There will be many words from many people about much of the President’s State of the Union speech from last night.I will only focus on one line, which distinctly highlights again just how out to lunch the man is when it comes to real healthcare reforms in this country.During his speech the President said this:
We’ll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn’t be based on the number of tests ordered or days spent in the hospital – they should be based on the quality of care that our seniors receive.
In other words, we should stop paying for tests based on the number performed and we should stop paying for hospitals based on the number of days in which a patient stays in the hospital. Instead, we should pay based on the quality of care given, which I guess means if suddenly your stool sample turns to gold, we’ll charge more.His approach makes no sense. Healthcare cannot be paid for based on quality of care without introducing subjective standards that will themselves drive up the costs of healthcare. He might as well claim he does not want to pay for healthcare at all or, at best, will cover the costs with unicorn farts.The President’s speech was a defense of big government.He started his speech referencing John F. Kennedy.John F. Kennedy said, “ask not what your country can do for you — ask what you can do for your country.”Barack Obama now only wants to tell us what Uncle Sam will do for us so that we need do nothing for ourselves. If he is successful we will each be too dependent on the federal government to set our own course in life.