Memphis Commercial Appeal:
If enacted as scheduled on Jan. 1, 2010, policy changes recommended by the federal Centers for Medicare and Medicaid Services (CMS) -- the government's insurer for the elderly and disabled -- will severely cut current Medicare reimbursements to cardiologists and oncologists for critical care services that are provided to patients in physicians' offices or other out-of-hospital setting, such as chemotherapy to treat cancer, and various cardiac procedures to monitor and treat heart disease, such as nuclear imaging and heart catheterization.
These cuts will force cardiologists and oncologists to limit care to their Medicare patients, withdraw from treating Medicare patients altogether or require their patients to pay more out of pocket to make up the difference in the cost of these services.
Unless these proposed changes are rescinded, current and future cardiac and cancer care patients will suffer the consequences, especially in rural areas where the proportion of Medicare patients is exceptionally high and patients have fewer choices of health care providers.
It doesn't make sense to create a whole new government system of regulating health care when the Federal Government has not shown it can successfully manage even a system with the (relatively) limited goals of Medicare.
There Is No Free Lunch.
People have the right to all of the health care that they can afford. Period.
People have the right to obtain freely given additional health care that they could otherwise not afford, via charity or via pro bono work by medical professionals. Both should be strongly encouraged as a virtuous behavior of those with resources towards those without.
But people do NOT have the right to force others to pay for their health care, against their will of the payers. People do NOT have the right to force medical professionals to provide health care.
The former use of force is extortion--theft, and the latter is involuntary servitude--slavery.
Perhaps you justify your position with a high-minded sympathy for those in need (usually expressed as "you just want poor people to die!"). Be careful with that though, because that kind of argument goes both ways.
In fact no, I don't want poor people to die. It is a loss to all of us when anyone dies. But if you want to use the caricature, the straw-man, the reductio ad absurdum argument that I'm a heartless selfish bastard for being stridenly pro-liberty, then you must answer the counterargument: Which do you want to be: a thief, or a slavemaster, or both?
Because if you strip all of the rhetoric away, here is the complete list of the choices before us:
1. Freedom and personal responsibility--with all of the good and the bad that comes with it;
2. Extortion, via taxation (call it "fees," or "mandatory contributions" or "mandatory insurance coverage" or whatever other euphemism for using the force of government to seize the fruits of one person's labors and give them to someone else), or;
3. Slavery--the forced conscription of health care workers in the service of those who have no ability to compensate them for their service. Again, use any euphemism you will, forcing health care workers to give services boils down to involuntary servitude.
You only get to choose one. No, actually, that's not true. #2 and #3 are compatible with each other, but neither is compatible with #1.
Now, maybe you want to reconsider the assertion (in place of rational argument) that "you just want poor people to die!"
Or, maybe you want to be a thug, or a slaveholder, or both. It's your choice--it's still a (marginally) free country.