This is the Only One This Week, I Promise

Unless our government does something else completely idiotic.

O'S BROKEN PROMISES

HEALTH BILLS V. PREZ'S WORDS

PRESIDENT Obama promises that "if you like your health plan, you can keep it," even after he reforms our health-care system. That's untrue. The bills now before Congress would force you to switch to a managed-care plan with limits on your access to specialists and tests.

Two main bills are being rushed through Congress with the goal of combining them into a finished product by August. Under either, a new government bureaucracy will select health plans that it considers in your best interest, and you will have to enroll in one of these "qualified plans." If you now get your plan through work, your employer has a five-year "grace period" to switch you into a qualified plan. If you buy your own insurance, you'll have less time.

And as soon as anything changes in your contract -- such as a change in copays or deductibles, which many insurers change every year -- you'll have to move into a qualified plan instead (House bill, p. 16-17).

When you file your taxes, if you can't prove to the IRS that you are in a qualified plan, you'll be fined thousands of dollars -- as much as the average cost of a health plan for your family size -- and then automatically enrolled in a randomly selected plan (House bill, p. 167-168).

It's one thing to require that people getting government assistance tolerate managed care, but the legislation limits you to a managed-care plan even if you and your employer are footing the bill (Senate bill, p. 57-58). The goal is to reduce everyone's consumption of health care and to ensure that people have the same health-care experience, regardless of ability to pay.

Nowhere does the legislation say how much health plans will cost, but a family of four is eligible for some government assistance until their household income reaches $88,000 (House bill, p. 137). If you earn more than that, you'll have to pay the cost no matter how high it goes.

The price tag for this legislation is a whopping $1.04 trillion to $1.6 trillion (Congressional Budget Office estimates). Half of the tab comes from tax increases on individuals earning $280,000 or more, and these new taxes will double in 2012 unless savings exceed predicted costs (House bill, p. 199). The rest of the cost is paid for by cutting seniors' health benefits under Medicare.

There's plenty of waste in Medicare, but the Congressional Budget Office estimates only 1 percent of the savings under the legislation will be from curbing waste, fraud and abuse. That means the rest will likely come from reducing what patients get.

One troubling provision of the House bill compels seniors to submit to a counseling session every five years (and more often if they become sick or go into a nursing home) about alternatives for end-of-life care (House bill, p. 425-430). The sessions cover highly sensitive matters such as whether to receive antibiotics and "the use of artificially administered nutrition and hydration."

This mandate invites abuse, and seniors could easily be pushed to refuse care. Do we really want government involved in such deeply personal issues?

Shockingly, only a portion of the money accumulated from slashing senior benefits and raising taxes goes to pay for covering the uninsured. The Senate bill allocates huge sums to "community transformation grants," home visits for expectant families, services for migrant workers -- and the creation of dozens of new government councils, programs and advisory boards slipped into the last 500 pages.

The most recent ABC News/Washington Post poll (June 21) finds that 83 percent of Americans are very satisfied or somewhat satisfied with the quality of their health care, and 81 percent are similarly satisfied with their health insurance.

They have good reason to be. If you're diagnosed with cancer, you have a better chance of surviving it in the United States than anywhere else, according to the Concord Five Continent Study. And the World Health Organization ranked the United States No. 1 out of 191 countries for being responsive to patients' needs, including providing timely treatments and a choice of doctors.

Congress should pursue less radical ways to cover the uninsured. We have too much to lose with this legislation.

Betsy McCaughey is founder of the Committee to Reduce Infection Deaths and a former lieutenant governor of New York. betsy@hospitalinfection.org

And I have to say, I love this idea. If we gotta do it, they should have to do it.

GIVE POLS SAME CARE THEY FORCE ON US

OVER the past few weeks, we've come to know the details of the administration's health "reform" plan. Call it whatever you like, this proposal is nothing more than government-run health care.

As a physician, I am amazed at the number of my colleagues in Congress who are quick to claim a government-run health-care plan is the reform this country needs.

So I've offered a bill, HR 615, to give them a chance to put their "health" where their mouth is: My resolution urges members of Congress who vote for this legislation to lead by example and enroll themselves in the public plan that their bill would create.

The current draft of the Democratic bill curiously exempts members of Congress from the government-run health care option: The people's representatives would get to keep their existing health plans and services on Capitol Hill -- even though the people wouldn't.

If members of Congress believe so strongly that government-run health care is the best solution for hardworking American families, I think it only fitting that Americans see them lead the way.

(Visit my Web site, fleming.house.gov, to see if your representative signed on as a co-sponsor to this legislation.)

Congress has the bad habit of exempting itself from the problems it inflicts on the American people. From common workplace protections to transparency and accountability measures, lawmakers always seem to place themselves and their staffs just out of reach of the laws they create.

Americans don't know that there is an attending physician on call exclusively for members of Congress, or that Congress enjoys VIP access and admission to Walter Reed Army Medical Center and Bethesda Naval Medical Center.

It is past time that we make the men and women making the laws be exposed to the same consequences as the American public.

There is no doubt that Americans need and deserve quality health-care reform.

The system, as it stands now, does not provide affordable and accessible care for all of our citizens. We need to do away with pre-existing conditions, increase portability and increase competition among insurers.

What we don't need is to insert the government into the system. Government-run care will only lead to more taxes, the collapse of private insurance and DMV-style medicine with long lines.

Public servants should always be accountable and responsible for what they are advocating, and I challenge the American people to demand this from their representatives.

We deserve health-care reform that puts a patient's well being in the hands of a doctor, not a bureaucrat.

Rep. John Fleming (R-La.) was the 2007 Louisiana Family Physician of the Year and is owner of a small business with more than 500 employees.

They are seriously going to pass this disaster. Call your senator and representative. Ask them how they are going to vote on the final bill. Ask them if they are willing to vote for the bill that would force congress and their families into the same system. After all, if it's good for us, it's good for them, right?