Writes Dr. Mark Siegel in the NY Daily News:
A study just published in the prestigious journal Science reveals that new Medicaid patients in Oregon were 40% more likely to use the emergency room than the uninsured were. This finding is not a surprise to me or most physicians — we have known that truth for years.
But it does undermine one of the basic philosophical and practical underpinnings of Obamacare: the notion that expanding insurance will invariably unclog ERs, improve primary and preventive care, prevent diseases and lower costs.
The study underlines the findings of a prior survey by the PricewaterhouseCoopers consulting firm that indicated that Medicaid patients are 35% more likely to use the ER unnecessarily than are the uninsured.
The reason for ER overuse is simple: Medicaid patients (like all insured patients) feel that their insurance card entitles them to health care anytime they want it. When office doctors aren’t available to provide it, they go to the hospital to get it.
Read the rest of How Obamacare will hurt doctors.
From The Atlanta Journal-Constitution:
Provisions of the federal Affordable Care Act, also known as ObamaCare, “may violate the constitution of Ayn Rand, but they do not violate the Constitution of the United States,” acting solicitor general Neal Kumar Katyal told a three-judge panel of the 11th Circuit Court of Appeals Wednesday. Conversely, attorney Paul Clement, representing Georgia and 25 other states, framed the issue of mandated purchase of health insurance as an issue of liberty. “Can the federal government compel an individual to take part in commercial activity in order to better regulate that individual?” he asked the judges. [ObamaCare gets put through judicial wringer | Jay Bookman]
And what does Ayn Rand have to say about the constitution?
The American system of checks and balances was just such an achievement. And although certain contradictions in the Constitution did leave a loophole for the growth of statism, the incomparable achievement was the concept of a constitution as a means of limiting and restricting the power of the government. […]
Today, when a concerted effort is made to obliterate this point, it cannot be repeated too often that the Constitution is a limitation on the government, not on private individuals—that it does not prescribe the conduct of private individuals, only the conduct of the government—that it is not a charter for government power, but a charter of the citizens’ protection against the government. [“The Nature of Government”, The Virtue of Selfishness]
The clause giving Congress the power to regulate interstate commerce is one of the major errors in the Constitution. That clause, more than any other, was the crack in the Constitution’s foundation, the entering wedge of statism, which permitted the gradual establishment of the welfare state. But I would venture to say that the framers of the Constitution could not have conceived of what that clause has now become. If, in writing it, one of their goals was to facilitate the flow of trade and prevent the establishment of trade barriers among the states, that clause has reached the opposite destination. [“Censorship: Local and Express”, Philosophy: Who Needs It 184]
This view is apparently what the Nihilist’s of the Obama administration disagree with.
Writes Michael Barone at the Washington Examiner:
[…] If Obamacare is so great, why do so many people want to get out from under it? More specifically, why are more than half of those 3,095,593 in plans run by labor unions, which were among Obamacare’s biggest political supporters? Union members are only 12 percent of all employees but have gotten 50.3 percent of Obamacare waivers.