Cleaning Up Government

The huge expansion of the State Children's Health Insurance Program (SCHIP) is being fervently touted as being for the children. Anyone opposed is being smeared as being against the children and thoroughly evil. Only the whole bill appears to be more about pork and trying to buy votes for democrat incumbents than anything else. Despite all those promises to clean up Congress and be ethical and honest.

Despite promises by Congress to end the secrecy of earmarks and other pet projects, the House of Representatives has quietly funneled hundreds of millions of dollars to specific hospitals and health care providers under a bill passed this month to help low-income children.

Instead of naming the hospitals, the bill describes them in cryptic terms, so that identifying a beneficiary is like solving a riddle. Most of the provisions were added to the bill at the request of Democratic lawmakers.

One hospital, Bay Area Medical Center, sits on Green Bay, straddling the border between Wisconsin and the Upper Peninsula of Michigan, more than 200 miles north of Chicago. The bill would increase Medicare payments to the hospital by instructing federal officials to assume that it was in Chicago, where Medicare rates are set to cover substantially higher wages for hospital workers.

Lawmakers did not identify the hospital by name. For the purpose of Medicare, the bill said, “any hospital that is co-located in Marinette, Wis., and Menominee, Mich., is deemed to be located in Chicago.” Bay Area Medical Center is the only hospital fitting that description.

The primary purpose of the bill is to expand the Children’s Health Insurance Program while enhancing benefits for older people in traditional Medicare. But a review of the bill by The New York Times found that it would also direct millions of dollars a year to about 40 favored hospitals, by increasing their Medicare payments.

While the Democrats hailed the SCHIP legislation as protecting America's children, its real intent appears to be protecting Democratic backsides. It rewards hospitals in suburban Democratic districts such as Maurice Hinchey's in New York and Bart Stupak's in Michigan by forcing Medicare to pay above-market rates to hospitals in those areas. The Democrats hid these earmarks by casting them in gobbledygook geographical descriptions that sound broad but actually describe specific hospitals.

Democrats want to exploit Medicare to pay above-market rates in these hospitals to curry favor with unions and with local voters. For instance, a rural Alabama hospital that has not even yet been built will get higher payments from Medicare because it will be listed as a "critical access" facility. It normally wouldn't qualify for that status because of the proximity of another hospital, but Rep. Artur Davis (D-AL) got language waiving the standard for any hospital built in Butler. Coincidentally, that's just where Rush Health Systems had planned to build the new hospital.

The secret is out – and anyone trying to smear opponents for being evil and against those poor kids is nothing but a tool of the special interests pimping this bill. The bill really has little if anything to do with kids any longer. It has to do with the outright purchase of votes by Congress. The Democrats promised to clean up government when they took office. They appear to be doing their best to try to clean up. From government.