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De Omnibus Dubitandum - Lux Veritas

Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts

Monday, September 22, 2025

The 2025 Version of Which Country Will Be the First Debt Domino?

September 18, 2025 by Dan Mitchell @ International Liberty 

 Back in 2011, I speculated about which nation would be the next debt domino.

 

I even wondered if it might be the United States.

Now I look at the chart I shared and think those were “the good ol’ days.”

Why? Because all of those nations today (other than Ireland) have much higher levels of government debt.

To understand the gravity of the situation, here’s the new version of the chart. But let’s remove Japan and add a few more European nations.

Based on OECD estimates of debt levels, lots of nations now have enormous debt burdens with Greece and Italy being the worst of the worst.

But since Greece is now moving in the right direction, I don’t think it will be the country that triggers a debt crisis.

I’ve long though Italy will be the guilty party, and that remains a safe bet.

Jessica Riedl, a former colleague from my years at the Heritage Foundation, shares a different perspective in a column for the Washington Post.

Here are some excerpts, starting with a grim assessment of the United Kingdom’s shaky finances.

 

Governments across the globe cumulatively spent on average $1.3 trillion annually on debt interest payments in the 2010s. Soaring debt and loan rates have escalated this year’s interest costs to $2.7 trillion. In five years, that number is projected to hit $3.9 trillion. …Let’s begin with Britain’s fiscal mess. …Britain’s Office for Budget Responsibility warns that the current debt — just less than 100 percent of its economy — is on its way to 270 percent within five decades… Yet the nation remains largely in denial. A historic tax increase enacted last year was plowed into government spending rather than closing the fiscal gap and a stubborn refusal to reform spending has brought calls for another tax hike.

I’m not surprised the the big tax hike simply led to more spending. That’s a well-established pattern in fiscal policy.

Next, Jessica looks at France.

France’s fiscal chaos has brought the current government’s collapse. …Within the European Union, only Greece and Italy exceed France’s debt, which stands at 116 percent of the gross domestic product and is heading to 130 percent within a decade. Annual interest costs are set to surge by two-thirds over five years and risk becoming the government’s most expensive budget item. Perhaps not surprisingly, Moody’s downgraded the French government’s credit rating last December. …French austerity is becoming economically unavoidable.

Austerity in unavoidable, but French politicians almost surely will impose austerity on taxpayers when they should be cutting back on a bloated public sector.

So expect a bad situation to get even worse.

Last but not least, maybe the next debt domino is the United States.

…neither France nor Britain can match the combination of debt unsustainability and denial in the United States, whose budget deficits are nearly $2 trillion and moving to $4 trillion within a decade. …Social Security and Medicare face a combined annual shortfall of $700 billion this year, rising to $2.2 trillion within a decade and totaling $122 trillion over three decades… France and Britain are at least debating solutions. The U.S. continues to slash taxes, add benefits and ignore unfathomable budget deficits. Yet the laws of math and economics always win eventually, and Americans are dangerously ill-prepared for what is coming.

For what it’s worth, I fully agree that the United States is in deep fiscal trouble.

That being said, I think France and the United Kingdom are more vulnerable to crisis.

I’ll close by re-sharing this visual, which shows investors are losing faith in many governments (as measured – in red – by rising interest rates on 30-year bonds). The U.S. has moved in the wrong direction, but interest rates have climbed even higher in the U.K.

Notice, by the way, that long-run interest rates in Switzerland have actually declined.

They are very low because Switzerland has a comparatively small government and the nation’s spending cap creates long-run stability.

Too bad politicians in Washington (and in Paris, Berlin, and every other national capital) can’t copy the one policy that works.

 

Saturday, July 5, 2025

P&D and The Week That Was

 Truth is the Sublime Convergence of History and Reality

De Omnibus Dubitandum, (Everything is to be questioned!)

This Link will take you to My Commentaries.
 
By Rich Kozlovich 

Well, the Big Beautiful Bill passed, and I've expressed my concerns and what I think the budget should be all about.  I didn't go far enough.  There's a lot of clabber from both sides, and believe it or not, both sides have valid arguments, both sides are lying, but the Democrats are so over the top with their usual emotional pontifications they win the Horsepucky of the Year Award, hands down.  

On Friday I posted this piece, Budgets, the National Debt, and We're Running Out of Time, and since I knew there was going to be a lot of commentaries about this budget I decided to add links to that article I deemed worth your time, from both sides.   But one regarding Medicare was particularly profound in my view because it highlights three important issues this bill on how to fix Medicare, Social Security, and Medicaid before they collapse.  

It seems clear if Social Security isn't privatized it will take a huge tax increase to save it, Medicare will no longer be mostly free.  It also seems to me Medicare recipients who paid into the system, will soon have to start paying monthly premiums.  As for Medicaid, that's an anchor that's going to drag the nation down with politicians on both sides of the aisle virtue signally with self-righteous hand wringing and chest pounding.   At one point the Republican controlled Senate, with a 56/44 vote, actually refused to kick illegal aliens off Medicaid.  Three Republicans crossed over.  Are you shocked to know Susan Collins was one of them. 

  • BELLY-UP—Medicare and Social Security Going Broke Ahead of Schedule Final Word: Blind pundits only see rising taxes or cutting.  It’s not ‘time travel’; the clock is just running faster, but the frightening news is, America is fighting against the clock and losing. The long-feared insolvency of Medicare and Social Security just got a little closer....
  • The 'Go-Broke Date' for Social Security Is Moved Up - Social Security and Medicare are heading toward financial trouble sooner than expected, according to new federal projections. The Treasury Department's latest reports show that Social Security's combined trust funds are now forecast to not contain enough money to pay full benefits in 2034—one year earlier than last year's estimate, Politico reports. Medicare's hospital insurance fund is set to be depleted in 2033, moving up its funding cliff by three years........

As more and more classified information is being found by Trump appointees, and it's shocking how much these agencies hid, and are still trying to hide.  People like "former FBI Director James Comey, CIA Director John Brennan, and DNI James Clapper worked together to purposely corrupt the Trump-Russia investigation in 2016 before Trump entered office."

The FBI  blocked an investigation into the 2020 "Chinese mail-in voting scam to protect Chris Wray who likely lied to Congress".  The DOJ is pursuing that and before all of this is over, and if there's any justice in the world, Wray, Comey, Brennan, and Clapper should all be heading to prison. After all, "no one is above the law."    (More here) But it gets better.  Those who corruptly went after Donald Trump filing false criminal charges against him are going to be exposed, as Senator Grassley is promising to name names.   

The Trump administration is purging the EPA which is long....long... overdue,  a full scale audit "of the SBA 8(a) program found over $550 million in contracts were linked to bribery and fraud schemes." 

Let me tell you about Wilson Tindi, DEI and due process.  Tindi is an illegal alien from Kenya.  A convicted felon, and registered sex offender who the state of Minnesota knowingly hired as an auditor rising to the "highest rank available in the state career civil service".  

Did you ever wonder why the left is so hot due process for illegals?  Because it's forever.  This article outlines how this has been going on with this guy since 2005, his criminal activity and the "due process" procedures, all of which he lost, and he's still here.  That's what the left's due process is all about, straining the system to make in impossible to deport illegal aliens.  If a man with his criminal record can't be deported, it's impossible to deport anyone easily.  I might also add so much of this would be impossible if not for the corrupt federal judges who are part of this story.  

University of Pennsylvania has been forced to apologize for robbing female athletes of winning titles promoting and allowing a man who calls himself Lia Thomas to compete against women, and have now stripped Thomas of his improperly earned titles.  In my opinion, this may have also deprived these women of financial opportunities, so not only the university, but university officials and Thomas need to be sued personally.  

Let's talk about Russia for a minute. Here's a map of Ukraine that Russia has now conquered, after over three and a half years, .... that's it, and Putin tells Trump Russia will never stop trying to conquer Ukraine.  

  

His economy is crashing, their agricultural harvests are shrinking, and due to sanctions only 16 nations are buying Russian grain.  Since the price of oil is dropping, and for reasons I don't understand the value of the ruble is strong, so Russia's gas revenues fell dramatically.  Russia's small business community is facing declines in sales, with the expected loss of revenue making it difficult to get loans, resulting in cuts to expansion and hiring.  The decline in small businesses is a bigger part of the story than is appreciated.

You can tell when a tree is starting to die because it no longer produces leaves on the upper branches, and each year the number of bare branches increases. It feels like the leaves have fallen off the upper branches of the country. Unknown

Putin's lost hundreds of thousands of young Russian men and is incapable of fielding his army without tens of thousands of North Korean "volunteers". He can't manufacture the military hardware he needs, and now Iran may not be able to supply him the drones he's been using.  Another high ranking officer has been killed, and I have to say I've never read where so many high ranking officers have been killed in a war as this one.

As for the blatantly stupid argument about Putin attacked Ukraine because he was afraid of NATO, and not blatant aggression, then perhaps they can explain to me why "Russia continues to illegally occupy about 20% of Georgian territory?"

In Tony Judt's book Post war, a History of Europe since 1945, Part Two, Chapter IX he goes into great detail about the Hungarian revolution and Czech resistance and the Soviet use of force to make sure they all stayed under Soviet control.  Nothing's changed except the names.  It's not about depth of defense, it's about conquest and power, it really is that simple, it's always been that simple, and it will always be that simple when dealing with Russia.  And everyone needs to get that.

Trump needs to understand even his negotiating skills, which are impressive, aren't going to make a difference.  We're already seeing his remarkable negotiations between Congo and Rwanda starting to come apart with disputes over interpretation, economics, and the continued violence by "proxy" groups.  I'm not expecting to see this agreement to hold.  For the sake of all these people who've suffered mighty for 30 years, I hope I'm wrong.  

Europe is a mess, and I've a lot of stored articles dealing with that, so more will be coming soon.  My conclusion is, and has been for a long time, Europe as we know is is doomed.  They did it to themselves, and it's going to get a lot worse.

And finally, Elon Musk is still at it, looking for attention.  First of all, the only third party to be successful in America is the Republican party, and an attempt to be a Ross Perot spoiler for political clout by backstabbing former allies isn't going to play well.  Nothing is in his favor.  His character, his actions, or his goals.  While Ross Perot could be criticized, his goals were deemed honorable.  Not so with Musk.   This "new party" is going nowhere, and any clout he will have will be in his ability to contribute heavily to politicians of his choice, and that may even end up to be a nothing burger. 

I've been busy this week with 12 commentaries of my own and 19 by others, and the six permanent links.  Have a great weekend, and best wishes to all those of honest heart and good will. 

Let's start out with this Quote of the Day.

My Commentaries

  1. Budgets, the National Debt, and We're Running Out of Time
  2. The Left is Bereft of Heft
  3. The XYZ Factors of Organizations
  4. Now, Back to the House
  5. Who Raises A Banner That Says: I Stand For Consensus!
  6. Is Aphorism Another Name For Humor and Snarkiness?
  7. Elon is Just Being Elon. So, Who Cares?
  8. Trump, the Federal Judiciary, and The Government of the United States
  9. Slinging Sammy Baugh
  10. International Asteroid Day
  11. Is Zohran Mamdani Really the Anointed One? Part II
  12. Let Me Get This Straight

 



Tuesday, July 18, 2023

What Were Once Vices Are Now Habits

July 18, 2023 By Richard C. Lyons

I caught a song on the radio yesterday, from one of my favorite vinyl efforts by the Doobie Brothers, What Were Once Vices Are Now Habits. A great album, fitting for a generation that took to the vices of drinking and smoking cigarettes among other things… The same generation found such habits are hazardous for one’s health, and are a lot harder to get rid of than they were to attain. Governments are like the people who compose them, they are subject to bad vice and habits

Our federal government has had a certain vice for over a century now, since Theodore Roosevelt broke Standard Oil and Woodrow Wilson created the Federal Reserve, our government has invaded our once “free enterprise” system with consistently disastrous results. For instance...... our federal government invaded the health care sector through the Social Security Act, creating Medicare and Medicaid; and has since been on the march to nationalize the whole industry. At every step of the takeover, government interference has meant skyrocketing healthcare costs. At every step, this takeover has meant much higher taxes for taxpayers.  Both higher prices and higher taxes are direct consequences of the growing government bureaucratic “control” of America’s healthcare sector.

As a matter of habit, the Administrative State formed Fanny and Freddie Mac, the mortgage giants which now underwrite 90% of all home mortgages in America. This government interference in our once free enterprise system first led to skyrocketing home prices, then it led to the housing and stock market crash of 2008.  Today, the government “commands and controls” 100% of the home mortgage market............To Read More...

Friday, February 10, 2023

Republicans Must Take the Lead in Reforming Social Security and Medicare

The last president to reform Social Security was Ronald Reagan.  He formed the Greenspan Commission to formulate solutions to problems the program faced.  Reagan then worked with speaker of the House Tip O'Neill to enact the solutions.  Social Security as we know it would have ended decades ago had he not been successful.

During the 2022 elections, Democrats claimed that Republicans would "end" Social Security and Medicare if elected.  On January 26, President Biden proclaimed, "Here's the deal: they want to cut your Social Security and Medicare."  At the State of the Union address, Biden doubled down, saying, "Republicans want Social Security and Medicare to sunset."  While Democrats spout malarkey, Social Security and Medicare are in peril.  Action must be taken to bolster these programs, as they are again in jeopardy............. When a family sitting around a kitchen table determines there is not enough money to cover expenses, it reduces spending to make ends meet.  Rarely would an overextended family purchase a new luxury car.  This is what the government does.  The government needs to find ways to live within its means.  Republicans should work to ensure that government spending is reduced and develop a plan to bolster Social Security and Medicare..............To Read More....

My Take - The answer to all this is in my article,  Let Me Tell You About Sisyphus, and Our National Debt.

Social Security, Medicare, and the State of the Union

Elections have consequences, especially dishonest elections

By ——--February 9, 2023

In his State of the Union address last night, dishonest Joe Biden took another disgraceful cheap shot at Republicans by deceitfully claiming that Republicans wanted to "sunset" Social Security and Medicare. The ensuing uproar led him to pause his speech and claim that only a few Republicans wanted to do that... no, actually only one... contact his office for a copy of the proposal. He then continued his presentation of lies and distortions misrepresented as an accurate picture of the state of our Union.

Most politicians recognize that the Social Security and Medicare programs are a "third rail" of politics, and those who seek to challenge or reform the programs do so at their peril. The sad fact, though, is that these programs will die on their own, unless something is done soon..........To Read More....

My Take - The answer to all this is in my article,  Let Me Tell You About Sisyphus, and Our National Debt.

 

Why Cut Social Security and Medicare? Here’s Why.

By Andrew G. Biggs Forbes February 09, 2023

Every election cycle, Democrats claims that Republicans would savagely cut or even end Social Security and Medicare. Today is no different. Yet Republicans continue to be elected, often controlling Congress or the White House. And not only are these programs not ended, but Republicans these days don’t attempt even to reform them...........

Last year Social Security cost $1.2 trillion while Medicare cost $726 billion, totaling 36% of the non-interest federal budget. The Congressional Budget Office projects that by 2050, combined spending will double to $4.7 trillion in today’s dollars, topping 53% of non-interest federal spending. Unless we increase federal taxes by about 56% by 2050 or cut every other federal program by 24%, rising entitlement benefits need to be curtailed. No one is arguing that Social Security and Medicare in the future should pay out less than they do today. What people do disagree about is how fast these programs should grow...............

Some people say that Social Security doesn’t contribute to the budget deficit and so there’s no reason to cut it. Not so. The Congressional Budget Office explicitly states that Social Security’s “contribution to the federal deficit” last year was nearly $100 billion, while Medicare added almost $400 billion more. Going forward, the federal budget is balanced if you leave out Social Security and Medicare.............

Some people say that Social Security and Medicare are self-financing – we paid our taxes and we’re only getting back what we paid. Again, not true. The Social Security Administration calculates that a typical couple retiring today will receive about 30% more in benefits than they paid in taxes. By the end of the decade, that rises to a 50% bonus. And those bonus benefits don’t come out of thin air; they come from additional taxes that their kids will have to pay. For Medicare, the bonus to current retirees – and the cost passed to our kids – is even more extreme.

Others say that we can’t possibly cut Social Security because it’s an essential safety net. In fact, members of both parties have proposed increasing benefits for low-income retirees. ...............

Everyone needs to start acting like adults. Being a good steward of entitlements isn’t accusing the other party of wanting to make benefit cuts that party neither wants nor has the capacity to make. Nor is it insisting you won’t cut benefits while also claiming you won’t raise taxes. Leaders take on the problems they are charged with solving, being upfront about the costs and benefits of each option while not forgetting that inaction isn’t one of them.

Now we just need to find some leaders............To Read More....

My Take - The answer to all this is in my article,  Let Me Tell You About Sisyphus, and Our National Debt.

Tuesday, June 7, 2022

Report highlights Social Security's looming insolvency, but White House doesn't

June 06, 2022Haisten Willis

A new report from the trustees of the Social Security and Medicare trust funds underscores that the programs are on the path to fiscal insolvency, but proposals to reform them remain the "third rail" of American politics as the White House emphasizes the positives.  While still dire overall, with Medicare expected to become insolvent in six years and Social Security in 13, the numbers were slightly improved from a year ago, a point underscored in a statement from President Joe Biden .

"The Social Security and Medicare Hospital Insurance Trust Funds will be able to pay benefits on a timely basis for longer than previously projected before the American Rescue Plan passed," said Biden. "The trustees' report says that those improvements are a result in part of a faster recovery in employment, earnings, and economic growth than previously projected."............To Read More.....


Friday, October 1, 2021

The Failure of Lyndon Johnson’s Great Society

October 1, 2021 by Dan Mitchell @ International Liberty

When asked to list the worst presidents of the 20th century, Woodrow Wilson, Franklin Roosevelt, and Richard Nixon belong on the list.  But this Reason video with Amity Shlaes shows why Lyndon Johnson also is among the worst of the worst. 


You should watch every second of the video, but if you don’t have 33 minutes to spare, here’s a helpful summary.


Johnson declared war on poverty, jacked up federal spending on education, and pushed massive new entitlement programs, including Medicare and Medicaid, which promised to deliver high-quality, low-cost health care to the nation’s elderly and poor. …But did the Great Society achieve its goals of eradicating poverty, sheltering the homeless, and helping all citizens participate more fully in the American Dream? In Great Society: A New History, Amity Shlaes argues that Lyndon Johnson’s bold makeover of the government was a massive failure.

Massive failure may be an understatement.  LBJ’s two big entitlement programs, Medicare and Medicaid, are the biggest reason why America will suffer a future fiscal crisis.

And his so-called War on Poverty was a disaster for both taxpayers and poor people.  How much of a disaster?  Let’s augment Amity’s analysis with these excerpts from Jason Riley’s column in the Wall Street Journal.


Entitlement programs were dramatically expanded in the 1960s in the service of a war on poverty, yet poverty fell at a slower rate after the Great Society initiatives were implemented, and overall dependency on the government for food, shelter and other basic necessities increased. …

Liberals pitch these social programs in the name of helping underprivileged minority groups and reducing inequality, but the lesson of the 1960s is that government relief can put in place incentives that have the opposite effect. Between 1940 and 1960 the percentage of black families living in poverty declined by 40 points…

No welfare program has ever come close to replicating that rate of black advancement… Moreover, what we experienced in the wake of the Great Society interventions was slower progress or outright retrogression. Black labor-force participation rates fell, black unemployment rates rose, and the black nuclear family disintegrated. In 1960 fewer than 25% of black children were being raised by a single mother; within four decades, it was more than half. …

The welfare state is often discussed in relation to its effect on racial and ethnic minorities, yet crime, single parenting and drug abuse also increased among poor whites in the aftermath of the Great Society. When the government indulges and subsidizes counterproductive behavior, we tend to get more of it.

What’s depressing is that Biden wants to replicate LBJ’s mistakes. His new entitlements will mean slower growth and more dependency.

P.S. Amity Shlaes also has done great work to highlight the achievements of one of America’s best presidents.

Thursday, September 23, 2021

Why Do Doctors Go Along with COVID Panic Porn and CDC Prescriptions?

By Ted Noel, MD

I recently had a conversation with a reasonably well-informed writer who simply missed the real reasons why most practicing physicians go along with the Fauci Fraud.  As a public service, I will attempt to fill in a few gaps.  But first, I must define the fraud.

There are two basic legs to the fraud. 

First is the idea that the Centers for Disease Control is in any way concerned with a mission related to its name.  The failure of the CDC to endorse any treatment that did not emanate from its exalted halls should give us our first glint of clarity.  There are literally millions of physicians around the world, and the great bulk of them truly wish to treat their patients well.  Among those are thousands of researchers, a number far in excess of those at the CDC, the NIH, and other alphabet soup government agencies.  The very idea that outside researchers are incapable of discovering anything useful without the help of the bureaucrats in D.C. is hubris of the highest order.  And it prevents the CDC, the FDA, or any other such agency from considering the idea that maybe, just possibly, there might be intelligent life down here.  Mount Olympus cannot be threatened.

The second leg of the fraud is less visible to the naked eye but much more powerful.  If I wrote this before I retired, I would be called before the Board of my group and told in no uncertain terms to shut up.  I might even be assessed a financial penalty with several zeroes after the one.  That's a serious impairment of my pursuit of happiness.  The reason for my group's dislike is more than the fact that I might be an irritant.  They may actually agree with what I have to say.  But they simply cannot afford for me to say it.  That's right: as a practicing physician in a group, my freedom of speech can become very expensive...to the group.

My group cared for patients of all descriptions, with roughly half of them on Medicare and another batch on Medicaid.  Both programs are ultimately managed by the feds, one of the most humorless groups on the planet.  They write a whole bunch of rules on how you have to document everything you do.  If you didn't document it correctly, it didn't happen, and you won't get paid.  But that's not the half of it.

Suppose you have one of those patients brought in by the ambulance from under the bridge.  His only clothes are the ones he's wearing, and he doesn't have two nickels to rub together.  It's more than obvious that this surgery for bowel obstruction will be a charity case.  Before Medicare, you'd simply write it off as your good neighbor duty.  Now you don't get a choice.  CMMS (the actual administrative agency) requires you to send a bill.  Twice.  Or maybe three times.  Whatever it takes to turn the bill into bad debt.  Then you have to send it to a collection agency.  Your only alternative is for your group to bring it up in its Board meeting and declare it a write-off that gets noted in the minutes..........But what does that have to do with ivermectin?  I'm glad you asked............ 

The financial risks may be extreme.  It takes a spine of steel to stand up to the authoritarian orthodoxy................To Read More....


Wednesday, April 21, 2021

True National Debt Exceeds $123 Trillion, or Nearly $800,000 per Taxpayer: Report

By Mark Tapscott April 19, 2021 

America’s national debt now exceeds $123 trillion, according to a new report, or more than four times the official figure of $28 trillion, as calculated by the U.S. Treasury Department at the end of March.  Federal spending related to the CCP virus pandemic and economic lockdown added nearly $10 trillion to the total in 2020, according to the latest edition of the “Financial State of the Union 2021” report, compiled and published annually by Chicago-based nonprofit Truth in Accounting (TIA). But spending amid the pandemic represents only a small portion of the total difference between the official government figure and TIA’s calculation.

“Our measure of the government’s financial condition includes reported federal assets and liabilities, as well as promised, but not funded, Social Security and Medicare benefits,” the report stated.  “Elected and non-elected officials have made repeated financial decisions that have left the federal government with a debt burden of $123.11 trillion, including unfunded Social Security and Medicare promises.”

The TIA report includes in its total debt calculation $55.12 trillion in unfunded Medicare benefits and $41.20 trillion in unfunded Social Security benefits.  Treasury officials don’t include unfunded benefits because they claim recipients have no right to future payments, only to those under current entitlement laws........To Read More....

 

 

Tuesday, December 8, 2020

There’s More Than COVID-19 In Play Here

December 7, 2020 By Michael D. Shaw @ HealthNewsDigest

A few weeks ago, the New York Times ran a story entitled “Doctors Are Calling It Quits Under Stress of the Pandemic.” The 1400-word piece notes that financial pressures; along with COVID-19 fears among patients; combined with strains on the physicians’ families have driven the exodus. The lead anecdote in the article describes how pediatrician Kelly McGregory had to close her two-year-old independent pediatric practice, she says, because of the coronavirus.

Bear in mind, though, that sole practitioner unaffiliated medical practices have been a dicey proposition since well before the pandemic hit. Those that are succeeding usually have some sort of special niche. For example, longtime LA-based pediatrician Michael J. Goldberg began to specialize in autism and neuro-immune dysfunction issues, and has been able to maintain his independent status. I also know of internal medicine physicians who could stay independent, based on not taking insurance, and not worrying about having admitting privileges at local hospitals.

Such practices are the exceptions. These days, virtually all private practices are either part of a large group, or are directly owned by, or are closely affiliated with a hospital. Moreover, a goodly number of hospitals have also become part of a larger group. This trend started long before the pandemic, and is based on how the old “Golden Age” model of medical practice started to deteriorate in the wake of Medicare and the rise in third-party payers.

This Golden Age (in the US) is typified by the private practices of the 1950s through early 1960s. Most urban practices of that era were housed in relatively large multi-story medical buildings. A trend was starting in the mid-1950s, especially in non-downtown and suburban locations, to switch to smaller, single story multi-practice facilities. In all cases, these were essentially self-contained practices, and that means that most had their own labs, and, if appropriate, treatment rooms.

Certainly, complex lab tests were sent out, but physicians in that era took great pride in their independent practices being able to handle most of what they encountered. No one really thought about it at the time, but there was clearly some inefficiency in having such redundancy in these services, not to mention needless overhead. But, recall that fast communications of lab results were limited to snail mail, or the occasional emergency phone call. To put this in perspective, Quest Diagnostics was founded in 1967.

Small practices could operate profitably in this manner, since they were free from the burden of filling out insurance paperwork, and Medicare red tape. The practices always had to answer to the State health departments and licensing boards, but if you ran a decent operation, you had little to fear from these agencies. Managed care organizations existed at that time, and attracted those physicians who did not desire to run a business.

This would all change in 1965, with the advent of Medicare. Originally touted as a program to help those Americans aged 65 and over, many of its policies and procedures would bleed over into private health insurance plans covering younger people. Non-Medicare health insurance plans first gained favor with large labor unions, and this would soon spread to most private employers.

By the late 1970s, most full-time employees would obtain health insurance through their employers. At this stage, few doctors’ offices would initially bill a patient’s insurance company. Rather, it was up to the patient to deal with the insurance company himself. As you might expect, this policy was short-lived, and within a few years, the “providers” would charge a co-pay at the time of the office visit, and then bill insurance for the balance. Such administrative activities usually required additional personnel.

Notably, this affected the bottom line. After all, insurance companies offered reimbursements based on their own schedule, which was inevitably lower than the customary fees. Few physicians were in a position to demand that their patients make up the full difference between the insurance reimbursement and their normal fee, and had to settle for a net reduction in revenue.

The push to electronic medical records added another administrative burden, best done by providers using medical scribes. This too adds to the overhead. There are only so many ways in which a small private medical practice can economize and become more efficient under today’s structure, so it is no wonder that many of them consolidated or sold out to larger groups. In some cases, physicians simply gave up and joined managed care organizations as employees.

True enough, COVID was the coup de grace for some physicians, but other, more significant factors have been in play for over 50 years. For you philosophers, ignoring these previous elements puts one somewhere in the middle of chronological snobbery and solipsism.

 

Saturday, August 17, 2019

$240,000 – The Amount Each American Owns of US Debt and Unfunded Obligations

Rachel Greszler August 16, 2019

As Americans, we are greatly indebted not only to the men and women who have fought and died for our country, but also to the thinkers, statesmen, innovators, and ordinary people who gave us our founding principles.

This debt is paid back not with money, but with a commitment to the active and vigilant self-government of our republic in keeping with the principles and virtues of our forefathers.

Yet, our forefathers would shudder at our current $22 trillion in gross national debt. By the end of 2019, the debt will be close to $23 trillion. That amounts to a credit card bill of $69,200 for every man, woman, and child in America.

But that’s only the money that the government has explicitly borrowed. It doesn’t include any measure of “unfunded obligations”—money the government doesn’t have, but nonetheless promised to spend. ...........Social Security’s unfunded obligations alone amount to $13.9 trillion.................it pales in comparison to Medicare’s $42.3 trillion in unfunded obligations................To Read More...

Monday, August 12, 2019

‘Medicare-for-all’ is a $32 trillion utopian taxpayer-funded fantasy. Don’t be fooled, America

Matt Schlapp

Wednesday in Congress, the Democrat Chairman of the House Ways and Means Committee is holding a hearing titled “Pathways to Universal Healthcare Coverage.” Democrats on the Committee will no doubt fill the committee room with lofty promises but don’t be deceived: in reality, Democrat slogans like "Medicare-for-all" come with a bitter pill to swallow: socialized medicine in America.
Enacting punitive patient access restrictions, economy-crushing taxes, and massive deficit spending has never improved patients ability to get a timely diagnosis and effective treatments in moments of need.

Yet right on cue, the far-left liberal Democrat free-for-all of 2020 U.S. presidential aspirantsis chanting the new "Medicare-for-all" slogan and promoting it as the answer to America’s most pressing health care challenges. And along with Rep. Alexandria Ocasio-Cortez’s emerging “It’s Like, Free” caucus in Congress, they are now hoping to tap into voter anger over skyrocketing medical costs to achieve their broader political ends.

Despite alarming data showing younger Americans now being more open to socialist catchphrase concepts, advocates of socialized medicine know full well that the vast majority of voters and patients would reject their plans outright if they knew more about them..............To Read More....

Wednesday, August 7, 2019

Medicare For All Destroys Medicare

Posted by Daniel Greenfield 9 Comments Monday, August 05, 2019 @ Sultan Knish Blog
The 2013 "Lie of the Year" was Barack Obama's false claim, "If you like your health care plan, you can keep it."

Millions of Democrats found that out the hard way.

The "Lie of the Year" for 2019 will be, "If you like your Medicare, you can keep it."

Medicare for All doesn’t actually offer Medicare for all. It deprives senior citizens of Medicare.

Medicare is a program available to senior citizens and the disabled. The idea was that you work, pay taxes and those taxes are used to provide for your health care when you retire. You don’t have to use Medicare and there are a variety of managed Medicare plans by providers offering more options.

The first thing that Medicare for All would do is eliminate Medicare, along with all other health plans, and misleadingly use that name to create a government health care system. That’s like announcing an iPhone-for-All government plan that takes away everyone’s iPhones, and replaces them with tin cans that have an Apple logo slapped on them. It’s a massive health care robbery that adds insult to injury.

Medicare for All doesn’t expand Medicare. It eliminates Medicare for those who have it.

The lying got started early.

Two-thirds of Democrat voters think that Medicare for All will let them keep their existing employer health plans. The truth is that all private health plans covering medical care will be banned.

The 2020 Democrat frontrunners, including Kamala Harris, Elizabeth Warren, and Bernie Sanders backed Bernie’s Medicare for All act that eliminates private health insurance. At the first Democrat debates, Kamala, Warren and Harris all raised their hands when asked if they would abolish private insurance.

What they didn’t admit is that Medicare for All doesn’t just abolish private health plans, but also public ones. Medicare for All will eliminate your employer plan and it will kill your Medicare too.

Senator Kamala Harris has been frantically lying about her support for eliminating everyone’s private plans. First, Harris claimed that she didn’t understand the question. Then she suggested that some private insurance might be allowed to survive as long as they covered cosmetic surgery. Since then she switched to a variation of Obama’s Lie of the Year by insisting that people would keep their doctors.

Probably. Possibly. Maybe.

“You’re not going to have to lose your doctor. It is very unlikely,” she told CNN.

"Well 91% of the doctors in the United States are in the Medicare system, so the odds-on favorite is that you will be able to keep your doctor," she told an Iowa town hall.

Except that Medicare for All isn’t Medicare. It’s a whole other system with different reimbursement rates. And that means completely different levels of access to health care and resource management.

With a 40% estimated drop in provider reimbursement, and no private health plans as a buffer, the 91% won’t be signing up for her plan. Medicare for All will eliminate insurance and replace a multi-tiered system, one in which the middle class, including seniors, had better access to health care, with two tiers.

Either you can afford to pay for private health care from qualified doctors and hospitals. Or you can’t. And then you’re going to be stuck in Medicare for All’s resources shortages and waiting lists. Either you can afford the tests you need that may save your life. Or all you’ll get is bargain basement care.

Medicare for All more closely resembles Medicaid for All.

Or almost all.

Medicare for All squeezes seniors, the middle class and the working class into Medicaid for All, while Bernie, Kamala, Warren and the other millionaires have access to private doctors and hospitals.

Currently, around 1 out of 3 doctors don’t accept Medicaid patients. And that’s before a radical transition to the punishing system being proposed by Sanders, Harris and Warren.

If your doctor isn’t in Medicare for All, not only won’t you get to keep him, but trying to will see him or her banned from the system. If your doctor chooses to participate in Medicare for All, how often you see them will be determined by the government. If you need to see your doctor more frequently and want to pay them privately, that’s illegal.

And forget hospitals.

The care Medicare patients receive at a hospital will look nothing like the care Medicare for All patients will get. Medicare for All doesn’t pay for procedures. It negotiates a “global budget” with hospitals. Hospitals are paid a set amount and then they decide how to use that money to help patients.

Medicare and private health plans suffer from overuse. Medicare for All solves that problem.

Need an MRI? An ECG? Any tests to check for the possibility of a problem. Good luck, pal. It’s not in the “global budget”. That means the tests aren’t happening. And you’ll just have to wait around for clearer symptoms of heart disease or cancer. Unless you die in the meantime which solves that problem.

You’re not on Medicare. You’re on Medicare for All. And that means you’re going to enjoy a standard of care previously experienced at the VA or in Cuba. Both greatly admired by Senator Bernie Sanders.

None of this is how actual Medicare works.

Medicare depends on healthy people paying toward their care in their elder years. That means payroll taxes. It also means hospitals using private insurance payments to subsidize Medicare patients. Eliminate private insurance and every hospital is underwater. Put everyone on a government plan and there’s no longer even the illusion of an economic model that can cover our medical costs.

Senator Bernie Sanders estimated that his plan, which has been endorsed by Warren and Harris, will cost $40 trillion over 10 years. That’s the entire federal budget for every year. Doubled.

That kind of spending is unsustainable no matter how many taxes you raise.

Those $40 trillion numbers already assume that provider reimbursement has been cut to the bone. Further cost savings won’t be coming from hospitals or doctors. They’ll be coming out of patients.

Medicare for All has little in common with Medicare. It’s a nationalized version of Medicaid.

Medicare spends over $12,000 per beneficiary. Medicaid spends around $8,000. The difference between the two is the difference between expanding the budget to over $8 trillion or to $6.6 trillion.

Which one do you think it will be?

Medicare ran up $582 billion in costs in FY 2018. That’s punishing, but not impossible. Maintaining the same per enrollee spending for the entire country would alone brush up against Bernie’s $4 trillion.

Our GDP has grown to an impressive $21 trillion under Trump. Medicare for All would put a third of the GDP toward the budget. That’s an impossible number and there’s no way that it will be met.

The end result won’t even be Medicaid for All.

Medicare for All will cannibalize actual Medicare, using the brand, taking the name, wiping out the entire system, seizing the money used to fund Medicare, and wiping out actual Medicare.

Even before the medical apocalypse arrives, seniors would discover that their doctors no longer even accept Medicare because the new system automatically enrolls Medicare doctors into Medicare for All.

The Medicare for All lie is especially cruel because it destroys the health care that seniors have paid into and depend on, while falsely promising that it will continue to be available to them. And to all.

The destruction of Medicare isn’t just collateral damage. Just like the ban on private health plans, the new socialized medicine has bet everything on destroying all competition to be the only game in town.

Medicare for All has to destroy Medicare. The destruction is written directly into the legislation. “No benefits shall be available under Title XVIII of the Social Security Act for any item or service furnished beginning on or after the effective date of benefits.” That’s the death warrant for Medicare.

The Medicare Trust Fund will be looted into the Universal Medical Trust Fund.

Seniors will lose their doctors. They’ll lose access to the lifesaving tests they need after a heart attack or stroke. The money they paid into the system will be used to cover substandard care for illegal aliens. And then for them. Despite the name, they’ll no longer have Medicare access, but at best, Medicaid.

And the politicians who stole their Medicare will use its name on the new system to cover up the scam.

The proper name for this isn’t Medicare for All. It’s Destroy Medicare for All.


Daniel Greenfield is a Shillman Journalism Fellow at the David Horowitz Freedom Center. This article previously appeared at the Center's Front Page Magazine.

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Thank you for reading.

Saturday, August 3, 2019

Democrats didn't give up the plantation, they just moved the plantation to Washington DC.

By —— Bio and Archives--August 1, 2019

The Democrat debates have given the Communist News Network (CNN), the leader of fake news and communist propaganda, a much needed boost in viewers. It’s not surprising that Democrats chose the most dishonest and deceptive network in America to spread their false promises and idiotic ideas to the masses. Democrats are experienced when it comes to misleading the masses and promoting false narratives, so CNN and the Democrats are a perfect match.

Moreover, watching videos of the Democrat debates can be hilarious and alarming at the same time. It’s was hilarious to watch Kamala Harris give Joe Biden a dose of his own medicine. He likes to call the President a racist, so I enjoyed watching him get the same treatment. He deserved it. On the other hand, it’s alarming to hear Democrats propose forcing such idiotic and destructive things as the Green New Deal on the America people..........To Read More....


Friday, April 12, 2019

GOP wants to put Democrats on the spot again with vote on 'Medicare for all'

April 11, 2019 By Rick Moran

Senate Democrats are livid with GOP majority leader Mitch McConnell for forcing them to put their money where their mouths are when it comes to their radical, wildly expensive proposals.

First, McConnell held a vote on the Green New Deal. Every Democratic senator voted "present." Now McConnell has turned his attention to the Dems' "Medicare for all" proposal with a view toward embarrassing them again. .............Democrats are bitterly complaining that the vote is more about politics than health care. 

That's exactly correct. 

McConnell might point out that Democrats are playing politics by introducing the bill in the first place.  There isn't a chance in hell "Medicare for all" would pass the Senate and Democrats know it.  So why shouldn't McConnell take a political route to highlight the out of control radicalism being pushed by Democrats — especially those running for president in 2020?..................Read more

Tuesday, March 26, 2019

More on Medicare for all

March 4, 2019 By Michael D. Shaw @ HealthNewsDigest.com

Friday, March 15, 2019

President Trump & Social Security vs. The Lying Media

March 14, 2019 Dr. Michael J. Hurd

In an MSN article, President Trump gets heavily criticized for breaking campaign promises not to cut Social Security.

However, as the article acknowledges, the bulk of the proposed cuts are for Social Security disability.
Social Security disability is a welfare program. It involves transfers of wealth from people who presently have the money to those who do not — from those who paid into Social Security to those who often never did. Drug addicts qualify, because drug abuse is considered a disabling medical disease.

Our Constitution does not authorize this.

If we’re really honest, the Constitution also did not authorize forcing people into government-run retirement programs at all, which is what Social Security is. The economic reality is that we’d all be far richer without having to pay into Social Security than if we were permitted to save for retirement on our own. (IRA programs were enacted decades ago to help alleviate some of this problem).

I am so sick of dishonest media. Stop blaming Republicans and President Trump for the inherent DISHONESTY and INEFFICIENCY of government-run programs based on coercion, and that were never part of our Constitution and Bill of Rights in the first place.

He inherited this mess.................To Read More.....

Monday, February 25, 2019

Kamala Harris Says 'Of Course' We Can Afford Green New Deal, Medicare For All and 'It's Not About a Cost'

Lauretta Brown Feb 24, 2019

Sen. Kamala Harris (D-CA) told CNN Sunday that the U.S. can afford the left's expensive proposals such as the Green New Deal and Medicare for all. She added that such proposals are “not about a cost.”

“You’ll hear things like the Green New Deal. You’ll hear things like Medicare for all, you’ll hear things like, whether it’s taxes, you’ll hear things — at what point do you say, that’s our north star but we have to be realists?” CNN’s John King asked...........To Read More.....

Sunday, February 24, 2019

Our National Debt Is Our National Disgrace

Jeff Crouere Posted: Feb 24, 2019

In mid-February, our national debt reached $22 trillion, a new record for our country. Since President Trump took office in January of 2017, our debt has increased over $2 trillion. During the administration of President Obama, it increased from $10.6 trillion to $19.9 trillion. Thus, the national debt has more than doubled in 10 years and it is still increasing nearly $1 trillion per year.

According to the Congressional Budget Office, the national debt for this fiscal year will be $897 billion and will top $1 trillion again in 2022. At that point, their forecast calls for the national debt to exceed $1 trillion annually for another seven years as the costs for Medicare and Social Security skyrocket with more Americans from the massive Baby Boomer generation retiring...........The most effective way to deal with the national debt has always been the same, reducing the size of the gargantuan federal government. Here are just a few of the many ideas on how this can be accomplished: ..........To Read More...