A House of Cards on Wheels
shalt not mix one’s metaphors.
11, 2013 - Obamacare
critics are mixing their metaphors.
In yesterday’s New York Post, Betsy McCaughey, former lieutenant governor of New
York and author of Beating Obamacare, claimed the wheels are coming off of the health
reform law (“Wheels Are Coming Off” ). McCaughey says Obamacare will cost more, will provide fewer benefits, and
will cover fewer than promised. The IRS estimates by 2016 the cheapest family plan
will run $20,000 and will cover only 60% of medical bills. The CBO projects 8 million fewer people will
be covered by 2016 and 12 million by 2019.
By 2020, more than 40 million
will remain uninsured. In McCaughey's Humpty Dumpty
scenario, the formerly insured will
become uninsured, while the previously uninsured will become insured. The question will be: can all the President’s
men and all the President’s horses put Humpty Dumpty together again.
John Goodman, who dubs himself “Father
of Health Savings Accounts", asserts in his Health Alert Blog today, that
Obamacare is nothing but a deck of cards, as played in the game of "52 Pickup", The reform cards are
being thrown into the air to see who picks up what cards. Goodman says the
cards in the deck include cards
introduced by FSAs (Flexible Savings Accounts), MSAs (Medical Savings Accounts
), Health Reimbursement Arrangements),
and HSAs (Health Savings Accounts). These new cards have introduced another set of
cards, the Banks, which offer other
cards (credit, debt, and discount), which pay benefits to doctors,
hospitals, other health care professionals, which in turn bring in other cards – wellness clinics, retail
clinics, cash-only and concierge
practices, and which revolve around the whole idea of defined contributions and private exchanges, all
of which add to the “Which Hunt” for a better system.
Mixing these metaphors
is enough to confuse and boggle the mind, shuffle and scramble the cards, and create and offer new deals on
wheels. Winners will be those who can
best shuffle and rearrange the cards.
Health reform may turn out to be a House of Cards. \
I’m reminded of the advice given by a little
old lady to Nelson Algren (1909-1981), an American novelist. If I may paraphrase this advice , “Never play cards with
aanyone called ‘Doc.’ Never eat at a place called ‘Medicare.’ And never sleep with anyone whose troubles are
worse than yours.”
The name of the new game is: Which card do I play?
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