{"id":1011,"date":"2026-06-09T10:43:14","date_gmt":"2026-06-09T10:43:14","guid":{"rendered":"https:\/\/interstatelogisticshubs.com\/?p=1011"},"modified":"2026-06-09T10:43:14","modified_gmt":"2026-06-09T10:43:14","slug":"the-healthcare-health-care-seesaw-goes-both-ways","status":"publish","type":"post","link":"https:\/\/interstatelogisticshubs.com\/?p=1011","title":{"rendered":"The Healthcare\/Health…Care Seesaw Goes Both Ways"},"content":{"rendered":"
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Democrats\u2019 latest ploy to divert Americans\u2019 attention from unaffordable insurance and inaccessible care is to add long-term care benefits to Medicare. They ignore the fact that adding new spending will hasten Medicare\u2019s projected .\u00a0 Republicans\u2019 latest solution emphasizes new rules about how you buy your health care, building on their sop of last December\u2019s $1,500 for people to spend in lieu of ACA subsidies.<\/p>

Read more Mississippi Proves that More Money Won\u2019t Fix Our Schools.<\/a><\/p>\n

Both parties see regulation as the answer, the only answer, to our healthcare woes. Their proposals reaffirm the adage when all you have is a hammer, everything looks like a nail.<\/p>\n

There is a with healthcare<\/em> \u2014 one word, the system \u2014 on one side and health<\/em>…care<\/em>\u00a0 \u2014 two words, the service or patient-doctor connection \u2014 on the other. As Washington increases its regulation of healthcare, it gains power and money. Its side goes up. The other side, with patients on it, goes down.<\/p>\n

The feds promise new benefits or financial support or expanded coverage. They take the money needed to deliver on the promise of care and use it to support the \u2014 bureaucracy, unnecessary rules and regulations, directives, enforcement, and noncompliance activities \u2013 that follows every legislative act.<\/p>\n

BURRDEN costs money, lots and lots of taxpayers\u2019 healthcare<\/em> dollars. In 2025, BURRDEN consumed at least half of the $5 trillion the U.S. spent on healthcare. For perspective, Washington wasted an amount equal to the entire GDP of Canada \u2013 $2.5 trillion \u2013 on healthcare that produced no health care<\/em>!<\/p>\n

The Affordable Care Act (ACA) cost $1.76 trillion. Most\u00a0 of the money was spent creating new BURRDEN. This author can attest as he was a founding Director of the New Mexico Health Insurance Exchange, one of 50 such new bureaucracies created by the ACA. To defray\u00a0 ACA administrative expenditures, President Obama withdrew $716 billions from the Medicare Trust. That money was taken from care for seniors to\u00a0 pay for non-care, for BURRDEN.<\/p>\n

HealthcareUP<\/sup>; health…caredown<\/sub>.<\/p>\n

From 1965 to present, Congress passed thousands of different legislative acts that impact patients. Some have well-known names like Medicare, Medicaid, EMTALA (Emergency Medical Transport and Labor Act), HIPAA (Health Insurance Portability and Accountability Act) and the Affordable Care Act (ACA). Others had healthcare provisions buried in legislation that did not have health-related names such as the Inflation Reduction Act of 2022 and almost every annual OBRA (Omnibus Budget Reconciliation Act) since 1974.<\/p>\n

All this legislation created a complex, redundant, and incredibly expensive regulatory structure whose sole purpose is to expand federal control. Between 1970 and 2020, the number of doctors doubled \u2013 it increased 100 percent. Over the same fifty years, the number of healthcare bureaucrats increased by more than 4,400%! The net effect was a massive increase in healthcare spending on newly created jobs for people who provide no patient care.<\/p>\n

The financial<\/em> effects of the healthcare seesaw are clear. As Congress passes new legislation, more money is diverted from clinical care to BURRDEN. Medicaid and Medicare reimbursement schedules keep going down. Medicaid rates are so low that physicians and dentists simply refuse to take new Medicaid patients.<\/p>

Read more How the \u2018New\u2019 Socialism Falls Apart<\/a><\/p>\n

Washington is spending trillions of dollars paying itself with money it doesn\u2019t have. That spending is added to the national debt. In 2025, federal spending was $7.01 trillion. Revenue was $5.23 trillion yielding a deficit of $1.78. The amount wasted on BURRDEN was $2.5 trillion. If we reduced wasteful spending on healthcare by \u201conly\u201d $1.78 trillion, the U.S. budget would balance.<\/p>\n

The health<\/em> impacts of the have been devastating. In 1960, a patient waited hours to get a doctor appointment. In 2022, average maximum wait time was 132 days to see a general practitioner. The longer patients wait for care, the worse outcomes they experience. In fact, some Americans wait so long for care, they die while waiting in line. The seesaw\u2019s death by queue has been documented in both Medicaid and .<\/p>\n

Not only do we have a worsening shortage of physicians, more than one third of those still practicing refuse to see new Medicaid patients. This exacerbates the medically dangerous wait times.<\/p>\n

As every child in the playground knows, a seesaw can go both up and down. If government spending on BURRDEN were reduced and the government side of the seesaw went down, the patient side would go up.<\/p>\n

With fewer regulators and less bureaucratic spending, more dollars would be available to pay for patient care. With fewer regulations, time-wasting bureaucratic hassle would go down, encouraging doctors to stay in practice. More doctors would accept new Medicaid patients. Wait times would go down. More patients would get the care they need when they need it.<\/p>\n

For the past sixty years, the government side of the healthcare seesaw has been moving upward. It is time to push it down and elevate We the Patients. The way to do this is by empowering patients: give Americans control of their healthcare spending instead of a third party regulated by Washington.<\/p>\n

After all, it IS Americans\u2019 money…and their lives.\u00a0\u00a0<\/p>\n

Deane Waldman, M.D., MBA, is Professor Emeritus of Pediatrics, Pathology, and Decision Science; former Director of the Center for Healthcare Policy at Texas Public Policy Foundation; former Director of the New Mexico Health Insurance Exchange; and co-author of award-winning \u201cBecome an Empowered Patient.\u201d Follow him on X.com@DrDeaneW or visit website www.empowerpatients.info.<\/strong><\/em><\/p>

Read more Concerning Platner, What Would Frederick Douglass Tell Maine\u2019s Voters?<\/a><\/p>\n

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\"ChatGPT\"<\/figure>\n<\/p>\n

Image generated by ChatGPT.<\/em><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Democrats\u2019 latest ploy to divert Americans\u2019 attention from unaffordable insurance and inaccessible care is to add long-term care benefits to Medicare. 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