<p>
When the federal government passes a law but has no cops to enforce it, the crooks hold a "get out of jail free" card. That's the unfortunate effect of a sweeping and successful effort by drug and insurance companies to have federal law "preempt" state enforcement. A spate of stories today (<a href="http://www.latimes.com/features/health/la-na-medicare9-2008may09,0,7801221.story">LA Times</a>, <a href="http://online.wsj.com/article/SB121030105184679929.html?mod=2_1566_topbox">Wall Street Journal,</a> <a href="http://www.nytimes.com/2008/05/09/washington/09medicare.html?_r=1&ref=health&oref=slogin">New York Times</a>) on new federal rules against insurance company abuses of Medicare recipients drives home the point.
</p>