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Why Obamacare Failed

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You cannot fix the 1940s work around the statist wage controls during World War II that took health care and its big cost driver -- insurance -- into an unholy state and big corporation partnership with more statist market controls. The insurance companies wrote Obamacare to maximize profits, which has always been tied to artificial inflation of prices. The Medical Supply GPOs had market assignment built into Obamacare, guaranteeing they could continue their 50 percent or more markup defrauding Medicare and Medicaid forevermore. Statism (i.e. socialism) cannot efficiently allocate resources. It has no defense against greed and organized crime. Only free markets can.

A majority of U.S. Supreme Court Justices recognize that America is a free market nation and [that] state control of markets, including the ability to force citizens to buy services from private vendors against their will, is unconstitutional.

This was written Wednesday evening. I don't know how the court voted. Here is an earlier article from when we championed the Missouri initiative:

Narrowcasting For Real Healthcare Reform

How reaching out directly to broader groups of policymakers gave one determined man game-changing moves.

The Eighth Circuit U.S. Court of Appeals is not a legislative district; but that did not stop healthcare market-based reform activist Sam Lipari of MedicalSupplyChain.com from taking his fight directly to every individual state legislator in Arkansas, Iowa, Minnesota, Missouri, Nebraska, North Dakota and South Dakota--the states that make up the Eighth Circuit Appellate jurisdiction.

Lipari took his fight to individual state lawmakers after repeatedly getting outcomes in hospital supply antitrust and commercial litigation in federal courts that he observes did not comply with the controlling law of the Eighth Circuit and the U.S. Supreme Court.

Lipari calls his strategy " Narrowcasting ," differentiating it from traditional mass media coverage of [the] news used by lawmakers to understand and address important state issues.

Essentially, narrowcasting is media 2.0 and dramatically enhances the value chain for content, like Lipari's automation of hospital purchasing did [for] the medical supply chain.

In the professions, media consumers--including state lawmakers--are very busy people, and attention is a scarce commodity. MedicalSupplyChain.com helped nurses and doctors replenish supplies with artificial intelligence algorithms locating the most competitive suppliers in an electronic marketplace featuring reverse auctions, allowing healthcare professionals to spend their valuable time on treating patients.

Lipari utilized narrowcasting to get data (usually evidentiary documents) to policymakers to inform decisions specifically tailored to the budget crisis each state was facing.

Lipari claims that lawmakers in state legislatures have come to realize that mainstream news media can no longer be relied upon for useful or valid information about the causes of state revenue deficits, lost jobs and especially about what Lipari maintains are the conditions that caused healthcare costs to be artificially inflated through a monopoly.

MedicalSupplyChain.com is fighting to enter a market monopolized by the healthcare group purchasing giants Novation LLC and Premier Partners. Lipari believes the Novation LLC cartel's business practices include unlawful kickbacks from manufacturers like General Electric and Johnson & Johnson and suppliers like Cerner and long-term or 10-year distribution contracts assigning market share for everything from Band-Aids and imaging equipment to malfunctioning patient case management software .

According to Lipari, Congress and President Obama approached the resulting healthcare cost crisis from a "Governmentalist" perspective that inappropriately subsidized private insurers and positioned Medicare, Medicaid and private employer health plans to raise rates and decrease coverage. Lipari claims that this is, in reality, the imposition of rationing.

At odds to Lipari and other market reformers seeking to restore competition to reduce healthcare costs and increase access, Governmentalists see rationing and increasing premiums as the only way to deal with an aging populations demanding more healthcare services and supplies.

State lawmakers are waking up to Lipari's Jobs Message . Since 2005, Lipari has been warning that states will be losing their above-living wage jobs in auto manufacturing and other industries. The increased costs from the lack of competition in the $2 trillion market for hospital supplies, even competition that state and federal antitrust laws require, has overpriced healthcare costs to employers, and therefore, shot the costs of American made products out of the ballpark. Ultimately, healthcare costs prevented General Motors from even competing in its own home market.

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Mr. Lipari is best known for his design, development and implementation of integrated supply chain management systems. Over the past 25 years, Lipari has changed the landscape on the delivery of institutional medical supplies and is now focusing on (more...)
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