The View From 1776
Wednesday, July 14, 2010
For Those Who Still Believe That Obama Isn’t A Liar
The president repeatedly assured us that Obamacare would entail no rationing of medical care. His actions speak louder and truer than his perfidious words.
Read Daniel Henninger’s editorial:
If the American people want the health-care world Dr. Berwick wishes to give them, that’s their choice. But they must be given that choice.
Barack Obama’s incredible “recess appointment” of Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services (CMS) is probably the most significant domestic-policy personnel decision in a generation. It is more important to the direction of the country than Elena Kagan’s nomination to the Supreme Court.
The court’s decisions are subject to the tempering influence of nine competing minds. Dr. Berwick would direct an agency that has a budget bigger than the Pentagon. Decisions by the CMS shape American medicine.
Dr. Berwick’s ideas on the design and purpose of the U.S. system of medicine aren’t merely about “change.” They would be revolutionary.
One may agree with these views or not, but for the president to tell the American people they have to simply accept this through anything so flaccid as a recess appointment is beyond outrageous. It isn’t acceptable.
The Democratic chairman of the Senate Finance Committee, Max Baucus, was taken aback at the end-around: “Senate confirmation of presidential appointees is an essential process prescribed by the Constitution that serves as a check on executive power.”
Let’s look, then, at what President Obama won’t let the American electorate hear Dr. Berwick say in front of a committee of Congress. These excerpts are from past speeches and articles by Dr. Berwick:
“I cannot believe that the individual health care consumer can enforce through choice the proper configurations of a system as massive and complex as health care. That is for leaders to do.”
“You cap your health care budget, and you make the political and economic choices you need to make to keep affordability within reach.”
“Please don’t put your faith in market forces. It’s a popular idea: that Adam Smith’s invisible hand would do a better job of designing care than leaders with plans can.”
“Indeed, the Holy Grail of universal coverage in the United States may remain out of reach unless, through rational collective action overriding some individual self-interest, we can reduce per capita costs.”
“It may therefore be necessary to set a legislative target for the growth of spending at 1.5 percentage points below currently projected increases and to grant the federal government the authority to reduce updates in Medicare fees if the target is exceeded.”
“About 8% of GDP is plenty for ‘best known’ care.”
“A progressive policy regime will control and rationalize financing