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Posted by: Sue Jeffers 3/5/2008
With contributions by By Greg Dattilo, CFP, CEBS and Dave Racer, FreeMarketHealthCare.com

Bills currently flying through state legislative committees will radically change how health care is delivered and paid for in Minnesota if passed into law.  Some state legislators think the answer to solving the high cost of health care and insuring the 7% of Minnesotans who are currently uninsured is to create another huge layer of expensive and inefficient nanny-state bureaucracy called the Insurance Exchange.

A critique of the Insurance Exchange reveals many problems.  The Exchange will sell health insurance to all businesses for a fee. These fees will be ultimately passed along to Minnesotans – essentially an additional hidden tax. The legislature plans to spend at least $60 million just to create this new bureaucracy: $40 million is a tax on hospitals and health plans; $20 million more goes to set up the Health Insurance Exchange. 

The bill specifies duties for each of the new state bureaucracies and others with expanded duties, including:
·         Health Insurance Exchange
·         Health Care Transformation Commission
·         Health Improvement Fund
·         Community Health Boards
·         Indian Health Boards
·         Care Coordination Advisory Committee
·         Institute for Clinical Systems Improvement
·         Minnesota Community Measurement
·         Health Savings Reinvestment Fund
·         Certification Commission for Healthcare Information Technology
·         Savings Reinvestment Fund
·         Health Benefit Set and Design Advisory Committee
·         Health Care Value Reporting Organization
·         Technology Advisory Committee
·         Health Services Advisory Council
·         MN Department of Health (that already employs more than 7,000 people)
·         MN Department of Human Services
·         MN Department of Commerce
·         Community Health Centers
 
There’s a program to spend $250,000 to reward people who sign up for government health plans. Imagine that! We will bribe people to enroll in plans that we pay for with our taxes. Now that is a plan!
 
The bills mandate guarantee issue and community rating on individual health plans sold through the Exchange. Watch the uninsured rate soar among Minnesota’s young people as their premiums more than double. They even want government officials to use public schools to test the body mass index of our children! Then they will report this data to the Department of Health.
 
This bureaucracy will be given access to my family’s personal health care data without my permission. But they promise to keep the information safe and secure. Why don’t I believe them?
 
Government will gather all our private medical data, establish guidelines and pass legislation. The guidelines will focus on their definition of “unhealthy lifestyles”. The government will provide or reduce care and coverage to keep costs in check. Our tax dollars will fund media campaigns to chastise lifestyle choices. Smokers, drinkers and the obese will be the first targets.
 
Government’s access and exchange of private health care information is bad enough, but this new law also exempts members of the Exchange’s ruling board from all liability. Government assures us they will keep this private data safe and secure. But we won’t have to wait long for the first lawsuit.
 
The added administrative expense forced upon small businesses will likely not be affordable to many. Businesses will pass higher costs of doing business on to their customers, thus driving up the costs of goods and services of every business in the state. In cases where the administrative costs cannot be passed on or absorbed, businesses will likely be forced to close or move.
 
This is not rocket science. A simple way to reduce the cost of insurance would be to eliminate the mandates and open the market. Logical thinking suggests solutions that include tax reform, insurance reform and tort reform. Logical thinking would look at addressing the high cost of government managed health care and entitlement programs. Logical thinking would ask why government purchased health care cost 220% more than privately purchased coverage.

But it seems there’s a real lack of logical thinking at our state legislature. Our legislators’ answer is to sign people up to feed at the public trough and force the rest of us to purchase coverage only sold to us by the state. Before we force this new and unproven program upon the people of Minnesota, perhaps we should conduct a two-year trial with our state legislators. Let’s have them purchase their insurance through the Exchange and have their private health care data used in a trial to validate the viability and security of the system.

TAKE ACTION: Click here to sign the Free-Markets Health Care Petition.

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Comments (9)   Add Comment
Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Gordon Bartel on 3/6/2008
I just had parent teacher conference and at the end of the meeting the teacher handed me a sheet of paper that showed my childs height, wieght and "body mass index". I didn't think anything of it until I read this. Data collection may have already begun. The school is in district 191.

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By bobbie on 3/6/2008
The government calls it "health and wellness." Just to change schools from roseville to st. paul we had to go clear across town to get a government issued physical before my child was allowed to attend a st paul school. We live in the same house. We provide insurance to our children, have a doctor and the government is forcing this on us. After wasting gas to this inconvenient location all that was done was a checking of the nose and eyes!!!!!!!! Huge building with massive #s of employees, in the middle of the afternoon, we were the only ones there. Unnecessarily hiring people for what we pay our doctor for already. Get people to take on their rightful responsibilities with their OWN MONEY. And NO, I do not want any government employee touching my body. Keeping our information private is ridiculous when they hire people in position with our social security #s that have been stolen because of incompetent employees working for the government. Yes, a two year trial run on the legislation sounds proper and fair as this should go no further until we know it's good for the almighty legislation.

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By KJM on 3/6/2008
After seeing how poorly the government runs - at a deficit - the Medicare and Medicaid programs, we don't even need to question the meirt of this proposal. NO to government controlled health care. YES to free enterprise. Allow health insurers to sell policies across state lines. Encourage people to purchase their own insurance and manage their own care through Health Savings Plans - tax free savings plans.

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Rod Lamb on 3/10/2008
I heard an ad on 100.3 fm to sign a petition on your web sight. I'm sorry, but I don't see the petition. I care not for government making my health care decisions. Government is so far from intelligent when it comes to health care. It would be criminal for such a buracracy to be in charge of medical decisions. I say NO to universal health care controlled by any government!
Rod Lamb

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Rick on 3/10/2008
People lets get real you think your covered because you got a policy I to thought that then realaity struck with a illiness why does every other western country got universal health care because it works period we dont have it in the usa is because of greed ngreed greed. the rationing is more prevalant here than any other country and lets look at the real stats. more people are leaving the usa to get health care than are coming here. And you guys always use the big scare tactic SOCALIZED medicine its universal its affordable your covered no matter what. then you say the goverment cant do anything right well why do we have socalized upps I mean public schools, police,firefiighters,airtraffic controllers,meat inspectors border patrol, the milatary etc because it works. medicare works on 3% the rip off insuranse co. is 35% and no promise off coverage I think we should try universal coverage for those who want to try it not force the die hard no change no matter what crowd and lets see what happens you might see reality in a new light

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Mae on 3/11/2008
To RICK:
#1 If Canada's Government Health Care program works so well, then why do they all come here for expedient coverage? Their government has to RATION services to control the costs. I for one, do not want the government telling me how many times I can go get biopsied every year - right now, I need to go in every 3 months for biopsies to make sure my cancer doesn't come back again.
#2 Our public schools as well as many other GOVERNMENT FUNDED programs are corrupted and falling apart. They spend too much with little result. No matter how much money we throw at them they NEVER get better. In the 7 years since I graduated high school I have seen the average students participation, GPA and attitude fall from poor to worse. Why? because the standards keep getting lower and their is a sad mentality among the government and the schools that "everyone wins." What happens when they leave school and realize that they don't win unless they work their tails off? To compare one broken government system to another broken government system and say that they work is very ignorant.
Nothing that comes from the government is free, they take from your pocket to give to everyone else. What happens when half of your paycheck is emptied from your pocket to pay for all of these "Special" services and you NEVER use them? You don't have kids, you live in a low crime area, you never get sick and your apartment insurance covers fire damage and theft? You can barely afford the rent, food and fuel to get to work because you are paying for everyone else's reliance on the government.
If you think that government health care is the solution to the health care problem then you, indeed, have been indoctrinated - enjoy your ignorance, I hear it is bliss.

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Connie on 3/13/2008
To be real honest, the current State health insurance (Minnesota Care) is so unfair. I am a single mother and working a full time joband struggling to make ends meet. My health insurance went up from $37.00 last year at this time to $222.00. This is a low income health insurance program offered to low income families. With the rising costs of gasoline and the outrageous prices of heating fuel, not to mention the rising costs of groceries (.50- .75 cents per item) none of this was taken into consideration on my recertification application. I am paying close to $75.00 a month in increased gasoline costs (just to get to work). I have been paying $400-$600 a month for heating. Were is the justice. When do things become fair and more in proportion??

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Steve Hansmann on 4/14/2008
I'm a registered nurse working on my family nurse-practitioner degree and am at a loss for words. I don't see any comments from anyone that indicate they have ever worked in health care. Our private system is a nightmare, we already have severe rationing for all but the most extreme emergent care, (example: I waited almost six months for back surgery and continued to work the whole time even though I had trouble even straightening up, and I had very good insurance from the State of MN), and some of the above writers make the point that even with very good insurance, you can find your life and finances in the crapper overnight. The amount of greed in the U.S. system defies defense, or justification, and trust me, except for some specialty physicians, the people who actually provide the care, are not getting the money. Shame on those of you who think the average family can either afford, or find any shelter in, a "health savings account" which only works for people wealthy enough to not need it in the first place. Please, a little honesty would be nice for a change.

Re: Who Should Make Your Health Care Decisions: You or Government Bureaucrats?    By Linda on 4/14/2008
Hmmmmm. Do you folks believe that when I want an abortion, that should also be my decision and not some government bureaucrat's?


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November 20, 2008
 
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