- - Tuesday, January 2, 2018

ANALYSIS/OPINION:

Repealing the Obamacare insurance mandate does not restore personal freedoms lost with Obamacare rationing. Rationing means government not reducing, but rather refusing to pay costs. Bureaucrats now have tools to control chronically ill, elderly and disabled people.

Obamacare added over 100 new boards, commissions and programs. For example, a new Medicare/Medicaid commission, exempt from judicial review, writes rules about utilization and pricing of medical devices and drugs needed by surgeons. The Independent Payment Advisory Board determines allowable levels of Medicare/Medicaid funding for therapies.

Princeton bioethics professor Peter Singer gives the legislative and regulatory intent when writing, in The New York Times: “Rationing health care means getting value for the billions spent by setting limits … There’s no doubt that it’s tough — politically, emotionally, and ethically — to make a decision that means that someone will die sooner than they would have if the decision had gone the other way … “

Health-care regulations match quantifiable judgments of a patient’s societal value to federally approved, cost-effective treatments. Repeal-and-replace is needed to restore speech and religious freedoms, prevent life termination without trial, and retain other freedoms guaranteed by our Constitution.

NOLAN NELSON

Eugene, Ore.


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