Thaddeus M Pope pulls no punches: "There will be death panels"--but it's not what you think

There Will Be "Death Panels" but They Have Nothing to Do with Advance Care Planning

In yesterday's New York Times, distinguished health economist Uwe Reinhardt accurately distinguishes the movement toward greater cost control and the proposed Medicare reimbursement for advance care planning.

Re H.R. 3200 sec. 1233: "The thrust of . . . the Senate bill and of Section 1233 of the House bill, was to enhance the probability that the end-of-life care actually received by a person should conform to his or her own preferences, rather than either the physician’s or the government’s preferences."

Re Rationing: "As health spending grows, year after year, roughly twice as fast as the payroll that supports private health spending in this country, Americans sooner or later will have to confront the hard questions about access to expensive treatments . . . ."

There are already death panels--private insurance, Medicare, Medicaid, and the Veterans Administration all face daily the issue that within the arena of health care there are unlimited demands for services and treatments, but only finite resources to meet them.

The messy and honest-as-I-can-be-truth: There is not a good way to deal with this issue.

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A Libertarian Martin Luther King Jr. Day post

In which we travel into interesting waters . . . (for a fairly long trip, so be prepared) Dr. King's 1968 book, Where do we go from here: chaos or community? , is profound in that it criticizes anti-poverty programs for their piecemeal approach, as John Schlosberg of the Center for a Stateless Society [C4SS] observes: King noted that the antipoverty programs of the time “proceeded from a premise that poverty is a consequence of multiple evils,” with separate programs each dedicated to individual issues such as education and housing. Though in his view “none of these remedies in itself is unsound,” they “all have a fatal disadvantage” of being “piecemeal,” with their implementation having “fluctuated at the whims of legislative bodies” or been “entangled in bureaucratic stalling.” The result is that “fragmentary and spasmodic reforms have failed to reach down to the profoundest needs of the poor.” Such single-issue approaches also have “another common failing — ...

Libertarian National Committee Deathwatch Part 1

As the LNC continues to lurch towards collapse, with the latest news of mass layoffs at HQ, I've decided to begin tracking those things leading the national party to irrelevance, even as state and local parties gain power. As news, rumors and rhetoric break out, I shall chronicle them in this ongoing series at Delaware Libertarian. Organizations approaching failure have a number of characteristics. One of the most striking is renunciation of their purpose and effort to reinvent themselves as a "me-too" provider of services in the marketplace. In this, the LNC has been on a collision course with destiny for a while now. Recently, for example, it hired Republican Party web site developer TerraEclipse to redesign the LNC web site . Terra created a web site very similar to those of the clients it brags most about -- far-right Republican conservatives like Tom McClintock and BJ Lawson. A quick look at the web site they built for the LNC is instructive. The tagline on the ...

Soda tax debate reveals fundamental progressive assertions about your lack of individual rights and the "responsiblities" of the State

I thought it would be at least amusing to use the Delawareliberal comments as sub-headings regarding each category of what is wrong with the proposed tax on sodas and juice drinks. But there are so many different little strands of each comment that it would be impossible to pull them all out. So, instead, I'm going to let you read them in more or less the order they appeared, and note the assumptions. pandora: I’m perfectly okay with taxing sodas and juice drinks. Mainly because they’re total crap, and one of the main reasons our country’s children are overweight. They are also dirt cheap. Assumptions here: (1) Because "I" am perfectly okay with a new tax it should be imposed on everybody; (2) it is the government's responsibility to keep children from being obese; (3) the cheapness of the product to be taxed justifies charging people more for it. John Manifold: Soda fattens your kids [and you and your husband], shortens their lives, costs more than water [a...

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