10 More questions to ask your Congressman:
11. One of the ways that has been proposed for government-provided health insurance to save money is by substituting Medicare reimbursement rates for market rates when paying doctors and hospitals. But many private hospitals and medical practices have said that if they have to accept these lower rates, they can't cover their expenses, and they will go out of business. So doesn't this bill guarantee an immediate shortage of doctors and medical services?
12. Medicare cuts costs by paying lower rates to doctors and hospitals, who then shift these costs to those of us with private health insurance, who get charged higher rates. But if the government takes over and starts dictating Medicare reimbursement rates for everyone, who will the costs get shifted to then?
13. When the government starting portraying people in the financial industry as villains and started limiting their pay and subjecting them to more regulations, banks reported a "brain drain" as smart and well-educated people left the industry or went overseas looking for better pay and less stress. But the term "brain drain" was originally coined in the 1960s when doctors and medical researchers left Britain to escape socialized medicine. Aren't you afraid we might see the same kind of brain drain from the medical profession here in America?
14. Do you know the meaning and significance of the term "quality adjusted life year"? (For this question, you will need the answer, which you can supply if your congressman is forced to admit that he doesn't know it?preferable after some stammering and a long, awkward pause. "Quality adjusted life year" is a term used under socialized medicine to determine whether elderly patients are allowed to get expensive drugs or treatments, depending on some bureaucrat's calculation of how many good years they have left. You should ask your congressman: Can you assure us that the same thing won't happen here?)
15. One of the proposals for how the government is going to save money is that it's going to have a panel of medical experts who will dictate from Washington, DC, what the proper medical practices are that should be paid for, and what practices are supposedly "wasteful" and "unnecessary." Won't this mean interfering with decisions that would normally be made by me and my doctor? And won't this discourage innovation by requiring any new idea to get approved by a board of establishment "experts" before a doctor can even try it out?
16. Government-run health-care is not some new, untested idea. In Britain, it has led to a "postcode lottery," where the medical procedures you are allow to get depend on where you live. In Canada, it has led to a shortage of doctors and waiting lists for major surgeries. In America, Medicare ended up costing far, far morethan anyone expected. Massachusetts and Maine spent enormous amounts of money to extend government coverage to very few people. The Oregon Health Plan may not cover your cancer treatment?but it will cover assisted suicide. Given all of this experience, what makes you think that somehow this will be the exception that will avoid all of the problems that government health-care has always led to?
17. Why does "reform" always mean more government? Are you aware of proposals that have been put forward for free-market reforms of health care? Congress has already approved Health Savings Accounts, where individuals buy their own high-deductible health insurance and save money tax-free, which they can use for their out-of-pocket health-care expenses. This gives people more control over their spending on routine medical treatments while keeping them covered for a serious illness, and it allows them to keep their health insurance if they change jobs. But this program has been limited in size. Are you open to ideas like this, for free-market reform of health-care?
18. A lot of doctors say that medical malpractice insurance is what is really driving up health-care costs. Doctors have to charge more to cover their expenses, and they also have to practice "defensive medicine," ordering unnecessary extra tests just to make sure they can defend themselves in court if something goes wrong. So why isn't tort reform?for example, limiting excessive jury awards in malpractice lawsuits?being considered as part of health-care reform?
19. What part of your decision on this bill, if any, is affected by a consideration for liberty, individual rights, and the Constitution? Would you consider opposing this bill for no other reason than because it gives more power to government at the expense of the freedom and property rights of private businesses and individuals? Would you consider opposing it simply because it grants powers to the government that are not authorized anywhere in the Constitution?
20. Thomas Jefferson said, "A wise and frugal government which shall restrain men from injuring one another, which shall leave them otherwise free to regulate their own pursuits of industry and improvement, and shall not take from the mouth of labor the bread it has earned. This is the sum of good government." Notice what is not on his list: government-provided housing, or government-provided food, or government-provided health care. And Jefferson's views on the role of government were widely shared by America's Founding Fathers. So my question is: Please explain where you disagree with the vision of our Founding Fathers, and why.
