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The painful side effects of Obama's healthcare reform

There are warnings signs that the president and his allies are looking at government-run rationing of care for the oldest and sickest.

July 05, 2009|Charlotte Allen, Charlotte Allen is the author of "The Human Christ: The Search for the Historical Jesus" and a contributing editor to the Minding the Campus website of the Manhattan Institute.

Single-payer. Insurance-based. Socialized medicine. Free-market reform. A lot of terms are flying in the debate over what shape healthcare reform should take in the U.S. Ask two people to tell you how it should be approached, and you'll get six answers. But at this stage in the process, it's important to put all ideas on the table. With that in mind, we present three viewpoints on what a new system should -- and shouldn't -- look like.

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Here's a way for America to cut its spiraling healthcare costs: ice floes.

This idea isn't mine. It's President Obama's. Or rather, it's where we're likely to end up if the president prevails on Congress to pass the adventurous healthcare reform proposal currently being discussed, which the Congressional Budget Office estimates will cost about $1 trillion over the next 10 years. That's on top of Medicare's annual $327-billion budget, whose massive deficits, if they continue at the same rate, are predicted to bankrupt the Medicare system by the end of the next decade.

In looking for a way to fund healthcare, Obama has set his eye on the oldest and sickest. You see, according to the Centers for Medicare & Medicaid Services, about 30% of Medicare spending -- nearly $100 billion annually -- goes to care for patients during their last year of life. What if there were no "last year of life," the president seems to be asking. The Eskimos used to set their elderly and sickly adrift on the ice or otherwise abandon them during times of scarcity, and that, metaphorically speaking, is what Obama would like us all to start doing.

The scarcity of resources to pay for expensive medical procedures will only increase under a plan to extend medical benefits at federal expense to the 47 million Americans who lack health insurance. So why not save billions of dollars by killing off our own unproductive oldsters and terminal patients, or -- since we aren't likely to do that outright in this, the 21st century -- why not simply ensure that they die faster by denying them costly medical care? The savings could then subsidize care for the younger and healthier.

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