Thursday, July 9, 2009

Dems leaning towards tax increases?

We all know that our health care system spends nearly double what other developed countries do, leaves many uninsured, and leads to worse outcomes. So the solution that many Democrats are leaning toward is....spending even more money. This is a total failure of leadership. Apparently they are too weak to stand up to key stakeholders - docs, hospitals, payors, pharma, and others - to bring costs under control. So rather than create a sustainable health care system, they will dump more money into it in order to expand it to cover more patients. They are looking to tax the wealthy to do this. I am not against taxing the wealthy per se, but it should not be necessary for health care reform. There is already enough money in the system to cover every man woman and child in this country, if we could spend that money more wisely. But that takes courage, innovation, creativity, and, above all, political will. It means axing or cutting the employer health plan tax deduction, reforming how docs and hospitals are paid, ending the subsidy for Medicare Advantage, funding comparative research - all things that would lead to wiser spending but potentially alienate some powerful interests. Obama needs to step up to the plate and spend some of his political capital to fix the system, rather than expand it.

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