By Julian Pecquet
The Hill, May 3, 2011

House Majority Leader Eric Cantor (R-Va.) said Tuesday that private healthcare plans ration care for profit but that consumers should be free to buy whatever coverage they can afford rather than depend on government rationing.

In remarks to the College of American Pathologists, Cantor warned that Democrats’ healthcare reform law mandates benefits that are too generous and will bankrupt the country as the government ends up having to offer ever increasing subsidies. That can only lead to government rationing, he said.

“That doesn’t mean those kinds of decisions aren’t being made now by the private sector,” Cantor added, “because they are.”

Cantor appeared to go further than Republicans have in the past by acknowledging that not all patients are certain to get optimal healthcare under a system of private insurance.

“I think that the fundamental nature of our system of third-party payer is the problem,” he said. Patients, he added, too often are left with “no decision about what they want and what they can afford.”

Later, Cantor said Republicans want a safety net for people who can’t afford care but that “we’re not for everyone having the same outcome guaranteed.”

http://thehill.com/blogs/healthwatch/health-reform-implementation/158979-cantor-private-healthcare-rationing-better-than-governments

Comment:

By Don McCanne, MD

It is somewhat refreshing to hear such a frank discussion of rationing by House Majority Leader Eric Cantor. He does not pretend that only government programs might lead to rationing, but concedes that the private sector already makes rationing decisions.

Cantor not only acknowledges that not all patients are certain to get optimal healthcare under a system of private insurance, but Republicans are “not for everyone having the same outcome guaranteed.”

Democrats appear to be in agreement. Under the Affordable Care Act, many will be left without coverage, and many more of those who have coverage through private health plans will not be able to afford the out-of-pocket expenses required for accessing health care, in spite of the subsidies. These financial barriers to access result in not everyone having the same outcome guaranteed, but the Democrats remain silent when confronted with this unacceptable deficiency in their version of health care reform.

There is already enough money in the health care system to ensure that everyone receives all essential health care services in a timely manner, with the same high quality outcomes guaranteed for all. The government rationing that Eric Cantor claims is inevitable occurs only if politicians are unwilling to budget through a single government program (single payer) the amount comparable to that we are already spending, publicly and privately.

Now if only the Democrats would admit that they have made a mistake in choosing a model of rationing that does not guarantee the same quality outcome for everyone, then maybe we could have a discussion of a model that would work. If so, then we could have the frank debate that Eric Cantor has initiated. Cantor says, “we’re not for everyone having the same outcome guaranteed,” but are the Democrats? Let’s ask them.

Cantor: Private healthcare rationing better than government’s

By Julian Pecquet
The Hill, May 3, 2011

House Majority Leader Eric Cantor (R-Va.) said Tuesday that private healthcare plans ration care for profit but that consumers should be free to buy whatever coverage they can afford rather than depend on government rationing.

In remarks to the College of American Pathologists, Cantor warned that Democrats’ healthcare reform law mandates benefits that are too generous and will bankrupt the country as the government ends up having to offer ever increasing subsidies. That can only lead to government rationing, he said.

“That doesn’t mean those kinds of decisions aren’t being made now by the private sector,” Cantor added, “because they are.”

Cantor appeared to go further than Republicans have in the past by acknowledging that not all patients are certain to get optimal healthcare under a system of private insurance.

“I think that the fundamental nature of our system of third-party payer is the problem,” he said. Patients, he added, too often are left with “no decision about what they want and what they can afford.”

Later, Cantor said Republicans want a safety net for people who can’t afford care but that “we’re not for everyone having the same outcome guaranteed.”

http://thehill.com/blogs/healthwatch/health-reform-implementation/158979-cantor-private-healthcare-rationing-better-than-governments

It is somewhat refreshing to hear such a frank discussion of rationing by House Majority Leader Eric Cantor. He does not pretend that only government programs might lead to rationing, but concedes that the private sector already makes rationing decisions.

Cantor not only acknowledges that not all patients are certain to get optimal healthcare under a system of private insurance, but Republicans are “not for everyone having the same outcome guaranteed.”

Democrats appear to be in agreement. Under the Affordable Care Act, many will be left without coverage, and many more of those who have coverage through private health plans will not be able to afford the out-of-pocket expenses required for accessing health care, in spite of the subsidies. These financial barriers to access result in not everyone having the same outcome guaranteed, but the Democrats remain silent when confronted with this unacceptable deficiency in their version of health care reform.

There is already enough money in the health care system to ensure that everyone receives all essential health care services in a timely manner, with the same high quality outcomes guaranteed for all. The government rationing that Eric Cantor claims is inevitable occurs only if politicians are unwilling to budget through a single government program (single payer) the amount comparable to that we are already spending, publicly and privately.

Now if only the Democrats would admit that they have made a mistake in choosing a model of rationing that does not guarantee the same quality outcome for everyone, then maybe we could have a discussion of a model that would work. If so, then we could have the frank debate that Eric Cantor has initiated. Cantor says, “we’re not for everyone having the same outcome guaranteed,” but are the Democrats? Let’s ask them.