Re: “Supreme Court's decision cuts reform law's 11-year cost by $84 billion, CBO says,” Modern Healthcare.com, July 24: Upon reading this article, my trust in the Congressional Budget Office has fallen further than I thought possible. While the CBO gives big headlines to reductions, it also hedges its predictions, effectively saying, “We don't have any idea how much Obamacare costs.” And by the way, why is an 11-year period used? Why not one year or 25 years or 13 years, 13 weeks, 13 days, 13 hours or 13 minutes for that matter? Or maybe it does matter because in year 12, the balloon payment comes due.
Let's face it, our president, along with the rest of our government, can't add two numbers and get the same answer twice. And the CBO doesn't have to be accountable if its numbers are hedged sufficiently.
As Walter Cronkite would say, “And that's the way it is.” Shameful. I think I know what's making everyone sick: a primary diagnosis of our government's ineptitude with a co-morbidity of self-aggrandizement presenting symptoms of manic delusion in the hope of citizens imagining they'll be happy if only they trust Washington bureaucrats to solve their problems.
Founder and CEO
Monocle Health Data
Re: “Groups decry proposal to cut public-health funding, end AHRQ,” ModernHealthcare.com, July 18: There is no money, I am sorry to say. We are heading toward bankruptcy. Without modification to social programs and spending now—I have been clamoring for it since the '90s—we will go out of business as a nation. Is it that difficult to understand?
Healthcare costs a lot of money. We need serious fiscal reform, tort reform and competitive insurance across state lines, to start with. We need real leadership to tackle the hard problems in Washington.
Re: “NAPH presses states on Medicaid expansion,” ModernHealthcare.com, July 12: I think the elected leaders not wanting to expand Medicaid in their states are concerned about how they are going to pay for the expanded program.
Dr. Bruce Siegel is right to want to have those people covered, but the economic realities have to be considered. With many states already trying to cover huge budget shortfalls, adding 13 million to the Medicaid rolls isn't economically sustainable. Another issue they will have to deal with is to determine if there are enough physicians willing to take Medicaid payments to provide care; I think that may turn out to be a bigger problem all across the country.