Obamacare/socialized medicine advocates deny that they support rationing, insisting they will increase access to care. They deny they will interfere with the patients' choice of doctors or insurers. Recently, we've already seen real world consequences exposing the proponents' lies, e.g. the 111 exemptions from Obamacare granted by the health care central planners, and this monstrosity has barely begun.
It is beyond me how anyone can believe that a more centralized health care system could possibly increase patient choice or quality of care. But it's even more incredible when you consider Obama's appointees and mentors in this area. He originally tried to appoint former Sen. Tom Daschle as Secretary of Health and Human Services, probably in large part to Daschle's thinking on health care.
Some say Daschle's ideas led to the creation of the Federal Coordinating Council for Comparative Effectiveness Research, a $1.1 billion board allegedly constituted to make health care decisions. One of the council members is Rahm Emanuel's brother, Ezekiel Emanuel, a physician who strongly agrees with Daschle's statement that health care reform "will not be pain free." Emanuel said, "Unlike allocation by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years."
Even more alarming, is Obama's recess appointment of Medicare head Donald Berwick. Surely most here have read about Berwick's love affair with the British system ("I am romantic about the NHS; I love it. All I need to do to rediscover the romance is to look at health care in my own country."), and his belief that health care systems should be vehicles for societal wealth redistribution ("Any health care funding plan that is just, equitable, civilized, and humane must, must redistribute wealth from the richer among us to the poorer and the less fortunate. Excellent health care is by definition redistributional.")
It turns out those are not the only disturbing gems from Berwick on health care. Berwick's affinity for health care as a vehicle for wealth redistribution is obviously not the only reason Obama wants to avoid the scrutiny a bona fide confirmation inquiry is designed to produce. In a piece in First Things, Wesley J. Smith reports that Berwick also wants to do away with 80% of "dinosaur" patient/doctor office calls.
Smith says that in a document Berwick wrote before assuming his current position, he glowed about increasing patients' access to care, saying it could "be summarized in one phrase: '24/7/365.' The access to help that we will envision is uncompromising, meeting whatever need exists, whenever and wherever it exists, in whatever form requested."
But if you look a little closer you will find that Berwick would achieve this Utopian-like expansion of access only through an Orwellian redefinition of terms. As long as you exclude patient/doctor visits from your concept of access, you can greatly expand access ("Access 24/7/365 begins to be achievable only when we agree ... that the product we choose to make is not visits. Our product is healing relationships, and these can be fashioned in many new and wonderful forms if we suspend the old ways of making sense of care. ... The health care encounter as a face-to-face visit is a dinosaur."
What is most striking to me is not Berwick's opinion that patient/doctor visits are an undesirable relic, but that he seems to believe that government/bureaucrats ought to be making these types of decisions. The mentality of socialized medicine advocates such as Obama and Berwick, is that the command/control model is desirable for health care. Obama's belief that government should make health care decisions was on full display when he talked off-prompter in his 2,600 word, rambling answer to a lady named Doris, at a town hall meeting in Charlotte, N.C. Obama said, "If you go to the doctor you get one test. Then (you are) referred to a specialist, you get another test. Then maybe you go to a third person, the surgeon, you get a third test -- it's all the same test but you're paying three times. So ... we'll pay you for the first test and then e-mail the test to everybody. Right? Or have all three doctors in the room when the test is being taken." (How would you like Obama making your health care choices for you?)
Everything about Obamacare screams that government's already excessive role in health care choices will grow exponentially under this new system and that patients' choices will correspondingly diminish.
You can't possibly have a command-control system -- and that's where we're headed -- without reducing freedom, including patients' choice of doctors and insurers and the doctors' and patients' ultimate control over health care decisions. That's why socialists like Berwick and Obama have to distort the language and misrepresent the facts in presenting their arguments. If people truly understood the thinking behind these statist ideas, Obamacare wouldn't even have the level of paltry support it has.
In effect, Obama sold a system guaranteed to diminish access to care and choice as a benevolent system that would greatly enhance access and choice.
And liberals accused Obamacare opponents of misrepresenting and scare tactics. Truly surreal.