Control


The Baucus health care bill is now 1,502 pages of circuitous, tortuous bureaucratease. The point? So you and I cannot understand it and, therefore, once it becomes law in some form, have to depend on “little intellectual elites in a far-distant capital” to make more decisions for us.

Here is a random selection:

IN GENERAL.—In order to provide an in-
centive for applicable hospitals to reduce hospital ac-
11
quired conditions under this title, with respect to
12
discharges from an applicable hospital occurring
13
during fiscal year 2015 or a subsequent fiscal year,
14
the amount of payment under this section or section
15
1814(b)(3), as applicable, for such discharges during
16
the fiscal year shall be equal to 99 percent of the
17
amount of payment that would otherwise apply to
18
such discharges under this section or section
19
1814(b)(3) (determined after the application of sub-
20
sections (n), (o), and (q) and section 1814(l)(3) but
21
without regard to this subsection).
22

and another:

‘‘(D) ADJUSTMENTINTECHNICALCOMPO-
9
NENT DISCOUNT ONSINGLE-SESSIONIMAGING
10
INVOLVINGCONSECUTIVEBODYPARTS.—In the
11
case of services furnished on or after January
12
1, 2010, the Secretary shall increase the reduc-
13
tion in payments attributable to the multiple
14
procedure payment reduction applicable to the
15
technical component for imaging under the final
16
rule published by the Secretary in the Federal
17
Register on November 21, 2005 (part 405 of
18
title 42, Code of Federal Regulations) from 25
19
percent to 50 percent.’’.
20

and another:

‘‘(B) in the case of implementation year
1
2020 and subsequent implementation years, a
2
joint resolution described in subsection (f)(1) is
3
enacted not later than August 15, 2017.
4
‘‘(4) NO AFFECT ON AUTHORITY TO IMPLE-
5
MENTCERTAINPROVISIONS.—Nothing in paragraph
6
(3) shall be construed to affect the authority of the
7
Secretary to implement any recommendation con-
8
tained in a proposal or advisory report under this
9
section to the extent that the Secretary otherwise
10
has the authority to implement such recommenda-
11
tion administratively.
12
‘‘(5) LIMITATIONONREVIEW.—There shall be
13
no administrative or judicial review under section
14
1869, section 1878, or otherwise of the implementa-
15
tion by the Secretary under this subsection of the
16
recommendations contained in a proposal.
17

“We have trained vast numbers of people to write and presumably to think this rubbish. Indeed, the inexorable spread of this meaningless language is the sign of a quiet social revolution: we no longer live in a meritocracy, but in a mediocracy, for only people without talent, originality or integrity can master this language. But mastery of it is now the key to advancement, at least in the public services. The troubling thing is that the corruption has gone so far that it has become unconscious: those who produced the document from which I quote are so corrupt that they do not know they’re corrupt.”

— Theodore Dalrymple

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