Confessions of a Health Care Rationer

First Things
Aug 28, 2009
Eric Chevlen, M.D.

Excerpt:
"As Congress and the people consider restructuring the American healthcare system, they must keep in mind that rationing health care may not be undeniable, but it is unavoidable. To claim that Congress will devise a new federal healthcare plan that will not involve rationing is like claiming that it will invent a triangle that doesn’t have three sides. Currently, within the private sector of health care, we have a large number of private insurance companies vying for the business of their customers. They ration health care on the basis of evidence-based medical necessity. The Obama health plan, the details of which are still being worked out, will also ration health care. The alternative to that is an accelerated escalation of aggregate healthcare costs. But the single-payer system to which Obama’s plan will lead will have no competitor and no pressing financial incentive to please its customers. No competitor for the single payer means no alternative for the patient. We can reasonably expect that a single-payer system of rationing will be largely implicit rather than explicit, and governed as much by cost and political considerations as by medical evidence. Such a system would likely combine the fiscal responsibility of the Postal Service, the customer friendliness of the Bureau of Motor Vehicles, and the smooth efficiency of the Immigration and Naturalization Service.

You can bet your life on it." Full essay

Obamacare: A Pretext for Centralized Government Intrusion Into Personal Privacy
Now, in the name of health reform, all of our tax information will be made available to our health overseers.

Who Owns Your Body? Under Obamacare, not you.
The system now congealing in Congress for health care is not informed by such principles. Access to the most intimate personal information, direct interaction with bank accounts, and mandated Procrustean protocols remain features of the various schemes under consideration. Such programs would be managed by impenetrable, impersonal, and unaccountable bureaucracies. Do we wish to place such profound coercive powers in the hands of anyone, much less those who now stand expectant and eager to receive them?