1. 79% of the newly insured are on public programs.
2. Health costs—Medicaid, Romneycare's subsidies, public-employee compensation—will consume some 54% of the state budget in 2012 up from about 24% in 2001.
3. Health spending in real terms has jumped by 59%.
4. Spending for education has fallen 15%, police and firemen by 11% and roads and bridges by 23%.
5. Massachusetts spends more per capita on health care than any other state.
6. Costs are 27% higher than the U.S. average.
Healthcare premiums and taxes are rising and the physicians are the target instead of the health-care insurance industry.
1. Under the plan, all Massachusetts doctors, hospitals and other providers must register with a new state bureaucracy as a condition of licensure—that is, permission to practice.
2. They'll be required to track and report their financial performance, price and cost trends, state-sanctioned quality measures, market share and other metrics.
3. An 11-member board known as the Health Policy Commission will use the data to set and enforce rules to ensure that total Massachusetts health spending, public and private, grows no more than projected gross state product through 2017, and 0.5 percentage points lower thereafter.
4. The data collected will be claims data and it will stink. If past results are a predictor of future results price control do not work.
5. No registered provider is allowed to make "any material change to its operations or governance structure," the bill says, without the commission's approval.
6. The commission can also rewrite the terms of provider contracts with insurers and payment levels and methods if they are "deemed to be excessive."
7. The commission can decide to supervise the behavior of any provider that exceeds some to-be-specified individual benchmark.
8. These delinquents must submit a "performance improvement plan" that the commission must endorse.
9.The commission is empowered to control the practice and organization of medicine.
10. Some complain this government control is too weak because the delinquents can only be fined $500,000 for disobeying the commission's dictates.
What ever happened to individual freedom of choice and other freedoms?
It is obvious that Romneycare is a bust and getting worse.
However in my view Romneycare is a pretty tame failure compared to what is going to happen down the road with Obamacare.
Everyone agrees that the healthcare system needs to deliver medicine more efficiently and be more accountable.