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Tuesday, July 29, 2008

Government Health Care Means You Aren’t The Customer And You Don’t Call The Shots

The Oregonian has an editorial up highlighting the fact that the state-run Oregon Health Plan won’t cover a terminal patient’s chemotherapy but will pay for them to die.

Opponents of physician-assisted suicide are fired up this summer, and rightfully so, over an ethically questionable provision of the Oregon Health Plan.

The conflict came to light in a recent report in The Register-Guard of Eugene. The newspaper described the sad plight of Barbara Wagner, a 64-year-old Springfield woman with lung cancer.

After her oncologist prescribed a cancer drug that would cost $4,000 a month, the newspaper reported, “Wagner was notified that the Oregon Health Plan wouldn’t cover the treatment, but that it would cover palliative, or comfort, care, including, if she chose, doctor-assisted suicide.”

That presents an unacceptable conflict. The state health program should not be in the position of denying chemotherapy to terminally ill patients while offering to pay the cost of helping them die.

The piece goes on to address this as an end-of-life issue, but I think the larger point here is just how awful government-run health care is.

Think about it this way: When other people are paying for your health care, whether it be your employer or the government, you aren’t the customer any more.  And thus you lose control over the level and quality of care you receive.  By abdicating your responsibility when it comes to paying the bill for your health care you also lose a good deal of your control over that care.

Which is how this poor woman in Eugene found herself unable to choose to fight her disease but able to choose to succumb to it.

The idea of government-run health care, with everyone paying for everyone else’s health care, sounds nice on paper.  But in practice it’s the government, and not really the taxpayers, that start calling the shots on health care in such a system.  And when you’re stuck in the system and find yourself unhappy with the care you’re receiving you won’t have any alternatives.

You can try to fight the government and get things changed, but that’s not likely to be a practical choice for someone who is already sick and may not have the resources to take up such a struggle.

Better, I think, to face the limitations of paying for our own health care where at least we have some modicum of control over the sort of care we receive than to be in the thrall of a massive government health care where we get the sort of care government bureaucrats decide we deserve.

Comments

Avatar for grog

i thought government health care meant people could actually go to the doctor without being driven into the poor house

right now, my wife and i pay though the nose for health insurance for our family, even with a big employer contribution, and the coverage isn’t really that great.

i personally don’t see house gov’t healthcare could be any worse

the private market has failed. period. game over.

time to clean up and take care of american citizens.

grog on July 29, 2008 at 11:52 am
Avatar for grog

oh and btw, what control do you have?

you still have to get approval to see specialist,
you can only see doctors in your plan,
god help you if you have to change jobs with a pre-existing condition,
you still pay half your monthly salary in prescriptions if you get sick,
your insurance can dump you at any time for any reason;
and you totally screwed if your job gets downsized

sounds awesome to me!

but seriously, why do people defend a pile of manure such as that? is that the best you can do?

pretty weak.

grog on July 29, 2008 at 11:57 am

Correct.  “We are from the Government, and we are here to help.” Run.


Communism is evil

Chief RZ on July 29, 2008 at 12:50 pm
Avatar for Edward Lunny

” The Oregonian has an editorial up highlighting the fact that the state-run Oregon Health Plan won’t cover a terminal patient’s chemotherapy but will pay for them to die. “......You haven’t seen anything yet. If the “government” controls heathcare, then the “government” gets to decide what is “healthy” for you, ala transfat prohibitions or fast food restaurant building restrictions. If the “government” controls healthcare they will decide what is safe for you to do, nothing risking long term injury. If the “government” controls healthcare the “government” will decide when your care is to expensive to continue.

“you still have to get approval to see specialist,
you can only see doctors in your plan, “...pick another plan, or buy your own. A big part of the problem is that people think that their employer should provide or assist in the acqusition of their heath insurance. It’s not the responsibility of your employer to provide health insurance.

“you totally screwed if your job gets downsized “...how ? Because you now have to buy something that you had no idea what the true cost of was ?  Again, insurance is not, and ought not be, the responsibility of your employer. That money should be left in your paycheck for you to spend as you prefer.

“i thought government health care meant people could actually go to the doctor without being driven into the poor house “.....Do you know what social security is costing, and will cost, you ? Government heathcare will send you poor, to the mortuary.

Finally, healthcare and health insurance are two very different topics that frquently are confused. They are particularly confused, deliberately I think, by those who are attempting to foist government healthcare on the public. Healthcare is not the problem, and is not health insurance ;the affordablity of which is apparently the real concern.

Edward Lunny on July 29, 2008 at 12:52 pm
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oh and btw, what control do you have?

You’re confusing my criticism of a government-run system with support for the current system.

I think it is only marginally better to have employers providing health care than to have government providing health care.  The optimal situation is for everyone to provide themselves with health care.


When the people fear their government, there is tyranny; when the government fears the people, there is liberty.

-- Thomas Jefferson

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Rob on July 29, 2008 at 12:56 pm

what control do you have?

I have the control of choice. I have the choice of which company and plan fits me best.
Unfortunately, many people have no idea just what gov’t health care can do to our society.
We are not talking a country wide Medicad/Wefare Give All benefit program. 

Health care is a right. Health care payed for by someone else other than yourself is NOT. Step up and be responsible for your own life and stop expecting the government to take care of you and everyone else. Some of us who work for a living are a bit tired of supporting those who don’t. Compulsory redistribution of wealth (ie socialism or today’s democratic party) is an evil thing.


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Anna on July 29, 2008 at 12:58 pm

Thanks, Anna.  I really do wonder about some people.  Are they that ignorant, or just lazy?


Communism is evil

Chief RZ on July 29, 2008 at 01:17 pm

We already have the government (Medicare) calling the shots for our seniors’ health care.  And probably eventually your health care and mine.  My mother had health insurance (that she paid into for years and years) but when she became 65 her plan was no longer her primary plan and Medicare kicked in.  Now she’s 91, has had breast cancer that has now spread to her bones.  She needed a simple but expensive procedure to help control the pain.  Medicare does not pay for the procedure. And since Medicare does not pay, her plan which became her supplemental plan does not pay either. However, if she had been a convicted murderer in prison she would have gotten the procedure at your (and my) expense in the form of tax dollars. Its been said that the future of a civilization is in the way it treats their elders.

Carol on July 29, 2008 at 04:08 pm

The same thing exists with health insurance, no matter who’s paying for it.  The insurance co is the payer, not the patient.  This is the basic evil in all the govt schemes: separation of the consumer and the payer.
When that happens, nobody’s minding the store, and prices escalate.  Then, when govt tries to “control” this problem of their own making, they have to ration.
It’s what happens in all socialist enterprises.
The need to make a profit to stay in business is what makes business responsible to the consumer.


Save America; boycott the MSM.

robert108 on July 29, 2008 at 05:05 pm
Avatar for Coursework writers

nice article

Coursework writers on August 4, 2008 at 11:44 am
Avatar for Health Insurance

Greatly written indeed… I really enjoyed your article and found it to be very informative, keep up the good work, I’ll be coming back to read any of your future articles..
Thank you,
Health Insurance

Health Insurance on September 22, 2008 at 05:55 am
Avatar for Sheila Justice

I unfortunately got hurt at work, then they denied it as workers comp injury, as they seen i had a broken collarbone form 10 years prior that had never bothered me at all, period.
They do a non union surgery on my bone and i have never gotten out of pain since. Now I lost my job, with use of only one arm, and then lost my medical coverage, now I have ohp Oregon health plan (Care Of Oregon). It does not pay for pain appointment doctors. It is no different than seeing a primary care doctor. to get the meds your sick body requires for some sanity from the daily chronic pain one must live with for the rest of your life now. Why do they get the choice to say that you don’t need to see that Doctor? Basically they are saying that anyone whom is in pain and can not contribute to a normal work or daily life any longer from accidents that cause pain, no longer have the right to try to get fixed thru the appropriate doctors(Pain clinic Doctors offices) The oregon health plan is equivalent to having no health coverage. Just stay home in pain, that’s what your choice is.But they try to say you have medical coverage,and it is so not true. they will not cover any pain health problems.

Sheila Justice on November 6, 2008 at 10:35 am
Avatar for Sheila Justice

I unfortunately got hurt at work, then they denied it as workers comp injury, as they seen i had a broken collarbone form 10 years prior that had never bothered me at all, period.
They do a non union surgery on my bone and i have never gotten out of pain since. Now I lost my job, with use of only one arm, and then lost my medical coverage, now I have ohp Oregon health plan (Care Of Oregon). It does not pay for pain appointment doctors. It is no different than seeing a primary care doctor. to get the meds your sick body requires for some sanity from the daily chronic pain one must live with for the rest of your life now. Why do they get the choice to say that you don’t need to see that Doctor? Basically they are saying that anyone whom is in pain and can not contribute to a normal work or daily life any longer from accidents that cause pain, no longer have the right to try to get fixed thru the appropriate doctors(Pain clinic Doctors offices) The oregon health plan is equivalent to having no health coverage. Just stay home in pain, that’s what your choice is.But they try to say you have medical coverage,and it is so not true. they will not cover any pain health problems.

Sheila Justice on November 6, 2008 at 10:36 am

I unfortunately got hurt at work, then they denied it as workers comp injury, as they seen i had a broken collarbone form 10 years prior that had never bothered me at all, period.
They do a non union surgery on my bone and i have never gotten out of pain since. Now I lost my job, with use of only one arm, and then lost my medical coverage, now I have ohp Oregon health plan (Care Of Oregon). It does not pay for pain appointment doctors. It is no different than seeing a primary care doctor. to get the meds your sick body requires for some sanity from the daily chronic pain one must live with for the rest of your life now. Why do they get the choice to say that you don’t need to see that Doctor? Basically they are saying that anyone whom is in pain and can not contribute to a normal work or daily life any longer from accidents that cause pain, no longer have the right to try to get fixed thru the appropriate doctors(Pain clinic Doctors offices) The oregon health plan is equivalent to having no health coverage. Just stay home in pain, that’s what your choice is.But they try to say you have medical coverage,and it is so not true. they will not cover any pain health problems.

justsheila on November 6, 2008 at 10:38 am

[b][/b]I unfortunately got hurt at workthen they denied it as workers comp injury, as they seen i had a broken collarbone form 10 years prior that had never bothered me at allperiod.
They do a non union surgery on my bone and i have never gotten out of pain sinceNow I lost my jobwith use of only one arm, and then lost my medical coveragenow I have ohp Oregon health plan (Care Of Oregon). It does not pay for pain appointment doctorsIt is no different than seeing a primary care doctorto get the meds your sick body requires for some sanity from the daily chronic pain one must live with for the rest of your life nowWhy do they get the choice to say that you don't need to see that Doctor? Basically they are saying that anyone whom is in pain and can not contribute to a normal work or daily life any longer from accidents that cause pain, no longer have the right to try to get fixed thru the appropriate doctors(Pain clinic Doctors offices) [u]The oregon health plan is equivalent to having no health coverage.[/u] Just stay home in pain, that's what your choice is.But they try to say you have medical coverage,and it is so not truethey will not cover any pain health problems.[code]

justsheila on November 6, 2008 at 10:38 am
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