Archive for November, 2014

Dr. Gruber Video: Patients “Face Higher Cost Sharing” under ObamaCare

November 22, 2014

As you all know, Jonathan Gruber says he is not the architect of ObamaCare.  He only got paid millions to visit the White House about 20 times, and visit Congress, and drink coffee with the nice people – lol.  Here is a clip from my new Jonathan Gruber video:

 

 

This statement was made in response to a question at a medical symposium in 2011.  The question was basically “If we purposely raise patient costs to discourage overuse of healthcare, won’t patients get angry?”  The complete YouTube version of this video with explanatory captions is included later in this post.  But even from the short clip you can see that Dr. Gruber is fairly enthusiastic about the new “high deductible” insurance plans.  What he isn’t saying explicitly is that employers have been forced into these plans by ObamaCare.

The increased cost of the new beefed-up coverage now required for employees makes it impossible for employers to participate in the old, lower deductible, and lower co-pay plans.  The result is that patients will bear more of the cost of their own treatment, and as Dr. Gruber says, they won’t like it, but there’s really not much we can do about it.

The dirty little secret is that all this was planned – in the full video you will see the term “accountable patient” used by the questioner.  This refers to a patient who only uses the minimum amount of health care.  Patients are intentionally made accountable under ObamaCare by increasing their costs so they will make the decision not to overuse health care.

This intentional increase in patient costs runs contrary to what we were told by President Obama – i.e. that costs would fall by about $2500 per family – and reveals yet another  failure to tell the American people the truth of what they would face under  the new system.  Of course, now that we have Dr. Gruber saying that “lack of transparency was a huge advantage” in getting the law passed, these failures to tell the truth look more and more intentional.

By the way, in the December 9, 2014, House hearing, Dr. Gruber was asked whether any White House employee ever asked him to purposely make the language or process of the law confusing so that it would not be understood by legislators or the Public.  Dr. Gruber’s response surprised me.  Instead of saying categorically “No,” he thought about it for a few seconds, and then responded, twice, that he just couldn’t recall whether he had been asked to do that.  That sounds to me like a tacit admission.

Anyway here is the full YouTube clip of Dr. Gruber explaining how high patient costs are coming under ObamaCare.

 

 

Hope you enjoyed it.  I’ll be back soon with even more original video clips.  I’m not sure why the media haven’t picked these up – I’ve tried, but they just seem to want to protect this administration and it’s “signature” healthcare law.  You can see them all posted to my YouTube channel – JohnnyTucson- yes I’m from Tucson – which explains why I always say …

Hasta,

the sceptic

Dr. Gruber Admits “Patients are Going to Get Less” in new Video

November 19, 2014

The Sceptic has discovered a video of Dr. Jonathan Gruber at the 2011 Connected Health Symposium on Accountable Care Organizations (ACOs).  Under ObamaCare, ACOs provide “managed care” to some Medicare patients, and are basically a new version of the old HMOs (Health Maintenance Organizations) which fell out of Public favor due to delays and denials of service. In this video, Dr. Gruber admits that patients in ObamaCare ACOs will have a lower level of health care than what they used to receive.

This video shows what we already know – that patients under ObamaCare will experience a reduction in their level of care, but it also gives a glimpse into the Wonkacracy of the Grubers of the world.  Dr. Gruber lamely expresses his sincere “hope” that the reduced level of care will not affect the health of the patients, but, since his focus is cost reduction, that is not really his concern.  Wow, Dr. Gruber, you are such an objective professional.

Dr. Gruber believes devoutly in managed care systems like ObamaCare, so he takes great pains to explain that HMO’s didn’t really fail, and were actually quite beneficial, because they saved employers money on insurance premiums.  The real problem was that Americans were just … you guessed it … incapable of understanding that … duh … they were actually getting higher wages as the result of employer savings on health care – just too stupid, I guess.

Dr. Gruber is quite dismissive about the “patient backlash” against managed care, which he attributes to everyone “getting upset” about health care because of a Jack Nicholson movie.  I guess he means “One Flew over the Cuckoos Nest,” but that was made back in the 70’s.  Perhaps  he’s conflating the initial patient pushback on HMOs with the backlash against HillaryCare that occurred in the ’90’s.  But, anyway, the gist of his dismissal is his typical argument that the American Public acts in a nonsensical manner where health care is concerned.

Finally, Dr. Gruber opines that ObamaCare’s Accountable Care Organizations face the same challenge as managed care HMOs (i.e. patient rejection), unless the Government visits “pain” on the patient to force him/her to join an accountable care organization.  In fact, our Government has gone beyond mere incentivizing with pain…

This year, hundreds of thousands of Seniors (including a friend of mine) received notices that they had been involuntarily enrolled in an ACO because their doctor had joined one!  To find out more about ACOs, you can read my post on ‘ObamaCare’s Medical Walmarts’

By the way, “Accountable” is just health wonk code for reducing patient access to health care.  Why?  Because, left to their own devices, patients will use “more than their fair share” of health care, and traditional non-ACO providers will aid them in their wasteful practices.

The job of the ACO, and, ultimately, all of ObamaCare is, in fact, to cut back on the use of health care resources by individual patients so it can be made available to society as deemed optimal by the bureaucrats. This means a reduction in the level of each individual patient’s access to care from what they received previously. So I will leave you with Jon Gruber’s question from the video – “Will patients be willing to do this?”

Personally, before I answer “yes” to that question, I need to hear a compelling argument that my reduction in care will actually be used to help others, and not be lost in the bureaucracy, and I need to hear what we never have – an honest admission that we are being asked to make sacrifices, and a heartfelt appeal to our better natures, rather than the deceitful propaganda that we have been fed about keeping our current level of care, getting lower consumer costs, saving $trillions,  etc.

Stay tuned … there is more to come from this same video regarding deductibles.

The Sceptic

 

 

 

ObamaCare Lies Were Actually Planned, Rehearsed

November 12, 2014

This week we have been treated to videos of Dr. Jonathan Gruber telling about how he and others had to mislead the Public (and Congress, by the way) in order to get them to accept some of the controversial aspects of ObamaCare.  Dr. Gruber should know since he was paid about $400K for his help in crafting the bill.

According to Gruber, the bill was worded in a  “tortured way” so that the Congressional Budget Office would not “score” the penalties for not having insurance (aka the “mandate”) as a tax, because that would “kill the bill” – i.e. it would not be cost-effective.  The same sort of deception was also used to try to hide the fact that the bill’s bloated minimum insurance requirements for young, healthy people was just a way to justify charging them higher premiums even though they would never use many aspects of the coverage.  These excess premiums were important to the bill because so many aspects of its operations and bureaucracy would definitely lose money.  Again, this was done in order for the CBO to “score” the bill as self-sustaining and cost-effective.

Dr. Gruber basically blames the “stupidity of the American voter” for the deception, which, I believe, does not really account for the deception of members of Congress, the CBO, and, perhaps, even some in the Administration.  This is truly fraud on a grand scale.  Dr. Gruber’s justification for the deceit is “I would rather have this bill than not” stated with the  self-righteous fervor of a zealot. This is an amazing statement, because there are millions of us who could say “I would rather NOT have this bill” with the same fervor.  Somehow Dr. Gruber thinks his voice and opinion outweighs ours.

Gruber has now attempted to walk back these comments, which were made in an arrogant, almost bragging manner – ‘what clever liars we are-‘  His explanation was that he made these remarks “off the cuff” and that they were not well thought out.  It now turns out that Dr. Gruber made similar remarks a several times and that they represent sort of a routine that he would trot out at appropriately obscure professional wonk venues.

The bigger story, though is how the President himself vehemently and repeatedly denied that the “mandate” was a tax in his 2009 interview with George Stephanopoulos. There is little doubt from this interview that the President had been rehearsed by his aides on how to refute any claim of taxation.  You can see the video here, although it is painful to watch at this point in time

Did the President know he was being less than truthful or is he just another victim of Gruber’s lies?  Certainly, from his unusually insistent manner in this interview he knew this was an important issue.  Advisors, including Gruber, had probably told him that bad things would happen to the bill if he didn’t sell the story that this was not a tax.  Did we know that we were being lied to?  I suspected it on many levels, and so did a lot of others, but we were painted as outlier conspiracy theorists – a merely routine dismissal from an Administration that fights its way thru the news cycle every day with almost the same level of false propaganda.

There is, however, one little silver lining for one person in Dr. Gruber’s rant – Chief Justice Roberts can now be given some measure of absolution for reaching the conclusion that the mandate was indeed a tax that the Feds could levy.  That was the way that Dr. Gruber and others fashioned the bill in the first place – so it would be understood as a “mandate” by the Public, economists, and the media, but would be understood by a lawyer as truly being a tax.  With this in mind, let’s recall the President’s background … yes, he was a lawyer … which makes the Stephanopoulos interview a little more damning.

Aren’t they so very clever? And aren’t you glad they are looking after you so carefully that they won’t let you know the truth when it wouldn’t be good for you to know it?

Hasta

the Sceptic

 


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