As President Obama said while campaigning to be President of the United States, “You can put lipstick on a pig, but it’s still a pig!”  How true.  Yesterday President Obama reached for the lipstick to dab on four proposals suggested by the Republicans to the massive pig of a health care proposal clinging to life.  The four proposals are:

1. Use undercover medical professionals to conduct investigations to fight waste and fraud in Medicare, Medicaid and other Federal programs.
2. “Demonstrations of Alternatives” to the current malpractice mess.
3. Increasing doctor reimbursement for Medicare.
4. Expanding Heath Savings Accounts (HSA).

The pig smiled.  She thought she looked beautiful.  Just don’t try to put a bikini on her because, as President Obama famously said, she’s still a pig.  Let’s look at the President’s magnanamous attempt at bipartisanship in detail.

1)  Undercover Medical Professionals to Uncover Fraud

It is estimated that somewhere in the neighborhood of $100 billion is lost or stolen each year from Medicare and Medicaid.  This program has been in place for 40 years.  If those numbers are consistent over that period, that’s $4 TRILLION.  Gone. Stolen from you and me.  How much better shape would we be in if we had that money back?  That’s government efficiency for you.

The President of the United States is the chief law enforcement officer in the country.  The amount of Medicaid and Mediecare losses each year are four times the entire budget of the Department of Justice.  How’s this for a proposal?  Create a Medicare/Medicaid fraud unit within the FBI and fund it so that we can stop thses losses.  If you stop the fraud, it’s free money.  What you save in fraud should more than pay for the FBI funding.  Why take medical professionals and give them law enforcement duties.  Are you going to ask police to operate on you?  Mr. President it’s your job to enforce the laws and prevent this widespread fraud.  You don’t need a new act of Congress.  Just Do It!

2) Tort Reform –No; “Demonstrations of Alternatives” — Yes

Trial lawyers are one of the biggest contributors to the Democratic Party.  Do you think such “Demonstrations of Alternatives” will amount to anything other than hush money?  “Shut up , we’re looking into tort reform.”  The counter argument is that Americans have a right to their day in court when they have been injured.  True enough, and I am reluctant to arbitrarily limit their awards through a fixed dollar limit.  I would take aim squarely at the lawyers.

John Edwards, one-time Senator and presidential candidate, was involved in about 63 cases as a personal injury attorney and amassed a fortune of about $70 million.  In one particular case, he stood before the jury and took on the persona of a child in the womb crying out for oxygen to appeal to the emotions of the jury and win the case.  Oddly enough he voted against a ban on partial birth abortion.  Gee, in the once case it’s a child who can actually speak while still in the womb!  But on the other hand it is just a mass of tissue at birth that can be disposed of with the trash.  We have learned a lot about the moral character of John Edwards.  He is the poster boy for the old joke, “How do you know a lawyer is lying?  His lips are moving.”

Here is a simple solution to tort reform.  Fixed fees for attorneys and loser pays.  The lawyers should set their hourly rate and bill according to hours worked, not how much they can squeeze out of the jury.  The award should be for the benefit of the injured party, not the lawyer.  The second part is to prevent frivolous lawsuits.  The loser pays the legal fees of the winner.  The argument here will be that the tables will be turned and no one will sue corporations for damages because of the risk of paying their legal fees.  Right now lawyers are running a lottery fishing for lawsuits of any kind becasue they know that most corporations will settle for less than it would cost to defend the suit, even if they know they are right.  All customers of that corporation pay more for their products (e.g., drugs, medical devices) and the lawyer gets rich.  I am sure that if such a proposal as this gets passed a new market for “legal fee insurance” will open up where a plaintiff with a strong case can buy insurance to cover the cost of the other sides legal fees if they do lose.

3) Increasing Doctor Reimbursement for Medicare

So much for bending the cost curve down.  The real way to curtail spending on health care is to eliminate 3rd party payers.  (see It can be done).

4)  Increase Health Savings Accounts

These plans exist today, however, they are not all available across state lines (see It can be done).  I had such a plan in New York while employed by a company, but when I went out on my own I could not buy the same plan in New York State.  We don’t need ObamaCare, we just need states to allow these plans to exist within their borders or allow individuals to buy across state lines.

The Pig Lives!

Three of the  four Republican proposals that Presidident Obama likes don’t cost anything.  But he $1 trillion to $2 trillion health care castastrophe is still alive and until we slay that beast and start over we will go from a serious health care problem to a fiscal crisis and end up with both.  If you don’t believe me, read how the model for ObamaCare is working in Massachusetts.

If you earn less than $75,000 per year, you are in line to get a tax break of about $8 a week.  Let me get out of your way as you grab the car keys to take your $8 and go on a spending binge that will have the economy humming in no time at all.

There are No Earmarks in this Bill

Do you long for the days of Bill Clinton when he waxed philosophical about the meaning of the word “is”?  President Obama said:

“We are going to ban all earmarks, the process by which individual members insert projects without review,” he told reporters on the Hill Tuesday as he tried to build support for the measure.

So, if no Congressional member specifically inserts language about a specific spending request in a particular district, it doesn’t meet the definition of an “earmark.”  So cut out some of the specifics and voila, an earmark is no longer an earmark!  A pet project of Nancy Pelosi, preserving the habitat of the salt marsh harvest mouse, has $30 million, earmarked, er, included in the stimulus bill.

Republican lawmakers said they learned of the marsh money when asking about how various agencies plan to spend stimulus money. The vitality of the mouse has been an issue for Mrs. Pelosi and other California Democrats since the early 1990s.

While the Republicans are raising questions about how American’s tax dollars are being squandered in the name of stimulus, Democrats are responding by calling Republicans unpatriotic, obstructionists, against the will of the American people.  When Speaker Pelosi’s office was asked about the $30 million a spokesman had this response:

“The speaker nor her staff have had any involvement in this initiative. This is yet another contrived partisan attack,” Pelosi spokesman Drew Hammill said. “Restoration is key to economic activity, including farming, fisheries, recreation and clean water.”

Does anyone with a room temperature IQ actually believe that statement?  The spending is in San Francisco which is where Nancy Pelosi’s district it located.  Are we supposed to believe she had nothing to do with $30 million of spending in her district?  Was it a Valentine’s Day gift from Steny Hoyer?  If she knows nothing about it, TAKE IT OUT! Those evil Republican partisans had the temerity to ask this question:

“This certainly doesn’t sound like it will create or save American jobs,” Mr. Steel said. “So can Speaker Pelosi explain exactly how we will improve the American economy by helping the adorable little” critter?

The American People Weigh In

Maybe Pelosi can explain it, but she’s not going to.  Perhaps that is why a recent Rasmussen poll had that 67% of Americans think that they could do a better job on the economy than Congress.  Do you think Nancy’s mouse is one of the reasons for that?  Even more embarrassing:

Forty-four percent (44%) voters also think a group of people selected at random from the phone book would do a better job addressing the nation’s problems than the current Congress, but 37% disagree. Twenty percent (20%)are undecided.

Selected at random from the phone book! We pay these people $167,000 a year and we think names drawn at random from the phone book could do a better job!  Is it only me, or does someone else see a problem here?  These clowns are going to bankrupt us and our children and grandchildren, so they can push through this porka-palooza as fast as possible so no one gets a chance to look at it.  Spending didn’t fix the Great Depression.  Spending didn’t end the lost decade in Japan.  Why do we think it will work now?  Isn’t that the definition of insanity?

Tax cuts were proven by JFK, and Reagan, but let’s not try anything that has actually worked before.  The Democrats say that the reason spending didn’t work in Japan is that the spending wasn’t high enough or fast enough!  So, if this “stimulus” fails to work, as many are predicting, we can expect Congress to come back and say, well it’s those Republicans.  They didn’t let us spend as much as we wanted, so now we have to go back and spend $2 trillion.

So while you ponder that, enjoy your $8.  Don’t spend it all in one place.  But when you put your head on the pillow tonight, rest easy, the salt marsh harvest mouse got $30 mill.  But remember, the Democrats are looking out for you.  And don’t forget to start saving $2,500 for each member of your family, because that’s the size of the tax bill the Demcrates will be leaving you and your children.