Tom Coburn MD, OK Senator, Health Care Bill is Scary, Wall Street Journal, December 16, 2009, Harry Reid, Seniors will die sooner, Medicare cuts, Government coercion instead of patient cues, Empowers Medicare to deny treatment based on cost, Sections 3403 2021

From the Wall Street Journal, December 16, 2009, written by Tom Coburn, MD, a senator from OK.

“The Health Bill Is Scary”

“By TOM COBURN”

“I recently suggested that seniors will die sooner if Congress actually implements the Medicare cuts in the health-care bill put forward by Senate Majority Leader Harry Reid. My colleagues who defend the bill—none of whom have practiced medicine—predictably dismissed my concern as a scare tactic. They are wrong. Every American, not just seniors, should know that the rationing provisions in the Reid bill will not only reduce their quality of life, but their life spans as well.

My 25 years as a practicing physician have shown me what happens when government attempts to practice medicine: Doctors respond to government coercion instead of patient cues, and patients die prematurely. Even if the public option is eliminated from the bill, these onerous rationing provisions will remain intact.

For instance, the Reid bill (in sections 3403 and 2021) explicitly empowers Medicare to deny treatment based on cost. An Independent Medicare Advisory Board created by the bill—composed of permanent, unelected and, therefore, unaccountable members—will greatly expand the rationing practices that already occur in the program. Medicare, for example, has limited cancer patients’ access to Epogen, a costly but vital drug that stimulates red blood cell production. It has limited the use of virtual, and safer, colonoscopies due to cost concerns. And Medicare refuses medical claims at twice the rate of the largest private insurers.

Section 6301 of the Reid bill creates new comparative effectiveness research (CER) programs. CER panels have been used as rationing commissions in other countries such as the U.K., where 15,000 cancer patients die prematurely every year according to the National Cancer Intelligence Network. CER panels here could effectively dictate coverage options and ration care for plans that participate in the state insurance exchanges created by the bill.”

“But the most fundamental flaw of the Reid bill is best captured by the story of one my patients I’ll call Sheila. When Sheila came to me at the age of 33 with a lump in her breast, traditional tests like a mammogram under the standard of care indicated she had a cyst and nothing more. Because I knew her medical history, I wasn’t convinced. I aspirated the cyst and discovered she had a highly malignant form of breast cancer. Sheila fought a heroic battle against breast cancer and enjoyed 12 good years with her family before succumbing to the disease.

If I had been practicing under the Reid bill, the government would have likely told me I couldn’t have done the test that discovered Sheila’s cancer because it wasn’t approved under CER. Under the Reid bill, Sheila may have lived another year instead of 12, and her daughters would have missed a decade with their mom.”

“Dr. Coburn, a physician, is a Republican senator from Oklahoma.”

Read more:

http://online.wsj.com/article_email/SB10001424052748703514404574588842779569168-lMyQjAxMDA5MDEwNzExNDcyWj.html

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25 responses to “Tom Coburn MD, OK Senator, Health Care Bill is Scary, Wall Street Journal, December 16, 2009, Harry Reid, Seniors will die sooner, Medicare cuts, Government coercion instead of patient cues, Empowers Medicare to deny treatment based on cost, Sections 3403 2021

  1. You Decide

    Should the U.S. commit to $10 billion a year to help poor nations deal with climate change?

    http://www.foxnews.com/opinion/2009/12/17/decide-commit-b-year-climate-change/

  2. http://hillbuzz.org/

    Great Merciful Zeus, if Blagojevich really does this, we will have to hang a photo of him in our Hall of Heroes here at Buzzquarters.
    He’s threatening to call Dr. Utopia himself to the stand if he’s forced to go to trial. The White House will refuse to cooperate, of course, and it will be a bigger debacle for them than “the most transparent administration in history” refusing to send Desiree Rogers to Congress to answer questions about her gross incompetence.
    Just imagine Dr. and Mrs. Utopia having to appear in Court to testify…Rahm Emanuel on the stand, sweating his Max Factor to ruin like a whore in church…Valerie Jarrett rambling incoherently, making up lies, and being completely unsympathetic and unbelievable, like she always is.
    It would be popcorn-munching, everyone get together for a party, MUST SEE TV.
    If he really and truly does this, it would be the stuff of legend.
    Go, Blago, Go!

  3. Barack Hussein ObaMengele:

    “We are God’s partners in matters of life and death”

    http://www.politico.com/blogs/bensmith/0809/We_are_Gods_partners_in_matters_of_life_and_death.html?showall

    “Maybe you’re better off not having the surgery, but taking the painkiller [and being euthanized]…”

    http://www.wnd.com/index.php?fa=PAGE.view&pageId=105872

  4. The next governor of Texas? Palestinian-American Farouk Shami

    http://www.jpost.com/servlet/Satellite?cid=1260930881998&pagename=JPost%2FJPArticle%2FShowFull

    Farouk Shami is a Palestinian-American immigrant who invented an ammonia-free line of hair care products which he parlayed into a fortune. Passionate about his adopted United States, Shami recently made news by turning his Farouk Systems into an all-American operation, building a state-of-the-art manufacturing plant in Houston, Texas, creating thousands of jobs for the local community. Shami has declared his candidacy on the Democratic line for the office of governor of the State of Texas.

  5. Michelle // December 17, 2009 at 11:16 am

    http://hillbuzz.org/

    Great Merciful Zeus, if Blagojevich really does this, we will have to hang a photo of him in our Hall of Heroes here at Buzzquarters.
    He’s threatening to call Dr. Utopia himself to the stand if he’s forced to go to trial. The White House will refuse to cooperate, of course, and it will be a bigger debacle for them than “the most transparent administration in history” refusing to send Desiree Rogers to Congress to answer questions about her gross incompetence.
    Just imagine Dr. and Mrs. Utopia having to appear in Court to testify…Rahm Emanuel on the stand, sweating his Max Factor to ruin like a whore in church…Valerie Jarrett rambling incoherently, making up lies, and being completely unsympathetic and unbelievable, like she always is.
    It would be popcorn-munching, everyone get together for a party, MUST SEE TV.
    If he really and truly does this, it would be the stuff of legend.
    Go, Blago, Go!
    *********
    Oh, He**, for this I’d have to reconnect to Directv!!!!

    Bring it!!

  6. I think our dear government’s plan is for us to die so that they can lay claim to our estates. They are going broke by their brillisnt management of our late ONCE GREAT NATION. They are the rats of a sinking stinking ship.

  7. I am trying to contact a certain person in England who has many Kenyan friends. I intend to see if he can be induced to do some document exploration at Islington. I have been told that there are a lot of records stored there that pertain to the various small countries that were once part of the British empire. This allegedly includes substantial birth records. He is a trained geneological researcher, and was once a member of the staff of University of Nottingham, in County Nottinghamshire. If I am successful in obtaining his assistance it might go a long way to either Proving, or disproving the association of Soetoro with Kenya.

  8. FOR IMMEDIATE RELEASE
    December 16, 2009, 12:30 p.m. CT

    CONTACT

    Jen Rae Hein, Gov’s Office
    Ashley Cradduck, Gov’s Office

    Gov. Heineman Urges Sen. Nelson to
    Vote Against Senate Health Care Bill
    Federal Health Care Bill Represents $2.5 Billion Expansion for Nebraska Medicaid

    (Lincoln, Neb.) Letter (pdf) – Gov. Dave Heineman today sent a letter to U.S. Senator Ben Nelson regarding the current health care reform proposal being considered in the U.S. Senate.

    The text of the Governor’s letter follows:

    “I am writing you today because the current Senate health care bill is bad news for Nebraska. America’s health care system needs improvement, but this bill is not the answer. You are now the 60th vote, and as Governor of the State that we both represent, I urge you to vote against this bill and against cloture.

    “You have said that the debate on health care reform needs to be based on facts, not rhetoric. I agree. The facts are compelling and undeniable. This bill increases taxes, cuts Medicare and is an unfunded expansion of Medicaid.

    “In reviewing the current Senate bill, it appears that while the increased state costs for the initial three years of the Medicaid expansion would be covered, the program quickly becomes a substantial unfunded Medicaid mandate. Late yesterday, the Nebraska Department of Health and Human Services completed the analysis of the bill in full. The report is enclosed.

    “In just six years, FY 2014-FY 2019, the Nebraska Medicaid program will cumulatively grow by a new $2,493,852,279. This $2.5 billion will be passed on to citizens through direct or indirect taxes and fees.

    “Federal reimbursement to the State would fall short by approximately $45.5 million by FY 2019. Ultimately, this means the cost will be greater than $450 million over a ten year period. Furthermore, program costs are projected to increase twice as fast as reimbursements.

    “The State of Nebraska cannot afford an unfunded mandate and uncontrolled spending of this magnitude. Additionally, Nebraskans are very concerned about the bill’s increase in payroll taxes. Rural hospitals are very concerned about their ability to survive. Seniors are very concerned about the cuts in Medicare.

    “The bottom line is the current Senate bill is not in Nebraska’s best interest. Therefore, I strongly urge you to oppose the current Senate health care legislation. Please vote “no” on cloture and vote “no” on the bill. Thank you.”

    God Bless him, we in NE are very blessed to have him as our governor. He and Sally are very good, salt-of-the-earth solid Midwestern Christian conservatives with values we can all be very proud of.

    http://www.governor.nebraska.gov/

    OmahaConservative on December 17, 2009 at 10:41 AM

  9. JJ – In your comment you mentioned Max Factor. This reminded me of that old joke of many years ago that went like this – What ever happened to Helena Rubinstein? Answer – Max Factor!!

  10. oldsalt77 // December 17, 2009 at 11:54 am

    Please “Beg Him” for me!

    We could possibly raise some $$$ for his time!

  11. DenisetheMenace

    Hey the CDC just announced that the death rate for the H1N1 in US was much higher than the seasonal flu at this time of the year. So, now anyone can get the vaccine.
    ……… How, you ask, can that be true????? Read it again – the comparison is against the seasonal flu at this time of the year. THE SEASONAL FLU TYPICALLY IS JUST BEGINING NOW.
    Always, always carefully listen, read what is announced. These people want so badly to make this out to be the “national emergency” “pandemic” that it is NOT.

  12. Has anyone just thought that if congress had not given itself(illegally) one of the finest health plans ever we would not be going through all this? It creates illegal gifts for itself and after it gets caught it has to figure out how it can now keep it by giving us the same(ALMOST). We are going broke folks.

  13. Dear CWers,

    For those of you who have a home computer, time on your hands, and are up on what’s happening; who have the time to do a few google searches to research the background of a story and write up a news summary, report, analysis or editorial,

    The Post & Email is paying writers to write from now til Jan 31st, at $10 an article, regardless how many you write (more or less depending on length of each article).

    Contact me for more information.

    I am looking for patriots who can put pen to paper and cover what’s happening…

    http://www.thepostemail.com/contact-us/

    The Post & Email aims to be the news source on the eligibility issue and on the opposition to obama’s marxist tyranny…

  14. Patriot Dreamer

    The Senate is debating a bill that the vast majority of them have not even seen:

    “And they want to rush this bill through by Christmas — one of the most significant, far-reaching pieces of legislation in U.S. history. They want to rush it.

    And here’s the most outrageous part: at the end of this rush, they want us to vote on a bill that no one outside the Majority Leader’s conference room has even seen.

    That’s right. The final bill we’ll vote on isn’t even the one we’ve had on the floor. It’s the deal Democrat leaders have been trying to work out in private.”

    http://mcconnell.senate.gov/record.cfm?id=320943&start=1

  15. Patriot Dreamer

    Excellent article at Reason.com:

    The Clarity of False Choices:
    How Obama’s rhetorical tricks mislead the public

    http://reason.com/archives/2009/12/16/the-clarity-of-false-choices

  16. SUGGESTION for All Conservatives

    The Common Sense Conservatism Awards

    I suggest to Sarah Palin, Michelle Bachmann, Rush, Hannity, Mark Levin, and all other Conservatives that we start our own Conservative Awards.

    Awards (suggestions)

    1-The Bill Buckley Common Sense Conservatism Award.

    For anyone that clearly and successfully promotes Conservatism, Constitution and Truth especially in the face of adversity.
    Suggested Candidates:
    Sarah Palin, Michelle Bachmann, Orly Taitz, Phil Berg, Jim DeMint, Joe Wilson, Etc.

    2- The Ronald Reagan Common Sense Conservatism Award.

    To anyone that went over and beyond doing their duty and getting others to do theirs in defending We The People and The Constitution while promoting Common Sense Conservatism.
    Mostly for people servants in public service.
    Suggested Candidates:
    Michelle Bachaman, Jim DeMint, Joe Wilson, Inhofe, etc.

    3- The Common Sense Conservative Common Citizen of the Year.

    To anyone in private life that successfully went over and beyond and got others to improve and promote and advance Conservatism.
    Suggested Candidates:
    Orly Taitz, Phil Berg, 9/12 Marchers in DC, Tea Parties, Hannah Giles & James O’Keefe, etc.

    4- The Tim Russert Ethical Truth in Media Award.

    To anyone in the Press and any communication medium that went over and beyond in researching, investigating and against odds promoted and exposed the Ethical Truth.
    Suggested Candidates:
    CitizenWells Blog, Atlas Shrugs, Rush Limbaugh, Glenn Beck, Johm Stossell, Breibart, etc.

    5- The Rev War Hero _ Peter Francisco Award – The Forgtotten Hero Award.
    To anyone that quietly and without fanfare gave so much without being noticed or seeking recognition and at personal detriment.
    Suggested Candidates: Hannah Giles & James Burke, Orly Taitz, Fallen Soldiers, All Military, The Policewoman that killed Jihad Terrorist Hasan in Ft Hood, Accused Navy Seals, Border Guards Compean & Ramos, etc.

    6- The Bad Apple or Erosionist Award

    Presented to anyone that Erodes the American Way, Conservatism and the Constitution.
    2009 Candidates: Al Gore, Obama, CONgress, Liberal Media, ACORN, etc

    We need these awards to promote our Common Sense Conservatism and reward those that go over and beyond in defending, promoting and expanding Common Sense Conservatism, The Constitution and the Traditional American Way.

    The Awards and Gala will be done around Christmas Time and it will be promoted as The Christmas and Common Sense Conservatism Awards Gala (or Gathering). Should be held in different areas of the country each year with preference to conservative cities.

    By Vital Portugal AKA Revolutionary War Hero _ Peter Francisco 2009 Dec. 17

  17. DenisetheMenace // December 17, 2009 at 12:05 pm

    Hi Denise,

    Ya, I just got that on my Intranet at work.

    Boy, they’ve gotta think we’re stupid! There are only sporadic reports of seasonal flu right now; the peak is usually at the end of February.

    Bureaucracy at it’s very best!

  18. KIDMON………………………………..

    He done my personal family research for me, and we struck up a friendship as such. There was a great deal of information which he told me about at the Islington repository, which was then new, and was in the process of computerising all of these records from the various small countries. He told me that this was expected to require many years to accomplish. As a staff member of the University of Nottingham he apparently had some involvement with that process. In between his work there he was able to run down all of the info regarding my family, going back to, and including the 16th century. Good enough for me for now, but I would some day like to determine if I was from Norman, or other extraction.
    He went to Denmark to live but later returned to England because his wife had passwed away. He is now in his 80s. Fortunately he still has good mobility. We share a common surname as well. I am hopeful that he will be interested in pursuing this venture, and/or feels up to it.

  19. ms. helga // December 17, 2009 at 11:40 am

    I think our dear government’s plan is for us to die so that they can lay claim to our estates. They are going broke by their brillisnt management of our late ONCE GREAT NATION. They are the rats of a sinking stinking ship.
    **********
    Ms. Helga, you just reminded me of a question I failed to pursue……..
    Of the American population, there are a record number of millionaires…

    http://www.wsws.org/articles/2005/jun2005/mill-j08.shtml

    The number of millionaire households in the United States grew in 2004 to a record 7.5 million, up 21 percent in one year, according to surveys cited in the May 25 Wall Street Journal. This very wealthy segment of the population now controls an astounding $11 trillion in assets.

  20. **** New Post ****

    Breaking news!

  21. Patriot Dreamer // December 17, 2009 at 12:19 pm

    The Senate is debating a bill that the vast majority of them have not even seen:
    ************
    PD, am I stupid, or do they still miss the point??
    This bill NOT being read NOW, which will go throught many radical changes, it will favor NOTHING of the 2000 + pages when it is finally assembled, legislated in 2014…….WHY DON’T THEY GET IT??

  22. ******* The latest post is loaded with breaking news !!!!!!!!! *****

    Spread this far and wide.

  23. I really hope that Nelson is able to stay with his beliefs, and continue to contradict the WH. If he does it will be interesting to see if they follow through with their threat to close Offut. There are some factors that this MORON doesn’t apparently know about. If he did he would NEVER have made this threat. I am hopeful now that he will have this threat JAMMED right up his ASS, by NORAD. They know the truth as to why Offut is in Nebraska, and has survived all of the other base closings in the past. It is a very important link in the defense of this country. If he closes this base I personally think that the JOINT CHIEFS will act against him,even to the point of arresting him. Nebraska is still the home of NORAD,and prior to that the STRATEGIC AIR COMMAND. If Offut is closed one hell of a lot of US Air Force people, both active and retired are going to get really steamed, and Soetoro could see them in action……….AGAINST HIMSELF.

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