The Mayo Clinic Speaks

Senator Reid, when The Mayo Clinic, possibly the most respected medical establishment in the nation, dislikes your bill, you are in trouble.

President Obama and The Mayo Clinic have worked together on health care reform this year. Mayo has critiqued the health care reform efforts before, but also praised efforts on payment reform. However, consider the following regarding the current Senate bill: “Expanding this system [Medicare] to persons 55 to 64 years old would ultimately hurt patients by accelerating the financial ruin of hospitals and doctors across the country. A majority of Medicare providers currently suffer great financial loss under the program. Mayo Clinic alone lost $840 million last year under Medicare. As a result of these types of losses, a growing number of providers have begun to limit the number of Medicare patients in their practices.? Despite these provider losses, Medicare has not curbed overall spending, especially after adjusting for benefits covered and the cost shift from Medicare to private insurance.? This is clearly an unsustainable model, and one that would be disastrous for our nation?s hospitals, doctors and eventually our patients if expanded to even more beneficiaries.”

Mayo spends a fraction what the most expensive Medicare-accepting hospitals do on patients and uses fewer resources by far. When they can’t break even on Medicare, who can? Yet Democrats want to expand Medicare? Former Vermont Governor Howard Dean was on MSNBC the other night- I was in the gym and decided to watch Keith Olbermann for a few minutes- and he fully supported the expanded Medicare concept. That alone is almost enough for me to oppose it, though when a single-payer advocate in Congress supports it as well and Stuart Butler of The Heritage Foundation is against it the opposition becomes complete.

Mayo has its critics- but many of those critics merely claim Mayo can keep costs down because it has patients that are less racially diverse, wealthier, etc. Those critics add to the case Mayo makes above, because if Mayo does have the advantages critics claim and still can’t break even on Medicare reimbursement, how can the vast majority of the rest of the nation’s hospitals even come close?

Liberals make the argument that Medicare brought millions of elderly people out of poverty- this may or may not be true, but the simple fact is that many or perhaps even most Congressional Democrats don’t have a clue about financial sustainability- granted, nor do most Congressional Republicans- and by expanding Medicare they hasten the bankruptcy of America.