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It Is All About Trust

Posted Nov 04 2012 7:34pm

Stanley Feld M.D.,FACP,MACE

I voted for President Obama in 2008 because he promised us hope and change. I knew little of his past or present ideology. He was an attractive candidate and promised hope.  The New York Times never went into depth about his past, past interests or past performances.

Americans trusted him and voted for him. He looked like and acted like the candidate of hope. I trusted him to lead America on the right path.

Yet he even said in one of his stump speeches “you know me and you know you can trust me.”

Immediately after his inauguration America was confronted with an $800 billion dollar stimulus package that promised to produce millions of shovel ready jobs. 

There weren’t many shovel ready jobs. He baled out some companies and not others. All the bale outs were at taxpayer expense.

This stimulus package provided lots of money to increase the size of government. In fact, President Obama used a sizable about of this money to build a government bureaucracy for a healthcare bill that was yet to be written.

A few things developed that made me suspicious of President Obama’s ideology.  President Obama is dedicated to big government and big spending even though it is inefficient and not directed toward its original goal.

I have not been a fan of John Maynard Keynes since I read Fredrick Hayek ‘s “Road to Serfdom.” 

FDR did not spend his way out of the depression. World War II got us out of the depression.

Keynesian economic has not worked. President Obama was clearly putting us on a “Road to Serfdom” with his out of control spending and increased national debt by over $4 trillion dollars.

P resident Obama has made many annoying moves in the last four years to fake out the American public .

Common denominators have been a lack of transparency, a disregard for the legislative branch of government and an overuse of executive orders.

Recent lack of transparency is illustrated by Fast and Furious and the tragic Benghazi tragedy .

The mainstream media’s coverage has been disgraceful.

Other annoying actions have been the transfer of power from the congress to the executive branch and the intimidation of the Supreme Court.

It seems that he either ignores the constitution or gets around its meaning in some way. The notion that the constitution is an antiquated document is offensive and appalling.

The media as been manipulated by the way events and facts are presented.  November 2nd unemployment results are an outstanding example.

Americans have been conditioned over the years to get their news from sound bites and not detailed facts. Whichever sound bite is present the most times becomes the fact.

The economy is not doing well. It is growing at a very slow pace. Job growth is slow. The presentation of the monthly data is confusing.

The November 2 unemployment headline was; “Latest Jobs Report Shows Persistent Economic Growth.”

 The first sentence was there were 171,000 new jobs in October . The economy needs 500,000 new jobs per month for a normal recovery.

Consumers still cannot get jobs, credit or loans from banks.

The last sentence in the press release stated that u nemployment rate rose from 7.8% to 7.9% . No one remembers the last sentence

Since the media is the message and 171,000 new jobs sounds like a big number that is better than expected. It gives the illusion that the economy is improving on President Obama’s watch.

Americans are not stupid. The New York Times is trying much too hard to get President Obama re-elected.

President Obama has generated mistrust by Americans for the promises he made about Medicare and Obamacare. The amount of money spent, so far, by the President Obama on Obamacare is not available to the public.

The analysis of the increase in middle class taxes already in place as a result of Obamacare are not discussed by the main stream media nor by President Obama.  

There are 10 hidden taxes on citizens making less than $250,000 a year i.e. the Medicare payroll tax. This tax is going up from 2.9 percent to 3.8 percent. There is an additional 3.8 percent Medicare tax added to investment income. Together, this will cost taxpayers $318 billion from 2013 to 2022. These taxes were not obvious to the great majority.

The impact of future Obamacare taxes on the middle class is going to be overwhelming. The new taxes were written into Obamacare but not presented to the public. This serves to increase the mistrust for President Obama and his promise for transparency.

The one thing I learned from Hayek is that you cannot manipulate the economy by edict or force without limiting freedom. In a “free” society “ the unintended consequences and costs are certain to get out of control.

Costs can be controlled in a level playing field competitive free market. The consumer driven market is non-existent. Consumers must start to understand their power in society.

Government should make rules that level the paying field for all and then get out of the way. No spinning the facts and no non-transparent activities. No favoritism to lobbyists, associations or unions.

Rules should be made for the benefit of the people in a competitive environment.

Medicare premiums and deductible expenses for senior will raise not decrease as promised by President Obama. Out of pocket expenses will rise.

Seniors’ standard Medicare Part B monthly premiums will jump from $99.90 to $128.20 at the low end of the means testing while their Part B deductibles will rise from $140 to $180. Seniors’ Medicare hospital deductible on admission will increase from $1,156 to $1,336, while their daily hospital coinsurance will climb from $289 to $334 in out of pocket expenses.

I have pointed out that Obama care’s main feature, ACO’s, will be impossible to execute and will subsequently fail. This will lead to greater distortions of the healthcare system.

The result will be a decrease in choice, a decrease in the freedom to choose your physicians or recommended care, a decrease in access to care and rationing of care once the government has total control.

This does not included increases in costs to seniors and the middle class that has been scheduled by Obamacare.   

All the stakeholders have taken advantage of the healthcare system in its present form. The stakeholders are the healthcare insurance industry, the hospital systems, the government, the patients and the physicians.

The healthcare system needs a new business model in order to survive. President Obama’s business model is not the one. The public does not trust it.

The actions of the stakeholders are natural as these stakeholders try to survive.

 It is government’s job to make the rules so these dysfunctional survival methods cannot flourish.  

President Obama cannot be an effective leader in the future. The public does not trust him any more.

  The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone

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