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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review July 2, 2009 / 10 Tamuz 5769

‘45 Million Americans’ — Who Are Those Guys?, Part III

By Larry Elder


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http://www.JewishWorldReview.com | "President Barack Obama says that he can pay for his goal to provide health care insurance for every American without it. Why isn't that good enough for you?"


Elder: Yes, the President says that he can "pay for" his goal of providing health insurance for every American without it. Care to bet on that?


When government proposes a program, the ultimate price tag inevitably exceeds projections. In "Why Government Doesn't Work," libertarian Harry Browne wrote: "Most older people now find it harder to get adequate medical service. Naturally, the government points to the higher costs and shortages as proof that the elderly would be lost without Medicare — and that government should be even more deeply involved. When Medicare was set up in 1965, the politicians projected its cost in 1990 to be $3 billion — which is equivalent to $12 billion when adjusted for inflation to 1990 dollars. The actual cost in 1990 was $98 billion — eight times as much."


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Congress, from the outset, placed Medicare on autopilot because of a growing, aging and longer-living elderly population. Congress, from time to time, attempts to "rein in" increased costs by imposing fixed reimbursement schedules. This simply creates an incentive on the part of doctors and hospitals to schedule a lot of unnecessary tests or to "pingpong" patients from specialist to specialist in order to evade the artificial limits. This also forces doctors and hospitals to charge more from private carriers to offset the low reimbursement rates provided by Medicare.


Everybody gets hurt — the elderly because the medical profession becomes less efficient, innovative and cost-effective, and the non-elderly because practitioners charge them more to offset the lower reimbursement rates provided by the government.


"We need to require all employers to provide health insurance."


Elder: We end up paying more, not less. During World War II, Congress imposed wage freezes. Business people who wished to attract employees had little recourse but to offer non-cash benefits. The government, recognizing business people's "plight," allowed business to deduct the cost of health insurance as a business expense. This put, for the first time, something between doctor and patient, distorting the traditional fee-for-service system, used so successfully up until then. It also created the incentive to get your medical care through your employer rather than pay for it directly.


I once lived in a large apartment complex that included utilities paid by the landlord. During hot summer months or cold winter months in my previous apartment — where I paid for utilities — I turned the thermostat off when I left the apartment and put on the heat or air when I returned. Once I moved into the "utilities-included" apartment, I left my heat and air on all day, thus ensuring a perfect climate when I came home — sometimes as long as 12 hours later.


Now, I knew that somehow I paid, but the cost would be distributed over all the tenants in the building. So the conscientious tenant who cut off his or her air subsidized my carefree use of utilities. Eventually, we all pay, but the effect becomes gradual and diffused over a number of people who have little incentive to "conserve."


This applies to employer-provided insurance. Employees have less incentive to refrain from seeing doctors for minor reasons, less incentive to watch and manage their own health, and no incentive to cost compare among competing insurers and health care providers.


"I'm a supporter of free markets and competition, but that doesn't apply to medicine. Improved technology and research costs just drive the price of medicine up." Elder: New technology — in most any field — initially costs a lot. Consider the cost years ago of computers and calculators versus what we pay today for equipment and applications far faster, easier and more powerful. Remember the price of calculators 30 years ago? Today they are so cheap some outlets give them away as gifts — loss leaders to get you into the store.


Government-imposed rationing sacrifices quality and innovation while imposing long wait times. But you cannot control costs without removing the incentive to improve and innovate. How many medical-care breakthroughs occur in Canada? How many new drugs to improve patient outcome come from Canada? Without the profit incentive, you get fewer entrepreneurs and fewer investment dollars because you've diminished the likelihood of reward.


Want efficiency? A friend of mine who serves on the board of a hospital in Ontario recently wrote: "We have actually had to send money back to the government because the surgeries — scheduled months earlier — didn't occur because patients went to the U.S. for treatment instead. Funding is specific to some procedures, and if not used, the money is sent back. Right now we are losing the surgery money because we have a bed shortage for folks who can't return home because of the level of care they need, but there are no facilities for them to transfer to. Why, you ask? Government regulations make it next to impossible for private people to make a profit. And so the vicious circle continues."


Welcome to ObamaCare.

Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

JWR contributor Larry Elder is the author of, most recently, "Stupid Black Men: How to Play the Race Card--and Lose." (Proceeds from sales help fund JWR)

Let him know what you think of his column by clicking here.

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© 2006, Creators Syndicate

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