Faria: Rationing irrationally in anticipation of ObamaCare

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Published Date: 
Friday, October 4, 2013

With President Obama and his Democratic partisans in the Senate at loggerheads with the Republican-controlled U.S. House of Representatives, an impasse has arisen of troubling proportions. The House, though, has the constitutional power of the purse, and the funding or defunding of the flawed ObamaCare law, unwanted by the vast majority American people, falls within its purview. The House has indeed the right not to fund a calamitous and burdensome law. In anticipation of its dreaded implementation, the deleterious effects have already been felt among the senior citizens, those who have Medicare or even Veteran benefits. Let me explain.

Frequently, I read “Viewpoints,” the electronic version of my local newspaper, The Macon Telegraph (MT), which often has heated discussions in response to printed letters to the editor. On September 5, a discussion centered on a MT reader who stated that although in good health at age 75, his doctor would not perform a PSA test or a colonoscopy because "it was not needed," and besides, the doctor added, " given your age, something else would kill you before colon or prostate cancer does."

It is very unfortunate that physicians out of their own initiative are already impeding access to needed medical care (rationing) in preparation for ObamaCare. Another very astute blogger posted an article of mine on this subject previously published in GOPUSA back in 2010. It read in part:

ObamaCare cartoon"And we better get used to the rationing and lack of choices we will increasingly be facing, as American medicine becomes more and more socialized...After years of medical innovations and advances and increasing cancer prevention (e.g., mammography, colonoscopy, and Prostate Specific Antigen [PSA] testing) with the associated increases in survival rates in breast, colon, and prostate cancer — the word is out in the media and the medical politicians that some breast, colon, and prostate cancers may be 'slow growing and not as invasive as we thought,' and that, 'after all, they may not require treatment!' "

Yes, the word is filtering out through the public health establishment and the AMA that we should all go along with rationing care, and some doctors are listening.

In fact another blogger, who I happened to know, Mr. Charles Horne, a decorated veteran from the Korean War wrote me, “I am 82 and have just this month experienced what you have described. I was denied a colonoscopy my hospital felt I needed, but the current regulations would not allow it. So when you get my age, you must rely on God for His help.”

Not all doctors are going along with the collectivist flow of rationing. Some still abide by the Oath of Hippocrates and the teachings of medical ethics — e.g., the requirement that the doctor advises what is in his/her individual patients’ best interest — and not those incarnated in the mythic “collective good.” Another MT reader wrote:  “My dad is 81 and had a colonoscopy last week. He had some polyps removed and has a couple of more embedded that the doctors are removing soon. Eighty-one is now 60. He still plays golf and lives a good life, goes to see his grandsons play ball and remains in very good shape!”

Indeed, with the advances in medicine, freedom of choice, the comforts of free market capitalism, and the continuously improving standard of living for those of us fortunate to be free to pursuit our own health and happiness — we are living longer and leading healthier lives. Eighty maybe the new 60, and 60 is becoming the new 40! In the former USSR, the life span barely exceeded 50. Life span there is now climbing, as the Russians enjoy freedom and a better standard of living — in liberty.

The explanation for rationing medical care is not because of the science, but for what the social planners, supported by No More Socialized Anythingelitist bioethicists and organized medicine led by the AMA, call “the rational allocation of finite health resources” — treating patients not as human beings but as mere statistics. PSA testing perhaps may not be medically justifiable at age 80 in an unhealthy individual, but the word on mammography and colonoscopy is not in yet for most men and women, particularly those who have striven to be healthy! Moreover, we should err on the side of preserving life. Despite what collectivists may lead you to believe: One size does not fit all!

Let me tell you one more story: A close and dear relative of mine was found by colonoscopy to harbor a colon polyp at age 83. Her surgeon who practiced medicine according to the individual-based medical ethics of Hippocrates — and not the utilitarian, population-based (collectivist) ethic espoused by government bioethicists — told her it would become malignant, and so she had it resected. Today, 13 years later, she is 96 remains healthy and still enjoys working in her garden and flowerbeds.

What is my advice to seniors? Exercise gently both mind and body, cultivate your garden, stay healthy, choose your doctors carefully, and beware of those bearing false gifts, telling you with kindness your life at your age is not worth living. Senior friends, for those of you remaining active and healthy: 80 is now the new 60!

Written by Dr. Miguel Faria

Miguel A. Faria Jr., M.D. is an Associate Editor in Chief and World Affairs Editor of Surgical Neurology International (SNI). He is Clinical Professor of Surgery (Neurosurgery, ret.) and Adjunct Professor of Medical History (ret.), Mercer University School of Medicine. Dr Faria is an ex-member of the Injury Research Grant Review Committee of the Centers for Disease Control and Prevention (CDC). 2002-05. He is the author of Vandals at the Gates of Medicine (1995); Medical Warrior: Fighting Corporate Socialized Medicine (1997); and Cuba in Revolution — Escape From a Lost Paradise (2002). His website is http://www.haciendapub.com

This article may be cited as: Faria MA. Rationing irrationality in Anticipation of ObanaCare. HaciendaPublishing. October 4, 2013. Available from: http://haciendapub.com/articles/faria-rationing-irrationally-anticipation-obamacare 

Copyright ©2013 Miguel A. Faria, Jr., M.D.

The images used to illustrate this commentary came from a variety of sources and did not appear in the version published in GOPUSA on October 4, 2013. They were added here for the enjoyment of our readers at HaciendaPublishing.com.

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ObamaCare: Shape of things to come!

ObamaCare: Shape of things to come:

When asked about hip replacements, the president replied, “Maybe you’re better off not having the surgery, but taking the painkiller.” − Barack H. Obama, 2009

When asked about pacemakers for the elderly, the president replied, “If we’ve got experts that are advising doctors across the board that it will save money…” − Barack H. Obama,

We are reminded of these statements by Dr.David Stolinsky, in his latest article at Stolinksy.com; he also quotes an old fashion Democrat, from when the party was democratic rather than socialistic:

“The moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged; and those in the shadows of life, the sick, the needy, and the handicapped.” − Hubert H. Humphrey, 1977

ObamaCare Co-ops failing!

Nearly half of ObamaCare co-ops have failed

By Ali Meyer, November 02, 2015, Washington Free Beacon

Ten of the 23 health insurance co-ops created under Obamacare have gone out of business, and experts say more will follow. 
Utah's Arches is the latest co-op to fail, along with others in Kentucky, New York, Nevada, Louisiana, Oregon, Colorado, Tennessee, South Carolina and a co-op that served both Iowa and Nebraska.
Experts say that the co-ops are failing because of artificially low premiums, strict regulations, and too many people requiring payouts... 

ObamaCare premiums!

Macon Telegraph letters, Oct. 27, 2015

Entitled to ObamaCare

It has just been announced that Obama-care premiums are officially going up in 2016 by as much as 49 percent in some states. "For more than 8 in 10 customers, premium increases will be cushioned by taxpayer subsidies." According the Supreme Court, Americans are supposedly "entitled" to health insurance, but nowhere does the Constitution say that we are entitled to other people's money.-- Dan Topolewski


Emory Lane: Dan Topolewskin, Government cannot give to one other than that it has taken from another.

Mike Ganas: Dan Topolewski, no we aren't entitled to other peoples' money, but the Supreme Court, in affirming the Individual Mandate as law, did say that insurance companies are entitled to our money. You see, that's how corporatism works. The corporations run this country, and both parties do their bidding. Now the precedent has been set. Big Insurance has said "force people to buy our product" and Congress said "ok." Other industries are even now salivating at the thought of being able to do the same.

MAF: Nor is there anywhere noted in the Constitution that the Federal government is authorized to legislate in matters of health care! I can not place my finger wherein that authority is delegated to the leviathan Federal government! In fact according to the 10th Amendment it is a prerogative for the states government solely and to the people (personal and private).

Compulsory Health Care in the U.S. 1946

A Look into Medical History 1946:

Subject: National Physicians' Committee for the Extension of Medical Service Pamphlets

Description: Following U.S. Senate Committee on Education and Labor hearings on a proposed National Health Bill in 1946, the National Physicians Committee produced this pamphlet to warn against the danger of compulsory health care as a threat to the American way of life. Dr. Edward H. Cary, the chairman of the Committee, closed his statement by saying, "I believe that if this legislation was submitted to the people in a referendum, with full knowledge of its implications, the voters of this country would finally and forever reject the meddling and the presumption of the bureaucrat to interfere in the sacred relationship of patient and physician, and would register against this kind of revolutionary legislation the everlasting scorn of a free-born an freedom-loving people."Compulsion

Abstract: Cover of the National Physicians' Committee for the Extension of Medical Service's pamphlet Compulsion, the Key to Collectivism: A Treatise on and Evidence of Attempts To Foist On The American People Compulsory Health Insurance, and explanation of the implications involved.

Creator/Publisher: National Physicians' Committee for the Extension of Medical Service.

Date Created: 1946

Is history repeating itself?

ObamaCare Rationality!

Submitted by Ben Damron (Warner Robins, GA)


A Nice summary by a Notre Dame University engineer: 10,535 pages of ObamaCare condensed to 4 sentences...

As humorous as this sounds.....every last word of it is absolutely TRUE:

1. In order to insure the uninsured, we first have to un-insure the insured.

2. Next, we require the newly uninsured to be re-insured.

3. To re-insure the newly uninsured, they are required to pay extra charges to be re-insured.

4. The extra charges are required so that the original insured, who became uninsured, and then became re-insured, can pay enough extra so that the original uninsured can be insured, which will be free of charge to them.

This, ladies and gentlemen, is called redistribution of
wealth ... better known as SOCIALISM!

Colonoscopy in Mexico!

Interesting Comments to this article in GOPUSA:

Frankania: "I had 3 colonoscopies done over the last 20 years–here in Mexico where the costs were from $100 to $250. Don’t deal with those stupid US bureacrats; plan a vacation and come on down to experience FREE-ENTERPRISE medical care. Regular office visits start at $2 at private clinics.

Dido: "Frankania, we should consider that option. There are excellent doctors in Mexico too. I have a close relative who had plastic surgery there too. Well done job for less than a thousand, free market. Imagine then recuperating in Cancun. Latin America is the last place where there is socialized medicine (managed care type), side by side with private, free-market medical care at reasonable prices because of real competition.

Rushbabe: "One premise NOT mentioned in the good doctor’s article is who is doing the rationing of health care services. It is Medicare that is doing the rationing (my least-favorite phrase of absolute all is “Medicare won’t pay for it”). So more people should consider doing what I am going to do. I turn 65 next April, and I will not register for Medicare. I am working, and so is my husband, and as long as I am a productive member of society, I will never rely on my neighbors for my health care."ObamaCare Parachute

Dido: "Technically, it is Medicare (the government bureaucrats), as well as the insurance companies imitating and following the lead of the government, doing the rationing. But the moral justification comes from the bioethicist movement, and many of the actual enforcers, as Dr. Faria states, are the physicians, gatekeepers, and other “providers.”

More interesting comments were made to the version of this article in the Macon Telegraph section under "Random Notes."


There are lots of people who are against the present leadership — Dennis Wong