some of our public health care funding programmes run at a loss, you'd be right, although loss isn't really a very meaningful concept when it comes to government spending.

  • libliever

    http://www.federalbudget.com/

    This is a nice graphic.

    I don't think it is hyperbole at all.

    But you're right Martin when you say 'loss isn't really a very meaninful concept when it comes to government spending'

    Point is if the government didn't spend the money on grandma and grandpa everybody here would be up in arms. Why did you let great aunt Annie Bitgood die from complicatons from that bedsore.

    Where is the conservative alternative to Medicare?

    There is none you just spout off saying the government bad but you don't have solutions. Not you personally Martin but conservatives in general.

    Bottom line is when baby boomers start aging in earnest whose going to take care of them?

    It's bad now just wait until then.

    Martin, I don't mean to digress, but how is your health?

    I sincerely hope you are doing well!!

    Getting back to a possible fix.

    I have a solution it may work it may not.

    We live in the technology age just like there was the bronze age, iron age and so on, some would say the information age I prefer technology age whose potential dwarfs the invention of the wheel, the discovery of fire and the printing press combined and then some.

    Point is probably, most likely in the next 10 to 30 years fantastic discoveries ie cures for the auto immune diseases, cancers will be realized by the technology age as well as other fantastic developments; we're no longer in the infacy stage we're probably in the toddler stage in this incredible age.

    You borrow against these as of yet unrealized cures to fund NOW your healtcare programs.

    It's a calculated stab in the dark but I think it could work.

    Anyways what are your thoughts?

  • http://conservativebootcamp.com martinhale

    My health is fine.

    I have a number of suggestions which would improve Medicare.

    1. – Do away with Part D – the Bush monstrosity – and replace it with a tightly analysed formulary. Wal-Mart manages to make a profit selling a formulary of the ~300 most prescribed generics. I'm sure the geniuses in DC could do the same. Let patients foot 80% of the cost of off-formulary prescriptions. Let patients express their outrage to their providers when they prescribe BigDollarDrugs™ instead of other less costly alternatives.

    2 – Get Congress out of the business of setting Medicare rates directly. Neither your representatives nor mine know jack-shit about what procedures, supplies and durable medical equipment are worth, so they shouldn't be the ones deciding on that.

    3 – Take Medicare off that convoluted DRG system of billing and replace it with a system which mimics what the private sector does.

    4 – Eliminate the multiplier effect of 'levels of care'. If a provider knows to ask half-a-dozen questions during a patient visit, they can charge almost four times more for the consult. That's FWA just waiting to happen.

    5 – Do more to audit the system and crack down on FWA. It's endemic in Medicare and needs to be stopped. Maybe hiring more independent auditors is the answer.

    6 – Stop making Medicare the primary insurance for seniors who have other policies. Plenty of them have other insurance which is better and more comprehensive, but Medicare insists on being primary.

    7 – Introduce a needs test for Medicare – my folks retired to a community which was crawling with seriously rich people in multi-million dollar homes – do they really need to get the full Medicare programme, or could they be needs tested to a less costly alternative.

    8 – Revise the reimbursement rates for Medicare – the fact is that in large sections of the nation, a majority of providers don't take new Medicare patients, or worse, don't take Medicare period. What good is health insurance if you can't find a provider to take it? It's the low reimbursement coupled with the massive paperwork requirements which chases providers away. Here too the private sector has a much better track record in keeping providers satificed.

    Do those eight things and Medicare can be turned into a self-sustaining programme, even with the baby boomers thrown into the equation. My standard challenge to this administration is to make Medicare work, if for no other reasons than it's the most broken part of our health care system, and it would be a good way to demonstrate that their ideas for saving money actually work before they try them out on the rest of us. The idea that we need this massive reform is a myth which has been out of wholecloth by political operatives with massives agendas. I would liken this whole reform movement as trying to swat a fly with a pine tree – I suppose it's technically possible to do it, but it begs the question as to why not just use a flyswatter. The truth is that about 85% of Americans have insurance, and of them, about 85% are satisfied with their insurance. That calculates out to 72% of Americans being satisfied with the way things are – why in God's good name are we imposing government into some which frankly ain't that broken?

  • libliever

    "why in God's good name are we imposing government into some which frankly ain't that broken?"

    I guess that is a matter of opinion which we could argue all day and night and then well into next week:)

    You bring up some good points but people are funny. If they pay their taxes why shouldn't they get their just do. I refer to point number 7 on your list.

    But your point is well taken Martin insofar as we have something already in place why not make it better. I still don't think it would be enough even if medicare is tweaked to its optimum.

    I'm glad you're well Martin.

    Gotta fly…

  • http://conservativebootcamp.com martinhale

    Just one question lib – with regard to imposing needs testing e.g. treating people differently based on income, how is that any different in theory and in practice than progressive income tax? If we can tax the bejeezus out of wealthy people, while letting people who make less than $50k skate on taxes, why can't we force those who can afford it to pay more for Medicare (or conversely reduce their benefit levels)? To not do so seems very inconsistent with the whole thrust of our tax policy of the past 80 years.

    Your statement that they paid their taxes and should be given their due seems upside-down to me. The wealthy have paid more into the system, and if they were to really 'get their due' they'd get more from the system than those who'd contributed less. The man or woman who's earned up to or above the FICA limit every year has contributed more to SS than the person who's only earned half of the FICA limit over the same period of time – nobody bats an eye when the higher earning person gets a bigger SS cheque every month – it's intuitively fair that they get more, since they put more in. But when it comes to Medicare, Medicare tax applies to all income, so if you make $1MM, you pay the 1.45% on the whole amount. Applying the operating theory behind SS, shouldn't that entitle you to better benefits or lower co-pays or some other advantage?

    What I'm proposing is the exact opposite of progressive tax – it's progressive cost. Based on need, people's benefit from Medicare should be scaled up or down. At a time when the system is headed toward bankruptcy, doesn't it make sense to look for opportunities to cut costs where it won't negatively impact people's lives?

    What I'm proposing would fit nicely with an effort to get seniors who can afford their own insurance off of Medicare. Hell, give seniors who purchase health insurance on their own a big fat deduction for every penny of premium cost on their tax returns. That'll make it not only fair, but attractive to many wealthy retirees to clear out of Medicare forever, thus unburdening the Medicare system of those fiscal liabilities.

    I have no problem with government safety net programmes to help those who're less fortunate and unable to meet their own needs. But I think we need to get past this idea that Medicare is an entitlement just because someone paid into the system. That entitlement mentality is what's breaking the system. The fact is that one size doesn't fit all – which is why we have progressive income tax, progressive SS benefits and a whole host of other needs-sensitive benefits.

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