Elizabeth Warren’s version of Medicare for All has already been criticized for the dodgy plan to finance it, relying on tax hikes on wealthy Americans and corporations. She has claimed that the middle class would pay nothing extra to have all of their health care needs provided by the federal government.

Now the Washington Free Beacon is reporting that under Warren’s health care scheme. patients would trade money for Canada-style wait times for treatment.

“Warren, a Democratic presidential frontrunner, relies on aggressive cost-cutting measures, including tightly restricted reimbursements and global budgeting. Health care policy expert Christopher Pope said her approach would effectively amount to a rationing scheme. This, in turn, would likely curtail Americans’ access to care, replacing a ‘fee for service’ system with long wait times and mandatory caps on spending.”

A “global budget” would involve the government dispensing a fixed amount of money to doctors, hospitals, and other health care providers per year based on an estimate of what health care ought to cost, according to federal bureaucrats. If the actual costs of providing health care to patients exceed the amount of what the government says it is, then the doctors and hospitals have to eat the difference.

In Canada, whose government-run health care system uses global budgeting, health care providers make up the difference by making patients wait for services, an average of five months for specialists.

The Fraser Institute, a Canadian think tank that monitors that country’s government-run health care system, suggests that wait times for health care services are increasing over time. The system has had a malign effect on the general health of Canadians.

“Research has repeatedly indicated that wait times for medically necessary treatment are not benign inconveniences. Wait times can, and do, have serious consequences such as increased pain, suffering, and mental anguish. In certain instances, they can also result in poorer medical outcomes—transforming potentially reversible illnesses or injuries into chronic, irreversible conditions, or even permanent disabilities. In many instances, patients may also have to forgo their wages while they wait for treatment, resulting in an economic cost to the individuals themselves and the economy in general.”

Imagine getting a diagnosis of cancer under the system that Elizabeth Warren is proposing. The natural desire for a patient is to get treatment going right away, the better to try to get into remission and not allow the disease to get worse. A five-week wait for getting cancer treatment would seem to an eternity for someone who may be under, what is in effect, a sentence of death the longer that treatment is deferred.

Global budgeting also does not provide incentives for innovation and coordination across medical disciplines. As a result, it promotes a fragmented and inefficient health care system, increasing costs as well as rationing and wait times.

Warren’s proposal is likely not politically viable. According to the Free Beacon, Pope stated, “it’s going to mean that people aren’t going to be able to access care, especially high-quality care to the extent that they have been able to.”

Remember, the majority of Americans have private insurance and are, by and large, satisfied with the services it provides. Warren and other politicians like Bernie Sanders propose to do away that form of health care and replace it with a one size fits all government-run health insurance scheme as a way to extend health care to the people who, for whatever reason, do not have health insurance and are required to pay huge amounts of money out of pocket – or not if they defer treatment.

Several European countries, including France, the Netherlands, and Norway have eliminated global budgeting in their health care systems. These countries have shifted to a system called activity-based funding, in which hospitals and doctors receive compensation for the real-world cost of treating patients. Some Canadian provinces have started to experiment with this form of funding health care.

The inevitable conclusion that many analysts have arrived at is that Warren and her advisors have not thought through some of the real-world consequences of Medicare for All scheme. They are relying on the selling point that her plan provides “free” health care for all. The approach may not be viable either from a policy or a political standpoint.

20 thoughts on “Warren’s Global Budgeting Approach Would Lead to Rationing

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  2. Someone should make this marxist commie disappear; I remember rationing, from WWII and that was quite the horror show. It involved just about everything, sugar, coffee, butter, bread, meats, gasoline, paint, lead, copper, brass, even linoleum floor coverings and you could just forget about any new appliances, carpets, or furniture for your home. Everything grown, or manufactured was “dedicated to the war effort” and the safety and comfort of our troops!

    Thankfully, we lived in an area where we could grow our own gardens, dairy cattle, pigs and so forth. Dad was handy with tools and kept, what we did have, in good repair for the duration – – – he even painted over old, worn out linoleum and stippled colored patterns on it, with a sponge – -just to make it interesting. The only “paint” we were able to buy, at the hardware store, was a powdered formula you had to add water to; thus the advent of water based paints. Commercial “butter” was the advent of “colorless margarine” with a color capsule you had to pinch, to release color and then knead the product to mix it; crappy, greasy tasting and foul. I preferred our own butter made from rich cream, separated from the milk, produced by our own dairy cow.

    At this same period of time “recycling” was introduced; we were encouraged to save newspapers, cardboard, lead foil, tin cans, twine string and fat drippings from cooked meats. All of these things were bundled and “turned in” at some “collection point”, old used tires – -in turn, we were given extra rationing coupons and tokens that could be used to purchase additional sugar, coffee, meat, gasoline, etc., – – – “when” any of those things were actually available at a store in our area. Side note-the old used tires were reprocessed and the advent of “retreads” emerged. Everyone felt it was their patriotic duty to make the effort. In the case of “fauxahontas” proposals, there is NO “patriotism” involved – -simply world-wide dictatorship and criminality.

  3. As a vet who has full VA privilege; you know, the medical system that is ran by “Bureaucratic Government”. Like Warren wants to give everyone. In the past few years, I had needed special treatment, ie: lower back surgery, and arm surgery. With the first, it only took a year before I received the surgery, from my request for medical attention. I now have nerve damage to my lower legs due to long exposure of my spinal canal constricting my nerves. As you can imagine, it was a long, very painful year. For the second, I waited 4 weeks to see a orthopedic PA. who confirmed that I had tore the tendon to my bicep. I waited 14 more weeks for a MRI that showed my tendon was completely remove from the bone and the only thing holding my bicep down was a small piece of scar tissue. This is the type of service you will get from Warren’s plan. Thanks to President Trump and Senator Daines, the VA is getting better.

  4. Wow I did enjoy the article about the rationing during WWII. I was a young girl then and remember the rationing and today some people complain about the recycling to help the environment. Back to the margarine my sisters and I loved to mix the colored capsule. Also remember my Mom using black shades on the windows. No let’s not go along with crazy Elizabeth Warren.

  5. So warren is finally coming out of the closet as the true socialist/commie that she is. So none of this is going to cost the middle class anything? Gee, I heard this same crap several years ago from that traitor who was hawking affordable care. Direct quote: “ keep your plan, keep your doctor & it won’t cost the American people a dime.” Not one of these socialist/commie lorins can come up with an original thought.

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