Thursday, August 20, 2009

Regulators regulate

"Remember that legislation itself is only half the problem with Obamacare. Whatever bill passes, hundreds of bureaucrats in the federal agencies will have years to promulgate scores of regulations to govern the details of the law.

"This is where the real mischief could be done because most regulatory actions are effectuated beneath the public radar. It is thus essential, as just one example, that any end-of-life counseling provision in the final bill be specified to be purely voluntary ... and that the counseling be required by law to be neutral as to outcome. Otherwise, even if the legislation doesn't push in a specific direction - for instance, THE GOVERNMENT REFUSING TREATMENT - the regulations could." (Emphasis added.) Wesley J. Smith

Having worked in health care for 20 years or so, I can assure you this is the absolute truth. Congress passes legislation, the President signs it and then some bureaucrat at CMS, who doesn't answer to us, writes a regulation that bears no resemblance to what the legislation intended.

We should be interested (concerned) about health care reform legislation, because it will certainly effect how each and every one of us accesses care, and the care we receive. BUT, remember no matter what legislation is passed, at the end of the day bureaucrats who are really only interested in statistical models will decide how the plan is implemented.

As some wag in the past said; "be careful what you wish for, you may get it."

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