From the category archives:

Health Care

Dems look to health vote without abortion foes

Written By: ERICA WERNER

House leaders have concluded they cannot change a divisive abortion provision in President Barack Obama’s health care bill and will try to pass the sweeping legislation without the support of ardent anti-abortion Democrats.

A break on abortion would remove a major obstacle for Democratic leaders in the final throes of a yearlong effort to change health care in the United States. But it sets up a risky strategy of trying to round up enough Democrats to overcome, not appease, a small but possibly decisive group of Democratic lawmakers in the House.

Democratic leaders are working to rally rank-and-file members around last-minute agreements on several sticking points, health insurance taxes and prescription drug coverage among them, and dozens of other complicated issues – all as Republicans stand ready to oppose the overhaul en masse.

“We will finish the job,” Senate Majority Leader Harry Reid, D-Nev., wrote in a letter to his Republican counterpart describing the path ahead.

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Senate Health Bill Would Up Costs for Millions in Middle Class, Analysis Finds

A nonpartisan study is casting new doubt on President Obama’s campaign pledge not to raise taxes on the middle class.

The Senate health care bill crucial to saving President Obama’s signature domestic initiative will hit the wallets of a quarter of all Americans making less than $200,000 per year, according to an analysis by the nonpartisan Joint Tax Committee that assessed the way the bill would hit taxpayers directly through new taxes and fees and indirectly through taxes levied on health care providers and passed on to consumers.

The committee also determined that the bill would subsidized insurance premiums for 7 percent of taxpayers — about 13 million people — while some 73 million people would face higher costs from the new fees and taxes.

The potential tax increases in the bill could pose significant problems for the president as he makes his final push for health care reform because he promised to protect middle-class Americans from any tax hikes. Republicans already are pouncing on the committee’s analysis.

“For every family that gets some benefit from this program, in other words, a premium subsidy, three families are going to get a tax increase and those three families obviously include the bulk of people you’d call middle class America,” Sen. Chuck Grassley, R-Iowa, told Fox News.

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Nancy Pelosi: Health care was ‘hijacked’

Written By: ANDY BARR

House Speaker Nancy Pelosi concedes that Democrats allowed the health care reform debate to be “hijacked” by insurance companies and other interests set on killing the bill.

Pelosi, in the second part of an interview with PBS’s Charlie Rose that aired Wednesday, said that early Democratic messaging attempts were plagued by the fact that the House and Senate had yet to come to any agreement about what would be in the bill.

“When you don’t (have) a bill yet, anyone can characterize it any way you want,” the California Democrat said. “I think that while there’s some well-intentioned people who have concerns about budget and this and that, a lot of that sentiment was hijacked by a concerted effort on the part of the insurance companies and their supporters to make sure we don’t a bill.”

“They could characterize it any way they wanted,” she added. “They could focus the debate.”

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Sick man faces bankruptcy — or death

Written By: MARK BONOKOSKI

Kent Pankow lives in Edmonton, in a province and a country that is trying to either kill him or bankrupt him.

No sense mincing words.

Suffering from brain cancer, Kent Pankow was literally forced to go to the Mayo Clinic in Rochester, Minn. for lifesaving surgery — at a cost to family and friends of $106,000 — after the health-care system in Alberta left him hanging in bureaucratic limbo for 16 crucial days, his tumour meanwhile migrating to an unreachable part of the brain, while it dithered over his case file, ultimately deciding he was not surgery worthy.

Now, with the Mayo Clinic having done what the Alberta Cancer Board wouldn’t authorize or even explain, but with the tumour unable to be totally removed, the province will now not fund the expensive drug, Avastin, that the Mayo prescribed to keep him alive and keep the remaining tumour from increasing in size — despite the costs of the drug being totally funded by the province for other forms of cancer.

Kent Pankow, as it turns out, has the right disease but he has it in the wrong place.

Had he lung cancer, breast cancer, or colon cancer, then the cost of the drug — $4,555 per treatment, two times a month — would be totally covered by Alberta’s version of OHIP.

But he doesn’t.

And so he is not only a victim of brain cancer, he is also a victim of arbitrary discrimination.

Full disclosure. Kent Pankow, a 40-year-old Red Seal sous chef, is a son of the man who married the spouse of my late brother. And it was while vacationing with them at their winter home in Los Cabos, Mexico, recently that this story began to unfold back in their home province of Alberta.

But do not think, even for a moment, that this could never happen in Toronto or other parts of Ontario.

Our supposedly universal federal health care system, the pride of most Canadians and the political struggle of America, is only as good as the length of the waiting line and whether you have the right disease at the right time.

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Why Obama Can’t Move the Health-Care Numbers

Written By: SCOTT RASMUSSEN AND DOUG SCHOEN

In 15 consecutive Rasmussen Reports polls conducted over the past four months, the percentage of Americans that oppose the plan has stayed between 52% and 58%. The number in favor has held steady between 38% and 44%.

The dynamics of the numbers have remained constant as well. Democratic voters strongly support the plan while Republicans and unaffiliated voters oppose it. Senior citizens—the people who use the health-care system more than anybody else and who vote more than anybody else in midterm elections—are more opposed to the plan than younger voters. For every person who strongly favors it, two are strongly opposed.

Why can’t the president move the numbers? One reason may be that he keeps talking about details of the proposal while voters are looking at the issue in a broader context. Polling conducted earlier this week shows that 57% of voters believe that passage of the legislation would hurt the economy, while only 25% believe it would help. That makes sense in a nation where most voters believe that increases in government spending are bad for the economy.

When the president responds that the plan is deficit neutral, he runs into a pair of basic problems. The first is that voters think reducing spending is more important than reducing the deficit. So a plan that is deficit neutral with a big spending hike is not going to be well received.

But the bigger problem is that people simply don’t trust the official projections. People in Washington may live and die by the pronouncements of the Congressional Budget Office, but 81% of voters say it’s likely the plan will end up costing more than projected. Only 10% say the official numbers are likely to be on target.

As a result, 66% of voters believe passage of the president’s plan will lead to higher deficits and 78% say it’s at least somewhat likely to mean higher middle-class taxes. Even within the president’s own political party there are concerns on these fronts.

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Durbin: Of Course Premiums Will Still Go Up With Obamacare

Final ‘reform’ push: twisting arms

Written By: MICHAEL TANNER

President Obama’s attempts to ram health- care reform through an increasingly reluctant Congress are starting to resemble a really eventful episode of “The Sopranos.”

Whether or not you believe former Rep. Eric Massa’s bizarre accusations of locker-room confrontations and conspiracies to drive him from office, there is no doubt that the Obama administration and its congressional allies are willing to use every trick in the book to get this bill passed.

They’ve already bought votes with pork and special deals — the “Louisiana purchase” ($300 million to bolster that state’s Medicaid program, which swayed Sen. Mary Landrieu); the “Cornhusker kickback” ($100 million to Medicaid there, sweetening the pot for Sen. Ben Nelson), and Florida’s “Gator Aid” (a Medicare deal potentially worth $5 billion, a hefty price for Sen. Bill Nelson’s vote). Plus the millions for Connecticut hospitals, Montana asbestos abatement and so on.

Nor were the Obamans willing to let a little thing like election laws stand in the way. They rewrote Massachusetts law to allow for an appointed senator to hold office for several months, hoping to get the bill through before the special election that Scott Brown ultimately won. Their plans spoiled, they even considered holding up Brown’s seating to let the appointed senator continue to vote on health care — until public outrage forced them to back down.

And, of course, there has been an unprecedented willingness to ignore congressional rules — from the failure to appoint a “conference committee” to negotiate differences between the House and Senate bills, to their current plans to use the reconciliation process to bypass a Republican filibuster.

Expect the tactics to get even dirtier now.

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Senate Health Care Bill Dead on Arrival, Pro-Life House Democrats Say

Written By: Carl Cameron

The health care reform bill passed by the Senate on Christmas Eve appears to be dead on arrival in the House, as seven anti-abortion Democrats intend to join the ranks of lawmakers who plan to vote against the legislation, Fox News has confirmed.

Seven new no votes would be enough to kill the Senate bill, and several more fence-sitting lawmakers are under pressure from both sides of the aisle.

Foremost among the seven new no votes is Rep. Bart Stupak, D-Mich., whose anti-abortion amendment to the House version of the legislation got the bill passed in that chamber last year.

But because the Senate and House Democratic leaders weren’t able to agree on joint legislation before losing their supermajority in the Senate this year, they have few options other than getting the House to pass the Senate bill and then making changes to the law through a separate budget reconciliation bill that could pass with simple majorities.

The Senate bill, however, doesn’t contain the same language as the Stupak amendment, which explicitly prohibits federal funding of abortion in any of the reform measures intended to expand health care coverage to millions of uninsured Americans.

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So we have to pass the bill before we can know what’s in it. Incredible!

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‘Trust’ Gap Between House, Senate Dems Hurting Health Care Push

House Democrats’ distrust of the Senate is turning up as a major roadblock to passing health care reform. And they’re playing right into Republicans’ hands.

With President Obama pushing anew to pass the health care package through Congress in the coming weeks, several House Democrats have voiced concern that the Senate could betray them if they go along and pass its version of the health bill.

“The Senate has given us a lot of reason not to trust them,” Rep. Jason Altmire, D-Pa., who voted against the House bill last year and is currently undecided, told “Fox News Sunday.”

Trust is such a key factor because the end game for health care reform involves House lawmakers passing the Senate-passed bill, and then crossing their fingers in hopes that the Senate will follow up with a packages of changes to get it more in line with what many House Democrats want to see. That bill could, under the scenario, be passed with a simple majority by using the controversial tool known as reconciliation.

But what if the Senate never passes a second bill?

That question is one that Republicans have tried to raise and is apparently nagging at Democrats.
Altmire said Sunday that the trust factor could be a stumbling block.

“Certainly that’s a key component of the dynamic of getting the votes — is there has to be some certainty that the Senate is going to follow through on their part,” he said.

He said the thought that the Senate would leave the House hanging “gives me concern.”

Other Democrats have suggested the House should not budge until the Senate passes the package of changes — though it’s not clear if that’s even allowed under Senate rules.

Rep. Anthony Weiner, D-N.Y., told CBS News last week that the Senate “has been the single problem” with getting the bill out of the House. He referenced the hundreds of bills that have languished in the Senate after passing the House.

“Fool me once, shame on me. Fool me 290 times, shame on you,” Weiner said.

The paranoia about the Senate turning its back on the House has been fed by Republicans hoping to send the bill back to the drawing board.

“Once they pass that bill, what’s the incentive for anyone here (in the Senate) to do anything?” Sen. Judd Gregg, R-N.H., said last week. “I don’t see the incentive for them to pass a reconciliation bill.”

Senate Minority Leader Mitch McConnell, R-Ky., also suggested the Senate could sit on the package of fixes.

“The House has to trust the Senate that we’ll go back in and fix the most egregious political problems,” he told ABC News’ “This Week” on Sunday.

Trust is hardly the only roadblock, though it is a big one. Another hurdle seemingly getting higher by the day is restrictions on abortion funding.

The House-passed bill was considered far stricter on that issue, and many House Democrats have threatened to reject the Senate bill without more assurances.

“Given the vote dynamic, abortion may be the decisive issue,” Altmire said.

Cleaver: Obama doesn’t have the votes to pass health care reform

Written By: Steve Kraske

Congressman Emanuel Cleaver said today on KCUR’s “Up to Date” that President Barack Obama doesn’t have the votes to pass health care reform in the U.S. House.

“We’re not at 217,” Cleaver said, referring to the number needed to pass the bill.

Later, the three-term Democrat from Kansas City said the passage number could be 216 given vacancies in the House.

The count today, Cleaver said, is about 201 health care supporters.

That number, he added, could fluctuate significantly as a final vote nears.

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Obama pleads for health Rx – for sake of presidency

Written By: GEOFF EARLE

President Obama yesterday pushed wavering House members to OK health-care legislation for his own political standing and for theirs, as the battle came down to a bare-knuckle brawl for votes.

Obama met with groups of liberal and more conservative Democrats in the White House to try to assemble a winning coalition.

“To maintain a strong presidency, we need to pass the bill,” Obama told the liberals, according to Rep. Raul Grijalva (D-Ariz.), who attended the meeting.

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Boehner says he expects health bill to hit House floor ‘within days’

Written By: Michael O’Brien

House Minority Leader John Boehner (R-Ohio) said Thursday he expects Democrats’ healthcare bill to hit the House floor “within days.”

Boehner said he expects the debate over healthcare to begin, in earnest, as Democrats in the House prepare to take up the health bill passed by the Senate last Christmas Eve.

“I think we’re within days of this bill coming to the floor of the House,” Boehner said during an appearance on Fox News. “It’s pretty clear that the president, Speaker Pelosi, and Majority Leader Reid want to do everything they can to jam this bill through the House and the Senate to get it to the president’s desk.”

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SEIU Wants to Unionize Doctors

BEGIN TRANSCRIPT

RUSH: Kathryn in Colleyville, Texas. Great to have you on the EIB Network. Hello.

CALLER: Hello, Rush. It’s great to talk to you.

RUSH: Thank you very much.

CALLER: I was calling about Medicare and the slow erosion of freedom within the doctor community. Basically over the past two or three months, cardiology has been taken incredible pay cuts, which are impacting the practice of medicine.

RUSH: Medicare and Medicaid particularly, you mean, right?

CALLER: Medicare, yes.

RUSH: Yeah.

CALLER: Specifically, a couple of months ago the imaging that is performed in cardiologists’ office took a 40% pay cut, and that was followed up this past Monday with a 20% pay cut to all physicians. It’s really affecting how patients are getting taken care of. We had to lay off some employees, and it’s really touch and go whether we’ll be able to continue to see Medicare patients.

RUSH: I was just going to say: Your only hope is to get out of the program.

CALLER: Well, there is an out, which a lot of cardiologists — about, probably, 30% — have already accepted. Hospitals are buying out cardiology practices, only to become employees of hospitals.

RUSH: Yeah. I know.

CALLER: Huh. And that’s (garbled).

RUSH: But once you opt out of Medicare you can’t take a Medicare patient ever again, right?

CALLER: I’m not sure all the rules. I’m probably out of my territory there, but there are specific rules for not taking care of Medicare patients. But the problem is that once you’re an employee of a hospital you’ve lost your freedom, and some practices that have been bought out have already been told by the hospitals that, “Oh, well, we’re going to have to cut your pay 15%, and you have no recourse.”

RUSH: All right. I want to try to put what you’ve said here into an understandable context for the audience.

CALLER: Thank you, Rush.

RUSH: No, no, no. Stay on the line here because I need you to tell me if I’m right or wrong on this.

CALLER: Okay.

RUSH: The odds are I’m right (I’m very seldom wrong) but I still want you there to correct me. Now, the very people who just yesterday in a big dog and pony show said, “We’re going to expand coverage, we’re going to insure 31 million more people, we’re going to lower costs,” the same people are reducing what they are paying you and your husband, cardiologists, to the point that you cannot keep your practices going?

CALLER: That’s basically it. It’s a huge part of this. Probably 50% of local cardiology business is Medicare.

RUSH: Well, of course it is.

CALLER: It’s a very successful business. Let me tell you that over the past ten years… You know, heart disease was the number one killer ten years ago. But do you know that in the last ten years the mortality has dropped 30% because of cardiology care?

RUSH: Yeah. Oh, I’m not surprised. Despite all these horrors like childhood obesity, the life expectancy just continues to edge upward in this country.

CALLER: That’s right.

RUSH: But my point with you, Kathryn, is that the very people who claim they know how to fix this are breaking what we have now.

CALLER: Exactly. What we have now is already so broken that basically insurance companies and government have doctor groups fighting among ourselves for what’s left of our 8% of the Medicare dollar. About 8% of what goes through Medicare actually makes it to doctors. Everything else is wasted.

RUSH: Thank you, Kathryn. I want to make another point about this, ladies and gentlemen. I want to go back to my old buddy Howard Fineman and his piece earlier this week in Newsweek in which he wondered, “Where’s all the money going?” Where’s all the money going if they’re cutting the doctors? Well, the money isn’t there. We don’t have it. We have a $1.5 trillion deficit. The money is owed. The money is going to debt. But this is the real point. You listen to this doctor. I could do this all three hours any day I wanted. I could take calls from doctor after doctor after doctor who would tell the same story: Medicare payments, copayments are being cut back to the point that they can’t continue to keep the office open on what the government is paying them.

You have cardiology patients, heart patients, going in to get treated, and some far-off bureaucrat somewhere… Not an insurance company. We’re talking Medicare here, not some evil insurance company. Some federal bureaucrat is deciding what the cardiologist is going to get paid. That’s not a free market. There’s no relationship to Kathryn’s patients and the price of Kathryn’s service. The patient isn’t paying diddly-squat, or very little on Medicare and even less on Medicaid if we lump that in. We’ll leave Medicaid out of it for now. There’s absolutely no relationship. These people walk in with a heart problem. The service and the fee attached to it by Kathryn and her husband the cardiologists is not based on that woman’s ability to pay or the patient’s ability to pay or the patient’s level of care that’s needed, treatment, what have you.

Some bureaucrat that nobody knows, sitting far away in some dank federal office, is using a computer with printouts and models — formulas and so forth — to determine what the doctor rendering the service is going to be paid. This is price fixing. This is government control. We already have this. This is why it’s messed up. Now, we can get lost in the details here of the doctor’s only getting reimbursed this or they’re having their payments bundled here or what have you. That’s not the point. The problem is, imagine if you had to check into a hotel this way and the room is 400 bucks a night, and some federal bureaucrat says, “We’re only going to pay the hotel a hundred bucks for this,” and the hotel has to give you the room! It can’t be sustained.

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Charles Krauthammer: For Obama, health care show must go on

Written By: Charles Krauthammer

So the yearlong production, set to close after Massachusetts’ devastatingly negative Jan. 19 review, saw the curtain raised one last time. Obamacare lives.

After 34 speeches, three sharp electoral rebukes (Virginia, New Jersey and Massachusetts) and a seven-hour seminar, the president announced Wednesday his determination to make one last push to pass his health care reform.

The final act was carefully choreographed. The rollout began a week earlier with a couple of shows of bipartisanship: a Feb. 25 Blair House “summit” with Republicans, followed five days later with a few concessions tossed the Republicans’ way.

So the yearlong production, set to close after Massachusetts’ devastatingly negative Jan. 19 review, saw the curtain raised one last time. Obamacare lives.

After 34 speeches, three sharp electoral rebukes (Virginia, New Jersey and Massachusetts) and a seven-hour seminar, the president announced Wednesday his determination to make one last push to pass his health care reform.

The final act was carefully choreographed. The rollout began a week earlier with a couple of shows of bipartisanship: a Feb. 25 Blair House “summit” with Republicans, followed five days later with a few concessions tossed the Republicans’ way.

…even strong Obama supporter Warren Buffett [went] public with his judgment that the current Senate bill, while better than nothing, is a failure because the country desperately needs to bend the cost curve down and the bill doesn’t do it. Buffett’s advice would be to start over and get it right.

Obama has chosen differently, however. The time for debate is over, declared the nation’s seminar leader in chief. The man who vowed to undo Washington’s wicked ways has directed the Congress to ram Obamacare through, by one vote if necessary, under the parliamentary device of “budget reconciliation.” The man who ran as a post-partisan is determined to remake a sixth of the U.S. economy despite the absence of support from a single Republican in either house, the first time anything of this size and scope has been enacted by pure party-line vote.

Surprised? You can only be disillusioned if you were once illusioned.

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Hundreds of NHS wards to be shut in secret plans

Written By: Robert Winnett, Holly Watt and Christopher Hope

Plans that could lead to the closure of hundreds of hospital wards are being drawn up but will not be made public until after the general election, opposition parties have said.

Last year, the Government asked NHS authorities to come up with proposals to reorganise the service to save money as a result of the recession. Details have started to emerge of what is likely to be a rolling programme of cuts that contrasts sharply with assurances from Labour and the Tories that the NHS was “safe”.

So far, only the plans for London have come to light. Campaigners claimed the proposals threatened services such as casualty and maternity units at 13 out of 36 hospitals in the capital.

The failure of health authorities in other areas to disclose their response has prompted allegations that proposed closures, which could be politically damaging to the Government, will not be published until after polling day.

The scale of the cuts has caused a rebellion among Labour ministers who have openly defied the Government by publicly protesting at closures at their local hospitals.

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Dem Dozen Threatens to Bail on Health Care Over Abortion Language

Michigan Rep. Bart Stupak said Thursday he’s counted 11 Democratic lawmakers in addition to himself who are willing to kill President Obama’s health care overhaul over abortion language.

Stupak sponsored a provision in the House of Representatives’ health care bill, which passed last fall, that clearly prohibits the use of federal money to pay for abortions. That language did not make it into the Senate bill, the model Obama is using to craft the plan he is expected to send to Congress shortly.

“We’re not gonna vote for this bill with that kind of language in there,” Stupak said Thursday in an interview on ABC’s “Good Morning America.”

“I want to see health care, but we’re not gonna bypass some principles and belief that we feel strongly about,” he said, adding that he’s “prepared to take responsibility” for bringing down the bill.

President Obama is hoping the legislation will pass in the House by March 18, White House Press Secretary Robert Gibbs said Thursday.

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President Obama flip-flops on reconciliation

President Launches Last Push on Health-Care Overhaul

Written By: LAURA MECKLER And JANET ADAMY

President Barack Obama opened the final act of a year-long drama over health-care legislation Wednesday, calling on Democrats in Congress to approve the sweeping bill despite political risks and Republican opposition.

The president vowed to rally Americans and wavering lawmakers alike. White House aides said a pair of trips next week will be followed by a stream of public and private lobbying. The White House wants final votes by month’s end.

“At stake right now is not just our ability to solve this problem, but our ability to solve any problem,” Mr. Obama told a crowd of white-coated doctors and nurses in the East Room, where a year ago he started the drive for the legislation.

With polls showing that the legislation is unpopular and congressional Democrats bracing for big losses in this fall’s elections, the president urged them to ignore the politics. “I do not know how this plays politically, but I know it’s right,” he said. “Let’s get it done.”

Democrats and the White House are balancing high risks and rewards. The health overhaul represents the biggest social-policy change since the Great Society of the mid-1960s created Medicare. But if the public judges the overhaul harshly, it is likely to cost some Democrats their seats, and the party’s majority in the House could be at risk.

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Obama urges Congress to ‘finish its work’ on reform bill

Barack Obama: I’ll steamroll health reforms through Congress

Written By: Tim Reid

President Obama declared for the first time yesterday that he was prepared to steamroller his troubled health reform legislation through Congress with only Democratic support; a move Republicans denounced as the “nuclear option”.

Signalling that his patience had snapped after a year-long fight, Mr Obama laid the ground for Democrats in Congress to muscle the Bill through using a high-risk legislative manoeuvre known as reconciliation, which overrides a Republican filibuster. Although he did not use the word “reconciliation”, Mr Obama made it clear that that was the route he intended to take.

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Obama Now Selling Judgeships for Health Care Votes?

Written By: John McCormack

Obama names brother of undecided House Dem to Appeals Court.

Tonight, Barack Obama will host ten House Democrats who voted against the health care bill in November at the White House; he’s obviously trying to persuade them to switch their votes to yes. One of the ten is Jim Matheson of Utah. The White House just sent out a press release announcing that today President Obama nominated Matheson’s brother Scott M. Matheson, Jr. to the United States Court of Appeals for the Tenth Circuit.

“Scott Matheson is a distinguished candidate for the Tenth Circuit court,” President Obama said. “Both his legal and academic credentials are impressive and his commitment to judicial integrity is unwavering. I am honored to nominate this lifelong Utahn to the federal bench.”

So, Scott Matheson appears to have the credentials to be a judge, but was his nomination used to buy off his brother’s vote?

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Alice in Health Care

Written By: Thomas Sowell

Most discussions of health care are like something out of Alice in Wonderland.

What is the biggest complaint about the current medical care situation? “It costs too much.” Yet one looks in vain for anything in the pending legislation that will lower those costs.

One of the biggest reasons for higher medical costs is that somebody else is paying those costs, whether an insurance company or the government. What is the politicians’ answer? To have more costs paid by insurance companies and the government.

Back when the “single payer” was the patient, people were more selective in what they spent their own money on. You went to a doctor when you had a broken leg but not necessarily every time you had the sniffles or a skin rash. But, when someone else is paying, that is when medical care gets over-used — and bureaucratic rationing is then imposed, to replace self-rationing.

Money is just one of the costs of people seeking more medical care than they would if they were paying for it with their own money. Both waiting lines and waiting lists grow longer when people with sniffles and minor skin rashes take up the time of doctors, while people with cancer are waiting.

In country after country, the original estimates of government medical care costs almost always turn out to be gross under-estimates of what it ultimately turns out to cost.

Even when the estimates are done honestly, they are based on how much medical care people use when they are paying for it themselves. But having someone else pay for medical care virtually guarantees that a lot more of it will be used.

Nothing would lower costs more than having each patient pay those costs. And nothing is less likely to happen.

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President Obama to Say Democrats Will Use Reconciliation to Pass Senate Health Care Reform Fix, If Not Given Up or Down Vote

Written By: Jake Tapper

White House officials tell ABC News that in his remarks tomorrow President Obama will indicate a willingness to work with Republicans on some issue to get a health care reform bill passed but will suggest that if it is necessary, Democrats will use the controversial “reconciliation” rules requiring only 51 Senate votes to pass the “fix” to the Senate bill, as opposed to the 60 votes to stop a filibuster and proceed to a vote on a bill.

Lawmakers on Capitol Hill have been awaiting the president’s remarks direction on how health care reform will proceed.

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