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The Public Policy

Repeal Health Care Fascism

(Page 2 of 3)

Daschle continues:

In our fragmented health-care system, only the federal government is in a position to develop national quality standards that everyone would follow -- and it would cost relatively little for it to do so. In Great Britain, the National Institute on Clinical Excellence (NICE), which develops guidelines for the National Health Service (NHS), spends less than 1% a year of its total national health spending.

Indeed, NICE is so nice that in 2006, as Betsy McCaughey reports at Bloomberg.com, it "decreed that elderly patients with macular degeneration had to wait until they went blind in one eye before they could get a costly new drug to save the other eye." This was not an isolated policy decision. As McCaughey further reports, NICE "approves or rejects treatments using a formula that divides the cost of the treatment by the number of years the patient is likely to benefit." This leaves senior citizens at a great disadvantage, because they have fewer years left to enjoy the benefits of any medical treatment. As a result, McCaughey continues, "Treatments for younger patients are more often approved than treatments for diseases that affect the elderly, such as osteoporosis." Do you see the fascism yet?

Yet, Daschle holds up this bureaucratic nightmare as a model for the U.S. Indeed, Daschle proposes the creation of a Federal Health Board to run the U.S. health care system explicitly modeled after this U.K. bureaucracy that mercilessly rations health care for the British people. Daschle writes:

In other countries, national health boards have helped ensure quality and rein in costs in the face of these challenges. In Great Britain,…NICE…is the single entity responsible for providing guidance on the use of new and existing drugs, treatments, and procedures….NICE also weighs what it calls 'economic evidence,' or how well the medicine or treatment works in relation to how much it costs.

This is what is meant by "government run health care." You don't want a remote, far away, centralized, national health bureaucracy making decisions about what health care is right for you, what medical services and treatments will be right for you, what latest, most advanced, medical technologies and treatments will be available for you. You want doctors and patients making those decisions. Big government bureaucracies can never have all the information about you and your health that you and your doctor have, and they don't have the same interest in you and your family that you have. You don't want such government bureaucracies in control of your health care. You want to be in control of your own health care.

Nevertheless, such government run health care is exactly what Daschle proposes, as favored by Obama:

The Federal Health Board would promote "high value" medical care by recommending coverage of those drugs and procedures backed by solid evidence. It would exert influence by ranking services and therapies by their health cost impacts….We won't be able to make a significant dent in health care spending without getting into the nitty-gritty of which treatments are the most clinically valuable and cost effective. That means taking a harder look at the real costs and benefits of new drugs and procedures. In Great Britain, NICE…uses cost effectiveness information in deciding whether to cover a new drug or procedure….The challenge…is creating an entity with the credibility and the clout to make those tough decisions. (Emphasis added.)

A centralized, Big Government bureaucracy doesn't know "which treatments are the most clinically valuable and cost effective," and doesn't even have the right incentives to find out in a timely manner. In country after country where such systems have been established, the interests of truly sick patients have been routinely sacrificed on the alter of the government's short term political interests in serving the far more numerous and politically active healthy patients, and keeping their costs down. Yet Daschle touts the health rationing bureaucracies of these countries as well as models for the U.S.

McCaughey explains what is really going on here:

In his book, Daschle proposed an appointed body with vast powers to make the "tough" decisions elected politicians won't make. The stimulus bill does that, and calls it the Federal Coordinating Council for Comparative Effectiveness Research….The goal, Daschle's book explained, is to slow the development and use of new medications and technologies because they are driving up costs. He praises Europeans for being more willing to accept "hopeless diagnoses" and "forego experimental treatments," and he chastises Americans for expecting too much from the health care system. Daschle says health care reform "will not be pain free." Seniors should be more accepting of the conditions that come with age instead of treating them. That means the elderly will bear the brunt.

Indeed, Daschle confesses in his book that "Medicare could pay more for operations that are recommended, and less for procedures and drugs that seem discretionary," according to the Federal Health Board. That Board could also "link the tax exclusion for health insurance to insurance that complies with the Board's recommendations." Daschle concludes, "If the Federal Health Board fulfills its mission, it will have to reduce or deny payment for new drugs and procedures that aren't as effective as current ones."

Canada is another country with a national health care rationing system similar to Great Britain's. In a recent article in the Wall Street Journal, Nadeem Esmail, Director of Health System Performance Studies at the Fraser Institute in Canada, provides some examples of experience under that system:

In Ontario, Lindsay McCreith was suffering from headaches and seizures yet faced a four and a half month wait for an MRI scan….He went south, and paid for an MRI scan across the border in Buffalo. The MRI revealed a malignant brain tumor. Ontario's government system still refused to provide timely treatment, offering instead a months long wait for surgery. In the end, McCreith returned to Buffalo and paid for surgery that may have saved his life.

Esmail offers another example:

Page:   12 3  

Letter to the Editor

topics:
Health Care

Peter Ferrara is director of entitlement and budget policy at the Institute for Policy Innovation, and general counsel of the American Civil Rights Union. He served in the White House Office of Policy Development under President Reagan, and as Associate Deputy Attorney General of the United States under the first President Bush. He is a graduate of Harvard College and Harvard Law School.

Comments

macdaddy| 2.25.09 @ 8:43AM

I can follow Mr. Ferrara's logic, but I think he leaves out one very important factor: how the elderly, the most active and largest voting bloc, will react to this proposal. I can't see how old people will allow their health care to get cut. I can't see how people will vote to cut the health care of their parents. It's only going to take a few news stories about how heartless this is before the RATS realize they have a full scale disaster on their hands. And this is something that doesn't need to be done by the MSM. Local media will be more than happy to jump all over this.

Jochen Goldensocks| 2.25.09 @ 8:49AM

I think all this government paid for healthcare nonsense should end. Social Security, Health Aid and other freebies not paid by the receipient are communist invention. Let's return to the old good pioneer days and simply elimintate taxes in our life. Let everyman care for himself...

Robert| 2.25.09 @ 9:28AM

I have news for you: the mainstream media is invested in the success of their Messiah. Not a discouraging word will be heard nor written about the upcoming debacle that government healthcare will be. Instead the media hue and cry will be "We are not spending enough. The fact that the elderly are dying for lack of care, and a bureaucrat has denied you the operation you desperately need is the fault of too little money being spent!"

Obama will NOT be allowed to fail. Human nature compels those in whom the Messiah is the be all and end all to deny failure of their ideal. It is the same emotional foible that drives investors to follow a dying stock down, in hopes of a future turn-around, rather than cut their losses and admit they were wrong.

Pingback| 2.25.09 @ 9:51AM

ZDNet Healthcare mobile edition links to this page. Here’s an excerpt:

…for Medicaid, the public health insurance program for the poor, the growth in public spending will increase.  While some conservatives continue to call things like comparative effectiveness  health fascism, it's market forces that are driving the reform agenda, not political argument. From an IT perspective this may actually be a benefit. If more people are moving toward plans funded by the federal…

Jeremiah| 2.25.09 @ 11:07AM

Mr Ferrara --

Is "fascism" really the right word here?

People on this site use this word (or it's cousin, "nazi") for absolutely ANYTHING they disagree with.

The danger is that the word will come to mean nothing, as it does above.

Gill O'Teen| 2.25.09 @ 11:18AM

I’m quite comfortable with Obumah making decisions about drug use based on his personal experience in this area. Besides government intrusion on health care decisions and our constitutional right to privacy will never be permitted by Planned Parenthood or NARAL. And Jeremiah, “Fascism” does fit. Let’s have a tea party!

Pingback| 2.25.09 @ 11:20AM

Topics about Health, Food and Well being » Archive » Repeal BHealth/B Care Fascism links to this page. Here’s an excerpt:

Food and Well being » Archive » Repeal BHealth/B Care Fascism Topics about Health, Food and Well being   Repeal BHealth/B Care Fascism Posted in Health Life on February 25th, 2009 The Docu Bots Center put an intriguing blog post on Repeal BHealth/B Care Fascism Here’s a quick excerpt …discretionary,quot; according to the Federal BHealth/B Board. That Board could also quot;link the…

David Thomas| 2.25.09 @ 11:57AM

See related comment of 2008

http://davids-home-now.blogspot.com/

Jane Orient| 2.25.09 @ 12:51PM

See News of the Day and other items about the "stimulus bill" and the Blitzkrieg on American medicine at www.aapsonline.org.

$1 billion for "comparative effectiveness research" is not going to answer clinical questions not answered by the billions of dollars of research already being done--it will just be a rationale for rationing.

Michele San Pietro| 2.25.09 @ 12:51PM

The so-called "liberals" have been repeating the same crap about healthcare for decades. People are really fed up with it! I think we should simply stop talking about healthcare. The American healthcare system is perfect the way it is.

Jeremiah| 2.25.09 @ 1:35PM

Gill --

It only fits for people ignorant of the actual history of fascism in the 20th century.

If you use the word "squirrel" in reference to, say, the nation debt, it doesn't mean that the actual meaning of "squirrel" has changed.

If you can give some reasons why you think this word is appropriate, I'd love to hear them. But you should tie your reasoning somehow to the word's meaning, and not just some fantasy you have about it.

Ironically, the great theorist of the politics of language, George Orwell, taught us that this kind of loose usage is precisely a practice upon which fascism depends.

Who really is the fascist here?

I recommend you, Gill, and Mr. Ferrara, reread your Orwell and then make a trip to your local publicly funded, tax payer supported, LIBRARY (it's a big building where they keep all kinds of books, and anyone has the right to use it) and read some actual history books about fascism and its historical realities.

What you are engaging in here is actually a pernicious form of historical revisionism.

Jeremy Jester| 2.25.09 @ 1:35PM

Tongue in cheek as the example may be; the Feds couldn't successfully operate the Mustang Ranch (a brothel) when they took over the business for some failure to pay taxes. Now why should those same bureaucrats be allowed to operate our heath care system?

Dustoff| 2.25.09 @ 1:49PM

Jeremiah

So does the word RACIST also seem a bit over used. It's the only word the left knows how to use over and over. It NO-longer has any meaning.

djc-illinois| 2.25.09 @ 1:49PM

The Beginning of the End

Obama’s scheme to bring Socialism to America has become apparent. It’s extremely simple and, even though he’s only been in office a month, what he’s accomplished to date probably makes him unstoppable in reaching his aim.

The first step is to spend as much as possible, creating huge deficits, so as to establish the case for tax increases. Be sure that as much as possible of that spending is directed toward what Saul Alinsky referred to as “Have Nots” and is of a nature that those “Have Nots” quickly come to feel entitled to that spending. Unfortunately this step has already been accomplished by way of the so- called “stimulus” bill which does not stimulate but does, in fact, fully accomplish the foregoing.

The second step, which will probably come shortly after the 2010 mid-term elections, is to drastically raise taxes on the “Haves” (Alinsky again) and, at the same time, relieve the largest possible majority of voters of any tax burden whatsoever.

I am sure many voters thought that, despite his Marxist-laden background, there would be no way Obama could enforce Socialism on an economy as large and complex as the US and that, furthermore, all our “checks and balances” would block any such effort anyway.

When the second step is done, by way of a filibuster proof Congress sometime in 2011, it’s over. At that point, Democrats are entrenched in power and America becomes a Marxist-Socialist country –it won’t even take Obama three years. Americans have made a catastrophic mistake in electing this man as our president. We now have to think about what, if anything, can be done to stop him.

Gill O’Teen| 2.25.09 @ 1:55PM

Jeremiah, I stand corrected. Merriam-Webster’s definition of Fascism follows:
“a political philosophy, movement, or regime that exalts nation and often race and stands for a centralized autocratic often militaristic government”. obumah would never, ever exalt this country, and after he negotiates with our enemies, we’ll have no military.

Personally, I prefer the word “lemming”, but if you and your fellow obumahtized prefer I call you squirrels, so be it.

Reewa| 2.25.09 @ 1:57PM

I had the chance to live in France for 4 years before coming to the US. Nobody mentioned the French healthcare system that is funded by the government and still rewards innovation as an example of how government funded systems can work without jeoperdizing the quality of care. Even for Canada & the UK systems,there are millions of people who enjoy a decent quality healthcare in front of the odd cases mentioned. We need a change but it should be an informed one. It should be based on studying what worked well and what did not in other systems around the globe

Jeremiah| 2.25.09 @ 2:16PM

Gill --

I'm glad you see your error.

Jeremiah| 2.25.09 @ 2:18PM

Dustoff --

So by claiming that leftists supposedly use the word "racisim" too often you're claiming that the over use of the word "fascism" is OK?

Part of the weakness of your claim is related to the fact that the way people here are using the word "fascism" is both literally incorrect and metaphorically shallow.

Pingback| 2.25.09 @ 3:38PM

Health Blog » Blog Archive » The American Spectator : Repeal Health Care Fascism links to this page. Here’s an excerpt:

…for the government to begin rationing the health care of the American people. A centralized government bureaucracy would be established that would … View original here: The American Spectator : Repeal Health Care Fascism February 25 2009 06:07 am | Health and Medicine and News Comments are closed. 2008 All Rights

Nick| 2.25.09 @ 3:40PM

Reewa,

Nobody mentions it because it doesn't "work".
Medical care is a service. Medicine is a product. They are not and never have been a "right". They should be traded in the Free Market system like any other product and service.

Despite all our gov. interference, our medical services and innovations are the best in the world. If B.O. forces HillayCare on us, it won't be for long.

Dustoff| 2.25.09 @ 3:44PM

No Jere
is both literally incorrect and metaphorically shallow.
+++++++++++++++++++++++++++++++++

Sorry bud, but all I did was show you how the left uses it to death and when someone on the right say's anything YOU don't like. Well you complain.

Remember (Pot & Kettle)

Dustoff| 2.25.09 @ 3:48PM

Reewa
=====

Do you know that England has a limit on how many are allowed into their ER 's They have a set number and if they go over that number, medic units will sit outside with injured and cared for in the ambulance! Do you even think that would be allowed here?
Please.

Jeremiah| 2.25.09 @ 4:27PM

Dustoff --

Really all you did was change the subject. Generally the person losing a debate is the one who does that.

And you still haven't really responded to my original claim.

By the way, can you give me an example of a leftist using the word "racism" in a sentence incorrectly, as Ferrara does above?

Dustoff| 2.25.09 @ 4:45PM

Jere
Really all you did was change the subject
++++++++++++++++++++++++++++

Excuse me FOOL. You sir, used the word not me.
YOU should have left it alone, but you didn't , so guess what.

(pot & kettle again)

Richard| 2.25.09 @ 4:53PM

The Democrats proposal for "universal health care" is just population control, plain and simple for the party of death.

Jeremiah| 2.25.09 @ 5:34PM

Nick --

80% of all drugs introduced on the market were developed at publicly funded institutions, not by private companies.

Government "interference" seems to have some pay-off.

What created change| 2.25.09 @ 6:43PM

Many Americans buy Drugs cheaper from Canada, if that is true then it's also true that if you buy at whole sale prices it's cheaper. If America and Canada is to become one block with Mexico the three countries merging as one it forces down prices. American pharmacutical companies will have to ajust to market forces, or go out of business, thus reducing cost for everyone, Obama is 1000% smarter than any writer on this page.

Obama's objective is that all people have health care cover. Advertising drugs on TV cost lots of money, and that is where most people's health care insurance is going not on health care but on advertising.

If companies have to pay for healthcare cover for all it's staff, and it's a big chunk of their budget, then the Business community will support the idea of driving down cost to allow affordability, thus increase profits and promote jobs.

Obama wins again, Obama is too smart to be president. Obama would do best in a major company multi national with world wide interest, Obama is a genius.

Obama is a living proof of the value of a good education, regardless of how many insult Obama and write in about his policies there is none that can match his ability, and genius.

Obama is smart enough to know that if you keep shipping jobs over seas eventually you end up with nations across the world being used as slave labour, and nothing gets produced in America, thus creating huge numbers of unemployed people in America, with no healthcare insurance.

Obama also knows that if the American population becomes useless, under-educated there is no chance they will ever find gainfull employment anywhere, while China and Asia and the rest of the world promotes education and high tech jobs, which will leave America behind and they will have to import people as nurses and Doctors in the future, because the American population become too DUMB to think outside a hamberger bar, or a CoCa Cola factory, or have the ability to set up a company of their own. So it seems Obama is right again because part of a country's investment must be for the future.

Obama is about the smartest person I have ever heard speak in about 20 years, in politics. Instead of negative comments people in America should be glad for the opportunity to change their ways from just stupid racism, and choose progress. America is a country that foreigners can come to and make fortunes, because they come with an idea, that idea creates jobs for local communities, I had a friend that became a millionare in America by going there and setting up business.

But America is now bad news, due to calling people terrorist, being insulting to people of colour. People with money began to move out because Bush gave them tax breaks to leave America, leaving thousands of former workers out of work. Bush managed to force out Muslim investors from the Arab world by his insults, and many will perhaps never invest in America again, now they can go to China and other parts of Asia.

Bush has turned America into an has been, most of Europeans see America as a terrorist rouge state, that taint the rest of the world with sleeze, by association, and is damaging to their economy.

Hence why Obama was elected to create a new image, don't dismiss it. America is a consumer society they make nothing anyone wants, that they can't buy from china. Putting trade embargo on countries these days is like putting putting embargos on one's self.

Times have changed and America has to change with the times, America has few pockets of oil, which would last a day, to drill these pockets out is a wase of time for a day supply of oil which would cost more to drill than profits. McCain was not smart enough under drill baby drill, because the American mass media and audiance don't know the facts most of them don't read any thing, and the media is controled by crooks that control wall street and such like.

America is a forward country and a backward country at the same time, a nation divided, by race, north and south.

If the world could have voted in the 2nd term of Bush being elected, he would never have won, because people knew this guy had no ability to govern a state or a country the size of America.

The 2nd term is what destroyed America, and paved the way for Obama, because no one could do any worse.

armygirllt| 2.25.09 @ 6:57PM

All this aside, Obama, during his campaign clearly stated that if you like your healthcare provider, you can keep it. If not, then you would be eligible for National Healthcare. Is he now saying that everyone will be on National healthcare. I have travelled 11 countries in Europe and have been to their hospitals. This is a very frightening prospect. AG

Jim| 2.25.09 @ 7:14PM

What created change,
How much are you paid to post this nonsense. Obama does not support education,he supports teachers unions, why is he not demanding university lower tuition prices? China, Japan and Canada told Obama is forget about trade restrictions and Obama said, Yes sir. You are an idiot. As for Obam'a intelligence I'm still wait for him to publish his academic records papers.
Obama slipped through college as an equal opportunity hand-out protected class victim.

TJK| 2.25.09 @ 7:40PM

The idea of buying drugs cheaper from Canada is nonsensical, since the Canadian government regulates which drugs are manufactured and which ones are not. The fact (yes, fact, you libs!) is the reason medications are expensive here in the US is because this is where 90% of the R&D;is done. Government-regulated healthcare in other countries have reduced the R& D going on in those nations. The fact (sorry, here I go again, stating facts) is that we have greater access to a wider array of medications that reduce the encounters needed in hospital settings, and the cost of these drugs is FAR less than the cost of traditional medical treatments for the same conditions. It has been proven (oops, yes, PROVEN!) that medications have prolonged lives, improved the quality of living, and provided lower cost treatments that are FAR less invasive. But, yes, you mindless lemmings on the left, you're right. If it's effective, the government needs to step in and take control of it. God forbid the people of this nation actually find a way to live WITHOUT governmental interference.

TJK| 2.25.09 @ 7:47PM

Oh, and if Obama is 1000% smarter than anyone else, how come he doesn't know that the automobile was NOT invented in America, as he said last night, but was actually invented in Germany? And when was the trans-continental railroad project completed? It was 1869, FOUR YEARS after the Civil War ended, not during it, as he said last night. Speaking of which, wasn't it Obama during the campaign who said that he had visited 57 states in the US? HOW MANY STATES???? How many stars are on the flag, you dunce???? Please.... don't let facts get in the way of a speech.

Pingback| 2.25.09 @ 7:54PM

The American Spectator : Repeal Health Care Fascism links to this page. Here’s an excerpt:

…for the government to begin rationing the health care of the American people. A centralized government bureaucracy would be established that would … Originally posted here: The American Spectator : Repeal Health Care Fascism Tagged as: america, american, american-spectator, business, canada, fascism, government, health, new-articles, obama, president, repeal-health, word, world { 0 comments… add…

frankg| 2.25.09 @ 8:28PM

What creates change-
More of what government controls gets run into the ground.
Social Security.
Medicare.
Housing, mortgage industry, banks.
Obama wants to run your health care, regulate your speech.
Big government has shown they can't run what they have responsibility for; I don't want them to run my life.
We continue to foot the bill for all this, while politicians go out and sloppily slap around some big company boss for flying a jet to the meeting. Someone they probably took money from a few years ago.
And then we have Burris, Blago, Richardson, Geithner, Rangel, Dodd, Frank, not paying taxes, taking money from people they were supposed to regulate, implicated in crooked dealings, and Obama himself with ties to acorn and its activism for lower lending standards in the housing sector that contributed to this financial meltdown.
Now these people have been allowed to maintain their positions and assume new ones to create even greater pyramid schemes may speak to their abilities. But we are in for a world of hurt if we accept their premises...
That we HAVE to have bigger government.
That we HAVE to spend more, more, more.
That we HAVE to pass laws without debate, consideration, or readings. Running MORE of our lives.
Big government has helped tso many of these crisis to flourish. Once upon a time I paid for my own health care insurance, costs were low, treatments straightforward, no problem.
What creates change, they are politicians.
They are working for change where they are never held accountable.
Where we aren't citizens anymore. We will be a population to be managed. And the regulations will never end. And we will always, always have to be give something up, another freedom, another right.
That is the change they are creating.

Ben| 2.25.09 @ 8:31PM

Bullfrog (Jeremiah)
Fascism is correct. Fascism in practice calls for private ownership but government control over those privately owned businesses.Whereas the government decides what products are necessary/unnecessecary, good/bad, who gets to buy and what price they pay etc. The practice of government controlling our health care by controlling what treatments are acceptable and the decisions of private doctors working at private hospitals is definitely and historically fascist. On the other hand if governmnet were to own the hospitals and produce the drugs then it would be a socialist health care system.
The problem with Bullfrogs is they give you warts.

Gill O’Teen| 2.25.09 @ 11:01PM

Jeremiah, I was not admitting error. I was mocking you and your Fuehrer.

David C. Telliho| 2.26.09 @ 10:55PM

I think Obama and Co. need to keep their nibs out of our health care.

Pingback| 2.27.09 @ 3:32PM

New Paltz Journal » Blog Archive » What we have here, what we are watching… links to this page. Here’s an excerpt:

…« Now that really is the end of an era What we have here, what we are watching… …is a loose bowels presidency. Yes, that’s what I wrote. That’s what it is. It is becoming everything that was promised by the lack of judgment it takes to sit and listen to Jeremiah Wright for twenty years. I told you about that here, and what it meant. Now you get to watch it happen. All of it…

YoYo| 3.1.09 @ 8:56AM

Praise you Frank G. I agree with you 100%. Our future does not look good with our current administration in power. We also have lost our checks and balances in goverment. They never discussed or read the stimuls bill, the majority just ruled. That is what it will be until 2010, when we can elect conservatives as Senators and Congressmen . There will be 52 vacant seats. We have a last hope of control of the congress and the Senate.

Electoral fraud| 3.1.09 @ 4:45PM

Obama is the best president in the last 20 years. Obama is the smartest America was likely to get take a good look at Palin she was even a bigger idiot than George Bush who brought his way into office, by getting Black people struck off the vote register, claiming they are criminals by his brother Jeb Bush in florida.

Pingback| 3.3.09 @ 10:18AM

terryfrank.net » On the Radio: Health Care, Immigration, RINO Hunting links to this page. Here’s an excerpt:

…notes for you: TODAY 5:05 EST:  One of my very favorite BRAINIACS!   Peter Ferrara will join us to talk about the more-than-pork that was stuffed into the so-called Stimulus Bill. From his piece at American Spectator: Repeal Health Care Fascism By Peter Ferrara on 2.25.09 @ 6:07AM Buried in Barack Obama’s so-called stimulus bill is funding for a bureaucratic structure for the government to begin rationing…

Frances Griffin| 3.10.09 @ 5:18PM

I was in an HMO. The geographical limits kept me from getting effective treatment even though I went to a well known clinic. When I got on Medicare and had some CHOICE as to my providers I could CHOSE my providers and traveled to the best people. The treatment I have gotten has been more effective and for that reason has actually SAVED money(Just one example: early diagnosis of thyroid cancer surely saved many thousands. Everyone in the HMO missed it.)
Get rid of that horrible part D, get rid of the pricey Advantage programs, beef up the fraud unit, provide care to everyone so that young and healthy people are included in the risk group. And then lets talk about the cost.
Note that the insurance companies are complaining now that they cannot compete with a national plan. If corporate, for profit insurance is better, what are they afraid of?
And don't tell me it is fascistic. I have lived the difference. The fascists are in the insurance companies. I call them the delay and denial committee.

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