Friday, October 5, 2012

Liberalism as Bossism, & the Obamacare Medical Care Rationing Board

I have long believed that the liberal/left/socialist assertion that equality -- numeric equality in economic, racial, gender, and sexual orientation outcomes -- is just a ruse to hide from the rubes the real driving force of the left's intellectual vanguard -- the insatiable desire for control.  Control over everything about you and me, control over us because the controllers believe that the rest of us are too stupid to make our own decisions properly, and they're smart enough to do it for us.  In fact, they convince themselves that it's a moral imperative that they make the "correct" decisions for us.  Their proof -- some people don't vote for them and so prove that these people don't know what's good for them.  All these elites want control, and they're content sometimes to publicly live modestly while expecting to have their private luxurious villas out of sight in the countryside.  Their bargain:  give us control over your life and we'll ensure radical equality for everyone like you, while taking our well-deserved cut to live extra specially.

A great example of this liberal/left belief in control by elites is the provision in Obamacare that creates an unelected "board" of bosses to ration medical care.  It's pitched under the ruse that it's there to identify and promote only that medical care that is really effective.  It's a lie.  The board is there to ration care so to limit spending on medical care and to ensure that money isn't spent on care for people who have outlived their usefulness, in the eyes of the liberal elite.  Turn 65 and need a hip replacement -- fuhgettaboutit.  Hit 70 and need cataract surgery to see -- tough luck.  Need life-saving heart surgery as a health 90 year old -- sorry, too expensive for someone your age.  Want to spend your own money to get that care even if Medicare won't pay for it -- Hahahaha -- think the controllers, the bosses, will let people with money escape their grip and let you get medical care they're denying for a person without money?  Not a chance.  Death Panel indeed.

From Elizabeth Price Foley posting today at Instupundit (link) about that Obamacare rationing board, which goes by the wonky and innocuous-sounding "Independent Payment Advisory Commission (IPAB)" and will probably have an office right next door to the "Ministry of Truth":
....[T]wo extremely bizarre aspects of IPAB that get far too little attention:
(1) The IPAB itself can be disbanded only by a 3/5 supermajority of both houses of Congress, AND
(2) only if the resolution to disband is introduced between Jan. 1- Feb. 1, 2017, and approved (by 3/5) before Aug. 15, 2017. That is a maximum 8.5 month window. After this time period, any attempt at disbandment is not allowed under the statute.
....[A]side from [the constitutionality of these provisions in Obamacare], the salient point is this: Progressives adore “expert” panels like the IPAB because they believe they are better able to make tough decisions about how to cut Medicare spending than our elected representatives. And they love these unaccountable expert panels so much that they attempt desperate measures like “entrenching” them statutorily, writing language that purports to make these boards hard to repeal–and impossible after a very narrow window. This isn’t very “progressive” at all, because such entrenchment presumes that future generations can’t govern/decide for themselves, and nothing can ever be altered or improved. Typical hypocritical, control-freak progressivism.

John M Greco

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