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Cross The River Burn The Bridge (Mark Steyn On Where We're Headed With Obamacare Alert)
National Review ^ | 12/26/2009 | Mark Steyn

Posted on 12/26/2009 9:54:33 AM PST by goldstategop

Last week, during a bit of banter on Fox News, my colleague Jonah Goldberg reminded me of something I’d all but forgotten. Last September, during his address to Congress on health care, Barack Obama declared: “I am not the first President to take up this cause, but I am determined to be the last.”

Dream on. The monstrous mountain of toxic pustules sprouting from greasy boils metastasizing from malign carbuncles that passed the Senate on Christmas Eve is not the last word in “health” “care,” but the first. It ensures that this is all we’ll be talking about, now and forever.

Government can’t just annex “one-sixth of the U.S. economy” (i.e., the equivalent of annexing the entire British or French economy, or annexing the entire Indian economy twice over) and then just say: “Okay, what’s next? On to cap-and-trade . . . ” Nations that governmentalize health care soon find themselves talking about little else.

In Canada, once the wait times for MRIs and hip surgery start creeping up over two years, the government distracts the citizenry with a Royal Commission appointed to study possible “reforms” which reports back a couple of years later usually with recommendations to “strengthen” the government’s “commitment” to every Canadian’s “right” to health care by renaming the Department of Health the Department of Health Services and abolishing the Agency of Health Administration and replacing it with a new Agency of Administrative Health Operations which would report to a reformed Council of Health Policy Administrative Coordination to be supervised by a streamlined Public Health Operations & Administration Assessment Bureau. This package of “reforms” would cost a mere 12.3 gazillion dollars and usually keeps the lid on the pot until the wait times for MRIs start creeping up over three years.

The other alternative is what the British did earlier this year: They created an exciting new “Patient’s Bill of Rights,” promising every Briton the “right” to hospital treatment within 18 weeks. Believe it or not, that distant deadline shimmering woozily in the languid desert haze can be oddly reassuring if you’ve ever visited a Scottish emergency room on a holiday weekend. And, if the four-and-a-half months go by and you still haven’t been treated, you get your (tax) money back? Ah, no. But there is a free helpline you can call which will give you continuously updated estimates on which month your operation has been rescheduled for. I mention these not as a preview of the horrors to come, but because I’ve come to the bleak conclusion that U.S.-style “health” “reform” is going to be far worse.

We were told we had to do it because of the however many millions of uninsured, yet this bill will leave some 25 million Americans uninsured. On the other hand, millions of young fit healthy Americans in their first jobs who currently take the entirely reasonable view that they do not require health insurance at this stage in their lives will be forced to pay for coverage they neither want nor need. On the other other hand, those Americans who’ve done the boring responsible grown-up thing and have health plans Harry Reid determines to be excessively “generous” will be subject to punitive taxes up to 40 percent. On the other other other hand, if you’re the member of a union which enjoys privileged relations with Commissar Reid you’ll be exempt from that 40 percent shakedown. On the other other other other hand, if you’re already enjoying government health care, well, you’re 83 years old and, let’s face it, it’s hardly worth us giving you that surgery for the minimal contribution you make to society, so in the cause of extending government health care to millions of people who don’t currently get it we’re going to ration it for those currently entitled to it.

Looking at the millions of Americans it leaves uninsured, and the millions it leaves with worse treatment and reduced access, and the millions it makes pay significantly more for their current health care, one can only marvel at Harry Reid’s genius: government health care turns out to be all government and no health care. Adding up the zillions of new taxes and bureaucracies and regulations it imposes on the citizenry, one might almost think that was the only point of the exercise.

That’s why I believe America’s belated embrace of government health care is going to be far more expensive and disastrous than the Euro-Canadian models. Whatever one’s philosophical objection to the Canadian health system, it is, broadly, fair: Unless you’re a cabinet minister or a bigtime hockey player, you’ll enjoy the same equality of crappiness and universal lack of access that everybody else does. But, even before it’s up-and-running, Pelosi-Reid-Obamacare is an impenetrable thicket of contradictory boondoggles, shameless payoffs, and arbitrary shakedowns.

That’s why Nebraska’s grotesque zombie senator Ben Nelson is the perfect poster boy for the new arrangements, and not just another so-called Blue Dog Democrat spayed into compliance by a massive cash injection. There is no reason on earth why Nebraska should be the only state in this Union to have every dime of its increased Medicare tab picked up by the 49 others. So either that privilege will be extended to all, or to favored others, or its asymmetry will be balanced by other precisely targeted lollipops hither and yon. Whatever happens, it’s a dagger at the heart of American federalism, just as the bill’s magisterial proclamation that the Independent Medicare Advisory Board can only be abolished by a two-thirds vote of the Senate strikes at one of the most basic principles of a free society — that no parliament can bind its successors.

These details are obnoxious not merely in and of themselves but because they tell us the truth about where we’re headed: Think of the way almost every Big Government project bursts its bodice and winds up bigger and more bloated than its creators allegedly foresaw. In this instance, the stays come pre-loosened, and studded with loopholes. Because the Democrat operators — the Nancy Pelosis and Barney Franks — know that what matters is to get something, anything across the river, and then burn the bridge behind you.

My Republican friends often seem to miss the point in this debate: The so-called “public option” is not Page 3,079, Section (f), Clause VII. The entire bill is a public option — because that’s where it leads, remorselessly. The so-called “death panel” is not Page 2,721, Paragraph 19, Sub-section (d), but again the entire bill — because it inserts the power of the state between you and your doctor, and in effect assumes jurisdiction over your body. As the savvier Dems have always known, once you’ve crossed the Rubicon, you can endlessly re-reform your health reform until the end of time, and all the stuff you didn’t get this go-round will fall into place, and very quickly.

As I’ve been saying for over a year now, “health care” is the fast-track to a permanent left-of-center political culture. The unlovely Democrats on public display in the week before Christmas may seem like just a bunch of jelly-spined opportunists, grubby wardheelers and rapacious kleptocrats, but the smarter ones are showing great strategic clarity. Alas for the rest of us, Euro-style government on a Harry Reid/Chris Dodd/Ben Nelson scale will lead to ruin.


TOPICS: Business/Economy; Constitution/Conservatism; Crime/Corruption; Culture/Society; Editorial; Government; News/Current Events; Philosophy; Politics/Elections
KEYWORDS: 111th; bhohealthcare; deathofthewest; democrats; healthcare; marksteyn; nannystate; nationalreview; obamacare; oblivion; socialism; socializedmedicine; statism; steyn
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Obamacare isn't about health care or socialized medicine or insurance exchanges or death panels. Those are details that obscure the big picture. And the big picture is the creation of a permanent left of center political culture. Once it becomes law, it can be adjusted here and there but repealing it will be impossible. America will have been changed forever. And nations obsessed with Big Government programs are already on the fast track first to decline and then to oblivion. That's the real meaning of Obamacare.

"Show me just what Mohammed brought that was new, and there you will find only things evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelogus

1 posted on 12/26/2009 9:54:33 AM PST by goldstategop
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To: goldstategop

More like “Set the bridge on fire, then have everyone run across it as fast as they can. Those who won’t run will be fined.”


2 posted on 12/26/2009 9:55:56 AM PST by UCANSEE2
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To: goldstategop

“The monstrous mountain of toxic pustules sprouting from greasy boils metastasizing from malign carbuncles that passed the Senate on Christmas Eve”

Mark certainly nailed the description.


3 posted on 12/26/2009 9:58:39 AM PST by freekitty (Give me back my conservative vote; then find me a real conservative to vote for)
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To: goldstategop

Why can it not be repealed? 2010 Elections, impeach and deport the Kenyan, fire all his czars, then repeal this flawed legislation. It can be done, the 2010 elections are the key.


4 posted on 12/26/2009 9:59:54 AM PST by Concho
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To: Concho

I agree.

While the taxation will start immediately, and no doubt be spent as fast as collected, the “benefits” don’t start ‘till after the next presidential election.

Turn the bums out, shut down the taxes, then kill the program.

With some luck, we’ll only be out a year’s worth of extortion, which isn’t good, but would be nothing close to the disaster intended.


5 posted on 12/26/2009 10:07:28 AM PST by benewton (Life sucks, then you die)
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To: goldstategop

They do as they please without any concern whatsoever of the things in this article.

That is the real problem, not health care. Not cap a trade. As long as all us idiots keep arguing about health care we are lost.

The lefties have learned a new trick, idiots. They figured out they can have and do whatever they please so long as they let us have our castrated version of our second amendment. As long as we have a 100 year old technology of a firearm in our closet at home we can keep telling ourselves how free we are and pat ourselves on the backs.

We are idiots and we deserve what we get.


6 posted on 12/26/2009 10:08:20 AM PST by mamelukesabre
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To: Concho
You think Obama is going to allow the GOP to repeal his signature achievement? Fat chance.

"Show me just what Mohammed brought that was new, and there you will find only things evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelogus

7 posted on 12/26/2009 10:11:27 AM PST by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: Concho

Yes. And the Republican Party has drawn a line in the sand. We believe that it is unconstitutional for the government to force people to buy insurance. The Democrats disagree.

That should be THE defining issue of 2010. That and the economy. Americans don’t like being told what they can and cannot do.

Even Snowe and Collins voted the right way when push came to shove. We need to get as many Republicans elected as we can.


8 posted on 12/26/2009 10:13:51 AM PST by AzaleaCity5691
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To: goldstategop
The ‘pressure cooker’ of horrendous waiting times imposed by the Canadian health care system has always been allowed an escape valve by simply coming south into the US. When our waits are as long or longer than theirs....THAR SHE BLOWS!!!!
9 posted on 12/26/2009 10:20:00 AM PST by JPG (Al Gore, the several million degree man.)
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To: goldstategop

You think Obama is going to allow the GOP to repeal his signature achievement? Fat chance.
*******************************************
I agree , it simply won’t happen at the Federal level ,, but if we give him 20 or 30 different state fights we could win or delay until we can win at the Federal (probably SC) level.


10 posted on 12/26/2009 10:22:30 AM PST by Neidermeyer
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To: goldstategop
The government just put a death sentence on ourselves when we get old or inefficient to the state & we are sitting here - playing on the internet - instead of all-out rioting & in the faces of every scum that is in CONgress. Then people here say there will be a change at election time. Might be the best joke of the yr.
11 posted on 12/26/2009 10:24:33 AM PST by Digger (If RINO is your selection, then failure is your election)
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To: goldstategop
WHAT IS THE IRRESISTABLE AND UNREPEALABLE ATTRACTION OF GOVERNMENT HEALTHCARE DESPITE ITS FAILURES?
Simple: The vast majority just want routine doctor visits and bones set after an accident without worrying about paying a bill afterward. Most people don't care about those needing major medical or the elderly who are about to die anyway as long as most get their pills and emergency care for their first 60 years or so. And face it, the complainers die in short order and won't be voting much past one election cycle. No matter how badly the system treats 20% of the people, the other 80% of relatively healthy people will not ever be convinced to give up their "free" care.
12 posted on 12/26/2009 10:29:25 AM PST by UnbelievingScumOnTheOtherSide (IN A SMALL TENT WE JUST STAND CLOSER! * IT'S ISLAM, STUPID! - Islam Delenda Est! - Rumble thee forth)
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To: Concho

The 2010 elections may allow us to take back the House, but we won’t be able to get a super-majority in the senate. Didn’t they sneak a provision into this bill that it would require 67 votes to repeal?

We need to start in on our congressmen again & try to stop it from ever going into effect. Tar & feathers might be needed.


13 posted on 12/26/2009 10:32:08 AM PST by Twotone (Marte Et Clypeo)
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To: goldstategop
Quite frankly, I don't care if the bill was to create a profitable entity that was self-sustained and saved baby puppies from getting the needle.

The outrage here is that near 70% of the voters in this country wanted the bill dead and they spit in our eye and passed it anyway. That 70% will reach 95% once the idiots figure out what just got stuffed down the back of their shirts. They still think their health insurance problems just got solved. Give it a few years and see what they think then.

I don't just want it de-funded or repealed, I want 60 people prosecuted.

14 posted on 12/26/2009 10:40:09 AM PST by FunkyZero ("It's not about duck hunting !")
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To: Twotone
"Didn’t they sneak a provision into this bill that it would require 67 votes to repeal"

yes but it is insignificant. All they have to do is repeal the law that says it takes 67 and change it to whatever they want. this is the least of our problems.

15 posted on 12/26/2009 10:42:21 AM PST by FunkyZero ("It's not about duck hunting !")
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To: goldstategop
Last year I broke my hip. With in an hour and a half of arriving at the hospital I had an X-Ray, CAT Scan, and an MRI. Within 10 hours they had drilled a hole in my leg and I was in traction.

I have to snicker when my cousins from Canukistan tell me how great their Health plan is, it is true that they can get Cuban Cigars and rum but I don't think that that compensated.

16 posted on 12/26/2009 10:48:44 AM PST by Little Bill (Carol Che-Porter is a MOONBAT.)
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To: UnbelievingScumOnTheOtherSide

Only one problem there. 80% do not approve of this in the first place.


17 posted on 12/26/2009 10:50:51 AM PST by Michael Barnes
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To: goldstategop

“Looking at the millions of Americans it leaves uninsured, and the millions it leaves with worse treatment and reduced access, and the millions it makes pay significantly more for their current health care, one can only marvel at Harry Reid’s genius: government health care turns out to be all government and no health care. Adding up the zillions of new taxes and bureaucracies and regulations it imposes on the citizenry, one might almost think that was the only point of the exercise.”

Steyn again shows his ability to distill things into clarity.

As I’ve said, I only hope he’s still around to keep me (at least) laughing as we’re led off to the rice fields.


18 posted on 12/26/2009 10:52:30 AM PST by Attention Surplus Disorder (Voters who thought their ship came in with 0bama are on their own Titanic.)
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To: goldstategop

If the health care bill is going to have so revolting an impact upon the majority of voters, then it is not irreversible.

The real risk is that the health care bill (or is follow-ups) “works” in some limited sense and tempts the American populace into an American version of the corrupt “social democratic” bargain in Europe — government relieves you of most of the risk of living in capitalist society, while also denying you many of the rewards. Lots of liberals and Europeans will defend that bargain, but it is basically hopeless when married with a sharply-declining birth rate and fierce competition from the developing world...


19 posted on 12/26/2009 10:54:03 AM PST by only1percent
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To: goldstategop

My Republican friends often seem to miss the point in this debate . . .


20 posted on 12/26/2009 10:56:05 AM PST by Jeff Chandler (:: The government will do for health care what it did for real estate. ::)
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