President Obama's Rose Garden Shamwow

Three weeks after the launch of Obamacare open enrollment, President Barack Obama held an event in the Rose Garden regarding the so called Affordable Care Act. 

With all of the reports of problems with the Obamacare launch, there was some expectation in the Lamestream Media that no drama President Obama would get mad about what Time called "His Broken Obamacare Website". Maybe the President would act like a leader and fire those in charge of the bureucratic bungle, such as HHS Secretary Kathleen Sebelius.   

Unfortunately, the press availability in the Rose Garden seemed like an extended  25 minute Shamwow commercial. The only element missing was the pitch line "But wait, there's more."

The big news per Jake Tapper at CNN is that the website malfunctions were not called glitches but were upgraded to kinks.   So after funneling $500 million to Quebec's CGI to set up the fatally flawed web portal Healthcare.gov, President Obama suggested using the call center, or letting health navigators assist them in signing up for the mandatory coverage lest they be taxed. 

Despite the $54 million which HHS Secretary Kathleen Sebelius has earmaked for health care navigators , they had no  background checks and the staffing contracts were awarded to Seedco in Georgia, Maryland, Tennessee and New York.  Seedco  is the same company which settled a civil fraud lawsuit in 2012 for faking at least 1,400 of 6,500 job placements under a $22 million federal contract. 

Signing up for Obamacare involves revealing all sorts of personal information that is rife for identity theft.  There are already reports by Watchdog.org in Tennessee that scam artists are posing as navigators who coax medicare recipients for their information.   But there also shady characters who are designated as ACA Navigators.  Rosilyn Wells, the only Obamacare navigator in Lawrence, Kansas had an outstanding warrant for check kiting and has a $1700 state tax deficit.  This makes USIS's flawed background checks on Wikileaker Edward Snowden and Navy Yard shooter Aaron Alexis look thorough. 

Sadly, Sebelius does not have any time to testify before Congress  about the flawed Obamacare roll-out, but could attend the inaugural Kennedy Center forum the night before.  Perhaps to quell the blow back from this P.R. faux pas, Senate Majority Leader Dick Durban (D-IL) went on Sunday talking head shows to insist that Sebelius will ultimately testify.  Presumably, it will be before the Senate so there is a choreographed kabuki show where Democrats chastise Sebelius more in sorrow than in anger.

Vince Offer (a.k.a. Shlomi)

But such factual side shows take the focus away from the center stage in the Rose Garden rally.  One of the stalwart arguments against Tea Party Conservatives efforts to attach defunding Obamacare to the Continuing Resolution was the mantra that "It's the law".  Listening to the Celebrity-in-Chief's sales pitch, he soft peddled the kinks but felt compelled to sell stories to the American people of why it was a good deal for you.  If Obamacare were a good deal, the White House stenographers pool known as the elite liberal media (a.k.a. the Lamestream Media) would have plenty of positive stories to buttress the ACA.  Instead, Mr. Obama had to try to channel the spirit of Billy Mays or imitate Vince Shlomi,  the Shamwow Guy, to sell his already passed public policy.

If that was not enough, it just so happened that a person prop in back of President Obama fainted and the President caught her.

This was a phenomenon quite prevalent when candidate Obama was running for President in 2008.  It seemed to have mostly disappeared during the first term, but made some reappearances while on the hustings for his Re-Election campaign in 2012.

Considering the content of the Presidential high pressure pitch for "the law" despite its evident early shortcomings, fainting seemed apropos for the Rose Garden feint. 

  

Dr. Dean's Delayed Diagnosis of IPABs

Although  former Vermont Governor and 2004 Presidential Candidate Howard Dean (D-VT) has been out of the practice of medicine for a number of years in lieu of politics, the Doctors delayed diagnosis of IPABs is right on the money.

Recently, Howard Dean wrote an opinion piece for the Wall Street Journal in which he prognosticated:  "The IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them."  

For those who did not thoroughly study the 2,700 pages of legislation that comprised the ironically titled "Affordable Care Act", otherwise know as Obamacare, IPABs are the 15 member Independent Payment Advisory Board which the HHS Secretary Sebilus appoints that decides the amount that the government will reimburse physicians for medical procedures. 

This was  supposedly intended as a cost control mechanism for Medicare, but in reality will act as a rationing board.  The IPAB name implies that these opinions are advisory, but those opinions become the reality. A medical advisory board made the modest proposal in 2011 that yearly mammograms are unnecessary for women between 40 and 49, and HHS suggesting that self-examinations of breasts.  It did not seem that there were medical breakthroughs which prompted these changes in practice but it certaily would save costs for a single payer system.

At the start of his first term, Dr. Betsy Mc Caughey observed that President Obama's former Health Advisor Dr Ezekiel Emanuel (the brother of then Chief of Staff now Mayor of Chicago Rahm Emanuel .D-Chicago) believed that doctors serve two masters: the patient and society and that medical students should be trained  to provide socially sustainable, cost-effective care."  

While public pressure forced the Obama Administration in January 2011 to drop "Complete Lives System" inspired end-of-life counseling during the elderly's annual check ups, the philosophy of cost cutting during the last 18 months of a person's life remains with IPABS.  Instead of cajoling vulnerable senior citizens to just "take a pill", the patient is cut out of the process by "Advisory Boards" which make certain treatments financially unviable, depending upon one's status. 

When Sarah Palin labled IPABs as "death panels", she was roundly criticized as a scare monger who was stupid, don't cha know?  

A couple of years later,  Dr. Dean  diagnosed IPABs as rationing boards,  it makes  more sense, right?

Howard Dean suggested that: "Getting rid of the IPAB is something Democrats and Republicans ought to agree on."  Obviously, the former DNC chair has not gotten with the program to think that Obamacare is about improving healthcare in America.  It seems that it more about control.

Unless Tea Party House Republicans are successful in defunding Obamacare from the FY2014 budget, all Americans will be mandated to participate in the program or pay a tax.  Nevertheless, the IRS will be in charge of collections and monitoring all of the health information.  Recent reports have indicated that health records will be vulnerable to hackers and scammers.  In addition, the IRS has shown political partisanship in vetting Tea Party tax exempt applications and for surrepticiously sharing this information.  Why couldn't the Obamacare cost cutting extend to denying treatment to political opponents?

Allow me to dispense a rhetorical palliative to Obamacare opponents– as P.J. O’Rourke put it: “If you thought that health care is too expensive now, wait until you see what it costs when it’s free.”  Alas, the Affordable Care Act is doubling many peoples’ rates and may cost some their hides.