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Krauthammer's Most Mean Spirited Column Ever!

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I knew Charles Krauthammer was mean-spirited when he said of Christopher Reeve, after the man's death, that he was no hero because he gave sick people "false hope." I knew it when he defends every Israeli military action no matter how many innocents, including kids, die. I saw it first hand on that Yom Kippur morning when, from his seat in the synagogue, he started bellowing at the rabbi for praying for peace.

The man is a hater, all vitriol, who moved from liberalism (he had worked for Walter Mondale in 1984) to the rightwing worldview that brought his politics in line with his temperament.

In today's column, he argues that Obama's health reform proposal stupidly assumes that preventing disease will save more money that treating it. In other words, a mammogram might prevent X number of breast cancers but providing mammograms to all women will cost more than treating women who would otherwise contract the disease (including those who after deferred treatment would die of it).

I'll let others argue about his faulty economic assumptions. I just want to note that the smartest guy the right has actually believes that saving lives by preventing disease is a cost society should not view as paramount. Has he ever encountered a family that lost the mom or dad (or child) to a disease that might have been prevented if the American health care system guaranteed preventative medicine to all.


48 Comments

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If you would like to stand up for single payer health care (medicare for all) in a democratic and constructive way please consider joining our voting bloc at:
http://www.votingbloc.org/Health_Bloc.php

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Krautie is a sour dour waste of time..He, at one time, brought food for thought--now he is just an ugh!

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He's as mad as a bloody march hare, M.J., how can you read him?

Are you saying that crank is the smartest guy, is that the point? He has got emotional and/or psychological problems that are only partly created by stress over his awareness that he is a marine-iguana lookalike. Unhinged, he would be happier full-time at Fox whom he worships as he says http://www.google.com/search?q=krauthammer+fox&rls=com.microsoft:en-US:&ie=UTF-8&oe=UTF-8&sourceid=ie7&rlz=1I7GGIT_en (and they do already hire him to spew his maniacal invective part time), or more preferably as a plotter in some hate group.

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M.J. has never been able to come to terms with (forgive himself for?) his own personal Lord Jim Moment on that past and ever present "Yom Kippur morning."

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Could you amplify on that, ellen? I don't know enough of M.J.'s writing to know. Thanks.

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Try M.J.'s original TPMCafe post entitled Krauthammer [and] Other Enemies of Israel. Oops -- it's vanished.

Or try Googling "Krauthammer went nuts".

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The TPM piece has vanished, all right. Thanks for the links.

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What about Krauthammer?

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My Tricare coverage has mandatory prostate exams start at 45 years of age and mandatory heart exams starting at 40 years of age. Periodic health assessments are yearly at any age. This is all at cost to the government under my outstanding military medical coverage.

So my question is: Why does Krauthammer hate the troops?

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He is hardly the smartest guy the right has to offer.

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Thanks for that reality check, Jason.

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I would love to debate that dingleberry on Fox News. Leave him in tears and begging for his mommy.

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Ha-ha-ha!!!

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Who are the "smart" people on the right?

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Well, I am one of them for sure. My sister is a pretty smart cookie. Andrew Sullivan, Colin Powell, David Brooks (sometimes), this one dude I saw on CNN who wasn't a total tool. There are others.

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Powell should have never shilled for Bush's lies on Iraq. He seems genuinely remorseful - too bad for all the people who died because of his UN speech. Powell is now an Obama supporter, etc - so I don't consider him on the right. Sullivan realizes he was wrong about Iraq. Brooks doesn't impress me.

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this one dude I saw on CNN who wasn't a total tool.

Apparently not all that memorable?

=D

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I stopped reading Krauthammer after reading about 6 of his columns.

Krauthammer is like many right wingers, he isn't stupid, but his mind is so ideologically f**ked up it causes him to say stupid things.

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I, too, never read Krauthammer.

I wait for M.J. to misread him. Then, I toodle my way over to that soon-to-be-nevermore Washington Post to see what the fellow actually said.

"This doesn't mean we shouldn't be preventing illness. Of course we should. But in medicine, as in life, there is no free lunch." Chas. Krauthammer

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OK.

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GOP Motto: Save the Insurance Companies,Kill the People.

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Rachmones, Charles, rachmones.

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That is surely the wrong way to deal with the likes of Neocomrade Ch. Krauthammer.

Chuckles does not give a hoot whether he scores any points for resemblance to Eleanor Roosevelt and Florence Nightingale.

On the other hand, grossly unwarrantable baloney about "the smartest guy the right has" will probably go straight into the Krauthammerian self-scrapbook.

Happy days.

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Only MJ could write a mean-spirited post about how mean-spirited someone else is, to be followed by predictably mean-spirited comments.

Hey, guys, why not start by setting an example?

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Well, I think poking fun at someone who clearly takes himself too seriously is fair game.

He tries to portray himself as a leading voice on the right yet I don't know a single republican in real life who agrees with anything he says. Not even the ones that stumble in here from time to time.

While I am actually very sympathetic to your sentiment of setting an example by keeping the criticism free from invective, I don't think it means we shouldn't discuss "mainstream" ideologues who try interject bullshit into the debate.

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You mean "bullshit" like the highlighted language below?

. . . preventive care, like mammograms and colonoscopies . . . makes sense, it saves lives; it also saves money -- and we need to save money in this health care system. President Obama

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You're saying that diagnostic procedures don't save lives by catching diseases earlier in their malignancy than if you don't use them?

Odd position to take, though I think mammograms are wrong for a totally different reason. We never had so many women dying of breast cancer in this country until we started irradiating their chests on a yearly basis. Plus they aren't even necessary, because the doctor confirms anything found on a mammogram by using a sonogram, which is totally safe.

Why not just go straight to the sonogram and skip the radiation?

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You're missing the forest for the trees.

On an individual basis the identification of disease at an early stage reduces the expense of treatment for that particular individual. But if the society-wide costs of screening tests (not to mention the costs of investigating the resultant false positives) are greater than the savings from early detection, then, Obama's "health care system" will not enjoy lower costs.

And society-wide that's what they appear to be; ergo, the system will not save money.

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You're saying that diagnostic procedures don't save lives by catching diseases earlier in their malignancy than if you don't use them?

No; I'm not.

The dispute isn't about whether early detection saves lives; clearly, it does. The dispute is about whether early detection saves the "health care system" money -- as Obama implies it does and says it will.

Word to the wise. Never take M.J.'s "readings" of the writings of others at face value. M.J.'s dyslexic.

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I find Obama's spin less egregious than Krauthammer's and Rosenberg's, it's spin, to be sure, but only by conveniently leaving out details and nuance.

For me, the CBO letter in the end reads as support for reform that includes electronic records that patients carry for life and the eventual availability of more primary care doctors who can spend more time on the history of each patient. Because the letter is support for the idea of reform in that both cost savings and better health care results will come from applying preventive testing to at risk demographics rather than across the broad populations that we end up suggesting it for now by virtue of letting it up to current buzz in the air.

This is what a good primary care physician would do, and even a good specialist would do, except when they have perverse for-profit motives to do testing on everyone, whether that profit is simply monetary or it save them the time of having to think or saves them fear of lawsuit. Right now we have a perverse system where people are encouraged to get a lot of tests because few have real quality primary care that has an inkling of whether they are in an at risk group. Currently we have lobbying groups, like the American Cancer Society (no matter how much good they do, they have their own agenda, and that agenda is not providing cost effective care for individuals, but rather, a fight to cure cancer), being followed for what tests everyone should have.

The CBO letter suggests it would not be cost-effective for the Federal government to be deciding that nearly everyone should have access to this or that test or this or that preventive program.

Obama is merely saying some tests are cost effective applied to a lot of people, and the truth is that a few are, but he is leaving out that others may not be. Yes, he is probably doing that to spin, but I don't see it as so egregious, since I know he believes we need more and better primary care doctors and electronic records.

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Hey, guys, why not start by setting an example?

i love you

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The Progressive,

reading your post I cannot help but think irony is dead to you.

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Stultus est sicut stultus facit.

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I guess to Krauthammer, Israelis receiving preventive care is another story altogether.

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Mammograms are screening and detection procedures; they aren't preventive care, in the sense that (unlike, say, blood pressure tests) there really aren't preventive (behavioral) changes you can make based on them. The idea is that early detection allows early treatment and therefore more favorable outcomes for the patient, probably at lower cost than treating a metastatic cancer.

Blood pressure and blood sugar testing are really preventive in the sense that one could change diet and increase exercise based on the results and prevent or at least mitigate serious disease.

Krauthammr is a mean-spirited crank nonetheless. Don't know if this was his error or MJ's.

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Well, on further thought I guess mammograms can prevent more serious cancers in the sense that with early detection they can be treated. Comment withdrawn.

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MJ, FAR be it from me to defend CK in any way, but I read the piece, and he did NOT say this:

"I just want to note that the smartest guy the right has actually believes that saving lives by preventing disease is a cost society should not view as paramount."

All he says is that prevention won't cut costs, but will increase them. And he gives his reasons, which may be right or wrong; I don't know. Here are some other things he DID say:

"This doesn't mean we shouldn't be preventing illness. Of course we should. But in medicine, as in life, there is no free lunch. The idea that prevention is somehow intrinsically economically different from treatment -- that treatment increases costs and prevention lowers them -- is simply nonsense. Prevention is a wondrous good, but in the aggregate it costs society money. Nothing wrong with that. That's the whole premise of medicine. Treating a heart attack or setting a broken leg also costs society. But we do it because it alleviates human suffering. Preventing a heart attack with statins or breast cancer with mammograms is costly. But we do it because it reduces human suffering.

However, prevention is not, as so widely advertised, healing on the cheap. It is not the magic bullet for health-care costs."

Here he actually comes out FOR prevention. He also calls it a "wondrous good." Now, I guess you could say that by arguing that prevention costs more than curing disease, he's dissuading society from putting an emphasis on prevention by saying it will cost us a lot more. But it's not clear that he is.

If prevention DOES cost a lot more, shouldn't we know that? That would at least allow us to plan for it and show us what to expect.

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RE: "If prevention DOES cost a lot more, shouldn't we know that?"

MY COMMENT: Yes, similar to Ford wanting to know whether it would be cheaper to fix its vulnerable gas tanks, or just settle cases when occupants of Ford vehicles were burned alive.

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Good grief, Dick.

One of the arguments proposed for preventive care IS that it saves money. Cuts costs.

THIS is the argument CK is calling into question. I don't have the answer, but I do think it would be good to know.

Otherwise, folks will be a wee bit surprised should costs head in the opposite direction. That seems simple enough.

CK is NOT arguing against preventive care, however, as MJ asserts.

Nor am I.

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The CBO letter is quite interesting, I recommend people ignore the Krauthammer and Rosenberg extraneous and misleading spin and just read it for themselves. It's only seven pages:

http://www.cbo.gov/ftpdocs/104xx/doc10492/08-07-Prevention.pdf

To me, it's a hopeful sign, as it's evidence of a Congressional Committee actually trying to get facts on the matter.

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Thanks for posting this AA, as always. It's always been clear to me, from talking with my doctor, that some tests are worth it and some tests are not, given my situation.

Ideally, reform wouldn't be a blanket "everyone gets everything all the time regardless of their situation," but would provide some guidelines that point us to better results and lower, or at least tempered costs--costs less high than they would be otherwise.

I didn't read the CBO letter in depth, but I wonder if the...how to call it?...opportunity costs of illness are factored into this? If an illness is treated early and the person is cured and is able to get back to his normal life, he becomes a productive member of society, pays taxes, contributes to his community, etc.

This seems to be the CBO position: "In sum, expanded governmental support for preventive medical care would
probably improve people’s health but would not generally reduce total spending on health care. However, government funding for some specific types of preventive care might lower total spending."

This seems to be in keeping with Obama's general principles and the dreaded phrased "comparative effectiveness research" which I believe also appears in HR 3200. Opponents say this amounts to rationing, but in reality it means (to me) "find out what works with whom and for what and do that instead of doing everything for everyone regardless of what works." Sounds smart to me.

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Got to get them QALYs worked out, eh?

And see, the CBO's Research on the Comparative Effectiveness of Medical Treatments.

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What do you mean by QALYs?

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er, quality-adjusted life years?

just guessin'

=D

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Ellen's known for packing maximum inscrutability into the fewest number of words.

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I'm afraid Krauthead uses the same analogy product manufacturers use when figuring out how much liabilities from their products would cost relative fixing it so they won't incur any. Cost is what has the health system in this situation in the first place. Single payer similar to Medicare would eliminate insurance companies who are the propagators of what we have now and it isn't worth a sh!t. The President should tell Congress to pass a bill, using Reconciliation as the Republicans did effectively, and get a bill with ALL the bells and whistles they can stuff in it. The more in it, the more difficult it will be to strip it when it is successful and the Republicans regain the Congress. I hope not in my lifetime!

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