No, We Don’t Have a Plan to Blow up the Bridge—or the Healthcare System
If it’s your bridge, and not one being used by the enemy in wartime, you would want to obstruct a plan to destroy it. But what if the plan is called “healthcare reform”?
Republicans are lambasted for not having a Plan. In fact, they have had many proposals to decrease costs, improve patient care, and expand access to medical care. But the great universal Plan for healthcare reform?
That’s one the Republicans, and most Americans, oppose—if “healthcare reform” means compulsory government-funded “insurance” and the destruction of private medicine, private insurance, freedom of choice, and traditional medical ethics. This used to be called “socialized medicine.”
In various forms, complete or incomplete, socialized (tax-funded) medicine has been proposed many times in the U.S., at least since the Wagner-Murray-Dingell bill in 1943. We now have socialized medicine or single payer for the elderly (Medicare) and for the poor (Medicaid). The strongest and most consistent proponents of “healthcare reform” want socialized medicine for all (except for the ruling elite). They call it “universal coverage.”
ObamaCare doesn’t quite get us there. Not yet. But it clearly aims to destroy the free-market payment mechanism (fee for service) and replace it with a collective system, Accountable Care Organizations, in which physicians are accountable to the ACO, not to individual patients.
It is calculated to destroy voluntary insurance, with risk-based premiums, and replace it with collectivized prepayment for government-approved services, with income-based funding (a combination of community-rated “premiums” and tax subsidies). Tens of thousands of people have already gotten notices of cancellation of their insurance. Independent physician practice is becoming increasingly difficult, and all but about 40% of physicians are already employees.
Destroying the old may be necessary for building the new. In the German film Downfall (Der Untergang) about the last days of the Third Reich in the Hitler bunker, Hitler told Albert Speer that the Allied bombing had a good side: It saved the trouble and expense of demolishing the old, so Germans could build the glorious new Thousand-Year Reich.
It is absolutely clear by now that socialism doesn’t work—at least for achieving a decent life for the common man. In her 1986 book Life and Death in Shanghai, Nien Cheng, who wrote of her experiences during the Cultural Revolution in China, quoted the Chinese Communists: “We would rather have socialism’s lower production figures than capitalism’s higher production figures.” But radical reformers want equality (of all except the ruling elite) more than prosperity—even if it means equality of misery.
Publications of the American Medical Association and the American College of Physicians in the late 1970s and early 1980s put a generally positive spin on the Cultural Revolution. They never ever alluded to the mass casualties. The terms for things they admired in Mao’s China permeate the American healthcare reform literature today: wellness, prevention, and “team effort.” The Maoist hostility to private profits and instigations to class warfare are echoed in the constant drumbeat about “disparities” in the U.S. healthcare system.
“The changes in healthcare in China would, I believe, have been impossible except in the context of revolutionary change in the entire society,” wrote Victor Sidel in 1975 in the Archives of Internal Medicine. “
As we think about the necessary changes in our healthcare system, we will…have to examine those changes in the light of the maldistribution of resources and of power in our entire society.” He thought that the Chinese experience “teaches us that we must broaden [our efforts] to include major social changes as well.”
The fundamental transformation of America has been contemplated for a long time. On the way to the glorious utopian future, bridges to the past are being blasted away.
The very acceptance of the idea that we need one central Plan to organize and direct our lives—and that doctors who were once captains of the ship need a boss—signals what we are losing.
Americans have the right to be the master of their fate, and the captain of their soul. The Plan is the enemy, and its replacement is not another Plan, but freedom.
Dr. Jane M. Orient, M.D., has appeared on major television and radio networks in the U.S. speaking about issues related to Healthcare Reform.
Dr. Jane Orient is the executive director of the Association of American Physicians and Surgeons, a voice for patients’ and physicians’ independence since 1943.
She is currently president of Doctors for Disaster Preparedness and has been the chairman of the Public Health Committee of the Pima County (Arizona) Medical Society since 1988.
Dr. Jane Orient has been in solo practice of general internal medicine in Tucson since 1981 and is a clinical lecturer in medicine at the University of Arizona College of Medicine. Her op-eds have been published in hundreds of local and national newspapers, magazines, internet, followed on major blogs and covered in the Wall Street Journal and the New York Times.
Dr. Jane Orient authored YOUR Doctor Is Not In: Healthy Skepticism about National Health Care, published by Crown; the second through fourth editions of Sapira’s Art and Science of Bedside Diagnosis, published by Lippincott, Williams & Wilkins; and Sutton’s Law, a novel about where the money is in medicine today.
Dr. Orient’s position on healthcare reform:
“The Healthcare plan will increase individual health insurance costs, and if the federal government puts price controls on the premiums, the companies will simply have to go out of business. Promises are made, but the Plan will deliver higher costs, more hassles, fewer choices, less innovation, and less patient care.”