Wacko

Commentary July 31, 2005 at 04:00 PM
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It takes a certain type of mentality to find "Apocalypse Now" in legislation that expands the State Children's Health Insurance Plan and takes some pruning shears to the Medicare Advantage Program, but that mentality is out there sounding the alarum bells as if it were the end of the world that was being announced.

I have to admit, I just don't get it. Why make children's health the scene of your pitched battle on so-called principles?

The Medicare Advantage proposals are also providing a lot of drama. Witness this bit of hyperventilation from The National Right to Life Committee:

"While the NRLC has issues with several portions of the legislation, they are especially concerned that it would prevent seniors from spending their own money for medical care to extend their lives or those of their loved ones.

"The economic reality is that in order to provide Medicare coverage for the baby boom generation as it retires without unrealistically massive tax increases, government payments per beneficiary will not be able to keep up with medical inflation. If the funds available for health care for senior citizens from all sources are so limited, the only possible result will be rationing. Since senior citizens are required to participate in Medicare, this would amount to government-imposed involuntary euthanasia."

Now, folks, that is a leap that even Superman would envy. Government-imposed involuntary euthanasia because Medicare Advantage is getting trimmed? I think that even the editorial page of the Wall Street Journal would have a hard time swallowing that bit of apocalyptic balderdash. (But maybe not.)

But, back to children's health. The bill passed by the House calls for a $50 billion expansion of SCHIP. The administration wanted a $5 billion increase over 5 years, or $1 billion a year. The threat of the rarely used Bush veto is being wielded in this case.

A billion a year increase would actually end up cutting children who are presently in the program. So while it sounds like the administration favors adding more money, the effect would be deleterious to children's health.

President Bush objects to Congress's expansion of SCHIP on a number of counts. For one, it is a precursor of a government-run health care system, Mr. Bush has said on several occasions. For another, where, oh where, are we going to get the money? Third, and my favorite, is his assertion that no child will go without health care in this country. To paraphrase the President, they can always go to the emergency room for care if they get sick.

And far be it from me to forget Rep. Jim McCrery, R-La., ranking minority member of the House Ways and Means Committee, who said, "This is not just about helping low-income children. This bill today seems to be spending government funds to lure middle class, upper middle class, even wealthy, perhaps, families, to opt out of private health coverage and go to government health coverage."

You can almost hear the siren song.

These arguments are either so far-fetched or foolish that it's hard to believe they could be taken seriously. Yet, in some quarters they are. And that's what gives me a case of heartburn.

So, it's a good thing I'm not a kid anymore, otherwise I might have to trek to the nearest emergency room to get rid of the heartburn. And it's a good thing I'm not old enough for Medicare, otherwise I might have to involuntarily euthanize myself.

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