Health care reform

Mar 242009
 

gruztv

My crusade to outlaw television in public places is not going very well — certainly not as well as other crusaders’ measures to outlaw smoking.

I figured it would probably be an issue when I took my wife in for outpatient surgery this morning. But I’ve been able to deal with it in the past. I usually complain politely, or just find a place where I can turn off an offending television and wait in relative quiet. Last time I was hospitalized myself I made my opinions known, and got paired with a roommate who was willing to leave the thing off. A big HMO-type dentist place I used to go to wasn’t so bad — the large waiting room was divided into two parts, TV and non-TV. It was somewhat like restaurants that have both non-smoking and smoking sections; some noise still ended up in the non-TV section. But it was tolerable.

Last time my wife was hospitalized, she was paired with a roommate who refused to turn the thing off. My wife couldn’t get any rest. The thing was so loud her physician couldn’t talk to her. The roommate refused the physician’s requests to turn the thing down; which led to my wife getting moved to a private room.

Anyhow, this morning we ended up in a new, improved waiting room. But now there are even more televisions, not fewer. Big, flat-screen television screens were everywhere. There was no getting away from them. After my wife was taken to surgery prep, I tried all corners of the room, but couldn’t get away from the sounds of idiocy coming from CNN or whatever was on. Finally I found a chair in a location that was a little less bad. I sat and held my hands over my ears while I read Anna Lawton’s book, “Kinoglasnost”. Just cupping the hands over the ears doesn’t quite work, but I can block out the sounds well enough by pushing on the tragus (I think that’s the term) — not just holding it still but pressing on it repeatedly and continuously. I had to take my hands off to turn the pages, but occasional blasts of noise like that are tolerable.

I tried to resume that routine after my wife went to surgery, but finally my arms got tired, and I asked the person at the desk if there was any place to get away from the televisions. I didn’t want to get so far away that I wouldn’t be around when the surgeon came out to talk to me; finally, I decided to just stand in the hallway outside the waiting room and read. If I can walk around a little, and if I stand straight, I can stand up and read for long periods, like I did once outside a jury assembly room. That worked OK, and a person at the desk came and got me when the surgeon came. (My wife’s surgery went very well — we are thankful for that. Maybe they don’t have television blaring in the operating room.)

I suppose a person could get used to the television noise, but I don’t care to. I’m not sure, but I think the purpose of all that television is to turn peoples’ brains to jelly so they’ll vote Democratic. In looking around the waiting room to see if it made anyone else unconfortable, all I saw was people — even elderly people — looking at the idiots on the screen. Maybe it was because I was reading about Russian movies, but at one point while looking at the people I was reminded of a scene from Gruz 200. It’s pretty close to the one in the above screenshot.

The old woman spends her time watching the TV and drinking vodka. Some reviewers say she’s senile; but really, she’s worse than that. The movie is one of the filthiest, most disgusting I’ve ever seen — but there is an important point to it, which I won’t go into here. The son is a police chief, and is also a crook and rapist. He discusses the rapings with his mother, who has a perverted solicitude for her son. She tries to convince the girl to like it. But mostly, she just watches the television, oblivious to the evil and violence going on in her house except for those times when she is facilitating it.

I wondered if that’s what all the television would do to us someday. It also occurred to me that we’re coming to be more like North Korea, where it is said radios in public places are constantly blaring at people. You can’t get away from them there, either.

My kids give me a bit of a hard time about my inability to stand radio or TV noise, because when I watch Russian movies I tend to crank the volume up. It’s true — I do — mostly because I can make out unfamiliar sounds better that way.

And I do watch some television. Some years I watch the baseball playoffs and World Series, though maybe the last time was 4-5 years ago. And I watch the NCAA basketball tournament with my wife. When we do this I want to listen, not just watch. But even so, it is a blessed relief when the games are over and we turn the TV off. It’s as if a oppressive weight is lifted off my head, and I can breath free again. I wish more people would find out how wonderful the sounds of silence can be.

But it doesn’t have to be silence. While my wife was recovering after surgery, a one-year-old baby nearby was bawling its head off. Some people seemed to be bothered by it, but to me that sound is almost like music in comparison to television. Crying is not as good as laughter, but either way, it was the sound of a real person, not a TV idiot. I hope we don’t create a TV-drenched world for that baby — like that apartment in Gruz 200.

Feb 112009
 

Today I received an e-mail from moonbat.org urging me to sign a petition to President Obama that says, “”President Obama, please pick a progressive champion to head up your health care reform effort. We’re ready to fight for your goal of winning quality, affordable health care for everyone in 2009.”

I’ve been on their mailing list ever since I pledged a couple of million dollars to support their efforts to keep the Clintons in office. Sure, I lied about it, but isn’t lying what the Clintons were all about?

Anyhow, I used their online form to put my name on the petition, along with this comment:

President Obama, I urge you to pay no attention to anyone who calls him/herself progressive but who does not support those hallmarks of the Progressive Movement, the initiative and referendum, and recall elections. I am a person who supports those reforms. As a true progressive I urge you to support a free-market health care system — one in which people are empowered to use their pocketbooks to make their own health care decisions.

After submitting my petition, I was taken to a web page where I was given an opportunity to donate to the cause. I would gladly have pledged another million dollars, but they also wanted a credit card number. I didn’t have Tom Daschle’s credit card number handy, so I passed on that part.

Feb 102009
 

The Washington Post says “accused of.”

In the prime-time debut last night for a new president and a press corps frequently accused of being too enamored of him, President Obama faced journalistic skepticism from the opening question.

It could have simply said:  “In the prime-time debut last night, President Obama faced journalistic skepticism from a press corps that has been much enamored of him.”  But no, it doesn’t take at face value the many statements by others that the news media have been giddy in their support of him.

Contrast that with this statement from ABC news reporters Jonathan Karl and Z. Byron Wolf (which I mentioned in the last post):

The Senate voted 61-36 today to close debate and move forward with a gargantuan stimulus package meant to kick-start the moribund economy with $838 billion in one-time spending and tax credits.

They could instead have said, “The Senate voted to close debate and move forward with a gargantuan stimulus package that the Obama administration claims is meant to kick-start the moribund economy…”.  That would have been reporting the facts.  But no, they took at face value the claims that this bill is about the economy.

If those claims were true, how would we then explain this description of what’s in the stimulus bill, by Betsy McCaughey at Bloomberg:

But the bill goes further. One new bureaucracy, the National Coordinator of Health Information Technology, will monitor treatments to make sure your doctor is doing what the federal government deems appropriate and cost effective. The goal is to reduce costs and “guide” your doctor’s decisions (442, 446). These provisions in the stimulus bill are virtually identical to what Daschle prescribed in his 2008 book, “Critical: What We Can Do About the Health-Care Crisis.” According to Daschle, doctors have to give up autonomy and “learn to operate less like solo practitioners.”

Keeping doctors informed of the newest medical findings is important, but enforcing uniformity goes too far.

New Penalties

Hospitals and doctors that are not “meaningful users” of the new system will face penalties.  “Meaningful user” isn’t defined in the bill. That will be left to the HHS secretary, who will be empowered to impose “more stringent measures of meaningful use over time” (511, 518, 540-541)

Some stimulus.   Here it’s at best about saving instead of the spending that is supposedly needed to kickstart the economy.   (Never mind the question of whether savings can really be achieved by top-down, one-size-fits-all controls from federal bureaucrats.)  If ABC reporters Karl and Wolf had done their homework and had taken items like this into consideration, they would not have accepted at face value the notion that the bill is about economic stimulus.

Feb 092009
 

The following is what I posted on a forum at lancasteronline.com, in response to an item still making the rounds about the elimination of Michelle Obama’s $317,000/year job at the University of Chicago Hospitals. A comment about it in the Chicago Daily Observer is here. National Review has apparently questioned how important the job was if there was no need to fill the position when she left. (I say apparently, because I don’t have access to the issue in which this point was allegedly raised.) In response to critics, I said:

Besides, the 317,000 is well under the 500,000 that her husband thinks should be the maximum for senior executives at banks that received federal funds. And I’ll bet if you look at her time logs, you’d see she worked at least 63 percent as hard as a banking executive. And she probably did a lot to save on health care costs, too.

I admit it, those comments were intended as bait. But all I caught was a possibly racist Obama-hater who seemed to think I was one of the Obama faithful.

I’m used to people not noticing my sarcasm. Sometimes I even like it that way.

I wish, though, that people would wonder how Barak Obama can possibly know that $500,000 is the proper maximum compensation level for a senior banking executive. There are any number of people on his side who without batting an eye will tell you why Michelle Obama was probably worth $317,000/year. Some of those people responded in the same forum in which I did. Couldn’t those same people apply their apologetic skills to the salaries of bank executives?

I also wish people would question why it is that we have to pay $317,000 a year so someone can develop programs to encourage people to use local health clinics rather than hospital emergency rooms. If people aren’t motivated to make those choices on their own — if we need “programs” to convince people to do that — something is terribly wrong with our health care system, and that something is only going to get worse if we get the kind of universal health care being promoted by the Obama crowd.

Back to my bait, though. I think we need some kind of contest — to see who can come up with the lamest, most pitiful rationalization to excuse Obama behavior — and have that rationalization picked up and used by Obama’s supporters.

This would not be an easy task, because these people come up with some very lame rationalizations on their own. Those who are old enough got a lot of practice during the Clinton years.

Now you might ask if it isn’t just going to poison our political discourse if we go around saying things we don’t mean. I say no, that well has already been poisoned beyond repair. When you have people who can switch faster than the speed of light from defending certain behaviors to hating Bush for the same things, and then without slowing down switch back to defending them when Obama is elected, there is no point using anything but ridicule on them.

Nov 032008
 

I finished re-reading John Tanner’s autiobiography today. I’ve talked about this book over at The Spokesrider (“John Tanner and Missionaries“, “Of Moose and Mink“) but this time I want to make a political point so I’ll do it here.

Tanner seems to have spent nearly 30 years living with the Indians (as he used to put it). He was captured at about age 9, and tried going back to live with the white people in 1817 at age 38. Before that he had always had the idea that he would go back to live with the white people sometime and get married, but he kept putting it off. He became Ojibwe in almost all respects and married an Ojibwe woman (two of them, actually, though only one at a time). He developed into an excellent hunter, trapper, and fighter.

He seemed to have a clue that it was going to be difficult to go back to the white people, because he already knew the life of working for a trader (as he was often invited to do) would be boring in comparison to living by the hunt. When he finally did go back to meet his white relatives, he found it awkward. He found he could not live their way, within four walls and with the drudgery their lives entailed. He ended up going back to the north.

His first trip back was ostensibly to get his children. His white brother wanted to go with him, but Tanner knew it would never work. They would need to spend the winter there, and he knew his brother could not survive the hardships, the constant threat of starvation, and the effort it took to live through a winter the way the Ojibwe did.

Yet that was the life he grew accustomed to and the life he preferred to live for many years. And the society he preferred was that of his Indian relatives, even though he ran into an occasional troublesome person who resented him for being a chemokoman (one of the “Long Knives”). Some of those even tried to kill him, but to most people the fact that he was white was not particularly relevant.

Here is a bit from the introduction to the book, written by Louise Erdrich, herself a descendant of that Ojibwe way of life:

The most arresting character in the drama of Tanner’s life is Net-no-kwa, matriarch of the small clan group into which he is adopted. Charismatic and hilarious, Net-no-kwa is a woman of courage, a prophetic dreamer who occasionally drinks to excess. Although at first the protectress and guardian of young Tanner, his adopted mother in time becomes the proud beneficiary of his adult hunting skills. Soon there develops between the two a joking relationship based upon genuine fondness and respect. Tanner’s loyalties run deep, and he obviously loves, cares for, and admires Net-no-kwa.”

That phrase, “Tanner’s loyalties run deep,” captures a lot of what’s in the book.

His book doesn’t come out and say so, but I got the impression that one factor that drove him to finally go back to the white people was his health. As he grew older, he had periods of sickness that made it difficult for him to provide for his family.

In other words, health care reform finally defeated him.

That seems to be the way it works.

My dearly beloved grandfather refused for many years to accept Social Security. It was not that he had money. He couldn’t afford a car and lived in a leaky building with no running water and no indoor plumbing. His home was a shack behind his old, unpainted general store building in a place in North Dakota that lost its Post Office back in the 1950s. (I wish he was still living so I could go back and stay with him a while, like I did a few times when I was a young kid. He lived with us for a few years when I was in grad school, and died in 1980.) Besides spending a lot of time with his grandchildren, he also put a lot of effort into railing against Communism. But he had voted for the populist William Jennings Bryan when he was first old enough to vote, and didn’t have much time for businessmen who thought only of their pocketbooks, as he put it.

What finally broke him down on the Social Security issue was an illness that required hospitalization — probably around 1960 when I was 12 years old — give or take. The hospital was going to cost money. And what else was he supposed to do? We wouldn’t have let him go off on an ice floe, as is said to have been the practice in some cultures, and Christian duty would not permit it anyway. He didn’t want to become a burden to his children, who didn’t have much money, either. So he broke down and accepted the Social Security, even though he had been opposed to that system and every other aspect of FDR’s New Deal.

The welfare state did not succeed in buying his political views with the checks it sent him, but ever since that event I’ve been opposed to welfare pimps who try to accomplish just that.

We’re now going through another round of what happened to John Tanner and my grandfather. This week’s election promises to do away with the remnants of our society of free markets and free people. The health care crisis has pretty well softened people up for it. There are no pretty solutions for that one. Yes, the economic meltdown had something to do with it, too, but that problem is solvable if we could get the news media and leftwingers to quit lying about their role in causing it. Health care is not so easily dealt with. Not that health care will be better under the nanny state, any more than it was for John Tanner when he went to live in the more regimented society of his white relatives. But there will be some semblance of security that we’ll get in return for our loss of freedom.

It’s not necessarily the case that Obama and his entourage will turn us into a version of the Soviet Union. No, it will probably be worse than that. They’re likely to turn our country into a hellhole like Sweden or Germany — a nice society that will be death to the more modern counterparts of John Tanner who can’t live under that type of drudgery and orderliness. It will be a society that will support more human biomass and which will produce more worker bees — perhaps even contented worker bees. But it won’t support life — the life of meaningful choices (i.e. terrifying choices) and intense personal relationships that thereby result.

Jul 232008
 

I learned from Postmodern Conservative that one of my favorite columnists, Robert Novak, is alleged to have hit a pedestrian with his car and then tried to leave the scene.

As a long distance bicycler and bicycle commuter, I want to see dangerous driving behavior punished.  Maybe it was my imagination, but on my ride home from work tonight an oncoming white monster pickup wanted to play chicken with me.   I just pointed my bike directly back at him until he got back in his lane and roared off as loudly as he could.   We don’t need that kind of crap on the roads.    On the other hand, it’s no worse than the recklessness with which people are pushing so-called universal health care with no regard to the consequences for our civil liberties.   That behavior needs to be punished, too.

BTW, Novak would still be one of my top favorites even if he had to write his column from a jail cell, which perhaps he should be doing.

Jul 022008
 

How do you keep government out of the bedroom? You do it by keeping government out of the health-care business.

If you don’t believe it, check out this story about Amish health care. The Wall Street Journal has a story about the high costs of treatment for Amish people who are at high risk of genetic disorders caused by inbreeding: “Opting out: ‘Old Order’ Mennonites and Amish who shun insurance face rising bills. Should hospitals cut them a break?” There is some useful commentary at Amish America.

If you read it, you may respond, “Hey, there’s nothing in that article about government health care. This is between people and health care providers.”

That’s true, but there are people lurking around us who see every health care problem as one for the government to solve. They may present nationalized health care to us as a way of growing a magic money tree to pay for all of these things that nasty insurance companies don’t want to pay for. Or, in this case, to pay for things that nasty hospitals and doctors won’t provide at a reasonable rate. Under government health care, the risks people take will become government business, because the money to treat them will be money that isn’t used to treat other maladies. Under government healthcare, it will be government business as to whether Amish should be allowed to breed with other
Amish who might be a high risk factor for Hirschsprung disease. Under government healthcare, the government is in our bedrooms, making decisions that used to be personal matters.

Jun 182008
 

In my post about Opiate of the People, Cl asked for more details about the adverse effects of socialized medicine. Well, here’s one.

The latest issue of The Weekly Standard has an ad from www.rehabcare.com with a photo of a nice old gentleman with a walker accompanied by a caring young female therapist. It reads:

Tell Congress to pass a sensible Medicare bill now.

On July 1, bureaucratic limits will go into effect that restrict access to necessary physical rehabilitation for millions of Americans. Unless Congress acts soon, arbitrary caps will be placed on the services that all therapists can provide their Medicare patients.

Stop senseless bureaucracy for Medicare beneficiaries and preserve patient access to the therapy they need.

There’s an interesting gimmick here. How do you appeal to the conservative readership of TWS to get them to lobby for more government spending on themselves? By pretending it’s not an issue of money but one of evil bureaucracy.

And usually the nationalized health care advocates blame those nasty insurance companies for not paying. Turn it all over to a governmental insurance system, and somehow we will no longer have those greedy capitalists holding back money for treatment, they imply. Except in this case, it’s the government that’s holding back money. How about that! And they want to turn all of health care over to that kind of provider.

It’s a foretaste of what will happen when health care is completely nationalized. Health care decisions will be based not on merit but according to whichever interest groups have the political clout to get money for their favorite disease or malady. And that means we’ll all have to corrupt ourselves to make the kinds of compromises and bargains necessary to get funding for what ails us.

And that sort of corruption has a multiplier effect.

May 012008
 

I’m not quite sure what to think about this from the WSJ: “As Doctors Get a Life, Strains Show“.

The new generation of doctors doesn’t like being on call. The young ones are going to jobs where they can clock in at 8am, clock out at 5pm, and turn their pagers off when they’re off duty.

That means a woman giving birth is less likely to have her regular obstretician do the delivery. The baby could come when her doctor is off duty. Or the doctor who handled your case one day may not be the one who deals with you when you come back with complications. It requires good recordkeeping such that information can be handed off from one doctor to another.

Maybe it’s just a continuation of the trends of the industrial era. Doctors are becoming more like factory assembly line workers, and patients are becoming more like cars on an assembly line. It’s no longer a matter of craftsmanship. It’s now all a matter of routine procedure and interchangeable parts. It’s probably what we’ll get anyway, with nationalized health care.

One thing the article didn’t point out is that this trend is not restricted just to the medical profession.

I had noticed it myself among ecology researchers. Back in the late 70s and early 80s, the place where I work was humming day and night. There would be grad students and post docs working in the labs at all hours of the day. Some people practically lived there, and I was there myself during a lot of odd hours.

True, those who calculated how much of that time was spent actually working found that they weren’t working quite as many hours as they thought. For example, there were the long hallway conversations that we all felt free to indulge in, because we were working all the time anyway. Those who took the trouble to keep track found that yes, they were working a lot of hours — certainly more than 40 — but not anything like the 80 or 100 hours a week that they seemed to be working.

But then I noticed a change with newer cohorts of grad students. One could look out the window and see a grad student with golf clubs in the parking lot. Our director would predict that it would turn out badly, and I’d give my friends a hard time for indulging in bourgeoise activities like golf. These people were working more or less normal hours. They were spending evenings at home with their families. Amazingly enough, they were going on to have successful careers, even though the buildings weren’t humming day and night like they used to.

I’ve read in Perspectives, a publication of the American Historical Association, that it’s the same way in the history profession. The older faculty members need to be reminded that it’s not like the 70s when grad students would slave away for long hours with little or no pay.

I’ve been told recently that there still is a little tension between the older faculty members and grad students at my workplace over how much time the younger ones are devoting to their work. It’s not quite like the conflicts described in the WSJ article, where some of the older practitioners feel they’re having to pick up the slack for the younger ones who aren’t willing to give up their family lives for their work. But there is a little bit of generational conflict.

It’s an interesting phenomenon. I’ve seen enough that I don’t think I can predict with any confidence just how well or poorly this new trend is going to work.