Palin's WSJ Op-Ed bullseyes Obamacare

Rick Moran
Sarah Palin has a good op-ed in the Wall Street Journal today where she identifies the major problem with Obamacare; whatever congress comes up with will have to be implemented by thousands of regulations written by unelected bureaucrats:

Now look at one way Mr. Obama wants to eliminate inefficiency and waste: He's asked Congress to create an Independent Medicare Advisory Council-an unelected, largely unaccountable group of experts charged with containing Medicare costs. In an interview with the New York Times in April, the president suggested that such a group, working outside of "normal political channels," should guide decisions regarding that "huge driver of cost . . . the chronically ill and those toward the end of their lives . . . ."

Given such statements, is it any wonder that many of the sick and elderly are concerned that the Democrats' proposals will ultimately lead to rationing of their health care by-dare I say it-death panels? Establishment voices dismissed that phrase, but it rang true for many Americans. Working through "normal political channels," they made themselves heard, and as a result Congress will likely reject a wrong-headed proposal to authorize end-of-life counseling in this cost-cutting context. But the fact remains that the Democrats' proposals would still empower unelected bureaucrats to make decisions affecting life or death health-care matters. Such government overreaching is what we've come to expect from this administration.

Rep. Mike Pence of the National Republican Conference listed 53 new agencies, panels, and committees that would be created by H.R. 3200:

1. Health Benefits Advisory Committee (Section 123, p. 30)
2. Health Choices Administration (Section 141, p. 41)
3. Qualified Health Benefits Plan Ombudsman (Section 144, p. 47)
4. Program of administrative simplification (Section 163, p. 57)
5. Retiree Reserve Trust Fund (Section 164(d), p. 70)
6. Health Insurance Exchange (Section 201, p. 72)
7. Mechanism for insurance risk pooling to be established by Health Choices Administration Commissioner (Section 206(b), p. 106)
8. Special Inspector General for the Health Insurance Exchange (Section 206(c), p. 107)
9. Health Insurance Exchange Trust Fund (Section 207, p. 109)
10. State-based Health Insurance Exchanges (Section 208, p. 111)
11. "Public Health Insurance Option" (Section 221, p. 116)
12. Ombudsman for "Public Health Insurance Option" (Section 221(d), p. 117)
13. Account for receipts and disbursements for "Public Health Insurance Option" (Section 222(b), p. 119)
14. Telehealth Advisory Committee (Section 1191, p. 380)
15. Demonstration program providing reimbursement for "culturally and linguistically appropriate services" (Section 1222, p. 405)
16. Demonstration program for shared decision making using patient decision aids (Section 1236, p. 438)
17. Accountable Care Organization pilot program (Section 1301, p. 443)
18. Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 462)
19. Community-based medical home pilot program under Medicare (Section 1302(d), p. 468)
20. Center for Comparative Effectiveness Research (Section 1401(a), p. 502)
21. Comparative Effectiveness Research Commission (Section 1401(a), p. 505)
22. Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 519)
23. Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 546)
24. Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 548)
25. Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 559)
26. Special focus facility program for nursing facilities (Section 1413(b)(3), p. 565)
27. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 607)
28. Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 674)
29. Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 716)
30. Medical home pilot program under Medicaid (Section 1722, p. 780)
31. Comparative Effectiveness Research Trust Fund (Section 1802, p. 824)
32. "Identifiable office or program" within CMS to "provide for improved coordination between Medicare and Medicaid in the case of dual eligibles" (Section 1905, p. 852)
33. Public Health Investment Fund (Section 2002, p. 859)
34. Scholarships for service in health professional needs areas (Section 2211, p. 870)
35. Loan repayment program for service in health professional needs areas (Section 2211, p. 873)
36. Program for training medical residents in community-based settings (Section 2214, p. 882)
37. Grant program for training in dentistry programs (Section 2215, p. 887)
38. Public Health Workforce Corps (Section 2231, p. 898)
39. Public health workforce scholarship program (Section 2231, p. 900)
40. Public health workforce loan forgiveness program (Section 2231, p. 904)
41. Grant program for innovations in interdisciplinary care (Section 2252, p. 917)
42. Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 920)
43. Prevention and Wellness Trust (Section 2301, p. 932)
44. Clinical Prevention Stakeholders Board (Section 2301, p. 941)
45. Community Prevention Stakeholders Board (Section 2301, p. 947)
46. Grant program for community prevention and wellness research (Section 2301, p. 950)
47. Grant program for community prevention and wellness services (Section 2301, p. 951)
48. Grant program for public health infrastructure (Section 2301, p. 955)
49. Center for Quality Improvement (Section 2401, p. 965)
50. Assistant Secretary for Health Information (Section 2402, p. 972)
51. Grant program to support the operation of school-based health clinics (Section 2511, p. 993)
52. National Medical Device Registry (Section 2521, p. 1001)
53. Grants for labor-management programs for nursing training (Section 2531, p. 1008)

To Obama, this represents making health care delivery "more efficient."

Read Palin's entire piece.



Sarah Palin has a good op-ed in the Wall Street Journal today where she identifies the major problem with Obamacare; whatever congress comes up with will have to be implemented by thousands of regulations written by unelected bureaucrats:

Now look at one way Mr. Obama wants to eliminate inefficiency and waste: He's asked Congress to create an Independent Medicare Advisory Council-an unelected, largely unaccountable group of experts charged with containing Medicare costs. In an interview with the New York Times in April, the president suggested that such a group, working outside of "normal political channels," should guide decisions regarding that "huge driver of cost . . . the chronically ill and those toward the end of their lives . . . ."

Given such statements, is it any wonder that many of the sick and elderly are concerned that the Democrats' proposals will ultimately lead to rationing of their health care by-dare I say it-death panels? Establishment voices dismissed that phrase, but it rang true for many Americans. Working through "normal political channels," they made themselves heard, and as a result Congress will likely reject a wrong-headed proposal to authorize end-of-life counseling in this cost-cutting context. But the fact remains that the Democrats' proposals would still empower unelected bureaucrats to make decisions affecting life or death health-care matters. Such government overreaching is what we've come to expect from this administration.

Rep. Mike Pence of the National Republican Conference listed 53 new agencies, panels, and committees that would be created by H.R. 3200:

1. Health Benefits Advisory Committee (Section 123, p. 30)
2. Health Choices Administration (Section 141, p. 41)
3. Qualified Health Benefits Plan Ombudsman (Section 144, p. 47)
4. Program of administrative simplification (Section 163, p. 57)
5. Retiree Reserve Trust Fund (Section 164(d), p. 70)
6. Health Insurance Exchange (Section 201, p. 72)
7. Mechanism for insurance risk pooling to be established by Health Choices Administration Commissioner (Section 206(b), p. 106)
8. Special Inspector General for the Health Insurance Exchange (Section 206(c), p. 107)
9. Health Insurance Exchange Trust Fund (Section 207, p. 109)
10. State-based Health Insurance Exchanges (Section 208, p. 111)
11. "Public Health Insurance Option" (Section 221, p. 116)
12. Ombudsman for "Public Health Insurance Option" (Section 221(d), p. 117)
13. Account for receipts and disbursements for "Public Health Insurance Option" (Section 222(b), p. 119)
14. Telehealth Advisory Committee (Section 1191, p. 380)
15. Demonstration program providing reimbursement for "culturally and linguistically appropriate services" (Section 1222, p. 405)
16. Demonstration program for shared decision making using patient decision aids (Section 1236, p. 438)
17. Accountable Care Organization pilot program (Section 1301, p. 443)
18. Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 462)
19. Community-based medical home pilot program under Medicare (Section 1302(d), p. 468)
20. Center for Comparative Effectiveness Research (Section 1401(a), p. 502)
21. Comparative Effectiveness Research Commission (Section 1401(a), p. 505)
22. Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 519)
23. Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 546)
24. Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 548)
25. Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 559)
26. Special focus facility program for nursing facilities (Section 1413(b)(3), p. 565)
27. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 607)
28. Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 674)
29. Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 716)
30. Medical home pilot program under Medicaid (Section 1722, p. 780)
31. Comparative Effectiveness Research Trust Fund (Section 1802, p. 824)
32. "Identifiable office or program" within CMS to "provide for improved coordination between Medicare and Medicaid in the case of dual eligibles" (Section 1905, p. 852)
33. Public Health Investment Fund (Section 2002, p. 859)
34. Scholarships for service in health professional needs areas (Section 2211, p. 870)
35. Loan repayment program for service in health professional needs areas (Section 2211, p. 873)
36. Program for training medical residents in community-based settings (Section 2214, p. 882)
37. Grant program for training in dentistry programs (Section 2215, p. 887)
38. Public Health Workforce Corps (Section 2231, p. 898)
39. Public health workforce scholarship program (Section 2231, p. 900)
40. Public health workforce loan forgiveness program (Section 2231, p. 904)
41. Grant program for innovations in interdisciplinary care (Section 2252, p. 917)
42. Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 920)
43. Prevention and Wellness Trust (Section 2301, p. 932)
44. Clinical Prevention Stakeholders Board (Section 2301, p. 941)
45. Community Prevention Stakeholders Board (Section 2301, p. 947)
46. Grant program for community prevention and wellness research (Section 2301, p. 950)
47. Grant program for community prevention and wellness services (Section 2301, p. 951)
48. Grant program for public health infrastructure (Section 2301, p. 955)
49. Center for Quality Improvement (Section 2401, p. 965)
50. Assistant Secretary for Health Information (Section 2402, p. 972)
51. Grant program to support the operation of school-based health clinics (Section 2511, p. 993)
52. National Medical Device Registry (Section 2521, p. 1001)
53. Grants for labor-management programs for nursing training (Section 2531, p. 1008)

To Obama, this represents making health care delivery "more efficient."

Read Palin's entire piece.