We, Those People, Need to be Informed

Heritage Foundation assessment of HR 3200

Liberty Counsel assessment of HR 3200

Family Research Council Fellow Ken Blackwell Commentary

Cato Institute Analysis of Massachusetts’ Universal Health Care

Mary Jo (my rep), asleep at the switch

Stammering cliches, garbled platitudes, lies about wellness savings. Is this what the rest of you are getting from your representatives?

The Wisdom of Sarah Palin

"Ezekiel Emanuel is upset. The president's health care czar sees the growing resistance to his vision, to his brave new world of government-run "communitarian" health care in which politicians and bureaucrats control one-sixth of the economy and 100% of our bodies. He doesn't quite understand how it all came apart on him, but he does know who started the unraveling: Sarah Palin. . .

Sarah Palin had done the unthinkable. She had read the health care bill. Mainstream journalists hadn't read the bill. Congress hadn't read its own bill. But Sarah Palin did. Sarah Palin! He has a medical degree and doctorate in political philosophy from Harvard. The only Harvard she's knows is the chunk of ice off Prince William Sound, Harvard Glacier.

Then she writes something on Facebook -- Facebook, for Obama's sake! -- and suddenly the president, congress, the media, and everyone who is anyone inside the beltway is scurrying for cover. Palin wrote that she wanted nothing to do with Obama's "death panel," the collection of bureaucrats who Zeke was so proudly putting together to assess the "level of productivity" that would determine individual access to medical care. . .

No, Zeke believes that those who know better, who understand morality, should make decisions for those less able to do so. Like Sarah Palin. Like Trig. Like your grandma. And this is because he cares. Just ask him." Read the whole article; this woman makes me proud!

HT Pat in North Carolina, another senior blogger paying attention

HR 3200 and Marriage and Family

It seems page 838 of HR 3200 is a popular Google search--where young children and families expecting children are discussed. The alarm is spreading through conservative sites. Yes, it stinks to the high heaven of government heavy nosed snooping. However, this isn’t new to the Obama people. Follow the money back through the previous 3 administrations. It started to smell 2 decades ago, maybe before.

The federal government has been aware since the Clinton administration research publicized it that unmarried families are far more likely to be dysfunctional and living in poverty, so that does make marriage a legitimate concern. A woman who has not finished her schooling, who has her children before age 21, and doesn’t marry the father of her children, has a very good chance of becoming the responsibility of the taxpayer (and yes, that includes the Palin family), and Uncle Sam is not a generous, kind step-father. Yes, there are exceptions--usually when the grandparents take over as in our current president's case. The Bush administration carelessly threw money into the marriage consulting and advice business with very little oversite--whether it went to ACORN or Lutherans or Agnostics, made little difference, millions of tax dollars went to workshops, research and publications that probably amounted to little except paying the salaries of quasi-government workers in academe, churches, non-profits and state children‘s agencies.

That said, co-habitation before marriage (a k a "living together," "shacking-up") is not just a one way street to poverty, it is dangerous for women and children, and doesn’t result in strong marriages, according to the Rutgers’ National Marriage Project (I haven't checked their funding, but I'm guessing it came from us taxpayers, so you might as well take a look.)

"It is important to note that the great majority of children in unmarried-couple households were born not in the present union but in a previous union of one of the adult partners, usually the mother. This means that they are living with an unmarried “stepfather” or mother’s boyfriend, with whom the economic and social relationships are often tenuous. For example, unlike children in stepfamilies, these children have few legal claims to child support or other sources of family income should the couple separate.

Child abuse has become a major national problem and has increased dramatically in recent years, by more than 10% a year according to one estimate. In the opinion of most researchers, this increase is related strongly to changing family forms. Surprisingly, the available American data do not enable us to distinguish the abuse that takes place in married-couple households from that in cohabiting couple households. We do have abuse-prevalence studies that look at stepparent families (both married and unmarried) and mother’s boyfriends (both cohabiting and dating). Both show far higher levels of child abuse than is found in intact families.

In general, the evidence suggests that the most unsafe of all family environments for children is that in which the mother is living with someone other than the child’s biological father. This is the environment for the majority of children in cohabiting couple households."

The best thing President Obama can do for women, children and the institution of marriage is remain true to his wife, children and marriage vows and set a good example, particular for black men, whose communities are filled with female headed households and absent men. The Obamas are a beautiful family with a lot of pressure. It’s not easy to live in a fish bowl, and although Michelle comes from a middle-class, intact family, he doesn’t, which increases the risk greatly.

Bob Latta (R-OH) read HR 3200

Another one who has read the HR 3200

Michael Connelly, a constitutional lawyer writes the Truth about the Health Care Bills.

After reading the bill, “I have concluded that this legislation really has no intention of providing affordable health care choices. Instead it is a convenient cover for the most massive transfer of power to the Executive Branch of government that has ever occurred, or even been contemplated. If this law or a similar one is adopted, major portions of the Constitution of the United States will effectively have been destroyed.

The first thing to go will be the masterfully crafted balance of power between the Executive, Legislative, and Judicial branches of the U.S. Government. . . “

Read his resume at his website. Contact him, not me if you disgree with his arguments which include the bill rations health care, particularly for senior citizens and other classes of citizens, provides for free health care for illegal immigrants, free abortion services, and probably forced participation in abortions by members of the medical profession and eventually would force private insurance companies out of business and put everyone into a government run system.

Does HR 3200 cover abortion?

Does it matter? Do you think we'd have millions more of dead fetuses if the tax payer covered it, or fewer if we didn't? Even though the life expectancy of women is reduced by abortion, even though every modern society that has gone this route now has a birth rate below replacement recovery (aided by oppressive taxes) foretelling the death of that culture or ethnic group or race, it is the law of the land, and legal. I think bringing up this issue is a red flag for the pro-lifers, to get their support to defeat his socialization of the health care system. Although the point at which people approve of aborting a live baby is a moving target (first trimester, second trimester, "viability" whatever that is, or anytime, and I've even seen one of the Obama supporter/advisers who says up to two years old after birth--forgotten which one). The "death panel" issue gets the attention; those people have made it through the birth canal, finished school and careers and can vote. Life for the weak, disabled, ill or expensive means little in the range of moral values of the liberal, even though it is their demands that a child who cannot think, speak or lift his head be brought to public school with a tax paid attendant. Why did so many voters not see this coming? Lack of reverence for life is no respecter of size or age or IQ. Obama's take over of this huge segment of the economy should not be defeated because of its various pieces/parts, but because it's a disaster and completely unnecessary. That's why he wanted it rushed through before anyone could read it or discuss it. From the increase of government bureaucracy, to the national computerization of our health records costing billions and promoting snooping, to the rationing of care, to the destruction of private insurance, to the punishment of doctors, there's just nothing worth saving. In the building industry we have mold, radon, gassing out, corrupt builders, crazy home-buyers, mortgage fraud, etc., but what President has told us our homes are so expensive and dangerous that he needs to control every aspect from the White House? Oh wait. . . Maybe that's not the best example.

Barack Obama has always supported all the euphemisms for abortion--"reproductive health," "reproductive freedom," "medical services for women," and all the goals of Planned Parenthood, whose support he sought during the campaign. If anything, it's the one issue about which he's been absolutely clear and honest--the unborn American has no inherent right to live. If abortion is not in HR 3200, just wait for 2.0. or the upgrade.

Health care worker on HR 3200

This is a viral e-mail, if that makes you toss it, so be it. I won't even try to track it down, because the numbers make some sense, and I'm a bit math challenged.

From a health care worker

Rationing HealthcareShare

Today at 1:23 pm I was able to be a part of a large roundtable on healthcare reform last week. I refuse to be one of those people who criticizes but never gets involved. It's like the people who complain about politics but never vote. The hypocrisy, to me, is over-whelming.

After reviewing (endlessly) HR-3200 and reading countless people's interpretations of it, I am back where I started: This is a common sense issue. We can't make a trillion and a half dollars appear by wishing it into existence. We can't create Medical Clinics that can survive without income. We can't make doctors work 24 hours a day. None of the 'math' in any of this proposal makes sense.

There are some facts in health care that people 'outside' of health care don't understand. One of these issues is a 'payor mix.' Using arbitrary numbers to make it understandable, it goes something like this:

It costs 25 cents on every billable dollar to actually see a patient (a bill for a hundred dollars actually consumes 25 dollars in resources). Private Insurance reimburses 40 cents on every dollar (leaving 15 cents for 'profit.' [40 cents - 25 cents actual cost]) Public insurance reimburses 10 cents (creating a deficit of 15 cents per patient). The healthcare facility takes the 15 cent loss away from the 15 cent profit made on the privately insured patient, so that the facility doesn't lose money. So, if a Physician is able to see 20 patients a day, they have to be careful that no more than 10 of them are publicly insured. That number is realistically lowered to 5 because there must be some money for future expansion, charity care, research, and (God-forbid) some profit for the people who make it work. Because of this FACT in healthcare, every provider must watch their 'payor mix.' If there are more publicly insured patients than privately insured patients, then money runs out really quickly. So what does this mean under the 'new' healthcare plan? There is only one logical conclusion: rationing of healthcare. Not mandated by law, but mandated by necessity. Since the number of 'public' slots is rationed to 25% already...what happens when the number of people needing those slots triples? Well, to be frank, nothing. The facility can only see 5 patients (25% of 20), or they don't remain financially soluable. So what will happen is, wait times will triple. Right now, in my practice, the wait time to see a Physician (even if you are privately insured) is about 6-8 weeks. Publicly insured can be two to three times that, depending on specialty. Using 2 months as a really conservative estimate, means that the wait time goes from 2 months to 6 months.

And so, current (and future) problem number 2: Since the patient can't get into the clinic to see their doctor, they go to the emergency room for a non-emergent issue. Emergency Rooms are substantially more expensive to operate. Here, the cost may be 50 cents on the billable dollar instead of 25. And, it is a fact that most of the people who go to the emergency room at the hospital that I work for are publicly insured patients (not UN-insured, as the government would like us to believe). They go there because their healthcare is already rationed. Privately insured patients have a tendency to avoid the ER for non-emergent issues because they, most often, have a co-pay percent. They won't pay 20% of the ridiculously high priced ER if they can wait and pay it on a lower-priced clinic visit. The publicly insured do not care because it costs them NOTHING either way. And so, more and more go to the ER. Since the public insurance reimbursement does not cover the costs of being seen, that deficit is passed on, again, to the privately insured, causing the facility to 'raise' their payor mix to offset the costs.

This is a factual cycle that already exists in healthcare, and will only get worse as public insurance expands.

And it will expand far beyond the currently uninsured. Smaller businesses who currently offer health insurance (averaging between 12 and 15 percent of their payroll expenses) would possibly see the 8% fine (for dropping their employee's coverage) as the only way to stay afloat. There WILL be a mass exodus from private insurance companies. People who like their coverage WILL lose it. Healthcare will become even more rationed. But look at the bright side. It will only cost us 1.5 trillion dollars, according to the Federal Government's projections. . .by the way, the federal government's projected cost for the 25-year Medicare start up was 10.6 billion....it actually cost 107 billion.

To try to put the amount of money that we are talking about into perspective, let me put this forward:

Counting seconds backward:
1 million seconds ago was about 11 days ago
1 billion seconds ago was in 1979
1.5 trillion seconds ago was approximately 46,000 BC.

We can't afford any part of this math, even if the $1.5 trillion estimate weren't 1000% off.

Call your congressman. Really.

Now, I don't have a name to track down for that e-mail, although the reimbursement plan and ER problems sound just like what I've heard about from people who work in medical care. However, this "pediatrician" was apparently a plant, and not a doctor, just a woman pretending to be, at a Texas Townhall. Whether the Obama folks planted her we don't know, but I've never heard a doctor (expect Toes' brother) who supported this.

See her story at Patterico's Pontifications. The Houston Chronicle ran with her story, and didn't check it out. Is anyone who she says she is any more?

Key features of HR 3200

from Association of American Physicians and Surgeons, Inc.

New bureaucracies: These include State Health Help Agencies (HHAs), with a federal fallback plan should states refuse to create them; an advisory committee to report annually on modifications of benefits, etc.; some mechanism to “adjust” the Medicare Part B premium based on whether or not each individual “participates in certain healthy behaviors”; other agencies to calculate payments, monitor individual behavior, set standards as for chronic disease management, check compliance with standards, monitor loss ratios and outcomes of chronic-care management, etc.

Individual mandate. All adults must buy a government-approved Healthy Americans Private Insurance Plan (HAPI) and constantly report on compliance, at every interaction with federal, state, and local government, including at voter registration, motor vehicle departments, or other checkpoints, as well as when filing tax forms. This applies to all legal residents, including non-citizens, although not to illegal aliens.

Penalties. The penalty includes the average monthly premium, plus 15%, for all “uncovered” months. Penalties are not subject to discharge by bankruptcy. This means that the HHA, which receives the penalties, takes precedence over other creditors.

Insurance mandates. Guaranteed issue, community rating, coverage of “wellness” without copayments, annual physicals, a required “health home” (gatekeeper), mental health parity, and reconstructive surgery post mastectomy are all mandatory. Each HAPI plan “shall” make available supplemental coverage for abortion, unless affiliated with a religious institution.

Progressive taxation equivalent. Premium subsidies are phased out incrementally up to 400% of poverty. This means that working harder and earning more is punished by higher mandated health insurance “premiums” (which are the functional equivalent of taxes). People will constantly be reporting on their income status.

School-based clinics. Care must be provided at no cost, or on a reimbursable basis, by school-based clinics, which must provide, “at a minimum,” mental health services, and use electronic medical records by 2012.

Job killer. Every employer “shall pay an employer shared responsibility payment,” which increases for each additional employee in excess of 50. Employers must deduct the individual shared responsibility payment from wages “as and when paid.” This amount is not allowed as a deduction from the employer’s taxable income.

Savings. To offset the costs, Medicare and 90% of Medicaid disproportionate share (DSH) payments are to be “recaptured.” Tax exclusions for health benefits will be limited (sections 661-666). According to section 801, “private insurance companies will be forced to hold down costs and will slow the rate of growth because they are required to offer standardized Healthy Americans Private Insurance plans.” It is also easy to see that prevention, management, reporting, determining best practices, behavior modification, etc., will lead to massive savings even before sickness (or treatment thereof) is completely eliminated.

“Americans want affordable, guaranteed private health coverage that makes them healthier and can never be taken away,” the Act states as a congressional finding.

California Medical Association denounces Obama’s inflammatory rhetoric

A very small percentage of doctors belong to the AMA, but most doctors do maintain memberships in statewide organizations or board certification groups. President Obama, in attempting to get sympathy and support for his massive take over of health care, has gone from insuring the uninsured (including a huge number of illegals and middle class who chose not to buy insurance), to saving money (old people cost too much), to insulting the insurance companies which currently insure adequately the majority of Americans, to demonizing doctors.

Truly, this man is gathering an enemies list but not from your neighbors' e-mails. He’s creating enemies out of former supporters. This loss of support has nothing to do with racism, as his true believer sycophant followers claim, but his own “acting stupidly” and speaking out about what he believes on the role of government expansion. He’ll soon be as popular with liberals as the gaffe-prone Biden. He has become his own worst enemy at these town hall meetings saying things off teleprompter we didn‘t hear during the election months and months of “hope and change.”

“CMA is deeply concerned about two examples of medical treatment recently used by President Obama to make his case for health reform.

“In the first example, he stated that surgeons make $30,000 to $50,000 to amputate a foot of a diabetic. This assertion is false. Medicare pays surgeons $589 to $767 for a foot amputation. Medi-Cal pays $420 for the same. Hospital and other associated costs may add up to the greater amount, but it is incorrect and misleading to suggest the surgeon’s costs are responsible for that figure.

“We share the President’s belief that we need to put greater resources towards primary and preventive care in order to keep people healthier and help address the nation’s rising health care costs. However, preventive care will never obviate the need for qualified physicians and surgeons to take corrective action to improve or save people’s lives.

“In the second example, the President suggested that physicians take out children’s tonsils to make more money. This implication is inaccurate and offensive.

“Doctors treat patients based on the health needs of the patient, not the financial incentives. When science suggests over utilization may be occurring, the medical profession has responded with improved guidelines to more fully inform physicians of the risks and benefits of any treatment or procedure.

“The California Medical Association is committed to reforming our health system to increase access to quality care and reduce rising health care costs. To achieve health reform, the American people must be able to trust our elected officials and the statements they make regarding health care.

“Patients trust their doctors. That trust is critical to an effective and successful doctor-patient relationship. We urge the President to stick to the facts and avoid the kind of misleading and inflammatory rhetoric that would erode that trust and derail our efforts to increase access to quality care and control rising health care costs.”

Dr. GnanaDev, the CMA President, is a trauma surgeon and chief of the medical staff at Arrowhead Regional Medical Center, San Bernardino County’s public hospital

The Obamacare Dog and Pony Show

We need a lot of pooper scoopers to keep up with the Obama machine the last few days. For awhile he seemed to be sleep walking, letting his underlings handle it. But once Sarah Palin weighed in, WOW, he and millions of Democrats rushed to the rescue of the beaten and bloody health care bill. Misnamed, "America’s Affordable Health Choices Act" (HR 3200) Health Care Blog:

"As more Americans delve into the disturbing details of the nationalized health care plan that the current administration is rushing through Congress, our collective jaw is dropping, and we’re saying not just no, but hell no.

The Democrats promise that a government health care system will reduce the cost of health care, but as the economist Thomas Sowell has pointed out, government health care will not reduce the cost; it will simply refuse to pay the cost. And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s “death panel” so his bureaucrats can decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.

Health care by definition involves life and death decisions. Human rights and human dignity must be at the center of any health care discussion.

Rep. Michele Bachmann highlighted the Orwellian thinking of the president’s health care advisor, Dr. Ezekiel Emanuel, the brother of the White House chief of staff, in a floor speech to the House of Representatives. I commend her for being a voice for the most precious members of our society, our children and our seniors.

We must step up and engage in this most crucial debate. Nationalizing our health care system is a point of no return for government interference in the lives of its citizens. If we go down this path, there will be no turning back. Ronald Reagan once wrote, “Government programs, once launched, never disappear. Actually, a government bureau is the nearest thing to eternal life we’ll ever see on this earth.” Let’s stop and think and make our voices heard before it’s too late."

- Sarah Palin

You may not like her, you may be afraid of strong women who don't ride their husband's coat tails, but Sarah Palin speaks for millions on this issue. As the mother of a special needs child I'm sure she'd opt for the government plan if she thought he'd be better served. But in the back of her mind is probably that pro-choice president and the 93% death rate of pre-born babies with Down Syndrome. Why would he feel any different about those who got out alive? I've read Dr. Emmanuel's stuff, and he's one scary dude, brother of Obama's chief advisor.

What does HR 3200 actually say in our language

John David Lewis of Duke University isn't a lawyer or doctor, but he has analyzed the bill and put parts of it into our English.

The Health Care Bill: What HR 3200, "America’s Affordable Health Choices Act of 2009," by John David Lewis, August 6, 2009

He addresses rationing, punishment of people who don't join the plan, what is acceptable coverage, will it destroy private health insurance, does it redistribute wealth (i.e., does it punish the successful), does the government set the fees, will the government be able to investigate the citizens, will the health czar and his/her cronies be exempt from court review (my wording, not his).

It also appears at Objective Standard, a journal of culture and politics. My friendly troll might click/hop on over there and take a look, since she seems unable to understand the government legalese in the bill and thinks that Medicare isn't struggling and Medicaid broke, so therefore we should do more of the same but for everyone, not just elders and the poor.

Site meter jumps

My site meter that records hits jumped about 40 a day here recently. The two bigggies? HR 3200 and cottage cheese. The house bill I can understand, but cottage cheese? Has there been a big story about it recently?

Now they've changed their tune

When Obama was mobbed by adoring fans in 2008, many bussed in by ACORN and out of stater party volunteers, the Democrats were just thrilled. The media swooned. Ah. Grass roots. The little guy was finally speaking up. Wonderful ground swell of support. Oooo. Ahhhh. It just felt so good to assauge the guilt.

A year later. The American people are finding out that who you hang with is who you are. Ayers. Wright. It's the Alinsky Baedeker 2.0.

Now when people turn out to protest his health care plan, and shout down their lily livered congressional representatives, they are "mobs", and the town hall is the town "hell." They are "right-wing extremists" sent by the Republican party. They are "birthers" and racists. But many voted for him! They are finding out that what he said about destroying our health care system when he was an Illinois senator is what he still believes. These are people who seem to have actually read HR 3200! They don't like it one bit. You start denying some boomer his hip replacement because of his life expectancy or tell him to run it past a committee in Washington and he just might hit you with his cane. Or run you down with her golf cart.

Isn't it just amazing how the worm turns?

Seniors and the viability question

The e-mails of alarm about the Obamacare intention and HR 3200 just keep coming. Baby-boomer seniors need to take a deep breath and reexamine what they really believe about life and viability, because although rationed care is a concern in this bill, and should be, many are outraged by the thought of "counseling" for end of life care. Oh, they may point out its other failures and Bogey man features, like the huge increase in the bureaucracy that will be making decisions about their lives, but that periodic counseling feature is a real stick in the craw feature. It's not a huge stretch from rotator cuff surgery at 65 so you can continue playing golf to a new heart valve at age 90 so you can continue walking around the block and enjoying the great-grand babies. But think about it. Even those who didn't vote for the most anti-life President we've ever elected, who never wrote their congressman or carried a poster at a pro-choice rally, may have gone squishy along the continuum of aborting a fetus with Down Syndrome to removing the feeding tube from Grandpa because "he wouldn't want to live this way."

Well, now it's our turn isn't it? Now we're the ones about which someone unknown and nameless is debating--our viability and life-worthiness. Doesn't feel so good, right? In case you've never thought of it, none of us is "viable" without the help and care of others--our family, our friends, our employer, our drug companies, our truckers, our farmers, our merchants, etc. We're all just as much "parasites" as that developing fetus in the womb. If for some reason you were dropped on Mouse Island on Lake Erie without clothing, food, water, matches, or tools of any kind, you'd soon find out just how "viable" you are, whether 20 years old or 80. Oh, maybe you'd survive August or September on berries or an occasional dead fish that floats past--it is after all a fresh water lake--but January and February, if you lived that long, would be a bit chilly as the Civil War prisoners on Johnson's Island discovered looking at near-by Sandusky across the bay.

Also, it's past time for a lot of seniors to remember Medicare, Medicaid, SCHIP, WIC etc. are socialized medicine. They are out of control precisely because they are government programs, and what the government gives it can take away at the stroke of a pen, or smack of a gavel. Seniors need to be careful what they ask for or destroy. You didn't vote for tort reform, you didn't object when the government began limiting what it would pay doctors and hospitals, you didn't cry foul over regulation of certain professions or industries that drove good people out, you didn't look through those itemized invoices in the thousands for a day or two of care that dropped in your mail box 6 months later, you didn't ask questions when technology and drug research outran the bioethics arguments, so now it's time to pay the piper. I fear the price is more than you'll want to pay.

Another one who has read the HR 3200 bill

Letter from Edward Lynch, candidate for Congress from FL.

Dear Friend,

As you know, President Obama has been pushing his “Universal healthcare” plan. There have been a lot of people saying many different things about this new healthcare plan. Therefore, I felt the need to do what our congressmen and women have not done and read all of the healthcare plans out there. Let me tell you, as you can imagine, it was not easy reading. I wanted to be able to give you the ammunition (facts) to reply to those that want to know why we oppose the plan.

First, let me state that I do believe that we need to make sure that every LEGAL American citizen has access to the best healthcare system in the world and that it is affordable for everyone. Let me also state that, after reading the bills that are being considered, if the healthcare plan was a good plan, I would let you know that. That being said, the proposals set forth in the house (H.R. 3200)and in the senate are very bad for America for the following reasons:

1. We simply can not afford it. The Congressional Budget Office states that even with higher taxes on high income earners and penalties on employers who don’t provide coverage, the plan will fall $239 billion short of covering its cost of over $1 trillion. That is their best case scenario without the bill being completely scored.

2. It will not cover everyone. The Congressional Budget Office estimates that over 17 million people would remain uninsured AFTER this plan is implemented.

3. You will not be able to shop for or obtain private insurance if you do not have private insurance prior to the bill being passed. This is somewhat clearly stated on pgs. 16 and 17 in section 102(a)(1)(A).

4. After a 5 year grace period, all private insurers that are still in business will be required to offer a “qualified health benefits” plan based on government standards. The problem is whether or not the “government standards” will exclude private insurers. This on page 17, section 102(b)(1)(A).

5. No new policies will be allowed to be written by a private insurer after the public option becomes law. Also page 17.

6. Every five years, the elderly will have to attend a mandatory “advanced care planning consultation” for an “explanation by the practitioner of the continuum of end of life services.” The consultation will be conducted more frequently if a significant change in health condition; including diagnosis of a chronic, progressive, life limiting disease, terminal diagnosis, life threatening injury or upon admission to a skilled nursing or long term care facility. In other words, if you are old, you will be consulted about what your options will be if you get sick, if healthcare would not be an option (see #7). This starts on page 425.

7. Page 501 of the bill starts a section that indicates that $1 billion will be spent on “comparative effectiveness research” which is how the government evaluates relative merits of various treatments. In other words, rationing. This is tantamount to the government determining whether or not you are worth getting a particular treatment depending on your prognosis or age. Sec. 1401 Part D

8. This plan would allow for government funded abortions. Since this bill would cover all procedures, abortion is included. There is no exception for abortion.

9. Members of congress and unions would be exempt from this plan and not have to be a part of the healthcare plan. Recently, John Fleming, introduced H.R. 615 that stated that members that vote in favor of a government run healthcare must enroll under the public option. No democrat would sign on. If it is not good enough for congress, it is not good enough for us! This is section 3116.

10. $500 billion will be cut from senior healthcare to help pay for this bill. This will weaken Medicare, an organization already in trouble due to insufficient funds.

11. Hospitals and private healthcare facilities will not be able to collect money from the government plan unless they are “public” facilities.

12. Businesses will be fined over 8% of an employee’s salary if they do not provide healthcare insurance for their employees. Sec. 313.

13. Individuals that do not have health insurance will be fined an amount that will encourage them to purchase the government plan. Sec 401 Part VIII Subpart A Sec. 59B.

14. All “people,” legal or not, will be covered under this plan and identification cards will be issued. These identification cards will not be based on social security numbers.

These are some of the proven reasons why I could never support a bill like this. These are irrefutable facts, things that our present government does not want our citizens to be aware of, which is why they are trying to pass this bill as quickly as possible. The more we find out about the bill, the worse it gets. As I stated above, we need to reform our healthcare system, but this is not the way. In this case, doing nothing is better than passing this bill. It will hurt seniors, businesses and families.

Democrats didn't read it; Republicans did

The House Republican Conference has compiled a list of the new boards, bureaucracies, commissions, and programs created in H.R. 3200, “America’s Affordable Health Choices Act.” These bureaucrats will control every aspect of our nation’s health care system – and these bureaucrats will destroy the best health care system in the world. Here is what the Democrat’s health care bill monstrosity will create (HT Traditional Values Coalition):

53 new federal bureaucracies

Health Benefits Advisory Committee (Section 123, p. 30)
Health Choices Administration (Section 141, p. 41)
Qualified Health Benefits Plan Ombudsman (Section 144, p. 47)
Program of administrative simplification (Section 163, p. 57)
Retiree Reserve Trust Fund (Section 164(d), p. 70)
Health Insurance Exchange (Section 201, p. 72)
Mechanism for insurance risk pooling to be established by Health Choices Administration Commissioner (Section 206(b), p. 106)
Special Inspector General for the Health Insurance Exchange (Section 206(c), p. 107)
Health Insurance Exchange Trust Fund (Section 207, p. 109)
State-based Health Insurance Exchanges (Section 208, p. 111)
“Public Health Insurance Option” (Section 221, p. 116)
Ombudsman for “Public Health Insurance Option” (Section 221(d), p. 117)
Account for receipts and disbursements for “Public Health Insurance Option” (Section 222(b), p. 119)
Telehealth Advisory Committee (Section 1191, p. 380)
Demonstration program providing reimbursement for “culturally and linguistically appropriate services” (Section 1222, p. 405)
Demonstration program for shared decision making using patient decision aids (Section 1236, p. 438)
Accountable Care Organization pilot program (Section 1301, p. 443)
Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 462)
Community-based medical home pilot program under Medicare (Section 1302(d), p. 468)
Center for Comparative Effectiveness Research (Section 1401(a), p. 502)
Comparative Effectiveness Research Commission (Section 1401(a), p. 505)
Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 519)
Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 546)
Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 548)
Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 559)
Special focus facility program for nursing facilities (Section 1413(b)(3), p. 565)
National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 607)
Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 674)
Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 716)
Medical home pilot program under Medicaid (Section 1722, p. 780)
Comparative Effectiveness Research Trust Fund (Section 1802, p. 824)
“Identifiable office or program” within CMS to “provide for improved coordination between Medicare and Medicaid in the case of dual eligibles” (Section 1905, p. 852)
Public Health Investment Fund (Section 2002, p. 859)
Scholarships for service in health professional needs areas (Section 2211, p. 870)
Loan repayment program for service in health professional needs areas (Section 2211, p. 873)
Program for training medical residents in community-based settings (Section 2214, p. 882)
Grant program for training in dentistry programs (Section 2215, p. 887)
Public Health Workforce Corps (Section 2231, p. 898)
Public health workforce scholarship program (Section 2231, p. 900)
Public health workforce loan forgiveness program (Section 2231, p. 904)
Grant program for innovations in interdisciplinary care (Section 2252, p 917)
Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 920)
Prevention and Wellness Trust (Section 2301, p. 932)
Clinical Prevention Stakeholders Board (Section 2301, p. 941)
Community Prevention Stakeholders Board (Section 2301, p. 947)
Grant program for community prevention and wellness research (Section 2301, p. 950)
Grant program for community prevention and wellness services (Section 2301, p. 951)
Grant program for public health infrastructure (Section 2301, p. 955)
Center for Quality Improvement (Section 2401, p. 965)
Assistant Secretary for Health Information (Section 2402, p. 972)
Grant program to support the operation of school-based health clinics (Section 2511, p. 993)
National Medical Device Registry (Section 2521, p. 1001)
Grants for labor-management programs for nursing training (Section 2531, p. 1008)

Note from Norma: GW Bush was certainly no slouch when it came to expanding the federal government, but Obama's current cycle makes him look like he was in training wheels. Have you ever wondered why, if the government can deliver such great health care at a reasonable cost that 1) Congress and the White House aren't going to use it; and 2) why is Medicare and Medicare which are gov't plans are in such terrible financial shape?