Progressive-Democrats’ Letter and a Medical Panel

Seventeen Progressive-Democrat Senators wrote a letter to HHS Secretary Robert F Kennedy Jr decrying the medical experts he’d appointed to a creation of the Progressive-Democratic Party, the US Preventive Services Task Force, from back when the Senate joined with the House to unilaterally pass Obamacare.

We are greatly concerned about the potentially outsized impact these members could have in pushing for services within their specialty[.]

Never mind that Kennedy’s appointees are actual medical experts in the variety of fields which the panel was designed to oversee. These specialist doctors replaced a collection of generalists wholly unqualified to oversee the plethora of specialties that need treatment recommendation oversight. After all,

Primary care doctors are less familiar with new research on diseases and screenings than specialists, which is one reason the panel is often behind the medical curve.

One example of the panel’s heretofore failures is this bit regarding PSA testing for prostate cancer in men:

[T]he panel retained its recommendation against PSA tests for men 70 and older. Why? Who knows, but some on the left argue that screening older men could result in unnecessary treatment since they may die of something else before cancer kills them.

That’s just cynical and has no basis in the practice of medicine. The specialists will be much more efficient, much more accurate, and so much more cost effective with their recommendations.

Kennedy hasn’t responded yet, at least publicly, but were I in his shoes, my response would be public, and it would be short and sweet. My responding letter would have this appearing at the top right of the body:

Reference A: [Make up of the US Preventive Services Task Force]
Reference B: [The Progressive-Democrats’ letter]

The body of my response would have consisted of this in its entirety:

Reference B noted. Reference A applies.

Nothing else need be done or said or written.

Government Rules

James Freeman asked, in his Wednesday WSJ op-ed, how many of these are necessary.

How much government could we all do without? President Donald Trump says that red tape, when cut, becomes beautiful. Truer words were never spoken, and last week this column noted his encouraging progress in repealing misguided rules enacted by his predecessors. Now a few recent examples [not repeated here] suggest that half or more of government regulation is completely unnecessary.

I submit that we already have a nearly complete set of government rules in our Bill of Rights, backed up by the Bill’s overarching document, our Constitution.

I would add two rules to flesh the list out to completeness. One would enforce the sanctity of contracts. When two or more parties agree on a thing, that contract should be entirely enforceable as it stands, with severe sanctions applied to those who violate it. There really are only two legitimate ways to deviate from a freely done agreement. One way is if all of the parties involved agree to alter the contract or to dissolve it altogether. The other way is through the bankruptcy of one or more of the parties, making it impossible for them to uphold their parts of the bargain. Current bankruptcy law deals quite nicely with this sort of eventuality.

The other government rule centers on truth in advertising. Advertisements are contracts between the advertiser and the buyer, and so within the sanctity of that contract, not being truthful should be a felony if the distortion can be shown to have been deliberate, or a civil offense if the distortion can be shown to result from either party’s negligence.

Such a cleanup of our rules and regulations regime would result in how many pages of the Federal Register becoming obsolete and without effect. It also would virtually eliminate compliance costs and very greatly simplify our lives and our economy.

Even better it would render the vast majority of the Civil Service unnecessary, with those personnel returned to the private sector, all to the profit of a greatly downsized and so more efficient government, of the civil and now private employees, and to our economy writ large, through no longer having to compete so much for the same resources that the government had heretofore competed for.

Yes, I’m ignoring environmental and climate regulation in this. Those milieus are well enough covered by our Bill of Rights and the proposed contract sanctity rule.