This is for all of you “unruly mobs” who are paid by the RNC and health insurance lobbyists and are only “astroturf” who don’t know what you are talking about at health care reform town halls.
Here is a summary of analysis done on H.R. 3200 – America’s Affordable Health Choices Act of 2009, which was done by me and other enterprising folks:
H.R. 3200: A Summarization of Analysis
Page 16: It will be illegal; rather, it will be against the law for a private insurer to accept any new policyholders after the health care reform bill becomes law.
Page 22: Mandates audits of all employers that self-insure!
Page 29: Admission: Your health care will be rationed!
Page 30: A government committee will decide what treatments and benefits you get (and unlike an insurer, there will be no appeals process).
Page 42: The “Health Choices Commissioner” will decide health benefits for you. You will have no choice. None.
Page 50: All non-US citizens, illegal or not, will be provided with free health care services.
Page 58: Every person will be issued a national ID health card.
Page 59: The federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer.
Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and ACORN).
Page 72: All private health care plans must conform to government rules to participate in a “health care exchange”.
Page 84: All private health care plans must participate in the (i.e., total government control of private plans).
Page 91: Government mandates linguistic infrastructure for services. Translation: Services for illegal aliens.
Page 95: The Government will pay ACORN and AmeriCorps to sign up individuals for a government-run health care plan.
Page 102: Those eligible for Medicaid will be automatically enrolled: You have no choice in the matter.
Page 124: No company can sue the government for price-fixing. No “judicial review” is permitted against the government monopoly. Put simply, private insurers will be crushed.
Page 127: The AMA sold doctors out: The government will set wages.
Page 143: States that there will be no federal payments for individuals not lawfully present in the United States, but provides no mechanism to prevent illegal aliens from receiving government-subsidized health care (See Page 50).
Page 145: An employer MUST auto-enroll employees into the government-run public plan. No alternatives.
Page 126: Employers MUST pay health care bills for part-time employees AND their families.
Page 149: Any employer with a payroll of $400K or more and who does not offer the public option, will pay an 8% tax on payroll.
Page 150: Any employer with a payroll of $250K-$400K or more and who does not offer the public option, will pay a 2% to 6% tax on payroll.
Page 167: Any individual who doesn’t have an acceptable health care plan (according to the government) will be taxed 2.5% of his or her income.
Page 170: Any NON-RESIDENT alien is exempt from individual taxes, which means tax-paying Americans will be paying for their health care.
Page 195: Officers and employees of the government health care bureaucracy will have access to ALL American financial and personal records.
Page 203: “The tax imposed under this section shall not be treated as tax.” Yes, it really says that!
Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor will be the ones most affected.
Page 241: To all doctors: No matter what specialty you have, you’ll all be paid the same (thanks AMA!).
Page 253: Government sets the value of a doctor’s time, their professional judgment, etc.
Page 265: Government mandates and controls productivity for private health care industries.
Page 268: Government regulates the rental and purchase of power-driven wheelchairs.
Page 272: Cancer patients: Welcome to the wonderful world of rationing!
Page 280: Hospitals will be penalized for what the government deems “preventable readmissions”.
Page 298: To doctors: If you treat a patient during an initial admission that results in a readmission, you will be penalized by the government.
Page 317: To doctors: You are now prohibited for owning and investing in health care companies!
Page 318: Prohibition on hospital expansion. Hospitals cannot expand their services and/or facilities without government approval.
Page 321: Hospital expansion hinges on “community” input. In other words, another payoff for ACORN and similar organizations.
Page 335: Government mandates establishment of outcome-based measures, i.e., rationing.
Page 341: Government has the authority to disqualify Medicare Advantage plans, HMOs, etc.
Page 354: Government will restrict enrollment of SPECIAL NEEDS individuals.
Page 379: More bureaucracy: TeleHealth Advisory Committee (health care by phone).
Page 425: More bureaucracy: Advance Care Planning Consult: Senior Citizens, assisted suicide, euthanasia and end-of-life counseling.
Page 425: Government will do the instructing and consulting of individuals who want to draw up living wills, durable powers of attorney, etc. This will be mandatory. This appears to lock in estate taxes ahead of time.
Page 425: Government provides an approved list of end-of-life resources, guiding you in how to prepare for and deal with your impending death due to the rationing of your health care.
Page 427: Government mandates program that orders end-of-life treatment. So government dictates how your life ends.
Page 429: Advance Care Planning Consult will be used to dictate a patient’s treatment as his or her health deteriorates. This can include an ORDER for end-of-life plans—An ORDER from the GOVERNMENT.
Page 430: Government will decide what level of treatments you may have at end-of-life.
Page 469: Community-based home medical services. More payoffs for ACORN and others.
Page 472: Payments to community-based organizations. More payoffs for ACORN and others.
Page 489: Government will cover marriage and family therapy. Government intervenes in your marriage.
Page 494: Government will cover mental health services, defining, creating and rationing those services.
Page 502, lines 5-18: Government builds the Center for Comparative Effectiveness Research to conduct, support and synthesize research to define our health care services.
Page 502, Sec. 1181: Allows for the establishment of the Center for Comparative Effectiveness Research Hello Big Brother —literally.
Page 503, lines 13-19: Government will build registries and data networks from YOUR electronic medical records.
Page 503, lines 21-25: Government may secure data directly from any department or agency of the U.S., including your data.
Page 504, lines 6-10: The Center for Comparative Effectiveness Research will collect data both published and unpublished. That means your public and private info.
Page 506, line 19-21: The Center for Comparative Effectiveness Research will recommend policies that would allow for public access of data.
Page 518, lines 21-25: The Health Choices Commission will have input from health care consumer reps. Who will be charged with providing input from those in the consumer community? Can you say unions, ACORN, et al?
Page 524, lines 18-22: Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.
Pages 525-620: Deals with the government basically taking over nursing homes, long-term care facilities (think assisted living) through regulations of the facilities, the owners of said facilities, the employees of said facilities and even the land owners of that said facilities reside on. Additionally, as you read these 90+ pages, you can come to the conclusion that any health-related services will be determined and rationed by the government for our senior citizens and others in nursing homes. This one post should do enough to raise awareness of the control the government is exerting over the older population of American citizens.
Page 620, lines 1-9: The government will define, prioritize and nationalize your health care services.
Page 621, lines 20-25: Government will define what “quality” means in health care. Since when does the government know about “quality”?
Page 622, lines 2-9: To pay for the “quality standards”, the government will transfer money from one government “trust fund” to other government “trust funds”. This is more political code wording for more taxes.
Page 624: “Quality measures” shall be designed to assess outcomes and functional status of patients.
Page 628, Sec. 1443: Government will give “multi-stake holders” (who are they, more faceless bureaucrats?) input before making rules that determine the selection of “quality” measures.
Page 630, lines 9-24 to page 631, lines 1-9: “Multi-stake holder” groups, including unions and groups like ACORN, decide health care quality (previous question answered).
Page 632, lines 14-25: The government may implement any “quality measure” of health care services as they see fit.
Page 633, lines 14-25 to page 634, lines 1-9: The Secretary of Health and Human Services may issue non-endorsed “quality measures” for physician and dialysis (blood filtering) services.
Pages 635 to 653: Outlines a physician payments “sunshine provision”. So government wants to physicians to provide records of their payments and purchases to the public, to make sure they are not dishonestly and fraudulently “bleeding” the system. Where is the government payments “sunshine provision” then?
Pages 654-659: Public reporting on health care-associated infections. What for? It will be covered by the public “option” anyway and you can’t sue government-appointed doctors for malpractice.
Pages 660-671: To doctors in residency: Government will tell you where your residency will be and in essence, where you will be living.
Pages 676-686: Government will regulate a hospital in EVERY aspect of its residency programs, including teaching or university hospitals.
Pages 686-700: Increased funding to fight waste, fraud and abuse. This must be where the government is its own watchdog, right? That’s going to work well.
Page 701-704, Sec. 1619: If your part of health care treatment isn’t in the government “health care exchange”, but you qualify for federal aid—sorry, no payment for you.
Pages 705-709, Sec. 1128: If the Secretary of Health and Human Services gets complaints from health care consumer reps (ACORN and others) on a health care provider or supplier, government will perform background checks on that health care provider or supplier.
Page 711, lines 8-14: The Secretary of Health and Human Services has broad powers to deny health care providers/suppliers admittance into the “health care exchange”.
Pages 719-720, Sec. 1637: ANY doctor, who orders durable medical equipment or home medical services, MUST be enrolled in Medicare.
Page 722, Sec. 1639: Government mandates that doctors must have a face-to-face meeting/conversation with a patient to certify that patient for home health services.
Page 724, lines 23-25 to page 725, lines 1-5: The same government certifications will apply to Medicaid and CHIP (government coverage for children).
Page 735, lines 16-25: For “law enforcement purposes”, the Secretary of Health and Human Services will give the U.S. Attorney General’s office access to ALL of a person’s health care data.
Page 724, lines 16-22: The government reserves right to arrange a face-to-face meeting/conversation with a patient, in order to certify that person for ANY other health care service.
Pages 740-757: The government sets guidelines for subsidizing the uninsured (more taxpayer dollars at work).
Pages 757-762: Government will shift the burden of payments to Disproportionate Share Hospitals (DSH) to States (more tax increases to cover payment).
Page 763, lines 1-8: No DS/EA hospitals will be paid unless they provide services without regard to national origin. So how are illegal aliens not given taxpayer-funded health care?
Page 765, Sec. 1711: Government will require preventative services, including vaccines. How is patient choice involved here?
Page 768, Sec. 1713: Government nursing home visit services. They will care enough to see how you’re doing and if you “need” anything. Government-determined euthanasia, anybody?
Page 769, lines 11-14: Nursing home visit services will include economic self-sufficiency assistance (for those who are too stupid to manage their own finances), employment advancement (for those who are too stupid and inept to find their own jobs) and school readiness (for those who are too stupid and inept to know how to register for school and prepare for classes—at this stage, what’s the point?). Of course, this is contingent on whether the government considers you viable enough or not. If you’re too old, perhaps end-of-life counseling is in order.
Page 769, lines 3-5: Nursing home visit services—”increasing birth intervals between pregnancies. “For those who are too stupid to control themselves and know when to have another child or not. Can you say “Planned Parenthood”? Can you say “government-mandated abortions”?
Page 770, Sec. 1714: The federal government mandates eligibility for state family planning services. Can you say “government-mandated abortions” and “violation of a state’s sovereignty”?
Pages 772: Presumptive eligibility for family planning services. More taxpayer-provided “family planning services” (abortions included) and state rights violations.
Pages 776-777: Family planning services and supplies. Yet more taxpayer-provided “family planning” services (abortions) and supplies (contraceptives/prophylactics). Further state rights violations.
Pages 789-797: Government will set and mandate drug prices, controlling which drugs will brought to market. Goodbye incentive and innovation in the pharmaceutical market.
Pages 797-800, Sec. 1744: PAYMENTS for pre and post-graduate medical education. The government will now control a doctor’s education.
Page 801, Sec. 1751: The government will decide which health care conditions will be paid. Hello health care RATIONING!
Page 810, Sec. 1759: Billing agents, clearinghouses, etc. will be required to register. This means that the government takes over the private payment system.
Pages 820-824, Sec. 1801: Government will identify individuals ineligible for subsidies. This will require access to all of a person’s financial information. Part of health care rationing as well.
Pages 824-829, Sec. 1802: Government establishes the Comparative Effectiveness Research Trust Fund. Another tax black hole.
Pages 829-833: Government will impose a fee on ALL private health insurance plans, including those who are self-insured, to pay for the Comparative Effectiveness Research Trust Fund! In reality, a tax on tax.
Page 835, lines 11-13: Fees imposed by the government for the Comparative Effectiveness Research Trust Fund, shall be treated as if they were taxes. As I deduced earlier, a tax on tax.
Pages 837-851: Also known as the “Education Begins at Home Act “, which was voted down in 2008, but has made another appearance in H.R. 3200. Government will design and implement a home visitation program for families with young kids and families expecting kids. This home visitation program includes the government coming into your house and telling you how to parent. In other words, government takes over your role as a parent and would take over that responsibility. Indoctrination of children—what a convenient way to mold children in the government’s image, teaching them to be good little Marxists.
Page 859: Government will establish a Public Health Fund at a cost of $88,800,000,000. Yes, that’s 88.8 billion dollars. A proposed $600+ billion dollars being set aside for health care reform is not enough, I guess. More taxpayer money.
Page 865-876: The NHS Corps is a program where doctors perform mandatory health care for two years, as part of their government-provided loan repayment. Mandatory conscription into another government program. Thanks again, AMA!
Page 876-892: The Government takes over the education of our medical students and doctors.
Page 898: The government will establish a Public Health Workforce Corps, to ensure the supply of public health professionals. More government bureaucracy. Possible mandatory conscription. Wow AMA, how much more appreciation can be heaped upon one medical organization?
Page 898: The Public Health Workforce Corps shall consist of civilian employees of the U.S., as the Secretary of Health and Human Services deems.
Page 898: The Public Health Workforce Corps shall consist of officers of the Regular and Reserve Corps of Service. Sound sort of like the military. Yet another bureaucracy within a bureaucracy.
Page 900: The Public Health Workforce Corps will include veterinarians. This is probably in case there are not enough medical doctors to go around, which is sure to happen under ObamaCare. I smell PETA and other animal rights groups in this provision.
Page 901: The Public Health Workforce Corps WILL include commissioned regular and reserve officers. So in other words, a health care draft.
Page 910: The government will develop, build and run Public Health Training Centers. Oh goody, brainwashing for care professionals. Big Brother will be so proud.
Pages913-914: Government starts a health care affirmative action program under the guise of diversity scholarships. That will work out about as well as the original. To those of you responsible for qualification/certification exams and to those who take them: Think Sonia Sotomayor.
Page 915, Sec. 2251: Government mandates cultural and linguistic competency training for health care professionals. Not only will health care professionals be required to be politically correct, they will be required to speak the official language of the United States: Chinhinengaraswahilanish. Say that three times really fast.
Page 932: The government will establish a Preventative and Wellness Trust Fund. Initial cost: $30.8 billion. More taxpayer burden: Priceless.
Page 935, lines 21-22: Government will identify specific goals and objectives for prevention and wellness activities. In other words, kiss your personal liberties and freedoms good-bye!
Page 936: Government will develop “Healthy people and national public health performance standards” (see Page 935).
Page 942, lines 22-25: More government bureaucracy—Offices of Surgeon General: Public Health Services, Minority Health and Women’s Health.
Pages 950-980: BIG government core public health infrastructure, which will include workforce capacity, lab systems, health information systems, etc.
Page 993: Government will establish school-based health clinics. Your kids won’t have a chance.
Page 994: School-based health clinics will be integrated into the school environment. More government brainwashing of children!
Page 1001: The government will establish a National Medical Device Registry. This opens the door for the tracking of a person through his or her durable medical equipment.
Page 1003, lines 9-11: National Medical Dev Reg “(iii) other postmarket device surveillance activities”. This confirms that you WILL be tracked.
Page 1017: States failing to adhere to certain employment obligations will receive limited federal funds. In other words, if states don’t comply with certain regulations and statutes contained in H.R. 3200, they can say good-bye to a good share of federal funds they receive. This means states will be forced to give up some of their state sovereignty.
Hopefully, this will give you some food for thought, if you so decide to attend a health care reform town hall meeting. Your opponents will not be so well informed, I assure you. If they have any prepared answers, they will not be prepared enough to respond to your questions, based upon this information. Of course, your opponents will accuse you of spreading lies about the health care reform bill and there will be stereotypical labels directed toward you.
If you are confronted by members of the SEIU, ACORN or other activist/”community organizing” groups directed by the Obama administration, the DNC and certain members of Congress, make sure your voice recorders, cameras and video recorders on the ready. Remember, DO NOT initiate physical or verbal assaults against thugs who want to goad you into throwing the first insult or punch. Document, document, document. We want to expose them for who they really are: Disrespectful, intolerant Marxist bullies doing the bidding of other Marxists.
Speaking of Marxist: As a “community” service, here is the White House’s official E-mail, if you want this blog on the government “blacklist” for exercising our “fishy” First Amendment rights: firstname.lastname@example.org. When you do your snitching, please make sure you get the name of the blog and the URL correct in your E-mail.
A special thanks goes out to Common Sense from a Common Man, for a great deal of the information, which I proofread and added my “two cents” to.