The ef­forts to fix or undo Oba­macare

The Washington Post - - WASHINGTON FORUM -

The Oct. 9 editorial “The wrong way to fix Oba­macare” brought read­ers closer to the real mean­ing of a govern­ment-run health-care sys­tem. That is, if I may quote from the editorial, “The right re­sponse is not to cut poor and sick peo­ple off in­sur­ance rolls but to stop pay­ing for treat­ments and ser­vices that are un­needed . . . This is hard, be­cause it in­volves telling peo­ple to change — and oc­ca­sion­ally say­ing ‘no.’ ” This was solved, the editorial con­cluded, by cre­ation of the “In­de­pen­dent Pay­ment Ad­vi­sory Board (IPAB), a panel of ex­perts tasked with mak­ing some hard choices.” I have a lot of ques­tions re­gard­ing the IPAB (not a death panel), though some might think I’m be­ing cyn­i­cal. But did the editorial mean what it seemed to sug­gest: that the govern­ment, to cut costs, in­tends to ra­tion treat­ments and ser­vices, as well as “tan­ta­liz­ing but ex­pen­sive med­i­cal in­no­va­tions”? Would this ap­ply to all Amer­i­cans re­gard­less of abil­ity to pay (Medi­care for all)? John Con­radis, Chevy Chase

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