Obama Blows His Presidency — Top Ten Health Care Reforms He Won’t Do
For the first time in memory, Bill O’Reilly, arch Fox conservative, and Chris Matthews, arch MSNBC liberal, reacted the same to an event — both found that Barack Obama failed entirely to explain his plans for health care reform in his televised press conference.
And virtually all commentators noted the same flaw in the Obama presentation and explanation — he’s afraid to tell Americans that — well, remember that old sign: "You can have it cheaper, better, and more of it — but not all at the same time"?
I watched the sacrificial Democrat (you know, the one labeled "Democratic strategist" sandwiched between two nuts like the host himself on one of those Hannity panels) who intoned: "Health care reform will maintain current coverages, give access to everyone, and save money." You can see why Hannity selected her — to make the nuts look reasonable!
But Obama, David Axelrod, Rahm Emanuel — and the entire Republican leadership — are just as bad. Ask them what will have to be sacrificed, and they (the Dems) indicate "Nothing — just a few millionaires will pay more taxes." And, oh, there is one health care player Obama is willing to punish — insurers (even pharmaceutical manufacturers escape his opprobrium).
Republicans, as usual, are living in some other time and place. Their claim? "American health care is the best in the world. We’ll reduce the costs with tort reform, and give everyone greater access by incentivizing (a popular Obama term) private coverage."
Oh, and both sides will eliminate waste, duplication, and fraud. That should save a trillion or two right there!
Here are the top ten health care reforms neither side will propose:
- Means test Social Security and Medicare
- Pay only for effective treatments
Channel patients to providers who accept a prix-fixe pay schedule- "Incentivize" individual care choices (i.e., make people pay for more of what they use)
- Tax employer health care benefits as income
- Make managed care de rigeur
- Mandate that every American must have health care coverage
- Favor treatment for the young and fixable over the old and incurable
- Eliminate private insurance
- Put Obama’s birth certificate on the back of the one dollar bill (oops, wrong post!)
Failing to do these things will not produce better care for more people at lower prices. Rather, it will mean a diminishing group will receive unlimited (but but not necessarily effective) treatment costing everyone more.
And Barack Obama is just too nice a guy, too good a politician, and too reluctant to give people bad news to blow the whistle on this three-card monte — or, better, Ponzi — scheme. You know, the kind of deal where you collect more and more money for an unsustainable and unproductive enterprise until the entire house of cards collapses?
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No one intends to become a drug addict or alcoholic. Our experiences show that the drug addict or alcoholic was usually an intelligent and often creative person with much hope for the future.
The more a person uses drugs or excessive alcohol, the worse the problem becomes. So they continue the “solution” for their problems, more drugs. Soon new problems are created by drug use. The person feels the need to use consistently, and will do anything to get high.
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In medical terminology, an addiction is a chronic neurobiologic disorder that has genetic, psychosocial, and environmental dimensions and is characterized by one of the following: the continued use of a substance despite its detrimental effects, impaired control over the use of a drug (compulsive behavior), and preocupation with a drug’s use for non-therapeutic purposes (i.e. craving the drug). Addiction is often accompanied the presence of deviant behaviors (for instance stealing money and forging prescriptions) that are used to obtain a drug.
maintain its desired effects. For instance, individuals with severe chronic pain taking opiate medications (like morphine) will need to continually increase the dose in order to maintain the drug’s analgesic (pain-relieving) effects. Physical dependence is also a pharmacologic property and means that if a certain drug is abruptly discontinued, an individual will experience certain characteristic withdrawal signs and symptoms. Many drugs used for therapeutic purposes produce withdrawal symptoms when abruptly stopped, for instance oral steroids, certain antidepressants, benzodiazepines, and opiates.
When parents realize their children have drug problems and must find treatment, they frequently do not know where to turn. The family is often in a crisis situation, when decisions must be made quickly. Yet very little information is available about what parents should look for in choosing a program. Most parents are concerned about cost: do their employee benefits cover drug treatment? If so, for how long? If their coverage is limited, will they be able to pay to get the best possible treatment for their teenager? What kind of treatment will work? Should their teen be sent away to a residential program or can he or she be treated in his or her own community while still living at home? How long will treatment take – a few weeks, months or even years? Parents face bewildering questions they don’t know how to answer, or even how to find answers. They may also feel frightened or ashamed that their teen has substance use problems. And they may also recognize that their own alcohol and drug use problems have contributed to the problems their child is experiencing.
The period after treatment is vitally important: most adolescents relapse in the first three months after treatment. However, continuing care services can greatly increase the likelihood of sustained recovery. Developing follow-up plans while the teen is still in treatment is important in providing a structure for the teen and his family, so that treatment gains continue. These plans may include relapse prevention training, referrals to community resources and periodic check-ups by the program with the adolescent and his family. Twelve-step meetings can also be helpful for some teens in recovery, although finding 12-step meetings specifically for teens can be difficult in some communities. Unfortunately, many programs do not provide continuing care, and parents must try to support the teen’s recovery as fully as possible. Parents can identify services within their community that will help the teen live without drugs, including well supervised recreational programs, counseling, and community service. Parents should stay in close touch with their children every step of the way. Parents who believe that their children can overcome their problems and be successful in school make a powerful difference even when faced with difficult circumstances. (In Treating Teens: A Guide to Adolescent Drug Treatment the help hotline numbers can provide referrals to resources in each state.)