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	<title>Comments on: Government Health Care Means Rationed Health Care</title>
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	<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/</link>
	<description>Politics and Culture from a Catholic perspective.</description>
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		<title>By: Foxfier</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3823</link>
		<dc:creator>Foxfier</dc:creator>
		<pubDate>Tue, 18 Aug 2009 19:37:08 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3823</guid>
		<description>&lt;i&gt;Is this on the topic of euthanasia?  If so, I honestly don&#039;t give much credence to the argument that the government wants to euthanize old people, and I&#039;m amazed and disappointed that the idea has gotten any traction.&lt;/i&gt;

Well, when we have multiple examples of Gov&#039;t healthcare doing exactly that, in this country.... What else are we supposed to think?  &quot;It can&#039;t happen to me&quot;?</description>
		<content:encoded><![CDATA[<p><i>Is this on the topic of euthanasia?  If so, I honestly don&#8217;t give much credence to the argument that the government wants to euthanize old people, and I&#8217;m amazed and disappointed that the idea has gotten any traction.</i></p>
<p>Well, when we have multiple examples of Gov&#8217;t healthcare doing exactly that, in this country&#8230;. What else are we supposed to think?  &#8220;It can&#8217;t happen to me&#8221;?</p>
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		<title>By: djr</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3822</link>
		<dc:creator>djr</dc:creator>
		<pubDate>Tue, 18 Aug 2009 18:21:06 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3822</guid>
		<description>Matt,

I guess I don&#039;t fully understand what you mean by the &#039;character of government&#039;.  Is this on the topic of euthanasia?  If so, I honestly don&#039;t give much credence to the argument that the government wants to euthanize old people, and I&#039;m amazed and disappointed that the idea has gotten any traction.  Compared to the ethics and character of private enterprise, which I think we can all admit is only interested in your health care to the extent that they can wrangle a profit from you as you try to afford it, I think it&#039;s a wash at best.

I don&#039;t feel like I need to defend a massive government expansion because I&#039;m not a proponent of government-run health care - that&#039;s just something you&#039;ve assumed because you see the entire issue as Us vs. Them and because my initial post was about how the content of this article doesn&#039;t support its headline in any reasonable way.  Still, it does seem clear to me that the government could be involved in health care to many different degrees, most of which don&#039;t require the takeover that you assume would result.  This should be evident by the fact that the government already is involved heavily with health care and has not thus far managed to take over the entire system.

As for the insufficient options fallacy, you&#039;re again assuming that I&#039;m only interested in a government-provided solution.  The argument I&#039;m making is not for a government option, it&#039;s against drawing bad conclusions from anecdotal accounts in an effort to convince people of something you hope they&#039;ll believe without being offered any real evidence.

As far as the other options you mentioned are concerned, I don&#039;t disagree with any of them.  I&#039;m not a democrat or a republican, so I don&#039;t find myself at odds with any political ideology for thinking that they&#039;re good ideas.  But they&#039;re not incompatible with government intervention either, so I don&#039;t consider it an either/or proposition.  One thing the government can bring to the table that private industry can&#039;t is a service driven by and focused on something other than quarterly profits, and I recognize that there might be a place for that somewhere in the health care industry.

I don&#039;t want to wander too far from the point, though.  I haven&#039;t seen any credible evidence that government care means rationing above and beyond the level we see today (especially if you treat being unable to afford or obtain insurance at all as rationing, which I think you can legitimately do), and you can&#039;t simply tell a bad story about Medicaid, conclude that Medicaid is bad, and call that a meaningful argument.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>I guess I don&#8217;t fully understand what you mean by the &#8216;character of government&#8217;.  Is this on the topic of euthanasia?  If so, I honestly don&#8217;t give much credence to the argument that the government wants to euthanize old people, and I&#8217;m amazed and disappointed that the idea has gotten any traction.  Compared to the ethics and character of private enterprise, which I think we can all admit is only interested in your health care to the extent that they can wrangle a profit from you as you try to afford it, I think it&#8217;s a wash at best.</p>
<p>I don&#8217;t feel like I need to defend a massive government expansion because I&#8217;m not a proponent of government-run health care &#8211; that&#8217;s just something you&#8217;ve assumed because you see the entire issue as Us vs. Them and because my initial post was about how the content of this article doesn&#8217;t support its headline in any reasonable way.  Still, it does seem clear to me that the government could be involved in health care to many different degrees, most of which don&#8217;t require the takeover that you assume would result.  This should be evident by the fact that the government already is involved heavily with health care and has not thus far managed to take over the entire system.</p>
<p>As for the insufficient options fallacy, you&#8217;re again assuming that I&#8217;m only interested in a government-provided solution.  The argument I&#8217;m making is not for a government option, it&#8217;s against drawing bad conclusions from anecdotal accounts in an effort to convince people of something you hope they&#8217;ll believe without being offered any real evidence.</p>
<p>As far as the other options you mentioned are concerned, I don&#8217;t disagree with any of them.  I&#8217;m not a democrat or a republican, so I don&#8217;t find myself at odds with any political ideology for thinking that they&#8217;re good ideas.  But they&#8217;re not incompatible with government intervention either, so I don&#8217;t consider it an either/or proposition.  One thing the government can bring to the table that private industry can&#8217;t is a service driven by and focused on something other than quarterly profits, and I recognize that there might be a place for that somewhere in the health care industry.</p>
<p>I don&#8217;t want to wander too far from the point, though.  I haven&#8217;t seen any credible evidence that government care means rationing above and beyond the level we see today (especially if you treat being unable to afford or obtain insurance at all as rationing, which I think you can legitimately do), and you can&#8217;t simply tell a bad story about Medicaid, conclude that Medicaid is bad, and call that a meaningful argument.</p>
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		<title>By: Matt McDonald</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3821</link>
		<dc:creator>Matt McDonald</dc:creator>
		<pubDate>Tue, 18 Aug 2009 15:49:41 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3821</guid>
		<description>djr,

First of all, you haven&#039;t responded to the objections about the character of government which clearly is an important element of this.

&lt;i&gt;I’m not thoroughly convinced that any mechanism by which the government provides insurance necessarily leads to a government monopoly&lt;/i&gt;

we don&#039;t need to convince you that it will absolutely happen.  You support a massive expansion of government power, it is your side that must prove that it will absolutely not happen in order to justify it.

&lt;i&gt;people without any options have no options, something that is true whether your health care comes from the government or from a private insurer. The rationing argument he makes doesn’t hold because it is in no way unique to Medicaid. Private insurance rations very clearly already and often in the exact same way, so it isn’t fair to assert that Medicaid is a leaky boat (in regard to rationing of care) and that private insurance is something different.&lt;/i&gt;

The problem you&#039;re having is the &quot;insufficient options&quot; fallacy.  The only options are not to leave the health insurance system as it is, or a &quot;government option&quot;.  The fact is that numerous improvements to the current system do not involve the great risk that we&#039;re concerned about but the democrats oppose them... tort reform, separating insurance from the employer, cross-state line competition... these things would solve the problem of rationing by giving people options.   Appropriate oversight to ensure people get the procedures they need is important, and &lt;i&gt;if&lt;/i&gt; it&#039;s not happening then EACH STATE should work to resolve this as quickly as possible, there&#039;s no need for federal infringement on this state level authority.</description>
		<content:encoded><![CDATA[<p>djr,</p>
<p>First of all, you haven&#8217;t responded to the objections about the character of government which clearly is an important element of this.</p>
<p><i>I’m not thoroughly convinced that any mechanism by which the government provides insurance necessarily leads to a government monopoly</i></p>
<p>we don&#8217;t need to convince you that it will absolutely happen.  You support a massive expansion of government power, it is your side that must prove that it will absolutely not happen in order to justify it.</p>
<p><i>people without any options have no options, something that is true whether your health care comes from the government or from a private insurer. The rationing argument he makes doesn’t hold because it is in no way unique to Medicaid. Private insurance rations very clearly already and often in the exact same way, so it isn’t fair to assert that Medicaid is a leaky boat (in regard to rationing of care) and that private insurance is something different.</i></p>
<p>The problem you&#8217;re having is the &#8220;insufficient options&#8221; fallacy.  The only options are not to leave the health insurance system as it is, or a &#8220;government option&#8221;.  The fact is that numerous improvements to the current system do not involve the great risk that we&#8217;re concerned about but the democrats oppose them&#8230; tort reform, separating insurance from the employer, cross-state line competition&#8230; these things would solve the problem of rationing by giving people options.   Appropriate oversight to ensure people get the procedures they need is important, and <i>if</i> it&#8217;s not happening then EACH STATE should work to resolve this as quickly as possible, there&#8217;s no need for federal infringement on this state level authority.</p>
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		<title>By: Foxfier</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3820</link>
		<dc:creator>Foxfier</dc:creator>
		<pubDate>Tue, 18 Aug 2009 15:39:06 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3820</guid>
		<description>My folks have private insurance, have my entire life-- it&#039;s expensive, but ranches don&#039;t offer insurance.

Mom&#039;s had breast cancer, two orthoscope knee operations, a knee replacement, some sort of operation on the joints of her thumb.... all with the pre-existing wear and tear of a high school track star.

Dad has a lot of skin problems, an incorrectly healed wrist since he was in high school and a pretty solid history of stuff-spiked-through-his-foot.

Both in their fifties, both with family histories of rather expensive medical problems.

Private insurance hasn&#039;t been *perfect,* but it&#039;s been pretty dang good.

It&#039;s also telling that mom is the only one that we know in the valley who has had any of those surgeries and paid for them herself, and that dad&#039;s medical massage therapist had to raise her rates (she previously had a &quot;monthly member&quot; style discount club for valley residents with medical problems) or she would have to stop seeing Medicaid/Medicare customers.

From where I stand, it sure looks like the idiots who are proud and honorable enough to pay for their own dang insurance need some protection from the folks that won&#039;t, and they sure don&#039;t need something that a politician is promising will be as good as the &lt;I&gt;Post Office&lt;/i&gt;!</description>
		<content:encoded><![CDATA[<p>My folks have private insurance, have my entire life&#8211; it&#8217;s expensive, but ranches don&#8217;t offer insurance.</p>
<p>Mom&#8217;s had breast cancer, two orthoscope knee operations, a knee replacement, some sort of operation on the joints of her thumb&#8230;. all with the pre-existing wear and tear of a high school track star.</p>
<p>Dad has a lot of skin problems, an incorrectly healed wrist since he was in high school and a pretty solid history of stuff-spiked-through-his-foot.</p>
<p>Both in their fifties, both with family histories of rather expensive medical problems.</p>
<p>Private insurance hasn&#8217;t been *perfect,* but it&#8217;s been pretty dang good.</p>
<p>It&#8217;s also telling that mom is the only one that we know in the valley who has had any of those surgeries and paid for them herself, and that dad&#8217;s medical massage therapist had to raise her rates (she previously had a &#8220;monthly member&#8221; style discount club for valley residents with medical problems) or she would have to stop seeing Medicaid/Medicare customers.</p>
<p>From where I stand, it sure looks like the idiots who are proud and honorable enough to pay for their own dang insurance need some protection from the folks that won&#8217;t, and they sure don&#8217;t need something that a politician is promising will be as good as the <i>Post Office</i>!</p>
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		<title>By: Donald R. McClarey</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3819</link>
		<dc:creator>Donald R. McClarey</dc:creator>
		<pubDate>Tue, 18 Aug 2009 12:19:18 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3819</guid>
		<description>When private insurers are driven out of business drj, and that would clearly be the ultimate result of the House bill, only the government would be left as a monopoly.  A multiplicity of private insurers today prevents such a monopoly.  A single payer system is merely another way of saying government monopoly.</description>
		<content:encoded><![CDATA[<p>When private insurers are driven out of business drj, and that would clearly be the ultimate result of the House bill, only the government would be left as a monopoly.  A multiplicity of private insurers today prevents such a monopoly.  A single payer system is merely another way of saying government monopoly.</p>
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		<title>By: djr</title>
		<link>http://the-american-catholic.com/2009/08/17/government-health-care-means-rationed-health-care/#comment-3818</link>
		<dc:creator>djr</dc:creator>
		<pubDate>Tue, 18 Aug 2009 12:05:39 +0000</pubDate>
		<guid isPermaLink="false">http://the-american-catholic.com/?p=11590#comment-3818</guid>
		<description>I don&#039;t disagree that a monopoly is terrible for consumers, and I would hate to see a government monopoly over health care.  I&#039;m not thoroughly convinced that any mechanism by which the government provides insurance necessarily leads to a government monopoly, either.  But in either case, Dr. Pollard really only successfully makes the case that people without any options have no options, something that is true whether your health care comes from the government or from a private insurer.  The rationing argument he makes doesn&#039;t hold because it is in no way unique to Medicaid.  Private insurance rations very clearly already and often in the exact same way, so it isn&#039;t fair to assert that Medicaid is a leaky boat (in regard to rationing of care) and that private insurance is something different.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t disagree that a monopoly is terrible for consumers, and I would hate to see a government monopoly over health care.  I&#8217;m not thoroughly convinced that any mechanism by which the government provides insurance necessarily leads to a government monopoly, either.  But in either case, Dr. Pollard really only successfully makes the case that people without any options have no options, something that is true whether your health care comes from the government or from a private insurer.  The rationing argument he makes doesn&#8217;t hold because it is in no way unique to Medicaid.  Private insurance rations very clearly already and often in the exact same way, so it isn&#8217;t fair to assert that Medicaid is a leaky boat (in regard to rationing of care) and that private insurance is something different.</p>
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