Reduction in the Cost of Drugs Begins – Welcome to the New Bureaucracy of Winners and Losers

Of course the argument goes: Every other government in the world negotiates prices. Why in the hell can we not do it?

Of course the cost of drugs is too high. But if anyone thinks that taking this approach will simply be lowering the price alone, I suggest looking at what else is involved with this bill.

The winners have already been picked, and as this clip indicates, it is questionable how “they” arrived at these ten drugs. No one mentions as to “who” actually “they are” that did the choosing. The legal action taken by the drug companies include actions the government is taking beyond just the government’s negotiation of price.

Recall at the time of Obamacare how the halls rang with this refrain? “The cost of hospitals is too damn  high’? Well Medicare took care of that. Reimbursement rates fell far below the cost of care. New Regulations were endless. Smaller hospitals went out of business or were forced to merge creating mega hospital systems. The days of the local family Doc doing his own thing were over.

If anyone thinks that medicine has gotten better since Obamacare, think again.  It went far beyond simply offering an insurance policy. Its intent was to force hospitals and Doctors into submission with vast control of the management of the hospital. But I have covered that ad nauseam previously.

I suggest these “simple negotiations” for ten drugs will wind up in the end, for Medicare folks being required to accept the drugs Medicare determines are “right for you.”  After all, the next round will be 15 drugs. Why stop there? A new bureaucracy has been born. A new panel of the wise, they will build their fiefdom.  Before its over, they will mandate to all what the “appropriate” drug for you and me shall be.

The government doesn’t negotiate. The government tells private companies what they are willing to pay. And private companies can’t say anything about what is happening in the “negotiation”.
And if you don’t agree with the negotiation your full drug program is taxed at a very high rate. Who will pay for that?

Former FDA Commissioner Dr. Scott Gottlieb joins ‘Squawk Box’ to discuss the latest in Medicare’s drug cost battle, as the Biden administration is expected to release a list of 10 drugs for which Medicare will negotiate prices, and more. 15 drugs next round. I can see this panel sitting around together, smiling as they rub their hands together. Ten years from now we will read their emails regarding this new nefarious activity.

Love that they conveniently left out the part where Joe asked if another round of shots dijour was needed and Gottlieb saying in hindsight we should have let natural immunity run its course.

Note: As discussed below: Large molecule drugs are made of proteins that are complex in structure and much less stable compared to small molecule drugs. Large molecule drugs are costly to manufacture and, at this time, can only be administered through an IV or infusion. These drugs have a targeted effect on tissues and are increasingly used to treat cancer.

For those needing examples of how the government works with Obamacare, here are a few wayback posts of Bunker:

Sebelius to unleash Bounty Hunters on Hospitals and Doctors with new edict

More chillingly, however, the administration is defining Medicare fraud down to include “unnecessary” and “ineffective” care. And to root this out, it plans to make expanded use of private mercenaries—officially called Recovery Audit Contracts—who will be authorized to go to doctors’ offices and rummage through patients’ records, matching them with billing claims to uncover illicit charges. What’s more, Obamacare increases the fine for billing errors from $11,000 per item to $50,000 without the government even having to prove intent to defraud.

Medical Service Codes Go From 18,000 to 140,000

Example:

The best of the swamp.

Cuomo granted immunity to nursing homes after big campaign donations

 

More dirty dealings in New York by Cuomo. Don’t count on the media covering this little factoid. Truth be told, this is the beginning of the end of nursing homes in America.

We wonder why so many of these facilities are so poorly staffed and the care provided minimal at best? Simply the reimbursement rate for these patients doesn’t cover the cost of care. After the fee for service cleans out the patients bank account the nursing homes are stuck with what the state will give them via medicaid. Needless to say in most states it hasn’t increased as the cost of service continues to rise.

Enter one Andrew Cuomo as the scrutiny begins:

New York Gov. Andrew Cuomo, who signed legislation granting hospital and nursing home executives immunity from lawsuits related to the novel coronavirus last month, previously received a big-money boost from a powerful health care industry group, according to a new report.

The Guardian reports that the New York State Democratic Committee, then backing Cuomo’s primary run in 2018, received more than $1 million from the Greater New York Hospital Association (GNYHA) — a lobbying group for hospital systems, some of which own nursing homes.

The donation made the group one of the state party’s largest contributors in that cycle. Three of the hospital association’s top officials separately gave more than $150,000 to Cuomo’s campaign between 2015 and 2018, the outlet reported.

That donation is now drawing scrutiny after Cuomo signed legislation last month that protects executives from lawsuits — just as he is under continued criticism for his March 25 order (since deleted) requiring nursing homes to take in COVID-19 patients.

On May 10, and amid increasing criticism, Cuomo issued a new directive stating that hospitals cannot send patients back to nursing homes in the state unless they tested negative for the virus.

Keep reading…

So the push for legislation to change the liability for the homes begin. Once changed say goodbye to care for the elderly. Nursing homes will take the fall.

This is rich.

Cuomo deflects blame for nursing home coronavirus crisis on Trump

 

Look for new attacks on nursing homes. It is the way the swamp works.

Bonus: Even more disturbing and a story that has received zero coverage:

 

New York’s scary new ‘Do Not Resuscitate’ guidelines for heart attack patients

 

Don’t have a heart attack in New York if you want to live to tell about it. Wonder no longer why the cause of death statistics in New York have taken a dramatic shift.

Under new guidelines issued by the state Health Department, paramedics finding people in a state of cardiac arrest without a heartbeat are not supposed to go through the usual routines of attempting to restart the patient’s heart and respiration. In other words, assuming you are seen by an EMT who is following this guideline, once you’re dead you’re supposed to politely remain on your trip to the afterlife.

While paramedics were previously told to spend up to 20 minutes trying to revive people found in cardiac arrest, the change is “necessary during the COVID-19 response to protect the health and safety of EMS providers by limiting their exposure, conserve resources, and ensure optimal use of equipment to save the greatest number of lives,’’ according to a state Health Department memo issued last week.

First responders were outraged over the move.

“They’re not giving people a second chance to live anymore,’’ Oren Barzilay, head of the city union whose members include uniformed EMTs and paramedics, fumed of state officials.

Particularly in New York City, this isn’t the first such policy change to be issued. The Regional Emergency Services Council of New York (which is responsible for overseeing ambulance services in the Big Apple) issued an even more stern directive. Cardiac patients whose hearts could not be restarted on the scene are no longer supposed to be taken to a hospital “for further life-saving attempts.” Read more at Hot Air

Cuomo continues to get rave reviews in his handling of the virus, yet in typical progressive fashion his value of human life is questionable. Earlier post:

Nursing homes and retirement communities now death traps – over 7,000 COVID deaths

Here we learn that Cuomo is sending COVID patients to nursing homes.

Seniors Dying in Nursing Care Facilities b/c Gov Cuomo ordered Coronavirus Patients be Housed There.

 

Other than that, all is swell in the swamp

U.S. Demographic crash in one chart

This sums up about where we are. Not to fear. Once we have half of central America and Mexico here the divergence will end. Of course the Depends folks won’t be around to support them.

While the Japanification of markets has been a much-discussed topic in recent years, the two nations share another disturbing trend. In 2012, the land of the rising sun saw sales of adult diapers exceed those of baby diapers... and as the following chart from The Wall Street Journal shows, that trend is rapidly occurring in the land of the free..

This Is What an Aging Population Looks Like

The number was up slightly from 2012, but the country’s fertility rate dropped to a record low of 62.9 births per 1,000 women of childbearing age. Meanwhile, over 3 million Americans are now turning 65 each year, according to the Pew Research ”H/T:Zerohedge

Medicare Cuts of 21% start March 1st – Physcians threaten stoppage UPDATE

On Tuesday night, the U.S. Senate voted 78 to 19 to pass a bill that extends unemployment benefits and postpones a planned 21% cut in Medicare physician payments until April 1.

The passage of the bill came after Sen. Jim Bunning (R-Ky.) agreed to vote on the bill. He previously withheld unanimous consent on the grounds that the bill would increase the federal budget deficit without being paid for under recently-enacted pay-as-you-go (PAYGO) legislation which requires spending increases to be offset by funding.

Congress needs  to act immediately to avoid deep Medicare cuts that are scheduled to take effect Monday, Mar. 1. Physicians are threatening to stop seeing patients. Boondoggle is an understatement. This is what we are in for with Obamacare .

CMS is the US federal agency which administers Medicare, Medicaid, and the Children’s Health Insurance Program. It  sets rates. What it will pay for, and how much it will pay and who it will pay.Without legislation for the most part. Like the upcoming Death Panel idea. Who can get what and when. This agency has been cutting benefits to seniors for the past years. Silently, only those in the healthcare field are aware of these cuts which has drastically effected Seniors. Physicians and Hospitals are losing money on these patients. Over 50 percent of all U.S. Hospitals are losing money. CMS via Medicare, denies 30 percent more claims than private Insurance companies. So if you think this is the solution, think again .http://www.cms.hhs.gov/ Now 600 Billion more is proposed to be cut from Medicare. Medicare is being gutted.

The 21% cuts to doctors’ compensation in the federal program would hinder senior citizens access to care and force physicians to consider turning away patients or dropping out of the program altogether.Congress has been postponed for the weekend, so an immediate reprieve is unlikely.

There’s widespread political support for blocking scheduled pay cuts to doctors. But doing so is expensive. So rather than get rid of the formula that keeps calling for the cuts — which would require Congress to acknowledge that the country is going to be on the hook for billions of dollars in additional Medicare costs — Congress keeps passing these short-term patches.

See our earlier post: Cardiologists sue  for  fee cuts of over 40 percent for a description of how the game is played.

https://bunkerville.wordpress.com/2010/01/05/cardiologists-sue-sebelius-over-medicare-fee-cuts/

http://blogs.wsj.com/health/2010/02/10/medicare-pay-cuts-to-doctors-the-latest-patch/tab/article/

http://hotair.com/archives/2010/02/27/obama-to-gop-catch-the-olympic-spirit-and-pass-my-giant-health-care-boondoggle/

AARP Received $18 Million In Stimulus Money (UPDATED with AARP response)

AARP, which has given its full-throated support to Democratic health care legislation even though seniors remain largely opposed, received an $18 million grant in the economic stimulus package for a job training program that has not created any jobs, according to the Obama administration’s Recovery.gov website. And this is just beginning. They stand to make Millions in providing additional Medi-cap insurance that will be eliminated in the $600 billion in Medicare cuts, specifically the “Advantage” programs that are so popular with Seniors.

In February, the Politico reported that AARP was putting pressure on Republican members of Congress to support the stimulus package.

Barry Rand, the chief executive of AARP, was a big donor to the Obama campaign and has retained a cozy relationship with the administration

http://spectator.org/blog/2009/11/18/aarp-received-18-million-in-st

Selling out Seniors who have so trusted AARP to be their advocate in the past, is so sad for those who so trusted this organization

Halloween Healthcare: Trick or Treat?

This year at Halloween, the Feds will be going door to door playing trick or treat on seniors by taking their Medicare coverage. When they knock, TrickOrTreatseniors should not answer the door. When they peek through the peephole, the bureaucrats will be dressed as snake oil salesmen because they are cutting Medicare parts A, B, C and D. They are going to try to sell seniors on the new bill which we call Medicare part E, but it doesn’t cover one senior citizen. Not one. Just call it Halloween health care because it is really scary

.
This new Medicare part E takes a half-trillion dollars out of Medicare, but it doesn’t cover the seniors. In this new Medicare part E, the “E” stands for everybody else, including those in the country illegally.
The nonpartisan Congressional Budget Office says the Halloween health care will do the following things: It will cut Medicare part A for hospitals by $128 billion. It will cut Medicare part B for doctor reimbursement $130 billion. It will rob Medicare part C, Medicare Advantage, off $133 billion. We are not through yet. And yes, Medicare part D for prescription drugs is cut $20 billion. The total: $411 billion cut for seniors and Medicare. That is enough to scare everybody.

http://www.humanevents.com/article.php?id=34195