Now that the Supreme Court has ruled that the majority of Obamacare will be allowed to stand, those of us who are advocates for the disabled need to step back and take a long, hard look at what we are getting ourselves into. Most in our community hailed the passage of Obamacare, grasping at the hope that this would finally be the solution to the unique problems we face in caring for family members who have multiple medical problems.
Besides the fact that this poorly written law is riddled with ill-conceived mandates (sorry taxes) the likes of which we have never seen, it was rammed down our throats while weak attempts were made to sell it to us by promoting the concept and withholding the facts.
Mark my words two things will happen if this law is not overturned. 1. Obamacare will cost much more than we are being told. 2. Obamacare will lead to the rationing of healthcare.
In the beginning, the lower cost mandates (sorry taxes) will drive employers out of the healthcare business and drive private individuals onto the government plan. This will explode the cost to the entire system. Once we are a few years into this, in order to pay for the additional people in the government plan, the penalties (sorry taxes) will necessarily rise to burdensome levels putting the brakes on any recovery our economy may have finally realized. Those who call this a conspiracy theory should refer to the history of other governmental plans like Social Security, Medicare, Medicaid, etc. The bottom line is a government that is nearly $16 trillion dollars in debt is not equipped to handle an undertaking of this magnitude.
To me, the most concerning part about this is that cost constraints will lead to rationing. In some cases this is already happening. Canadian and European plans show us that the only choice providers have, is to decide who will get services based upon a “return on investment”. The United Kingdom uses what is called QALY (quality-adjusted life-year); a mathematical calculation which determines whether someone is worthy of treatment. Disabilities are factored into this calculation. Obamacare’s 18-member Payment Advisory Board will more than likely apply what is called the “Complete Lives System”, promoted by one of President Obama’s leading advisors on healthcare, the Bioethicist Ezekiel Emanuel. This system takes into consideration several factors and assigns a grade based upon a person’s future benefit to society. I’m sorry, but I don’t want a government bureaucrat determining my son’s future value to society. In our new “Obamacare World” experimental surgeries and treatments devised to do everything to save the patient will be a thing of the past. A doctor’s Hippocratic Oath will take a back seat to the “Obamocratic Oath”.
I will be the first to admit our system before Obamacare was severely flawed, but this plan takes us in the wrong direction. Medicare, Medicaid and private insurance all three need a complete overhaul. If there is an insistence that government be involved, it should serve more as a “safety net”. A free market that would allow individuals to buy insurance across state lines would be a major step in the right direction. Here in Virginia, many want the federal government to take over because they don’t trust the state to do it right. Personally, I don’t trust either to do the right thing.