Forget for the moment the merits economically or socially of the current proposals for the health care reform bill(s) wending its way through Congress, lets talk only about the administration of the new program and the agencies created by the proposed bill. It is not for nothing that the Washington executive branch and administrative departments have been referred to often as the gang that couldn’t shoot straight. Whenever there is any criticism of federal or government employees I notice how the Chris Mathews types also start talking about policemen and firemen and teachers and how valuable they are to our society and that we sure wouldn’t call them lazy or inefficient bureaucrats. Wow, such a revelation. Nope the criticism of the typical government employee has much more to do with the Post Office, the IRS, FDA, USDA, the Depts. of Commerce, Interior, Education, Labor, Social Security, Fannie, Freddie, and all those other countless agencies, boards, commissions, Congressional staffs that are the creatures of Congressional programs. It literally would take more than these article to simply list all of them. Think of that a moment, merely to list them.
I do hope you have noticed that the current plan is for the IRS to administer the new health care program. It boggles the mind to think how many new employees will be added to the Federal payroll for that service. The IRS can’t even keep up with its mail and documents that you send them. If you have ever had any dealings with them at all you are aware of this. They ask for something, you send it and then they ask you two months later for the same thing. They are so incompetent that they won’t even accept responsibility for the advice given to you by their own employees. Did you know that? Really, if you have a question about your tax situation and go directly to the IRS for help filing out your return and follow the advice given to you by one of their agents and you get audited a year later regarding the same question the IRS is not bound by the advice given you. They can and will take a contrary view. If they don’t have enough confidence in their people to stick by their recommendation then why should we have any confidence in them?
If you get frustrated now trying to navigate you way through a phone menu when you “call” the IRS then just wait until you have to make a call to them regarding a medical procedure you want and are having to get their clearance so it will be paid for under your new Federally mandated health insurance policy. How long will it take to talk to a live human being? When you get them they no doubt will ask for more paperwork that you have already furnished and will tell you to go to the local IRS-Health Care office to see a case officer. Notice how they always come up with those titles rather than simply calling them what they are which would be clerks. “Press One for English, Press Two for Portuguese, Three for Spanish…and Interpreter will be provided.” I wonder what they are going to interpret, languages or the Health Care bill.
This is the same outfit that can’t get the swine flu vaccine delivered on time and now they will be in charge of your emergency appendectomy. One wonders how the phone menu works for those emergencies. In future you will have to work things out with your insurance carrier, your doctor and the hospital and then Government, Inc. The same folks who brought you the Katrina rescue efforts will be in charge of this program. The people who thought it was a great idea to try KSM in Manhattan will be coming up will all the new medically approved procedures and deciding which ones to eliminate. I already find it very frustrating trying to read and understand my health policy as it is with my private carrier. Do you think the process will be more explicit and easier to comprehend when the language of every policy is drafted by our new Health Commissioner? It will be a one size fits all program. From looking at the news at night when I see any kind of street scene I do notice that we Americans sure do come in a variety of sizes. It is going to be like the Army, everyone wears size ten shoes, if not, then you can wait until the size 9’s arrive and good luck with that.
A Federal bureaucrat has never met a form he didn’t love and one that he couldn’t figure out how to add a few more lines to “for clarity”. I challenge you to order a Medicare brochure that allegedly explains how it works when you are ready to sign up and your options. It is more like trying to read Shakespeare in ancient Greek. The guys who manage the TARP slush fund (that is what it will be if Government, Inc. gets its way) will be running your local hospital. The men who dreamed up the PIPP program will be managing the hundreds of billions of dollars annually that will flow through the Federal coffers. Those folks who turn a blind eye to the fraudulent accounting for Social Security, Medicare and Medicaid will be handling all the nation’s health expenses and expenditures.
Maybe they will operate it like we are doing with GM. Since we own it and are propping it up for the unions and their votes and even paying with tax credits for people to buy their cars, maybe we can steal a page from that playbook. Who knows, maybe someday soon they will pay you to get sick with a tax credit so long as you will use their program; of course, that assumes they believe you really should have a job and some income. It would be so much easier on them if we all would just cooperate and work where we are told for what they believe is “reasonable compensation” and hand it all over to them. They will spend it wisely no doubt for our benefit. www.olcranky.wordpress.com
Today health care, tomorrow the entire economy.