Slouching Towards Healthcare Reform

by Jon N. Hall7/7/17
The deadliest structural collapse in American history prior to 9/11 occurred right here in Kansas City at the Hyatt Regency in 1981 when two suspended walkways fell onto a tea dance in the hotel lobby, killing 114 and injuring 216. Emergency physician Dr. Joseph Waeckerle had just finished an eleven-hour emergency room work shift and was heading home when he received the call. Waeckerle arrived at the scene twelve minutes after the collapse and took charge, directing search and rescue, as well as triage. It was an all-hands-on deck situation, and soon the ERs of the metro’s hospitals began to fill with mangled survivors. It’s difficult to imagine that emergency responders in all that chaos would ask for the victims’ medical insurance cards.

And that’s because most folks are decent, at least they were here in the heartland back in 1981. However, the emergency response, the ER physicians, the years of rehabilitation to come, and all the modern medicine to follow, it all costs money, a lot of it. It wouldn’t make much difference, though, if the victims of the Hyatt collapse didn’t have medical insurance, because other parties were going to pay for them. For soon the lawsuits would be flying, and the hotel and the firms that designed and built the suspended walkways would all have to pony up.

But when disaster affects only one individual, as when one has been struck by a hit-and-run motorist and there’s no one to sue, then one is on one’s own and will be held responsible for one’s medical bills. If you’re having a heart attack or an aneurysm, that’s your own personal “Hyatt,” and you’ll be held accountable for the costs of your care. Then you’ll need to have insurance or very deep pockets. But how is the Hyatt disaster relevant to these more common medical problems?

It’s the ERs. You see, in 1986, five years after the Hyatt collapse, Congress enacted the EMTALA law, which stipulated that hospital ERs must take everyone, regardless of their ability to pay, or lose Medicare funding. So those Kansas City ERs that were used to save the lives of hundreds of disaster victims suddenly became the reception desk for all manner of patients.

EMTALA did, however, create a “universal healthcare system,” albeit not the Left’s beau ideal of a single-payer one. Using ERs to treat non-emergencies is poor policy. Any new legislation that would “insure” everyone should include a repeal of EMTALA. (EMTALA is unconstitutional anyway, as it uses the same blackmail scheme Obamacare used to expand Medicaid, which was struck down by the court.) But repealing EMTALA without a replacement would leave millions of Americans without. So, Congress needs to devise a better “universal” system to replace the “universal” system they created back in 1986.

The overriding issues of American healthcare reform can be boiled down to two things: coverage and cost. Obamacare failed on both counts; it failed to provide coverage for some 28 million Americans (do they not bleed?) and insurance costs have soared. The issue of coverage, i.e. access, seems simple to gauge: either people are getting medical treatment or they’re not. The thornier issue is cost. And it’s not only the cost of insurance; it’s also the cost of medical care. Americans need to understand that the rising prices we’ve seen in both medical care and in medical insurance are attributable in no small part to government.

The main reason to call the House and Senate bills “Obamacare Lite” is the subsidies, or tax credits, to help folks buy private insurance policies. But how do subsidies affect the price of insurance for those not receiving subsidies? It seems likely that the Obamacare subsidy program is serving to jack up the prices for those who pay the full price with their own money. On December 19, Insurance Journal ran “How Much Do Health Insurance Subsidies Cost Taxpayers?”:

The study estimates that the cost of premium subsidies under the Affordable Care Act will increase by $9.8 billion next year, rising from $32.8 billion currently to $42.6 billion.

The average monthly subsidy will increase by $76, or 26 percent, from $291 currently to $367 in 2017.

Currently more than 8 in 10 consumers buying private health insurance through HealthCare.gov and state markets receive tax credits from the government to help pay their premiums. Those subsidies are designed to rise along with premiums, shielding consumers from sudden increases. But the bill ultimately gets passed on to taxpayers.

Subsidy programs don’t seem to exert any downward pressure on price inflation. Would Medicaid cost the feds less per enrollee than the subsidy program? You see, they don’t pay for Medicaid patients unless they’re sick, but with the insurance subsidies, the feds pay regardless. But Americans don’t want Medicaid; they want private insurance. Too bad, the subsidies should end.

There seems to be a lot of resistance from some conservatives and libertarians to any kind of single-payer, taxpayer-funded, government-run healthcare system. Some of the folks who cleave to this position are absolutists, and justify their position by saying there’s nothing in the Constitution that allows it.

As the inventor of Compassionate Social Darwinism™, I’ve long held that the government shouldn’t be involved in healthcare other than compassionate pain relief. I also think that private health insurance, except for so-called “catastrophic” policies, is fairly crazy. But lately I’ve moderated by views. I now believe that the GOP needs to “out-compassion” the Democrats. Republicans need to institute their own “universal healthcare system” that will allow them to repeal the one provided by EMTALA. But my idea for a GOP universal system is not free; in fact, it has a claw-back feature. Read “The ‘Free Market’ and Universal Health Care” and “Universal Healthcare with a Conservative Twist,” both at American Thinker, and decide for yourself if my idea for universal coverage has any merit.

There is much skepticism about whether Republicans in Congress can come together and pass a replacement for Obamacare. They say that replacement is a three-phased ordeal, because only certain things can be done with reconciliation and senators don’t want to end the legislative filibuster. But there is a phase-3 item that Congress could act on now, and it concerns one of the oldest laws that affects healthcare: the McCarran-Ferguson Act (1945). In fact, the House voted in 2010 to repeal the part of the Act that affects health insurance with Health Insurance Industry Fair Competition Act (HR 4626). The thing passed 406-19 when the House was run by Democrats, but the Senate never brought it to a vote and let it die. Congress should correct that and pass a repeal of McCarran-Ferguson ASAP; it could turn out to be the only thing they can agree on … call it “Plan B.”

Republicans might be able to get some bipartisan buy-in for this bill, because many of America’s counties are down to one insurer, and some have no insurers. Repeal of McCarran-Ferguson would allow health insurance to be sold across state lines, which would create a national market. Repeal of McCarran-Ferguson is a necessary step to pushing prices down, but it’s not sufficient. To get real competition, not only does one need to be able to choose from a variety of insurers, one also needs to be able to choose from a variety of insurance plans. To get real competition, we need to repeal Obamacare.


Jon N. Hall is a programmer/analyst from Kansas City. • (578 views)

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21 Responses to Slouching Towards Healthcare Reform

  1. Timothy Lane says:

    Realistically, healthcare has become a government-supported function, and this will never go completely away. Too many people are already dependent on it, and most will vote to keep what they have no matter what. (As someone on Medicare — paying my bill otherwise would be hopeless — I know something of this.) What is needed is to figure out how to make what we have resemble as much as possible the sort of genuine free enterprise system we would like while still providing the coverage people demand. A number of conservative reforms — improved information, insurance across state lines, minimizing required services — can help.

  2. Kung Fu Zu Kung Fu Zu says:

    As Mr. Hall points out, the problems of American medical care go back beyond Obamacare.

    Anytime the discussion comes up, one hears how the American medical system is the “best in the world.” One never hears exactly why this is the case, and like much of the rhetoric about the USA, it is taken on faith that this is fact.

    Basic medical care in this country will vary from excellent to bad, depending on one’s primary care physician. But the hospital system is extremely costly and, from what I have personally experienced, less than wonderful.

    Let me give one example as regarding costs.

    About 15 years ago, I required a certain medical procedure to be performed on me. I was told that it would cost about US$15,000.00. I had had the same procedure in both Hongkong and Singapore, very expensive cities in which to live, for about US$3,000.00.

    This being the case, I flew to Singapore and had the procedure done. It cost me just under US$3,000.00 including the flight from DFW to Singapore. The doctor had just come back from an 18 month specialized course in Canada and the newest machine was used for my operation. The machine which would have been used here would have been an older version.

    My actual out-of-pocket expenses were for the flight (about US$1,200) and US$300.00 for incidentals. The balance was paid by my wife’s health saving account which is mandatory in Singapore.

    Besides the question of costs, I could also tell you nightmare stories about in-hospital stays by various members of my family. Suffice it to say, I do not worship at the altar of American health care. And Obamacare has only made it worse.

    • Greg Blackwell says:

      Medical Tourism is an exercise in freedom reasonably expected from Americans seeking to avoid not just extortion but a corrupt system at large hemorrhaging at the edges with criminal negligence. The VA recently illustrating the point beyond the private insurance corruption scheme… in a government run program already approaching definitions of mass murder.

      Medical Tourism and leaving the United States for health care defies the current corruption and that corruption does not take kindly to exposure and embarrassment or avoidance and disruptive ideas with displacement economics. Therefore… it is predictable that “laws” are forthcoming that will restrict or prohibit… create an outright ban on U.S. citizens leaving the United States for lower cost health care.

      The telegraph is already in motion from the U.K. with Charlie Gard.

  3. Timothy Lane says:

    The basic problem is that those who pay for healthcare are mostly 3rd parties, and no one knows until after it’s done what anything costs. So people go to hospital and have no idea what they’ll owe until later. And there are all the ancillary charges for tests and doctors that are added to hospital charges. We have good healthcare, but the payment system has been atrocious for decades.

  4. Brad Nelson Brad Nelson says:

    Living forever is a human right.

    The thing to do is to be clear that the politics of this issue is completely different from the rational resolution of this issue, to the extent that conquering illness and death can be resolved and everyone somehow die and suffer “equally.”

    If both parties were not thoroughly corrupt, a sane and useful solution could be found. But the corruption is so profound, and the populace itself so woefully uninformed (and corrupt as well), we’re left constantly hacking through the thick weeds of “solutions” that are not solutions.

    If we could slice all this baloney, we could feed the world’s hungry for decades to come. If we were honest human beings with a purpose to maximize health care, we already know what works (the free market). If we decide to set up a pool to cover the worst cases, we could easily afford to do so. But then we’d have to make honest and rational choices regarding this pool. It can’t be expanded just to gain votes. There must be safeguards against fraud. It must be means-tested. And it must make sure it is not a de facto means to keep people in a state of degradation.

    I know of no politician at the national level with the integrity to spell it out like this. Maybe Cruz and Rand Paul come the closest.

  5. pst4usa says:

    There seems to be a lot of resistance from some conservatives and libertarians to any kind of single-payer, taxpayer-funded, government-run healthcare system. Some of the folks who cleave to this position are absolutists, and justify their position by saying there’s nothing in the Constitution that allows it.,
    You can count me in those numbers. The fact that it is not in the Constitution should be enough, but since we have so few that understand what the function of government is or ought to be; and have bought the progressive marketing idea that compassion is one of those functions we cannot do without, then I guess we are stuck in this rut that will destroy us in the end.
    I will not argue that we cannot, (due to lack of political will or lack of political courage), fix this system without the crash to come or a real civil war, (which will also come). I know, if we just could make something, maybe we call it one world government or something catchy like that, we could take care of every thing for everyone at all times and we will all be equal. It will require some teensy tiny amount of force to get people like me to conform, just a little lead, but as some wise guy said a while back, sometimes you have to break a few eggs if you want to make an omelet. I think Brad is right, immortality is a basic God given human right. (Oh yeah, sorry I can’t use that name anymore.)
    Can we agree and say that the government should not be involved at all in this endeavor? Or are we too far gone? I suppose we are and we cannot agree, As Timothy or Mr. Zu said, the people are too dependent on it, (the “it” being government nannies and all that entails).
    Sorry for the rant, but my passion for the ideals of this nation far exceed my abilities to write. 40+ years of entrepreneurial life, building things on my own, and doing so with as little government interference as I could make happen tends to alter my judgment of what an uneducated man can do if he is free to succeed or fail on his own.

    • Brad Nelson Brad Nelson says:

      A commenter made the analogy in an article I read recently that getting care for your pets was cheaper, and offered more choices, than you can get now for humans.

      Not that there aren’t inherent differences that relate to some of those costs. But the point was that if we followed the human model, getting veterinary care would become expensive and your choices would be more limited.

      And it’s disturbing to have opposition to socialize medicine described as an absolutist position. We know that the free market works. We know that a society of Pat-like builders is the way to go instead of socialism which simply empowers the moochers, complainers, and the shiftless.

      I’m all for government having some kind of very limited program to help the most unfortunate. But anyone talking about having a health health care system (hopefully a market) while expecting pre-existing conditions to be covered is smoking dope. No workable system can operate with this mandate.

      So what this really comes down to is we have become a pussified culture. It is “mean” to talk about the realities of health care, that there are inherent costs associated with it, that we have to make some difficult choices, that we can’t solve any problem by just declaring something to be “free.”

      The “nice” people, however, will totally fuck-up and tear down the entire system so that at the end of the day they can tell us how god damn “compassionate” they are. We see evil in the guise of “nice.” If people are actually interested in maximizing the amount of care and wellness out there, socialized medicine is obviously not the way to go.

      But I speak as a free person. Pat speaks as a free person. What we see now are more and more eunuch-like Elois who would rather (even if they won’t admit it to themselves) have “equal” care even if it is worse care. Cultural Marxism (aka “hatred of ‘the rich’”) has been so droned into the skulls of many that what all this healthcare B.S. is really about is getting your pound of flesh.

      And for a purely materialist mentality, made all the more soft and squishy by the conveniences of modern industry, this makes psychological sense. We become evermore annoyed at ever-smaller inconveniences, much like in the story “The Princess and the Pea.” We become angry and we vent that anger on others because Utopia has not come and come now. The idea that there are inherent realities, requirements, and limitation to living is an offense to the sensibilities of the Cultural Marxist Man who expects his bread-and-circuses and cares not for who must die or be enslaved to make it so.

      Those who give two squats about the health of people would not put social engineering in the way of, for instance, the ability of you or me to purchase inexpensive, market-fulfilled catastrophic health insurance. The reality is, all this meddling by government is harming people. If you care, you don’t do socialism. If you pretend to care…well…have at it. Dispense the bread and circuses to what is now becoming “the masses” instead of noble, independent, thrifty and honest American citizens.

    • Timothy Lane says:

      Government-run medicine is constitutional at the state level, but not the federal level. However, there’s no way of going back. Politics is “the art of the possible”, and that no longer is. At best, we can gradually shift the Overton Window back toward freedom. But eventually the Fascist Party will win again, and halt (and reverse if they can) any such progress. But we can make things freer and better, and should do so.

      • Brad Nelson Brad Nelson says:

        People have truly become consumers. Stop in your day wherever you are and you can figure people out if you use that lens.

        That doesn’t mean there aren’t nice people out there. But the watchword is “I consume, therefore I am.” And basic to consuming is being alive and well enough to consume. So healthcare then becomes a “right.” And, of course, it becomes a “right” when all the other rights are forgotten and just assumed to come automatically with the air we intake.

        I see nothing but corruption in this whole socialized medicine process. These are the two elements:

        1) Those at the top can consider themselves magnanimous — practically Albert Schweitzer — for giving to the little people some more “free stuff.” And it helps them to assuage their guilt for being successful.

        2) The little people (and that is what we become when taking “free stuff” from our Progressive Lords) have come to believe that they are deserving of other people’s money, so socialized medicine — instead of organized thievery — is considered “social justice.”

        The Constitution is about limits on government (so that we can live free and make our own choices). Whether or not socialized medicine is Constitutional is less a legal matter than an ideological one: No American should want his body to become the de facto property of a government bureaucracy. His very life and health are then at the whim of mere politics.

        And no conversation regarding “fixing” health care should begin without noting that all of the government mandates and interference in health care (often driving by mere political whims and social engineering) have been the chief cause of health care costs rising.

        Therefore, there is no realistic or rational national conversation ongoing about fixing this. And that’s a sad fact. Our system (and ourselves) is that broken.

  6. pst4usa says:

    No doubt Timothy, States were always meant to be the laboratories for ideas. The founders said in various ways that the powers of the Federal Government were few and limited and that the States were able to do as much as their citizens allowed or desired, within the limits put on them by the Constitution. When enough of the states had failed at government run health-care, maybe this would have never been tried on a national scale. No wait, that would require common sense and that died a long time ago.

    • Timothy Lane says:

      Maybe, maybe not — foresight is always in very short supply, but hindsight is still available. If every government-run medical program failed, that would be a lesson to most people. But few ever anticipate such problems (especially when “free stuff” is involved), and once something is in place and handing out lots of “free stuff”, it’s almost impossible to do anything but make small changes (which may shift the Overton Window slightly). That’s where we are now.

    • Brad Nelson Brad Nelson says:

      The sobriety test for “health care reform” is:

      A) Recognizing that government has been the prime driver of cost increases (in collusion with insurance companies).

      B) America was never meant to be the land of guaranteed “free stuff.”

      C) Politicians come and go. Their “compassion” is not a function of their hearts but of their political consultants. We will still be here while they get clear of the mess they leave behind.

      Serfs don’t have rights. They have duties to the state. Which will you be, a free citizen in a republic or a serf bought off by supposed “free stuff”?

      This crop of politicians in both parties is corrupt. Good, plain-talking people could easily fix this (mostly, of course, by getting their grubby little hands the hell out of health care and letting the market function). Americans must learn once again to think like noble citizens and not like grubby little serfs.

      • Greg Blackwell says:

        Brad, if you will accept a summation…. we are afflicted in the U.S. with the Mary Jo Kopechne Health Care System.

        • Brad Nelson Brad Nelson says:

          I read you bit on “health tourism,” Greg. It seems the Leftist construct of “It’s my body and I can do with it what I want” is in conflict with the government basically now owning your body. That case in England regarding Charlie Gard should tell even the most brain-dead liberal that there is something rotten in Denmark.

          But the Siren Song of “free stuff” (as well as sticking it to “the rich”) is a powerful inducement for “the masses” (as opposed to reasonable, noble, and thinking citizens of a great republic). Many also justify state-controlled medicine because it makes them feel like Albert Friggin’ Schweitzer. They are just so darn compassionate.

          • Timothy Lane says:

            It’s all about imposing their will on the rest of us. Those who use loopholes such as medical tourism are escaping their will. Hence their hostility to any form of school choice, for example.

          • Greg Blackwell says:

            Speaking of state mandated compassion… I offer the following on the history of the Obamaslob mentality-

            Health care rights for prisoners… especially those sentenced to life terms now exceed those of non criminals. In the insanity of the courts and legislatures… victims of crime in addition to taxpayers at large should be required to subsidized health care for criminals while forfeiting any practical or economic right to health care for themselves or their family. But sadly for example, Rose Bird in her socialized beneficence isn’t capable of (because she is dead) coughing up the taxes herself to pay for Charles Manson’s health care (who ironically is still alive).

            Even further-

            An extended range of indicators in the hostility and irrationality against morality and decency… let us take the ongoing problem of DUI and double up on it with legalized dope smoking to flood the nation’s ERs with more “accident victims”. Matter of fact, let us allow a severe drug addiction problem with heroin in Vermont or opioids in Dayton to endlessly elude our sense of right and wrong. After all the consequences of drug addiction are not a personal responsibility according to the Obamaslobs. It is a socialized national insanity health care “insurance” coverage issue that everybody else should pay for.

            And even more so-

            Let us disavow and completely ignore any discussion on morality and health care in exchange for “across state lines insurance theory”. Everyone nationally should be happy to pay endlessly for the health care costs associated with the gang shootings in Chicago. Obamaslob health care and criminality to the very end… but only at the expense of others.

            Visualize this for the future of health insurance-

            Corleone Health Insurance Company: “Look what they did to my boy!” With low deductibles and a no questions asked ER policy you will have no financial worries when things go bad with your family.

            • Timothy Lane says:

              William Forstchen once said that he became a conservative when his TV went out as he was trying to stay afloat near tax time — and then the state of Maine (where he then lived) started a program of free TVs for prisoners.

              The problem with Corleone HIC is that you own them in future favors, not money, and have no way of knowing what those will be.

            • Brad Nelson Brad Nelson says:

              Greg, I like the way you think. Corleone Health Insurance Company. Good grief, life does indeed imitate art.

              I’m not for any kind of national mandate or government central planning of this issue. But if there that was to be the case, Wayne Allyn Root has a proposal that seems sensible: Here’s How to Solve the Healthcare Crisis. What do you think?

              • Greg Blackwell says:

                “And no conversation regarding “fixing” health care should begin without noting that all of the government mandates and interference in health care (often driving by mere political whims and social engineering) have been the chief cause of health care costs rising.
                Therefore, there is no realistic or rational national conversation ongoing about fixing this. And that’s a sad fact. Our system (and ourselves) is that broken.”

                Brad Nelson

                First and foremost is that insurance is not about health care. Never was and never will be. Insurance companies do not provide health care. Insurance is about gambling and perceptions of risk taking (complete with built in broadcasting of fear and anxieties) on any subject (health care) where it is you and your premium (bet) against the house. The house mind you can refuse to pay off, change the rules, lie, steal and do whatever they want including throwing you out of their casino. Good luck in the litigation. Because of whorehouse lawyers and politicians of the Obamaslob nightmare… insurance companies now have the federal government and the courts to back them up with “mandates” and taxes… to impose a “health care” on the American people. And largely renounce the U.S. Constitution, free markets, individual choice and basic human rights and above all… morality and its needed distinctions. (See my general comments previously about criminality, individual responsibility and socialized immorality connected to extended criminality through a government mandated insurance scam)

                Next… After having bought and moved into the place… Trump will need to work twice as hard and twice as fast to scrape the ACA spaghetti off the wall.

                I did look at Rootcare and I am in the neighborhood… but let me skate around the corner for a moment. In writing about health care… let us actually examine health care.

                Doctors, surgeons, nurse/tech staff, radiologists, pharmacists, EMTs and many others actually do the health care work. Insurance companies don’t do anything for you in health care. Nothing. That clarity of separation is deliberately ignored in any national discussion or broadcast dialogue on health care. There is a reason for that.

                Here in San Diego we have had for decades a service known as 1-800-CALL-DOC. A physician with a nurse/lab tech going around San Diego County in a high tech van with portable chest X-ray, immediate lab services, prescription pad and all the typical drugs associated with a non-catastrophic ER visit. All for about $200 a visit in 1997 dollars. They have a sizeable fleet of these vans in a hotel parking lot down near the airport and yet… most people over the past 20+ years have never heard of them. There is a reason for that.

                Across into Mexico for many decades have gone Americans and the Snowbird Canadians for health care and prescription drugs by the ton. Any given year sees huge numbers flow back and forth to load up for themselves and others huge prescription needs that are unaffordable in the U.S. and to do equally unaffordable dental work cheaper… in Mexico. I would go on about multiple sclerosis treatment in Germany, Crohn disease treatment in Mexico and double hip replacements in Thailand but I think you get the point and from many others about Medical Tourism. But not everybody can do the Singapore medical tango… they are trapped. That is basically because large portions of the U.S. population are poor and uninformed.

                The flip side to this is the huge import of foreign nationals into the U.S. to staff hospitals with physicians and nurses and pharmacy techs at your local Walgreens. But not with any reduction in medical billing at a hospital or real drop in the cost of prescription medications. Only the race to the bottom in labor cost while displacing Americans out of health care jobs becomes the result.

                Prescription drugs have come a long way. The FDA is needed like the CDC but the FDA has become in part a political circus locking Americans out of prescription medications and treatments approved overseas. Actually the FDA refuses to accept data developed overseas in drug trials and approvals outside the U.S. even for drugs that become available in the U.S. many years later. Yet it remains important to monitor new developments in health care with pharmaceutical treatment=
                Top 10 new drugs in 2015

                https://www.goodrx.com/blog/top-10-new-drugs-of-2015/

                But pharmaceuticals are cutting into the action of other medical services and hospitalizations. Cancer treatments don’t require as much the surgeries or radiation therapy they once did. Chemotherapy is the stone age now compared to biologicals.
                https://ccrod.cancer.gov/confluence/display/CCRMTDPBeu/Introduction+to+MTL

                Biologicals are the wave of the future in many treatments and therein the economics of medicine has trouble of different kinds. Repatha is another example of drug development and is the latest in clearing out those arteries from cholesterol… but it runs $14,000 per year. Unless you are a Federal government employee or connected with the VA… then it’s more free stuff. Okay, so Trump wants to negotiate down drug prices for the Federal government purchasing of drugs. Great, but that doesn’t mean a thing to the rest of us who are going to pay higher cost to make up for it in a manipulated monopolistic profit driven price shifting prescrition drug whorehouse. (Don’t worry Brad, I’m a capitalist… but not a crapitalist)

                Disruptive medical technologies are altering the landscaspe of medical economics. When the drugs come through to treat Alzheimer’s disease then life extension and Americans living longer will be a whole new ball game. And this principle of disruptive medicine is already in play with greedy politicians extent already manipulating the insider trading schedules for themselves, family, staff and friends while criminalizing the same practices for the public. Anybody now remember the EpiPen extortion scheme, Mylan, Heather Bresch and her father West Virginia Senator Joe Manchin (D)… or even Obama signing a nationwide school EpiPen emergency stock up bill?

                https://obamawhitehouse.archives.gov/blog/2013/11/13/president-obama-signs-new-epipen-law-protect-children-asthma-and-severe-allergies-an

                Xarelto is another interesting case. It was suppose to go generic in (2018?) playing out its 7 year patent schedule. But all of a sudden it got extended to 2020. The going generic schedule for pharmacueticals is of huge importance to future health care cost in the United States. You can bet on stall, delay, extension of patent dates and the fingerprint of insider trading. Obstruction is seen across the board with disruptive technologies in turf warfare.

                https://www.drugpatentwatch.com/p/tradename/XARELTO

                A last note in this first extended commentary is a reflection on the current placated dumbed downed national disposition on health care-

                POTTER Ow! It damn well hurts.
                LAWRENCE Certainly, it hurts!
                POTTER Well, what’s the trick then?

                LAWRENCE The trick, William Potter, is not minding that it hurts.

              • Timothy Lane says:

                One point people need to remember is the difference between medical insurance and pre-paid medical care. The latter, which is what the government is providing to a great extent (or trying to) is far more expensive, of course.

  7. Greg Blackwell says:

    So, BlueShield/BlueCross and the other health care casinos want to beat up on Ted Cruz over pre-existing conditions and slimmed down menu like health insurance policies. But… we really haven’t had a discussion about the details and particulars of pre-existing conditions-

    “Pre-existing conditions” includes the wounded gang members throughout the United States as well as all the DUI convicted slobs and their self-imposed damage and also inclusive of all the consequences from sexual immorality, narcotics abuse, failed suicides, endless “psychotherapy” and mental health issues (unresolved Trump Hostility Syndrome), prescription drug abuse ( ACA prescription opioid addiction disease), tobacco use, malnourishment, over nourishment, transgender identity confusion, any health problems illegal aliens bring into the U.S., multi-millionaire NFL player concussions, still uncontrolable “I voted for Hillary Weeping Syndrome”, injuries sustained from a “Save the Whales” campaign, injuries to arsonists trying to burn down a Hummer dealership, Climate Fear Syndrome (Goreism), Climate Liars Syndrome (Academiaclimatosis), tongue facial metal object disorder, tatoo infection surprise, tatoo removal and regret therapy, DSM (Diagnostic and Statistical Manual) page turning exhustion syndrome or hypochondria, reporter aversion to truth disorder (MSMism), 3 page single spaced fear schedule, CNN addiction withdrawal hysteria (Televised Dysfunctional Hypnosis), Islam, derivatives instruments underwriter choking disease (Greenbergism), any future health care needs of Bernie Madoff, busted and bruised knuckles from smashing your plasma TV, failed hair transplants, boob jobs, buttocksredosis, anti-Christ Political Zionism, hiccups, post Camping dissonance, Universal IRS/CFTB snit disease, schnozzola, toe fungus and gas.

    If I missed anything please add…

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