For someone who spent her childhood behind the iron curtain, George Orwell's novels were at once prophetic and horrifying. Reading about "spontaneous demonstrations" in Animal Farm evoked images of my own participation in the May day parades, designed less to show solidarity with workers of other nations than to show off the contrived unity and the military might of the former USSR. To me, the double-speak captured by Orwell was chilling.
No argument against the reform rang more hollow than her disapproval of funding for comparative effectiveness research (CER) in the recent stimulus package, intended to demystify the value propositions of healthcare interventions. The allocation of $1.1 billion to CER is long overdue, as we have been unable to say "no" to reimbursing anything from a me-three anti-hypertensive to an MRI for low back pain to a bypass operation for a 95-year-old with limited quality of life. Equating this initiative to rationing is true double-speak that can succeed in creating panic only under the assumption that we are, well, stupid.
If Medicare is to survive long enough for my peers to benefit from it, it needs to undergo severe liposuction, with CER as the rational framework. Let's stop wasting time, breath and trees on these unimaginative doomsday scenarios and move on with the work of fixing this broken system. Still, if this Napoleon-like discourse is the lynchpin of the conservative strategy, don't let me stop them from discrediting themselves.
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