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Congress Wants to Restrict Drug Access (Inside the Stimulus Bill!)
Wall Street Journal ^ | Jan. 20, 2009 | SCOTT GOTTLIEB

Posted on 01/19/2009 11:17:28 PM PST by FocusNexus

In Britain, a government agency evaluates new medical products for their "cost effectiveness" before citizens can get access to them. The agency has concluded that $45,000 is the most worth paying for products that extend a person's life by one "quality-adjusted" year. (By their calculus, a year combating cancer is worth less than a year in perfect health.)

Here in the U.S., President-elect Barack Obama and House Democrats embrace the creation of a similar "comparative effectiveness" entity that will do research on drugs and medical devices. They claim that they don't want this to morph into a British-style agency that restricts access to medical products based on narrow cost criteria, but provisions tucked into the fiscal stimulus bill betray their real intentions.

Report language accompanying the House stimulus bill says that "more expensive" medical products "will no longer be prescribed." The House bill also suggests that the new research should be used to create "guidelines" to direct doctors' treatment of difficult, high-cost medical problems.

The bill gives incoming Health Secretary Tom Daschle wide discretion to set priorities, and he's long advocated a U.S. approach modeled on the British agency, the National Institute for Health and Clinical Excellence (NICE). Mr. Daschle argues that the only way to reduce spending is by allocating medical products based on "cost effectiveness." He's also called for a "federal health board" modeled on the Federal Reserve to rate medical products and create central controls on access.

(Excerpt) Read more at online.wsj.com ...


TOPICS: Culture/Society; Front Page News; Government; Politics/Elections
KEYWORDS: 111th; bho2008; bhohealthcare; bhohhs; bhostimulus; congress; daschle; drugrationing; drugs; health; medicine; obama; obamanation; pharmaceuticals; rationing; socializedmedicine
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To: Bhoy

I think you’re confusing your Huxley with your Orwell.


41 posted on 01/20/2009 3:29:05 AM PST by Petronski (For the next few years, Gethsemane will not be marginal. We will know that garden. -- Cdl. Stafford)
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To: thecabal
Cancer? Report to the suicide booth, citizen.

Soylent Green is people!

42 posted on 01/20/2009 3:31:33 AM PST by Dawn531
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To: FocusNexus
the GOVERNMENT will decide what medications you can or cannot have

Given that we already have the FDA, the DEA, and the "War On Drugs" it appears to me that they're just extending the power they already have.

43 posted on 01/20/2009 3:55:36 AM PST by Hardastarboard (Why do I find the Toyota "Saved by Zero" ads so ironic?)
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To: FocusNexus

Right, because it wouldn’t be “fair” for some people to be able to afford private insurance when the Dhim base can’t.


44 posted on 01/20/2009 4:10:09 AM PST by PLMerite ("Unarmed, one can only flee from Evil. But Evil isn't overcome by fleeing from it." Jeff Cooper)
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To: FormerACLUmember
What is crazy is that rich and poor alike are injured by the shutdown of medical technology development. I suspect that the rich (including Congressional democrats) WILL have access to new developments, while the rest of us are all shut out.

That is exactly the most important effect that I see.

Where will the world's socialists find medical advancements once we shut down the incentives for it?

45 posted on 01/20/2009 5:58:29 AM PST by Gondring (Paul Revere would have been flamed as a naysayer troll and told to go back to Boston.)
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To: FocusNexus
The bill gives incoming Health Secretary Tom Daschle [...]

His nomination hasn't even been confirmed yet, was it?

46 posted on 01/20/2009 6:12:26 AM PST by Gondring (Paul Revere would have been flamed as a naysayer troll and told to go back to Boston.)
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To: FocusNexus

My only consolation is that Morphine is cheap.
When I get one of these diseases, no one will give me treatment, except the black market that I won’t be able to afford. My kids can snow me out, and I’ll go painlessly.

I guess a quick and easy death is all we have to look forward to.


47 posted on 01/20/2009 6:24:19 AM PST by netmilsmom (Psalm 109:8 - Let his days be few; and let another take his office)
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To: nutmeg

bookmark


48 posted on 01/20/2009 7:59:29 AM PST by nutmeg (No terrorist attacks on U.S. soil since 9/11/01. Thank you President Bush.)
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To: FocusNexus

Here it comes.


49 posted on 01/20/2009 8:24:33 AM PST by Mad_Tom_Rackham (The committed will surely dominate the complacent.)
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To: FocusNexus

How is the stimulus bill tied to health care? I don’t understand.


50 posted on 01/20/2009 8:30:29 AM PST by pepperdog (The world has gone crazy.)
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To: FocusNexus

Bump, I want to send this to my MIL, 40 years in medicine. She needs to see this info.


51 posted on 01/20/2009 9:25:00 AM PST by Roses0508
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To: FocusNexus
Is this just for healthcare the government provides or also for private plans? If it's just for government provided healthcare I'm not so sure I have a problem with cutting costs, even if that means taking some healthcare options off of the table. If you want to more expensive option, pay for it out of your own pocket.

Healthcare has just gotten ridiculously expensive. I am losing all sympathy for doctors, pharmaceutical companies, hospitals and health insurance providers. Doctors want to give you every kind of test perform every kind of procedure they can get away with just to jack up their fees. Hospitals jack you around so they can get their cut too. They all just want every dime they can soak you for, every penny they can get from your insurance provider and more. Insurance companies keep jacking their rates and providing us less and less coverage. Everybody just wants to get rich, and you pretty much have to be rich to get decent healthcare. My daughter and I had to get rabies shots recently. I only needed a couple of booster shots because I had them before. She needed the full course. We had to go through the hospital because no one else had the vaccine. After our expensive insurance paid all it was going to pay, we still owed well over five grand, for a few shots. Every time we went we had to wait several hours, even when we called in advance and asked them to please have the shots ready when we got there. I only had two shots in two weeks, my daughter had seven or eight over the course of several weeks. My jaw hit the floor when I saw the final bill. Our insurance premiums keep going up at a pace much faster than normal inflation, and coverage keeps getting worse. I don't know what the answer is but something needs to be done about this or the average guy won't be able to afford healthcare and the government will go broke providing what it provides.

52 posted on 01/20/2009 9:53:05 AM PST by SmallGovRepub
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To: SmallGovRepub

The tests aren’t neccessarily to jack up fees, but to
protect the doctor against malpractice.

If there was meaningful tort reform this wouldn’t be the
problem it is.


53 posted on 01/20/2009 10:09:33 AM PST by rahbert
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To: rahbert
Doctors love to complain about lawyers to divert your attention away from the fact that they are trying to soak you for every penny they can get. Are doctors going broke because of medical malpractice lawsuits? Heck no. Most make really good money. My dad's a doctor. In my stockbroker days we managed the clinic's retirement accounts and the individual accounts for hundreds of doctors. I know what kind of money these guys make. I know what kind of games they play. Lawyers might make our healthcare a little more expensive, but the doctors, the hospitals and clinics, the health insurance companies and the pharmaceutical companies are raking in the money like you wouldn't believe. And yes, your healthcare providers are trying to soak you for every penny they can get. Then they just blame it on the lawyers. That's how the game works.
54 posted on 01/20/2009 10:26:09 AM PST by SmallGovRepub
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To: SmallGovRepub

Well fine let us know how effective the lieyers are in treating physical afflictions.


55 posted on 01/20/2009 10:29:12 AM PST by rahbert
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To: Myrddin
The "rationing" here is what the government will pay. I didn't see any limitations on what a private individual or insurance carrier can pay.

Not in Round One. But at some point soon, the deadbeats, welfare queens, and every tree-hugging leftest in line for a government handout will complain that private individuals and private insurance have better coverage and that's not fair, and they will demand equality, and the government will then prohibit people from buying better health care than the government allows in the medicaid system.

56 posted on 01/20/2009 10:50:26 AM PST by Labyrinthos
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To: rahbert
Lawyers are only part of the problem, rahbert, a small part. If we made it such that no one could sue doctors or pharmacuetical companies healthcare would still be ridiculously expensive.

You know what would bring healthcare costs way down? If we got rid of health insurance and government provided healthcare costs would drop through the floor. Hardly anyone would be able to afford healthcare. Heathcare providers and pharmaceutical companies would have to compete on costs. They don't really have to do that today and haven't for decades. The government and insurance companies have set the minimum prices basically. They've got all the money and the game has been for healthcare providers and pharmaceutical companies to figure out how to get as much of that money as possible. They aren't really competing on price like most who supply goods or services. This has driven costs way out of hand over the last few decades. And of course the insurance companies have contributed as well. They've acted as middlemen paying our money to healthcare providers and pharmaceutical companies and taking a huge and increasing cut for themselves and requiring patients to pay an increasing share out of their own pockets even though their insurance premiums keep going up at a rate that far out paces normal inflation. Everyone involved, the people who provide the drugs, medical equipment, etc., are trying to get a piece of this massive insurance and government money pie. Everything is becoming incredibly expensive, like the stories we hear about the government paying a thousand bucks for a toilet seat for a submarine or whatever in their defense contracts. The system is a clusterf%&*. It doesn't work like a normal free market system and hasn't for a long time now.

I don't have the answer to the problems we are facing. I'm not recommending we do away with health insurance. It's too late for that now. It's a necessary evil. We've got to do something though to contain costs. Somehow or another basic healthcare needs to be affordable.

57 posted on 01/20/2009 11:08:12 AM PST by SmallGovRepub
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To: AdmSmith; Berosus; Convert from ECUSA; dervish; Ernest_at_the_Beach; Fred Nerks; justiceseeker93; ..
In Britain, a government agency evaluates new medical products for their "cost effectiveness" before citizens can get access to them. The agency has concluded that $45,000 is the most worth paying for products that extend a person's life by one "quality-adjusted" year... Here in the U.S., President-elect Barack Obama and House Democrats embrace the creation of a similar "comparative effectiveness" entity that will do research on drugs and medical devices... provisions tucked into the fiscal stimulus bill betray their real intentions... "more expensive" medical products "will no longer be prescribed." The House bill also suggests that the new research should be used to create "guidelines" to direct doctors' treatment of difficult, high-cost medical problems.
Health Care Rationing is NOT health care.
58 posted on 01/20/2009 7:08:49 PM PST by SunkenCiv (https://secure.freerepublic.com/donate/____________________ Profile updated Monday, January 12, 2009)
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