Posted by
Saint Somebody on Friday, October 09, 2009 4:09:41 PM
The Wall Street Journal ran the following excerpt from a speech that Margaret Thatcher gave in 1981.
To me, consensus seems to be the process of abandoning all beliefs, principles, values and policies in search of something, in which, no one believes but to which no one objects - the process of avoiding the very issues that have to be solved, merely because you cannot get agreement on the way ahead. What great issue would have been fought and won under the banner of “I stand for consensus.” October 6, 2009 Notables and quotables
This statement lays out the dilemma facing Republicans on healthcare. On the very same day the preceding appeared, Bob Dole counseled Republicans to seek consensus, to get on board with the inevitable passage of some bill. In short, to be on the right side of the politics.
I have considerable respect for Bob Dole, but he has it completely wrong. The President needs a bill, any bill. It provides a platform from which further expansion can be fashioned. Given Mr. Obama’s extra-constitutional proclivities, the reform will then be implemented off the books, so to speak. Czars, regulators and an overly generous reading of executive power will limit the congressional role to appropriations from this point forward.
This bill will provide the president his “Lincoln logs.” He will build the house later on, away from the scrutiny and troublesome oversight.
This reform is a hodgepodge of ill-conceived strategies thrown together almost randomly. As Thatcher pointed out, there are issues that need to “solved.” A small sample of those follows.
** Guaranteeing affordable coverage without exceptions for past and pre-existing conditions can only be paid for by raising the premiums of those with better medical histories and lower foreseeable risks. There is no money in the pantry to finance this.
** The inclusion of a public option at a cost of 8 to 9 percent of gross payroll is an inducement for employers to dump their current coverages.
** A proposal to reduce reimbursements to the top ten percent (measured by the total dollars on care authorized) of physicians who treat Medicare clients is a nice idea that can’t work in the real world. No one wants less money for treating more patients, specifically more very ill patients. You cannot expand access by providing doctors disincentives to see patients.
This bill is not a carefully developed strategy based on a thoughtful analysis of trends, needs and capabilities. The Democrats are correct. Reforms are needed, but they are not ready.
No Republican should vote for this bill. This reform is a catastrophe in the making, combined with some short term political benefits for Democrats. Republicans should do their homework and promise to be there if and when a realistic bill can be presented. If the Democrats insist on passing this bill without any Republican support, Republicans should defer and let them own it.
We will learn a lot about the convictions of the Republican party in the near future. Don’t expect profiles in courage.
A constituent recently asked a Wisconsin House member if she had read any of the proposed legislation. She told her constituent that she has read the table of contents of one of the bills. This legislation is not ready. The elected representatives are not ready. Again.