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GLENN: I was with somebody yesterday and they said, oh, thank goodness this recession is over. I said, I beg your pardon? "Oh, everything's on the upswing. I talked to everybody. Everybody's saying everything's on the upswing." Really? Everything's on the upswing? That's fantastic. She just looked at me and said, "It's not?" And I said, well, I could be wrong, but... no! Don't believe that. You're in the eye of the hurricane. You've got the other wall coming, and the other wall the storm we're at sea. The storm is still gathering strength. And here they are yesterday we were talking about taxes and how they have to do a VAT tax. No. No, they don't. The first thing they have to do is cut spending. And then you know what? And then start cutting benefits. This comes from the New York Times In Medicine, the Power of No. How can we learn to say no? The federal government is now starting to build the institutions that will try to reduce the soaring growth of healthcare costs. There will be a group to compare the effectiveness of different treatments, a so called Medicare innovation center and a Medicare oversight board that can set payment rates.
Aren't these the things they promised us they weren't going to do, that they were going to compare the effectiveness of different treatments? Didn't they say they would never get between you and your doctor. Well, what does that mean when they're comparing the effectiveness of treatments? They're like, oh, this one's not really effective for the money? But go ahead and do it anyway; we just don't want to tell you. All of these groups will face the same basic problem: Deep down Americans tend to believe that more care is better and we recoil from efforts to restrict care. Managed care became loathed in the 1990s. The recent recommendation to reduce breast cancer screenings set off a firestorm on it, because it didn't come from doctors; it came from the government!
On a personal level anybody who has made a decision about his or her own care knows the nagging worry that comes from not choosing the most aggressive treatment. This, try anything and everything" instinct is ingrained in our culture and has big benefits but also has big down sides including the side effects and the risks that come with unnecessary treatment. Consider the recent study that found 15,000 people were projected to die eventually from the radiation they received from CAT scans in just a single year.
From an economic perspective healthcare reform will fail if we can't sometimes push back against the "Try anything" instinct. So figuring out how so say no may be the single toughest, most important task facing the people in charge of carrying out healthcare reform.
So now what the New York Times is saying to us is, now that the government is in charge, now the New York Times is trying to sell us that we need less healthcare. You hear that? Before they were saying, "Oh, no, they're not going to it's not going to affect your healthcare, it's not going to affect it. You're not going to get less, there's not going to be rationing. What is this? What is this? This is the setup to rationing! Sometimes less is better. I'm so tired of the lies. I am so tired of the lies. I am so tired of the truth not mattering to these people. They don't care. They just don't care about the truth. It amazes me because I don't know how people sleep at night. You know the big push on you is that you're insane and dangerous. The big push now on me here's the latest one, that I'm only in it for the money. And that I don't believe anything that I say. I want you to know. What the hell would I be doing if I wasn't doing this for money? It's my job. I'm a capitalist. I have no problem making money, and my audience doesn't have a problem with people making money. I was poor and I'm rich and I may be poor again. It doesn't matter. But I have a right, as long as I am creating something of value. As long as I really take pride in my work, as long as I'm creating something of value and I'm trying to give you every bit of quality. For every dollar that you spend, I want you to have $1.25 in quality. I want you to have entertainment or information, and I say this to you all the time. I promise you, I know how hard you work for your money. Well, I work hard for my time. I work hard for my quality. And everybody here, we bust our ass. You're damn right we're getting rich, and I'm not ashamed of it. But who could possibly sleep at night, saying the things that I say and believe, think I want to say these things? Do you think I want my family under threat all the time? Do you think I want I'm not talking to you. These people just don't care. They don't care about the truth one way or the other. They told us that they would this would never affect our healthcare, there would never be rationing. Now the New York Times is softening everything up. They will go in and let's soften up the ground. "You know, we've got a problem in America. We just think more is better." Yeah, you know what? That is a problem in America. It is. But it's my right to choose, more or less, not the government's. These people are just organs. That's all they are. You pick which organ. They're just organs. I go with Wurlitzer. They're just organs for the government. That's all they are. When did that become okay?