Friday, January 3, 2014

The Emergency Care Scare Is Another Example of All-In Politics

The latest update on ObamaCare Scare 2014 is that the poor people who used to jam up the plumbing by getting sick and waiting for expensive (unpaid) emergency room care are now using Medicaid but still going to the emergency room.

That's the crisis.

Of course, the Emergency Care Scare is just the latest angle in trying to destroy a law before it gets started.  To achieve this goal they are referring to RomneyCare statistics to show how poor folks never seem to conform to the use of Primary Care Physicians (PCP), but continue going to urgent care.  It's true. Medicaid statistics support this finding.

That's it.  Poor people won't stop going to urgent care.

They add that this problem creates a demand on the emergency room system and that emergency room treatment is more expensive than scheduled visits in a doctors office.  That is true too.  Even if we now have less unpaid care overall, it would be better to have less emergency room care overall too.  Of course some of these emergency room users are just regular people who hate going to the doctor, but the point (if not the fear) is still valid.

Now the real story.

Barack Obama creates a sour flavor in the mouth of those who never wanted him in the first place.  Those who did elect him might have grown old of the taste, but if you never voted for him, the flavor is rancid. Conservatives trapped in this game have spoken themselves into a matrix.

How do you change the conversation around a broken  healthcare system when you rejected the only functioning model in America? The only other ideas are too drastically different from the one you let Obama cherry pick from your hands leaving no smooth move towards anything agreeably better.  Every attempt to shine a new light on functional failures in a law that hasn't yet begun only helps this law avoid traps in the end. Conservatives are shooting bullets that keep turning the heads of people who otherwise would ignore this stuff.

Unless of course the unimaginable happens.

The philosophical corner that conservatives are fighting out of demands an all out effort at this point.  The party has attached it's next several electoral victories to the death of a law.  Any success of this law will spell the death of the conservative agenda, which does not include a plan B.

Republicans are all-in against ObamaCare.  No matter what the cost.

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