Health care rationing in America

A glimpse of our future:

Norman Ornstein had a piece in the Washington Post railing against “death panels” in Indiana and Arizona, both of which involved Medicaid budget limits. He omitted the death panel in Oregon — perhaps because it is a liberal state? — which has explicitly rationed care under Medicaid since being allowed to conduct rationing under the Clinton administration. In Oregon, Medicaid has a list of over 700 procedures, and will cover only the number permitted by their budget, usually in the low- to mid-600s. All those procedures on the wrong side of the line are not paid for by Medicaid.

The point of Oregon’s experiment was to expand coverage at the expense of cutting off the sickest people. . .

What is the common thread that connects the death panels in these three states? Medicaid is a single-payer system in which budgets are limited. When the money runs out, people’s options shrink. See also, the U.K.’s NHS and, increasingly, Canada’s national health-care system, in which life-extending chemotherapy has also been restricted in some places.

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