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Obama Carefully Crafts Health Care Failure

Wednesday, February 01, 2012 – by Staff Report

Adam Smith

The End of Health Insurance Companies ... Here's a bold prediction for the new year. By 2020, the American health insurance industry will be extinct. Insurance companies will be replaced by accountable care organizations — groups of doctors, hospitals and other health care providers who come together to provide the full range of medical care for patients ... Accountable care organizations will typically be paid a fixed amount per patient, along with bonuses for achieving quality targets. The organizations will make money by keeping their patients healthy and out of the hospital and by avoiding unnecessary tests, drugs and procedures. Thus, they will actually have a financial incentive to hire that nurse for follow-ups. – New York Times

Dominant Social Theme: The US Fedgov has re-engineered health care in the United States. It is a massively exciting and bold plan, and we can't wait to see how it will end up.

Free-Market Analysis: Ezekiel J. Emanuel and Jeffrey B. Liebman – both of whom have Obama administration ties, apparently – have written a massively economically illiterate article on health care that was recently posted to the New York Times Op-Ed.

The main point of the article is excerpted above and has to do with how the Obama administration has "crafted" accountable care organizations that will have financial incentives to keep people healthy via "prevention" and healthcare monitoring.

This is, of course, a power elite dominant social theme of sorts – that government can create laws and regulations that provide private-market facilities with methodologies to "overcome" market failure.

Of course, there is no such thing as market failure. The market cannot "fail." It is simply "is." Markets are created by competition for goods and services. Individuals choose which goods and services are the most attractive to them.

In a sense, there is no such thing as a "market." As Austrian, free-market economics shows us, people make decisions based on their own (enlightened) self interest. If people like a product or service, they'll purchase it or use it. No "failure" here. How could there be?

But that's not enough for the paid apologists of chaos. Increasingly, around the world, Western regulatory democracy has been exported with all of its ruinous consequences. Laws and regulations are nothing but prices fixes – and every price fix transfers wealth from those who create it to those who haven't and aren't able to use it so effectively.

Regulatory democracy has been an increasingly powerful theme of the Anglosphere power elite that seeks to run the world. That's because the powers-that-be use mercantilism to build global governance. They can't step forward and take charge outright – not yet anyway – so they need laws they can manipulate behind the scenes.

The hallmarks of regulatory democracy are a bewildering maze of ever more complex statutes dictating to market practitioners what they can and cannot do. As each dictate fails – as inevitably it must – MORE laws and regulations are enacted. In the US, especially, this has been going on with increased violence and determination for at least a century.

As each law further distorts the market a bewildering array of power-elite fronts begin to argue for the next "reform." Of course, no one would grant yet another reform credence without outright bribery, and this is what "lobbyists" are for.

The system is presented as a logical outcome of the sociopolitical trends now in place. But in fact, it is not. It is merely a shameless and meretricious manipulation of people and power that seeks to continually empower the Anglosphere elites while making the current environment so chaotic and miserable that people will eventually grant the efficacy of the New World Order. Here's some more from the article:

Thanks to the accountable care organizations provided for by the health care reform act, a new system is on its way, one that will make insurance companies unnecessary. Accountable care organizations will increase coordination of patient's care and shift the focus of medicine away from treating sickness and toward keeping people healthy.

Because most physicians and hospitals today are paid on a fee-for-service basis, medical care is organized around treating a specific episode of illness rather than the whole patient. This system encourages overtreatment and leads to mistakes and miscommunication when patients are sent between their primary care doctors, specialists and hospitals.

Indeed, under today's payment system, investments in providing better care are doubly penalized. If a hospital hires a nurse to follow up with patients after they are discharged in order to reduce readmissions — for example, to help patients with diabetes improve blood sugar control — it must pay for the nurse, which is typically not reimbursed by insurance companies or Medicare, and it loses revenue by preventing the readmission.

It all sounds very logical, but in fact it is nonsense. Financial incentives do NOT create functional markets. What financial incentives ACTUALLY do is give people the incentive to lie, steal and cheat to gain them.

Additionally, by putting the enormous power and visible prestige of "government" behind such "reforms," people are tricked into believing that the system is sufficiently credible to provide the requisite service.

But the system is NEVER credible. And when it is inevitably revealed that smart and manipulative people have penetrated the marketplace for their own gain, the answer will be additional laws, regulations and various kinds of authoritarian policing – and spying – to ensure that the system remains "honest."

Of course, given the amount of money now sloshing around this artificial industry – whatever it is – the police too, and the politicians, will inevitably be corrupted as well.

This is why regulatory democracy doesn't work. One builds an artificial system, endows it with the full force and credibility of authoritarian government and then, when it fails, creates yet more laws and civil and military investigative facilities to rectify what has gone wrong.

It is a vicious circle. The ONLY market governor is COMPETITION ... what Adam Smith called the Invisible Hand. Government cannot create nor police artificial industrial infrastructures. Only people within these environments can point out what's gone wrong and why "their" products are more efficient, etc.

Those who peddle the kind of nonsense that is purveyed around the world every second of every day by the power elite's bought-and-paid-for mainstream media are very aware after a certain age that what they're involved with doesn't work.

By then, of course, they're trapped. The "system" itself demands that they continue to promote the Big Lie that products and services can be regulated into perfection by massive government bureaucracies. It's an absolutely insane paradigm and one that we think what we call the Internet Reformation is gradually breaking down.

As more people begin to grasp the breadth and depth of the depraved lies that organize their societies, civil society must logically decay. Those who are "ruled" need to believe in their rulers, after all. Trouble brews when this trust is severed. In fact, this is the reason that the elites have wielded dominant social themes so energetically for the past 100 years.

But information on the Internet has fully revealed the untruths that have been methodically spun about economic, political and military issues over the past 100 years. Articles like this one in the New York Times are increasingly unpersuasive, in our view – at least when it comes to a percentage of society's intelligentsia that the elites have long sought to manipulate.

As real economic information percolates out into society, people seem increasingly aware of the massive deception that is taking place around them. And that's a big problem for the handful of families that apparently control central banking and want to create a New World Order.

Conclusion: How do you create global governance when no one believes the meme?




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  Posted by paradox on 02/02/12 12:12 PM

It all goes back to the deliberate distortion of language. What is blithely referred to as 'health care' is actually sickness care. Likewise 'health insurance' is actually sickness insurance. Health is the natural state of the human being and no care is necessary. Only when one is sick does something have to be done. By calling it health care we can give drugs to the healthy and make sick people feel better by using the positive word 'health'. It's a devious game. Watch for these distortions of the language (Defence department for War department and so on.) It's all part of the dumbing down.

  Posted by Jeanna on 02/02/12 09:13 AM

Posted by dave jr on 02/01/12 06:02 PM
On the bright side, Doctors may once again make house calls. That is, if you know one personally.

Not house calls, but private retainer service. Already, I have reports from friends in Texas whose doctors are shutting down their offices, dismissing the nurses, and keeping their current patient load on a monthly cash retainer basis. The patients can go see the doctor when they need him, and he doesn't file any insurance paper work.

  Posted by Abu Aardvark on 02/02/12 05:01 AM

DB: "Those who peddle the kind of nonsense that is purveyed around the world every second of every day by the power elite's bought-and-paid-for mainstream media are very aware after a certain age that what they're involved with doesn't work.

By then, of course, they're trapped. The "system" itself demands that they continue to promote the Big Lie that products and services can be regulated into perfection by massive government bureaucracies. It's an absolutely insane paradigm and one that we think what we call the Internet Reformation is gradually breaking down."

------------------

You (out)did it again, DB. Naked truth wrapped in compelling prose. Gorgeous!

  Posted by josejoe on 02/01/12 08:34 PM

well, big pharma runs our health system-top to bottom. the curriculli for the ama's schools are written by the same people. individual m.d.s can no longer maintain a practice as gp's they have to join a health system and from there all the thinking, planning, treating is prescribed for them by their 'system'-they are provided a paycheck as long as they follow the rules. yes indeed-gone are the days! most graduates of medical school are just hacks doing a days work for a wage, not health care providers, and their incomes continue to shrink like everyone else's. it's just taken the elite's a little longer. after all these are well educated folks-takes a little longer to pull the wool over their eyes!

  Posted by dave jr on 02/01/12 07:18 PM

Posted by Bluebird on 02/01/12 05:22 PM
The days of the old family doc who cared for you like you were a member of his family are gone. This is just another step in drawing the doctors into military circle of government. That way they can control the doctors and control the patients and effect whatever demands they make. The fact that we are ORDERED to buy health insurance should be the clue. I doubt you will have a choice to find something else.

It will come to a point where the Doctors are so under paid, the best care will be delivered under the table.

  Posted by Joelg on 02/01/12 07:14 PM

Posted by rje2lady on 02/01/12 04:02 PM
So they are trying to emulate the Ancient Chinese method whereby the doctor was responsible to keeping people healthy or their monthly payments were stopped until the imbalance or disease was cured. Mmmm rather doubt that will work with all of the regulation our government must have and control.

Of concern is how many people will actually buy into this concept.

Utopia is alive and well. People still need to believe.

I remember Obama selling health care as "we want you to have the same kind of care as members of Congress." Sell the sizzle, the big lie, which is quickly forgotten as you move on to the totalitarian reality. It is all a con game. The NY Times spins fantasies. Same crap as Saul Alinsky.

  Posted by dave jr on 02/01/12 06:02 PM

On the bright side, Doctors may once again make house calls. That is, if you know one personally.

  Posted by Bluebird on 02/01/12 05:22 PM

Posted by nithsdale on 02/01/12 04:43 PM
How else could the government "ration" health care to a public raised on ads promising everyone good living forever?

This mishmash is the logical conclusion of removing the patient from responsibility for care, the selection of a family physician with whom there used to be a personal connection as both explored the needs and the ability to maintain them. Once a third party was given the right to intervene, medicine was converted to bureaucracy but the public heralded a New Age because they thought it was a gift... something for nothing!
There should no complaint now for what they accepted and what they will get.

If you have complaint, arrange your affairs for the kind of medical treatment you want. There is a private market in medicine and there are private insurance plans if you really are incensed about this matter. People in socialized countries have been using their own preferences since the government took over.

Frankly, why you waste space on the obvious is a mystery to me. Whenever you tell everyone that they will all have the same care, you must expect it will be so, and it will be more and more minimal. It can't be otherwise. If you want special attention, pay for it or find another charity to give it to you!

The days of the old family doc who cared for you like you were a member of his family are gone. This is just another step in drawing the doctors into military circle of government. That way they can control the doctors and control the patients and effect whatever demands they make. The fact that we are ORDERED to buy health insurance should be the clue. I doubt you will have a choice to find something else.

  Posted by seer on 02/01/12 05:08 PM

The Times article may be too optimistic unless there is a collapse of the financial and commercial sectors resulting in a new economy of sorts. Obamacare aided Big Insurance. !/3 of all USA health dollars go to Big Insurance which amounts to billions in profits. Perhaps the elite are not invested in these Insurance companies?

  Posted by nithsdale on 02/01/12 04:43 PM

How else could the government "ration" health care to a public raised on ads promising everyone good living forever?

This mishmash is the logical conclusion of removing the patient from responsibility for care, the selection of a family physician with whom there used to be a personal connection as both explored the needs and the ability to maintain them. Once a third party was given the right to intervene, medicine was converted to bureaucracy but the public heralded a New Age because they thought it was a gift... something for nothing!
There should no complaint now for what they accepted and what they will get.

If you have complaint, arrange your affairs for the kind of medical treatment you want. There is a private market in medicine and there are private insurance plans if you really are incensed about this matter. People in socialized countries have been using their own preferences since the government took over.

Frankly, why you waste space on the obvious is a mystery to me. Whenever you tell everyone that they will all have the same care, you must expect it will be so, and it will be more and more minimal. It can't be otherwise. If you want special attention, pay for it or find another charity to give it to you!

  Posted by rje2lady on 02/01/12 04:02 PM

So they are trying to emulate the Ancient Chinese method whereby the doctor was responsible to keeping people healthy or their monthly payments were stopped until the imbalance or disease was cured. Mmmm rather doubt that will work with all of the regulation our government must have and control.

Of concern is how many people will actually buy into this concept.

  Posted by chad2 on 02/01/12 12:36 PM

The key is to get the right drug administered to the people so as to kill off their desire for ruggid individualism! Wait! That already happened, it's call childhood vaccination. Do you really think it's about desease! These vaccines inslave children into underperformance and even autism. The active ingrediant is aborted fetal tisue which messes up the brain when foreign DNA is introduced into young children! I have seen unvaccinated children and let me tell you, you quickly see the difference and you finally see what a child really should act like! Read here:

Click to view link