Tuesday, October 7, 2008

Not Only Can the Budget Sink Healthcare Reforms, So Can Toxic Levels of Expertise

The Disease Management Care Blog learned that the $700 Billion Big Bailout doesn't necessarily mean that the money's going to be 'spent.' The distressed mortgages that get purchased will be treated as an 'asset' on the government's books. Once property values bounce back, they'll be reverted back into cash.

Depressing, isn't it? Not only is the Fed's balance sheet being tasked to shore up the real estate markets, the technicality described above could give Washington DC the cover it needs to further increase spending. On the other hand, the likely downturn in the econonmy leading to fewer tax receipts may put the kibosh on the proposed $1.6 (D) or $1.3 (R) trillion ten-year health budgets.

Not that the DMCB has the answers. It also distrusts those who say they do. Yes, it's jealous of all those smart wonky experts that can navigate the arcane alleyways of health care policy, but there's more to it.

After a certain point, the correlation between the density of health care expertise and odds of adoption of a national program is decidedly negative. If a post-election downsized chastened Republican party wants President Obama to stumble, perhaps they should offer free one-way plane tickets to D.C. to anyone with a PhD in healthcare economics. Dems can do their part by forgoing a piecemeal approach, ignoring the novel reforms being championed by employers and seeing just how much ballast the experts add when the USS Obamacare gets launched.

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