Democrats are saying that his debate is in the third inning. I disagree. We are in the bottom of the 9^th and behind in the count.

Why haven’t republicans gotten the AMA and Nurses to oppose Obama care? Obama got those endorsements and they are like getting an endorsement from the hen house approving of the fox to watch them. You’d assume that the fox must be a vegetarian. Given those endorsements, I’m betting that a lot of people are now thinking that maybe this plan is not as bad as we think.

People are not going to understand the facts, which are: Medical costs are out of control. Medicare has been and is being run by the same government that will run Obamacare. The costs under Medicare do not reflect prices created by the voluntary exchange between patients and providers, between customers and producers, like every well-functioning industry.

Health costs reflect the distortions that government regulators have introduced through reimbursement mechanisms created by command-and-control bureaucracies at federal and state levels.

Quality of care is lower in government owned institutions. And too few consider that perhaps government participation is to blame.

Obama suggests that Medicare and Medicaid are responsible for the cost spiral because they pay for quantity rather than quality, because they do not differentiate between services that make people healthier and those that do not, because they pay for services that are not needed,  but doesn’t this prove what’s wrong with government controlled medical payment and control? Blaming providers is like blaming a plane crash on gravity.    

Obama believes that health information technology (HIT) a paperless system of record keeping will save money. 1. There is no working system now. 2. There is a failed HIT experiment, a $467 million computer system at the Veterans Administration Bay Pines hospital in Florida. 3. It will cost billions more until the best systems are created.

Politically the following solution is not possible, except if accomplished by private insurers. Move away from community rating (the practice of offering the same price to large groups of individuals regardless of each individual's age, sex, health status, and risk level) so that healthy people pay lower premiums and sick people pay higher premiums, exactly the current model for life insurance. In other words, we should allow and encourage "cherry-picking," not ban it.

Finally the central authority will decide which health services are provided and which are denied, who should receive them and who should not, and when they should be given, all in addition to its current function of attempting to determine prices.