US Announces Plan to Ration Health Care under Medicare
By Kate Randall
Global Research
January 28, 2015
The Obama administration has announced a major shift in the way Medicare will pay hospitals and doctors. Health and Human Services (HHS) Secretary Sylvia Burwell announced the initiative Monday following a closed-door meeting with representatives of the insurance industry, large employers and doctors’ professional organizations.
The shift moves the health care counterrevolution embodied in the 2010 Affordable Care Act (Obamacare) into high gear. Over the next three years, payments to hospitals and doctors for a large percentage of health care provided under Medicare, the government-run health insurance program for the elderly, will be shifted from the traditional “fee-for-service” model to alternative methods in which health care providers are rewarded for cutting costs and rationing care.
The radical revamping of Medicare will slash costs borne by the government, insurance firms and hospital chains by denying Medicare patients what is presently considered to be normal access to medical procedures, drugs and hospital care. The realignment of Medicare more directly with the profit dictates of the market will become the model for the American health care system as a whole.
Burwell told the media following the meeting, “Today’s announcement is about improving the quality of care we receive when we are sick, while at the same time spending our health care dollars more wisely.” The official line about improving the quality of health care, repeated by Burwell, is a cynical lie.
Medicare provides health insurance for 50 million elderly and disabled Americans at an estimated government cost of $600 billion a year. It is the largest single buyer of health care services in the US. It has for decades been a prime target of corporate interests and politicians seeking to roll back the social reforms of the 1930s and 1960s, who have always encountered massive popular opposition.
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