On death panels and "exchanges"

It was with much self restraint that I had to take a break from putting in words my thoughts on H.R. 3200-the bill on health care currently in Congress commonly known as Obama-care.

My lack of words on the subject, however, didn’t keep me from paying attention to what specifics of the bill were being discussed in the media and at various town hall meetings nationwide. Particularly, I took note of Mr. Obama’s appearance on the Michael Smerconish radio show this past Thursday. Obama’s appearance was in an effort to “woo right wing” thinkers to his health care plan. Unfortunately, despite his party affiliation, Smerconish is an Obama supporter and therefore failed to press our President about specifics of the bill and screened callers-in so that most of the hard questions were filtered out before they could be posed.

Regardless, there were 2 aspects about Obama-care which dominated the press this last week: the idea of “death panels” being a part of the bill, and that H.R. 3200 will make the Health Insurance marketplace more competitive through the creation of its “exchange”.

Personally, I find it funny that so many people think that there are “death panels” in this bill. No where in the bill does it define such a thing as a “death panel”. The supposition is drawn from language in the bill which provides for “end of life counseling”. Much of the language for this so called counseling is vague, and can be easily misunderstood to mean that the Fed wants to “guide you into the after life”. Although I wouldn’t put it past the Liberals and Democrats to have the intentions of having actual death panels so has to dictate how and when we can die, I don’t think that, today at least, they are brazen enough to try so-perhaps in the future, but not today at least.

The “Exchange Commission” created by H.R. 3200 is another matter entirely.

I listened all week long as Obama tried to tell people that this aspect of the bill will not effect whether or not we will be able to keep our current doctors, insurance providers, etc and that it will provide “competition in the marketplace”. Mr. Obama sounded really good saying all this and, for about 2 seconds he even had me believing what he had to say was true, until I remembered what that portion of the bill says.

Sections 141-144 of the bill deal with the creation of this so called Exchange and the duties of its Commissioner, but it is within section 142 to which Mr. Obama’s belief that this bill will provide “competition in the marketplace” becomes an out right lie.

Section 142: Duties Authorities of the Commissioner; Part (b) titled Promoting Accountability, subpart (2) Compliance Explanation and Audits (a) says that “in general the commissioner shall, in coordination with States, conduct audits of qualified health benefits plan compliance with Federal requirements. Such audits may include random compliance audits and targeted audits in response to complaints or other suspected non-compliance.”

This can all be taken a couple of ways, but the inclusion of the words “qualified health benefits plan compliance with Federal reguirements”, at the very least, implies that some health insurance plans may not qualify. If this is so, then how does said exchange provide for more competition in the marketplace if it is going to exclude some of that competition?

Needless to say, Mr. Obama’s definition of “providing for a more competitive marketplace” as it relates to our health insurance options falls on shaky ground, which leads me to ask-why? Why, if it is Mr. Obama’s desire to make the health insurance marketplace more competitive, would he support a commission which would effect regulations (i.e. impose restrictions) into said exchange? Logically this makes no sense owing to the fact that any such bodies which impose regulations on their membership become exclusive, thereby leading to easy collusion, or actually limiting the competition-which I believe is exactly what Mr. Obama is after.

As we all know, Mr. Obama is vastly quoted as saying that he would not support any health care reform if it didn’t eventually lead to a single payer system-which is exactly what this exchange is designed to do.