Paglia on the Healthcare Bill

A must read as usual:

As for the actual content of the House healthcare bill, horrors! Where to begin? That there are serious deficiencies and injustices in the U.S. healthcare system has been obvious for decades. To bring the poor and vulnerable into the fold has been a high ideal and an urgent goal for most Democrats. But this rigid, intrusive and grotesquely expensive bill is a nightmare. Holy Hygeia, why can't my fellow Democrats see that the creation of another huge, inefficient federal bureaucracy would slow and disrupt the delivery of basic healthcare and subject us all to a labyrinthine mass of incompetent, unaccountable petty dictators? Massively expanding the number of healthcare consumers without making due provision for the production of more healthcare providers means that we're hurtling toward a staggering logjam of de facto rationing. Steel yourself for the deafening screams from the careerist professional class of limousine liberals when they get stranded for hours in the jammed, jostling anterooms of doctors' offices. They'll probably try to hire Caribbean nannies as ringers to do the waiting for them.

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A second issue souring me on this bill is its failure to include the most common-sense clause to increase competition and drive down prices: portability of health insurance across state lines. What covert business interests is the Democratic leadership protecting by stopping consumers from shopping for policies nationwide? Finally, no healthcare bill is worth the paper it's printed on when the authors ostentatiously exempt themselves from its rules. The solipsistic members of Congress want us peons to be ground up in the communal machine, while they themselves gambol on in the flowering meadow of their own lavish federal health plan. Hypocrites!

And why are we even considering so gargantuan a social experiment when the nation is struggling to emerge from a severe recession? It's as if liberals are starry-eyed dreamers lacking the elementary ability to project or predict the chaotic and destabilizing practical consequences of their utopian fantasies. Republicans, on the other hand, have basically sat on their asses about healthcare reform for the past 20 years and have shown little interest in crafting legislative solutions to social inequities. The usual GOP floater about private medical savings accounts is a crock -- something that, given the astronomical costs of major medical crises, would be utterly unworkable for families of even average household income.

International models of socialized medicine have been developed for nations and populations that are usually vastly smaller than our own. There are positives and negatives in their system as in ours. So what's the point of this trade? The plight of the uninsured (whose number is far less than claimed) should be directly addressed without co-opting and destroying the entire U.S. medical infrastructure. Limited, targeted reforms can ban gouging and unfair practices and can streamline communications now wastefully encumbered by red tape. But insurance companies and the pharmaceutical industry are not the sole cause of mounting healthcare costs, and constantly demonizing them is a demagogic evasion.

How dare anyone claim humane aims for this bill anyhow when its funding is based on a slashing of Medicare by over $400 billion? The brutal abandonment of the elderly here is unconscionable. One would have expected a Democratic proposal to include an expansion of Medicare, certainly not its gutting. The passive acquiescence of liberal commentators to this vandalism simply demonstrates how partisan ideology ultimately desensitizes the mind.

Last week's startling gubernatorial victories by Republicans in Virginia and New Jersey were routinely dismissed as local aberrations by the liberal media or inflated as referendums on President Obama by the conservative media. But voters were clearly revolting against the deranged excess spending of government at both state and federal levels. So it was as much a protest against Congress as against the White House.

Obama sure needed a lift and got it from Pelosi. The administration has seemed to be drifting lately. Obama has dithered for months about a strategy for Afghanistan -- another rats' nest we should pull our troops out of overnight. Then there was the bizarre disproportion in Obama's flying to Denmark to flog a Chicago Olympics yet not having time to make it to Germany to celebrate the fall of the Berlin Wall -- which suggests a frivolous provincialism as well as ignorance of history among the president's principal advisors. And Obama's muted response to last week's massacre at Fort Hood has exposed ambiguities and uncertainties in the U.S. government and military about how to respond to homegrown militant Islam. The presidency is a heavy burden -- a prize that can become a curse.