Posts tagged: healthcare

First They Came to Encourage Us to Take Aspirin . . .

By , December 13, 2012 11:39 am

First the good news:

Aspirin is a wonder drug, one that virtually all men over 45 and woman over 55 should take to keep the arteries clear and cancer at bay. So says Dr. David Agus, a professor at USC’s medical school, in an Op-ed in today’s New York Times.

Many high-quality research studies have confirmed that the use of aspirin substantially reduces the risk of cardiovascular disease. Indeed, the evidence for this is so abundant and clear that, in 2009, the United States Preventive Services Task Force strongly recommended that men ages 45 to 79, and women ages 55 to 79, take a low-dose aspirin pill daily, with the exception for those who are already at higher risk for gastrointestinal bleeding or who have certain other health issues. (As an anticoagulant, aspirin can increase the risk of bleeding — a serious and potentially deadly issue for some people.)

New reports about aspirin’s benefits in cancer prevention are just as convincing. In 2011, British researchers, analyzing data from some 25,000 patients in eight long-term studies, found that a small, 75-milligram dose of aspirin taken daily for at least five years reduced the risk of dying from common cancers by 21 percent.

Dr. Agus is so excited about aspirin that he argues, “why not make it public policy to encourage middle-aged people to use aspirin?”

Which leads me to the bad news:

Dr. Agus apparently can see no end to such policy initiatives, at least when his money is at risk because of someone else’s bad health practices:

[W]hen does regulating a person’s habits in the name of good health become our moral and social duty? The answer, I suggest, is a two-parter: first, when the scientific data clearly and overwhelmingly demonstrate that one behavior or another can substantially reduce — or, conversely, raise — a person’s risk of disease; and second, when all of us are stuck paying for one another’s medical bills (which is what we do now, by way of Medicare, Medicaid and other taxpayer-financed health care programs).

Now, who can’t see the benefits of everybody eating better, exercising more, and so on? I can. But I can also see a problem here: one man carrying out his duty can easily become another man’s oppressor. And a woman with one finger on the pulse of America and the power to call out the nannys when that pulse rate increases, is likely a woman with too much power.

In Oral Arguments for the recent Obamacare case, Justice Scalia asked Solicitor General Verrilli whether if the government could mandate that we buy health insurance, it could also mandate that we eat broccoli. Supporters of Obamacare laughed at the idea. As James Stewart wrote in The New York Times, in an article titled “Broccoli Mandates and the Commerce Clause,”

The Supreme Court itself has said: “The principal and basic limit on the federal commerce power is that inherent in all Congressional action — the built-in restraints that our system provides through state participation in federal governmental action. The political process ensures that laws that unduly burden the states will not be promulgated.” And absurd bills like a broccoli mandate are likely to fail other constitutional tests. (emphasis supplied)

All I can say in response to that is, “Mr. Stewart, meet Dr. Agus.”

So Now the Constitutionality of Obamacare is “A Very Difficult Question”?

By , February 4, 2011 12:53 pm

For the longest time, supporters of Obamacare in general and the individual mandate in particular have criticized constitutional arguments against the law as unserious. Declares Edwin Chemerinsky, dean and distinguished professor of law at the University of California, Irvine School of Law,

Those opposing health care reform are increasingly relying on an argument that has no legal merit: that the health care reform legislation would be unconstitutional.

That’s changed, as Josh Marshall noted in December.

And with that, the goal posts move. Now the argument is that the recent Federal District Court rulings against the bill will move slowly through the appellate court system, allowing support for the bill to grow. In fact, that’s the government’s strategy at this point, according to the report. Will the stall work? It just might. The report in Bloomberg quotes Sidley Austin attorney Carter Phillips opining on the probability that the Supreme Court will fast track the cases (2 for, 2 against at this point). With certitude that would make Chemerinsky proud, Phillips, who has argued more than 60 cases before the Court, says the chances are “zero.” And why does he say that?

I do not think the court will be inclined to decide this question without the benefit of having the views of at least one and probably more than one court of appeals on a very difficult question of constitutional law. (emphasis mine)

So arguments that once had no merit are now “very difficult question[s].” Wonder what Chemerinsky thinks?

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