From The Wall Street Journal:
Mr Kerry slipped an opaque provision into the Obama
health law to require that Medicare wage reimbursements now come from a
national pool of money, rather than state allocations. The Kerry
kickback didn't get much notice, since it was cloaked in technicality
and never specifically mentioned Massachusetts. But the senator knew
exactly what he was doing.
You see, "rural" hospitals in
Massachusetts are a class all their own. The Bay State has only one, a
tiny facility on the tony playground of the superrich—Nantucket.
Nantucket College Hospital's relatively high wages set the floor for
what all 81 of the state's urban hospitals must also be paid. And since
these dramatically inflated Massachusetts wages are now getting sucked
out of a national pool, there's little left for the rest of America.
Clever Mr. Kerry.
The change has allowed Massachusetts
to raise its Medicare payout by $257 million, forcing cuts to hospitals
in 40 other states. The National Rural Health Association and 20 state
hospital associations in January sent a panicked letter to President
Obama, noting that the Massachusetts manipulation of the program would
hand that state $3.5 billion over the next 10 years at the expense of
Medicare beneficiaries everywhere. They quoted Mr. Obama's former head
of the Centers for Medicare and Medicaid Services, Donald Berwick,
admitting that "What Massachusetts gets comes from everybody else."
As long as we are on the topic, another $6 billion O'BamaCare boondoggle:
workplace recreation centers:
During the congressional debate over ObamaCare, few provisions stirred
less controversy than an amendment providing incentives for companies to
encourage their workers to stay healthy. It's a turbocharged version of
"workplace wellness" programs: If employees fall short of their
targets—on blood pressure or weight, for example—employers are allowed
to make them contribute more to their health insurance. The idea is to
rein in medical costs by reducing worker illness.
There's only one problem: Workplace wellness programs don't work. Such
programs, which have been around for more than two decades, are
ineffective at reducing costs, lack support in medical literature, are
unpopular enough to require incentives, and are occasionally even
harmful to employees.
The Rand Corp. recently released a study of workplace wellness that was
undertaken at the behest of the Obama administration. The study strains
to find positive results, but phrases like "the change is not
statistically significant" and "the size of these effects is small and
unlikely to be clinically meaningful" keep popping up.
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