The Wonk Room

WSJ Continues To Fear Monger Against Health Care Reform

The editorial page of the Wall Street Journal took another shot at President elect Barack Obama’s health care proposal yesterday, warning readers that Obama’s appointed health care leaders — incoming Health and Human Services Secretary Tom Daschle and Director of the White House Domestic Policy Council Melody Barnes — “will ration your health care“:

People are policy. And now that President-elect Barack Obama has fielded his team of Tom Daschle as secretary of Health and Human Services and Melody Barnes as director of the White House Domestic Policy Council, we can predict both the strategy and substance of the new administration’s health-care reform.

The prognosis is not good for patients, physicians or taxpayers…. Americans can expect a quick, hard push to build more federal bureaucracy, impose price controls, restrict medicines and technology, boost taxes, mandate the purchase of health insurance, and expand government health care.

The Journal’s ‘predictions’ are as predictable as they are erroneous. Conservatives have spouted the same-old tired arguments against reform since President Clinton’s failed 1994 effort, and the Wonk Room, along with some other progressive blogs, has been actively disputing their assertions.

But this latest attack piece introduces another more potent argument. The editorial, with Rove-like precision, attempts to invert the nation’s most successful universal health care reform effort into its biggest disaster:

Mr. Daschle’s model is Massachusetts. But Massachusetts’s plan is an unfolding disaster and demonstrates how Mr. Daschle’s private/public model is merely a stalking horse for government-dominated health care.

By conflating universal health care with the challenges of the Massachusetts model and defining ’success’ as a program that remains budget neutral — not one that extends more coverage to more people — conservatives are stalling reform.

The popular Massachusetts model has greatly reduced the number of uninsured and increasing access to coverage. Nearly three-quarters of previously uninsured Massachusetts residents now have medical coverage, half of the newly-insured “are enrolled in private health insurance and employer-sponsored plans” and “the number of visits to hospitals and community health centers by the uninsured declined by 37 percent,” saving the state an estimated $68 million.

But while Massachusetts “decided not to hold coverage hostage to the difficult decisions about cost,” Obama and his health care team have suggested that they will simultaneously address access and cost. The Massachusetts plan, for instance, “allows private insurers to sell group-style policies to lower-income Massachusetts residents who lack insurance” within a “Connector” or exchange but does not include a public plan alongside private options.

Mr. Daschle’s ‘public/private model‘” conversely, would create a public option alongside the private plans, forcing insurers to compete on price and quality.

The Journal, however, glosses over the details and differences and attempts to discredit both the Obama team and the successes in Massachusetts by regurgitating tired attacks and pretending that the challenges of reform discredit the entire effort.






4 Responses to “WSJ Continues To Fear Monger Against Health Care Reform”

  1. jps Says:

    The sad fact here is that the retiring Baby Boomers are, without adjustments beyond the Obama and Daschle plans, going to feel like they are being rationed access to gerontologists and general family practitioners because they are in such short supply. It’s so much more lucrative to be a specialist physician. Adjusting reimbursement rates and student loan forgiveness can help, but without increasing enrollment at medical schools, there’s no way around it. Instead of paying medical schools to limit the number of physicians they graduate, we need to use that same money — and perhaps a lot more — to directly fund tuition scholarships for bright and talented students who might otherwise chose a career in, for example, opinion journalism with the Wall Street Journal.


  2. Betsy McCall Says:

    The public/private model is needed to ensure long term viability of universal health care in the US, along with some form of national review to set standards for promoting evidence based health care and controlling costs.

    Both of these concepts instill fear in the hearts of those who have profited from the current health care mess.


  3. stateofthedivision Says:

    The WSJ reflects corporate America, the group that wants ever so badly to dump that pesky health insurance benefit. Watch for sleight of hand in how “universal health insurance” is implemented. Look for the race to the lowest global common denominator on pay & benefits to continue.

    Insurance is financing for health care delivery. Look for Obama’s pay for performance to cause the same distortions as Wall Street executive incentive pay. Doctors are just as smart as CEO’s.

    What’s not mentioned is supply. It takes as long to train a doctor as it does to develop an oil or gas well from scratch. Yet, Bush didn’t do squat on America’s doctor training mix.

    America needs lots more primary care doctors than it’s currently training. I don’t hear anyone talking about this.

    Hospital beds are more like public utilities. Costs change some if they’re staffed or not, but the major cost is in having capacity. The IHT had a piece on struggling hospitals.

    After major hurricanes, safety net hospitals have struggled to reopen. Some never did.

    It’s a long way to say, they’re more considerations to health care reform. Watch the players and the bills. It’ll say much about who’s driving reform.


  4. stateofthedivision Says:

    Of course the WSJ is opposed to the Transportation Department’s insuring airlines per Bush’s December 23rd Executive Order:

    http://peureport.blogspot.com/2009/01/bush-says-no-bare-planes.html



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