Wall Street Weekly | 11/20/2009 12:15 pm
Could Mammograms Fall Victim to Obamacare? by Liz Peek

Bears, Bulls, Chickens and Pigs: wOw’s Wall Street Weekly with Liz Peek (Week of 11/16)
Editor’s Note: Liz Peek is a financial columnist.
An English friend recently described an example of the kinds of practices that so alarm opponents of Obamacare. Her mother, who is 83 years old, is a breast cancer survivor. She has had surgery and subsequent chemotherapy twice and is currently in excellent health. The government, however, has told her they will not pay for any future mammograms, despite her history and obvious vulnerability. It is, they explain, not cost effective.That assessment is derived from studies – analyses which deal in probabilities and cost curves – the authors of which generally do not encounter the mothers or sisters impacted by their decisions. Such a study made headlines in the U.S. this week; it argued for less frequent mammograms for women under the age of 50. The report from the U.S. Preventive Services Task Force raised a firestorm, as those frightened by a government takeover of our medical establishment saw it as likely to influence "best practices" and provide ammunition for those trying to rein in costs.
Americans should be alarmed. Our president has told us that his program will "bend the curve" on medical outlays. Are we so naive as to imagine that cutting costs will not mean reduced care – for someone, at some time? It is shocking that both the House and Senate bills include huge bites out of Medicare, and few are questioning what that really means for seniors. The Senate bill establishes a commission of 15 people, to be appointed by the president, who will determine how to limit Medicare spending. If you disliked the autocratic decision making practiced by your HMO, wait until you have to argue your case to Beltway bureaucrats.
| President Obama faces tough choices. Americans have made it clear that their first priority is jobs. That is not Obama's first priority. |
Americans are spoiled. The 85% of our population that has health-care insurance is accustomed to receiving the medical care that their doctor prescribes. They are not interested in whether that treatment is "cost effective." Unhappily, a government facing ballooning budget deficits is going to have to make choices. Just as the English have.
The tough choices will not only target health care. President Obama, in a Beijing interview with Fox News (amazingly), warned that "if we keep on adding to the debt, even in the midst of this recovery, that at some point, people could lose confidence in the U.S. economy" and bring on a "double-dip." The ugly possibility of another downturn, raised recently by some wobbly economic indicators, rattled investors yesterday, causing a nasty sell-off in stocks. The housing market fell sharply in October for the first time since April, dropping 10.5%. Monthly housing starts peaked at an annualized rate of 2.27 million at the beginning of 2006 and are now running at 529,000. Manufacturing activity also slowed last month, with output increasing only 0.1% compared to an average gain of 0.9% in the prior three months. Part of the drop-off stemmed from lower vehicle assembly rates as the Clunkers program concluded. One bright spot was the October reading of leading indicators, which climbed for the seventh straight month, albeit at a lesser rate than expected.
What are the odds of another downturn? Slim, I think, but real. Today’s economy is one-of-a-kind, but many continue to look toward the Great Depression for clues. Skeptics of growing government spending argue that the New Deal prolonged – rather than countered – the 1930s slump and are equally wary of today’s mammoth deficits. One such critic is noted columnist Amity Shlaes, who spoke to a Manhattan Institute gathering in New York this week, raising alarming parallels between the Obama administration and that of Franklin Roosevelt. Shlaes is the bestselling author of The Forgotten Man: A New History of the Great Depression, and is a senior fellow at the Council on Foreign Relations. She describes the 1930s as a period during which populist outrage at bankers allowed for unprecedented government incursion into private enterprise and private life. The Roosevelt White House was staffed by a well-educated and arrogant team known as the "Brain Trust" who considered the rule of law an inconvenience and was confident that government knew best. (Is this sounding familiar?)
























263 Reader Comments (so far…) Sign In or Register to comment
"It’s not his study, and I see your not so subtle attempt to blame him. That is razzle dazzle again."
Helen, you nailed it. Liz Peek’s column brings an old quote to mind…
"It does not require a majority to prevail, but rather an irate, tireless minority to set brush fires in people’s minds"
—-Samuel Adams
What I find sad, Helen, ( other than the weekly Friday column), is the study seems to believe that all women are not high risk and ,therefore, should not be tested so early and so frequently in life. That just doesn’t make sense. Who is to say someone may not be high risk just because of family history? Just because my mom and aunts never had breast cancer doesn’t mean I could not have been diagnosed at age 20. I still could be. I also saw two friends suffer and eventually die from breast cancer, leaving behind young sons and daughters.
One of the reasons I fully support health care reform is because it will emphasize preventive medicine and wellness programs. We badly need that! Then, along comes a controversial study like this. One good thing, however, is it does highlight the need for better and more accurate technology for diagnostic purposes.
Thank you, Maggie. Well said.
Plus, the irony of Liz Peek purporting to want to safeguard the average woman’s healthcare is just too much, given Liz’s general attitude about us:
"The good news is that Americans have short attention spans," Liz wrote. "Before long, some other group will come along to absorb all the frustration and anger."
http://www.nypost.com/p/news/regional/item_IZgHQuSR5XprrD8egew5uJ#ixzz0Xhi5vUPh