It's just one study, but I'll bet you dollars to donuts that more of these will follow. The democrats are the master buffoons of unintended consequences. That's what happens when you use fantasy land logic.
Is ObamaCare Killing People?
A new study suggests unintended—and fatal—consequences.
PHOTO: BRETT COOMER/ASSOCIATED PRESS
By
James Freeman
Nov. 16, 2017 12:55 p.m. ET
439 COMMENTS
Former President Barack Obama and his advisers claimed that their 2010 health insurance law would create incentives to provide better and more efficient patient care. A new study suggests that one of their bright ideas has since gone disastrously wrong.
This week the Journal reports:
The Affordable Care Act required Medicare to penalize hospitals with high numbers of heart failure patients who returned for treatment shortly after discharge. New research shows that penalty was associated with fewer readmissions, but also higher rates of death among that patient group.The researchers said the study results, being published in JAMA Cardiology, can’t show cause and effect, but “support the possibility that the [penalty] has had the unintended consequence of increased mortality in patients hospitalized with heart failure.”
The policy went into effect in October 2012 and the new study examines hospital readmission and mortality rates both before and after the penalties were in force. It’s just one study, generated by the experiences of 115,245 Medicare patients hospitalized for heart failure at 416 hospitals between 2006 and 2014. But the results are disturbing:
One in five heart failure patients returned to the hospital within 30 days before the ACA passed. That dropped to 18.4% after the penalties. Mortality rates increased from 7.2% before the ACA to 8.6% after the penalties, or about 5,400 additional deaths a year for Medicare beneficiaries not in managed care plans.
While doctors and researchers consider whether this particular Affordable Care Act policy is killing thousands of patients, the larger question is whether ObamaCare overall is making us less healthy. The implementation of the law has coincided with bad news on U.S. mortality and life expectancy.
Last month the Society of Actuaries reported:
The age-adjusted mortality rate for 2015 was 733.1 (per 100,000), an increase of 1.2% over the 2014 rate of 724.6. This was the first year-over-year increase in the age-adjusted U.S. mortality rates since 2005, and only the seventh year-over-year increase since 1980. In fact, the only other time since 1980 that an annual age-adjusted mortality rate increased by more than 1.0% was in 1993, when the rate increased 2.3% over the 1992 rate.
Back in the early ‘90s, the U.S. was battling the AIDS crisis. Now, we face a number of health challenges, which many believe are related to diminished economic prospects and other long-term trends. Also, preliminary data for 2016 look better than the 2015 numbers, though not as good as 2014, according to the actuaries.
It may be a little early to pronounce that ObamaCare has made us sicker and is—at the margin—killing us. But given all the cost and disruption, Americans can reasonably be disappointed if it’s not making us healthier. Also, given the abundant evidence that wealthier people are healthier and the disincentives to work embedded in ObamaCare, it’s hard to be optimistic about our future health if the law remains unreformed.
After the implementation of the Affordable Care Act, Team Obama bragged about moving an additional 20 million people into government health plans. But the Obama crowd doesn’t have the data to show that Americans are experiencing better health as a result.
Team Obama did convince much of official Washington to buy their definition of success. Journal readers are well aware of the economic damage done by Washington’s fraudulent budget rules. Less well appreciated is the tragedy for patients when politicians accept Congressional Budget Office estimates of the number of federally insured consumers as the yardstick to measure American medicine.
Of course the pols should instead focus on the quality of patient care, the health and longevity of our citizens, the elimination of pain and suffering. In the never-ending Beltway debate over which policies will result in more people enrolled in federal health plans, perhaps a few lawmakers will step back and consider the idea that fewerpatients overseen by federal bureaucrats is the path to longer lives. The Affordable Care Act has made health care more bureaucratic and expensive. It hasn’t made us healthier.
***
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***
Follow James Freeman on Twitter.
Subscribe to the Best of the Web email with one click.
To suggest items, please email best@wsj.com.
(Carol Muller helps compile Best of the Web. Thanks to Steve Burton, Dave Mulligan, Ethel Fenig, Rod Pennington, C.J. Hicks and Alan Kuska.)
Is ObamaCare Killing People?
A new study suggests unintended—and fatal—consequences.
PHOTO: BRETT COOMER/ASSOCIATED PRESS
By
James Freeman
Nov. 16, 2017 12:55 p.m. ET
439 COMMENTS
Former President Barack Obama and his advisers claimed that their 2010 health insurance law would create incentives to provide better and more efficient patient care. A new study suggests that one of their bright ideas has since gone disastrously wrong.
This week the Journal reports:
The Affordable Care Act required Medicare to penalize hospitals with high numbers of heart failure patients who returned for treatment shortly after discharge. New research shows that penalty was associated with fewer readmissions, but also higher rates of death among that patient group.The researchers said the study results, being published in JAMA Cardiology, can’t show cause and effect, but “support the possibility that the [penalty] has had the unintended consequence of increased mortality in patients hospitalized with heart failure.”
The policy went into effect in October 2012 and the new study examines hospital readmission and mortality rates both before and after the penalties were in force. It’s just one study, generated by the experiences of 115,245 Medicare patients hospitalized for heart failure at 416 hospitals between 2006 and 2014. But the results are disturbing:
One in five heart failure patients returned to the hospital within 30 days before the ACA passed. That dropped to 18.4% after the penalties. Mortality rates increased from 7.2% before the ACA to 8.6% after the penalties, or about 5,400 additional deaths a year for Medicare beneficiaries not in managed care plans.
While doctors and researchers consider whether this particular Affordable Care Act policy is killing thousands of patients, the larger question is whether ObamaCare overall is making us less healthy. The implementation of the law has coincided with bad news on U.S. mortality and life expectancy.
Last month the Society of Actuaries reported:
The age-adjusted mortality rate for 2015 was 733.1 (per 100,000), an increase of 1.2% over the 2014 rate of 724.6. This was the first year-over-year increase in the age-adjusted U.S. mortality rates since 2005, and only the seventh year-over-year increase since 1980. In fact, the only other time since 1980 that an annual age-adjusted mortality rate increased by more than 1.0% was in 1993, when the rate increased 2.3% over the 1992 rate.
Back in the early ‘90s, the U.S. was battling the AIDS crisis. Now, we face a number of health challenges, which many believe are related to diminished economic prospects and other long-term trends. Also, preliminary data for 2016 look better than the 2015 numbers, though not as good as 2014, according to the actuaries.
It may be a little early to pronounce that ObamaCare has made us sicker and is—at the margin—killing us. But given all the cost and disruption, Americans can reasonably be disappointed if it’s not making us healthier. Also, given the abundant evidence that wealthier people are healthier and the disincentives to work embedded in ObamaCare, it’s hard to be optimistic about our future health if the law remains unreformed.
After the implementation of the Affordable Care Act, Team Obama bragged about moving an additional 20 million people into government health plans. But the Obama crowd doesn’t have the data to show that Americans are experiencing better health as a result.
Team Obama did convince much of official Washington to buy their definition of success. Journal readers are well aware of the economic damage done by Washington’s fraudulent budget rules. Less well appreciated is the tragedy for patients when politicians accept Congressional Budget Office estimates of the number of federally insured consumers as the yardstick to measure American medicine.
Of course the pols should instead focus on the quality of patient care, the health and longevity of our citizens, the elimination of pain and suffering. In the never-ending Beltway debate over which policies will result in more people enrolled in federal health plans, perhaps a few lawmakers will step back and consider the idea that fewerpatients overseen by federal bureaucrats is the path to longer lives. The Affordable Care Act has made health care more bureaucratic and expensive. It hasn’t made us healthier.
***
Bottom Stories of the Day
World Ending; Women and Minorities to Be Hardest Hit
“Global climate action must be gender equal,” The Guardian, Nov. 15
World Acts on Climate; Children to Be Hardest Hit
“Science proves kids are bad for Earth. Morality suggests we stop having them,” NBCNews.com, Nov. 15
Bannon’s Revenge
“Trump’s Interior Department to begin issuing elephant trophy hunting permits,” Washington Examiner, Nov. 15
Shortest Books Ever Written
“Here are the Republicans still sticking with Roy Moore,” CNN, Nov. 15
Longest Books Ever Written
“How to Fix the Democratic Party,” Politico, Nov. 10
***
Follow James Freeman on Twitter.
Subscribe to the Best of the Web email with one click.
To suggest items, please email best@wsj.com.
(Carol Muller helps compile Best of the Web. Thanks to Steve Burton, Dave Mulligan, Ethel Fenig, Rod Pennington, C.J. Hicks and Alan Kuska.)
