Friday, September 25, 2009

Did I Forget To Mention Death Panels?

if a doctor authorizes expensive care, no matter how successfully, the government will punish him by scrimping on what already is a low reimbursement rate for treating Medicare patients. The incentive, therefore, is for the doctor always to provide less care for his patients for fear of having his payments docked. And because no doctor will know who falls in the top 10 percent until year's end, or what total average costs will break the 10 percent threshold, the pressure will be intense to withhold care, and withhold care again, and then withhold it some more. Or at least to prescribe cheaper care, no matter how much less effective, in order to avoid the penalties.

This is certainly a form of rationing. And the editors of the Times don't exaggerate when they say that, while there are no formal death panels, the Democrats' bill will give us the functional equivalent, except that the accountants who serve as the "proxy" panel won't know whose deaths they are causing.

This is the latest on the new Senate "health care" bill.

Get busy practicing pushing up daisies...