{"id":1690,"date":"2013-12-06T09:31:26","date_gmt":"2013-12-06T16:31:26","guid":{"rendered":"http:\/\/www.clarkjudge.org\/?p=1690"},"modified":"2013-12-06T09:31:26","modified_gmt":"2013-12-06T16:31:26","slug":"flash-obamacare-dangerous-to-health-of-poor-hughhewitt-com-12-05-13","status":"publish","type":"post","link":"https:\/\/www.clarkjudge.org\/wordpress\/2013\/12\/06\/flash-obamacare-dangerous-to-health-of-poor-hughhewitt-com-12-05-13\/","title":{"rendered":"Flash: Obamacare Dangerous To Health of Poor | HughHewitt.com | 12.05.13"},"content":{"rendered":"<p>Well, Halleluiah.\u00a0 The Obamacare website is up and running.<\/p>\n<p>Of course, at only half a million applications processed so far\u2026 and accounting for the ones that the system garbled or couldn\u2019t verify or seems to have lost\u2026 and anticipating the tens of millions of Americans predicted to lose coverage once the employer mandate kicks in and it turns out to be simpler and cheaper for companies to send workers to the government\u2019s back-up plan (the one paid for by the so-called \u201cfine\u201d that Chief Justice John Roberts correctly identified as a \u201ctax\u201d) than to navigate the troubled waters of Obamacare\u2019s rules and costs\u2026 America should achieve the fervently promised universal coverage by \u2014 Oh, I don\u2019t know \u2014 how about sometime in the next decade.\u00a0 Maybe.<\/p>\n<p>I guess that\u2019s what you call close enough for government work.<\/p>\n<p>To think of it.\u00a0 A scant two months ago, 85 percent of the people in this happy republic had health insurance they liked, valued, and wanted to keep.\u00a0 Period.\u00a0 Now anger, anxiety and disgust fill the land.<\/p>\n<p>But, as they say on the late night commercials, that\u2019s not all.\u00a0 There\u2019s more.<\/p>\n<p>And that \u201cmore\u201d amounts to even more serious business.<\/p>\n<p>It is captured in a supposedly suppressed statistic I was told recently on good authority.\u00a0 You have probably heard that Medicaid sign-ups have dominated such early registrations as have actually happened.\u00a0 And you have heard that the problem with this imbalance is that it will bankrupt the system.\u00a0 That\u2019s before it bankrupts the states that, after an early payment holiday ends, will bear an increasing share of the cost.\u00a0 The cost of more Medicaid (which is free to the poor) was to be balanced by the dollars from all those now surprisingly scarce Obamacare sign-ups.<\/p>\n<p>But what you haven\u2019t heard is how surprisingly scarce the regular sign-ups are.\u00a0 As I say, I have it on stellar authority that a week and a half ago one typical state was three quarters of the way to 100,000 Obamacare registrants\u2026 of which fewer that two dozen were for regular Obamacare.\u00a0 Fewer than two dozen.\u00a0 The rest were for Medicaid.<\/p>\n<p>I can hear our friends on the left saying, at least those new Medicaid recipients now have some coverage.\u00a0 At least they have Medicaid.<\/p>\n<p>My response? \u201cHow callous!\u201d<\/p>\n<p>I have been teasing until now.\u00a0 After all, the whole mess is so Keystone Kops-like, how can you help but laugh?\u00a0 But the move of millions onto Medicaid is something else.<\/p>\n<p>Last week, I talked about\u00a0<i>The Cure for Obamacare<\/i>, an Encounter Broadside book by Pacific Research Institute president Sally Pipes (<a href=\"http:\/\/amzn.to\/1fOpvLG)\" target=\"_blank\">http:\/\/amzn.to\/1fOpvLG)<\/a>\u00a0and linked to a four-and-a-half minute cartoon video (<a href=\"http:\/\/bit.ly\/1jeZYv3)\" target=\"_blank\">http:\/\/bit.ly\/1jeZYv3)<\/a>\u00a0based on it.\u00a0 Both lay out the widely accepted alternative to the president\u2019s impossible scheme.<\/p>\n<p>This week I want to highlight another Encounter Broadside book,\u00a0<i>How Medicaid Fails the Poor<\/i>\u00a0by Manhattan Institute scholar Avik Roy (<a href=\"http:\/\/amzn.to\/1bgmMdj).\" target=\"_blank\">http:\/\/amzn.to\/1bgmMdj).<\/a>\u00a0 The evidence is overwhelming.\u00a0 At enormous expense \u2013 dollars that could go to good use elsewhere \u2014 Medicaid either has no impact compared to no coverage or is in fact dangerous to the health of the poor.<\/p>\n<p>Here is a sampling of the evidence Roy presents.<\/p>\n<p>In 2010, University of Virginia researchers evaluated almost 894,000 major surgical operations conducted between 2003 to 2007.\u00a0 \u201cPatients on Medicare who were undergoing surgery,\u201d reports Roy, \u201cwere 45 percent more likely to die before leaving the hospital than those with private insurance; the uninsured were 74 percent more likely to die; and Medicaid patients were 93 percent more likely.\u201d\u00a0 To account for differences in the populations served, these figures were what statisticians call \u201cnormalized\u201d for age, gender, income, geographic region, the operation performed and the initial health status of the patient.<\/p>\n<p>A University of Pennsylvania study found Medicaid patients 27 percent more likely to die undergoing surgery for colon cancer than uninsured patients.<\/p>\n<p>A Johns Hopkins study of patients with lung transplants \u201cfound that Medicaid patients were 8.1 percent less likely to be alive 10 years after their transplant operation, compared with those with private insurance or those without insurance.\u00a0 Medicaid was a statistically significant predictor of death three years after transplantation, even after controlling for clinical factors.\u201d<\/p>\n<p>Then there\u2019s the now famous Oregon study the results of which were published in May this year.\u00a0 It compared new Medicaid recipients with non-recipients for factors across the board, not just major operations and other catastrophic events, where Medicaid appears to be a significant risk factor.\u00a0 Its conclusion: Medicaid \u201cgenerated no significant improvement in measured physical health outcomes.\u201d\u00a0 Metrics included \u201cdeath, diabetes, high cholesterol, and high blood pressure.\u201d<\/p>\n<p>Hundreds of billions of dollars spent each year.\u00a0 Nothing to show for it or worse.\u00a0 And now what are we doing.\u00a0 Doubling down.\u00a0 Go figure.<\/p>\n<p>As I said last week, the alternatives are simple and proven.\u00a0 It is time to embrace them.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Well, Halleluiah.\u00a0 The Obamacare website is up and running. Of course, at only half a million applications processed so far\u2026 and accounting for the ones that the system garbled or couldn\u2019t verify or seems to have lost\u2026 and anticipating the tens of millions of Americans predicted to lose coverage once the employer mandate kicks in [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[34],"tags":[12,60,64],"class_list":["post-1690","post","type-post","status-publish","format-standard","hentry","category-economic-policy-health-care","tag-hugh-hewitt","tag-obama","tag-obamacare"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/posts\/1690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/comments?post=1690"}],"version-history":[{"count":1,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/posts\/1690\/revisions"}],"predecessor-version":[{"id":1691,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/posts\/1690\/revisions\/1691"}],"wp:attachment":[{"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/media?parent=1690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/categories?post=1690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clarkjudge.org\/wordpress\/wp-json\/wp\/v2\/tags?post=1690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}