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A few highlights from the first 500 pages of the Healthcare bill in congress.
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Posted on 08/07/2009 5:15:27 PM PDT by Exton1

This is scary!!! It's all terrifying but page 59 and 425, and 427-430 is unbelievable! Here are a few of the items that are downright unconstitutional.

• 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 healthcare 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 healthcare plans must conform to government rules to participate in a Healthcare Exchange.

• Page 84: All private healthcare plans must participate in the Healthcare Exchange (i.e., total government control of private plans)

• Page 91: Government mandates linguistic infrastructure for services; translation: illegal aliens

• Page 95: The Government will pay ACORN and Americorps to sign up individuals for 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 145: An employer MUST auto-enroll employees into the government-run public plan. No alternatives.

• Page 126: Employers MUST pay healthcare bills for part-time employees AND their familie s.

• Page 149: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll

• Page 150: Any employer with a payroll of $250K-400K or more, who does not offer the public option, pays a 2 to 6% tax on payroll

• Page 167: Any individual who doesn’t have acceptable healthcare (according to the government) will be taxed 2.5% of income.

• Page 170: Any NON-RESIDENT alien is exempt from individual taxes (Americans will pay for them).

• Page 195: Officers and employees of Government Healthcare 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 most affected."

• Page 241: Doctors: no matter what specialty you have, you'll all be paid the same (thanks, AMA!)

• Page 253: Government sets value of doctors' time, their professional judgment, etc.

• Page 265: Government mandates and controls productivity for private healthcare industries. • Page 268: Government regulates 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 re-admissions. • Page 298: Doctors: if you treat a patient during an initial admission that results in a readmission, you will be penalized by the government. • Page 317: Doctors: you are now prohibited for owning and investing in healthcare companies!

• Page 318: Prohibition on hospital expansion. Hospitals cannot expand without government approval. • Page 321: Hospital expansion hinges on "community" input: in other words, yet another payoff for ACORN.

• Page 335: Government mandates establishment of outcome-based measures: i.e., rationing.

• Page 341: Government has 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 (healthcare by phone).

• Page 425: More bureaucracy: Advance Care Planning Consult: Senior Citizens, assisted suicide, euthanasia?

• Page 425: Government will instruct and consult regarding living wills, durable powers of attorney, etc. Mandatory. Appears to lock in estate taxes ahead of time.

• Page 425: Government provides approved list of end-of-life resources, guiding you in death.

• Page 427: Government mandates program that orders end-of-life treatment; government dictates how your life ends.

• Page 429: Advance Care Planning Consult will be used to dictate treatment as patient's 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. • Page 472: Payments to Community-based organizations: more payoffs for ACORN.

• Page 489: Government will cover marriage and family therapy. Government interferes in your marriage.

• Page 494: Government will cover mental health services: defining, creating and rationing those services.


TOPICS: Extended News; Government; News/Current Events; Politics/Elections
KEYWORDS: change; healthcare; obama
Navigation: use the links below to view more comments.
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1 posted on 08/07/2009 5:15:27 PM PDT by Exton1
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To: Exton1

Jesus Christ.


2 posted on 08/07/2009 5:18:53 PM PDT by chris37
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To: Exton1

Someone flag the white house please


3 posted on 08/07/2009 5:21:00 PM PDT by dk88 (Kill it grill it)
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To: chris37

Jesus ain’t got nothin on this. When our lord healed the cripple or the blind person, he didn’t ask for the person’s HMO card.

++++++++++++++++++++++++++++++++++++++++++++++++++++++
OBAMACARE: “Cash for Cripples”.

http://www.zazzle.com/obamacare_2_tshirt-235439043872849285

http://www.zazzle.com/obamacare_tshirt-235668055276900107


4 posted on 08/07/2009 5:21:03 PM PDT by ak267
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To: Exton1

Holy crap, holy carp, holy sh!t, holy Mary mother of God, we are soooooooooooooooooooooooo screwed batman.


5 posted on 08/07/2009 5:21:13 PM PDT by rockabyebaby (We are sooooooooooooooooooooo screwed!)
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To: Exton1
That reads like the script from “Moon Raker” where a megalomaniac is trying to build a world of perfect Human Specimens.
6 posted on 08/07/2009 5:24:33 PM PDT by Falcon4.0
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To: Exton1

Book mark.


7 posted on 08/07/2009 5:24:48 PM PDT by Man50D (Fair Tax, you earn it, you keep it! FairTaxNation.com)
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To: Exton1

So this is some of the junk the democrats are ramming down our throats. No wonder they were in such a hurry. Every American needs to know what is in this bill.


8 posted on 08/07/2009 5:25:14 PM PDT by Keflavik76
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To: Exton1

BM (book mark)


9 posted on 08/07/2009 5:26:07 PM PDT by windsorknot
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To: Exton1

bttt


10 posted on 08/07/2009 5:27:17 PM PDT by petercooper (GOP: Big Tent Party??? Not if you are a CONSERVATIVE.)
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To: rockabyebaby

I slept while all this was happening. It was like terrorism - I didn’t really know about it until it hit me in the head. However, we can do something and that is to vote these people out of office. Since 50% of Americans have no real stake in economics (they don’t pay taxes) the rest of us need to stand together. Although I do not have a lot of confidence in the Republicans, I know they are better than the crowd we have now. I witheld financial support to the Republicans last cycle but I think we need to bite our lip and give. I am not a Republican operative!


11 posted on 08/07/2009 5:30:41 PM PDT by AZFolks
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To: chris37
No, not Jesus. It's the other guy...

;-/

12 posted on 08/07/2009 5:31:09 PM PDT by Gargantua ("Our Constitution was made only for a moral and religious people..." John Adams)
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To: dk88

No joke. Looks fishy to me. Quick power grab of a titanic sort.


13 posted on 08/07/2009 5:31:12 PM PDT by Fester Chugabrew
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To: Exton1

NOTE: DON’T LET THE LEGISLATIVE GOBBLEDY_GOOK SHOWN BELOW SCARE YOU AWAY FROM READING THIS POST: I PUT IT THERE FOR A SPECIFIC REASON)

I was trying to figure out what is going to happen with physician compensation because I heard from a physician that all specialties, brain surgeons and dermatologists, will be paid the same. So, I tried to look through it, and in the process stumbled across how they plan to reduce both payment AND availability of imaging resources (such as CT, MR, etc.)

This is pissing me off, and really, it is beginning to make me burn. Look at how this thing is written. I copied the section below right out of the document. Look further down for my explanation if you are interested.

***************************************
***************************************
SEC. 1147. PAYMENT FOR IMAGING SERVICES.
10 (a) ADJUSTMENT IN PRACTICE EXPENSE TO RE11
FLECT HIGHER PRESUMED UTILIZATION.—Section 1848
12 of the Social Security Act (42 U.S.C. 1395w) is amend13
ed—
14 (1) in subsection (b)(4)—
15 (A) in subparagraph (B), by striking ‘‘sub16
paragraph (A)’’ and inserting ‘‘this paragraph’’;
17 and
18 (B) by adding at the end the following new
19 subparagraph:
20 ‘‘(C) ADJUSTMENT IN PRACTICE EXPENSE
21 TO REFLECT HIGHER PRESUMED UTILIZA22
TION.—In computing the number of practice
23 expense relative value units under subsection
24 (c)(2)(C)(ii) with respect to advanced diagnostic
25 imaging services (as defined in section
VerDate Nov 24 2008 23:22 Jul 14, 2009 Jkt 079200 PO 00000 Frm 00273 Fmt 6652 Sfmt 6201 E:\BILLS\H3200.IH H3200 jlentini on DSKJ8SOYB1PROD with BILLS
274
•HR 3200 IH
1 1834(e)(1)(B)), the Secretary shall adjust such
2 number of units so it reflects a 75 percent
3 (rather than 50 percent) presumed rate of utili4
zation of imaging equipment.’’; and
5 (2) in subsection (c)(2)(B)(v)(II), by inserting
6 ‘‘AND OTHER PROVISIONS’’ after ‘‘OPD PAYMENT
7 CAP’’.
8 (b) ADJUSTMENT IN TECHNICAL COMPONENT ‘‘DIS9
COUNT’’ ON SINGLE-SESSION IMAGING TO CONSECUTIVE
10 BODY PARTS.—Section 1848(b)(4) of such Act is further
11 amended by adding at the end the following new subpara12
graph:
13 ‘‘(D) ADJUSTMENT IN TECHNICAL COMPO14
NENT DISCOUNT ON SINGLE-SESSION IMAGING
15 INVOLVING CONSECUTIVE BODY PARTS.—The
16 Secretary shall increase the reduction in ex17
penditures attributable to the multiple proce18
dure payment reduction applicable to the tech19
nical component for imaging under the final
20 rule published by the Secretary in the Federal
21 Register on November 21, 2005 (part 405 of
22 title 42, Code of Federal Regulations) from 25
23 percent to 50 percent.’’.
24 (c) EFFECTIVE DATE.—Except as otherwise pro25
vided, this section, and the amendments made by this sec-
VerDate Nov 24 2008 03:06 Jul 15, 2009 Jkt 079200 PO 00000 Frm 00274 Fmt 6652 Sfmt 6201 E:\BILLS\H3200.IH H3200 jlentini on DSKJ8SOYB1PROD with BILLS
275
•HR 3200 IH
1 tion, shall apply to services furnished on or after January
2 1,
***************************************
***************************************

The following two paragraphs below show what the BULL$HIT above boils down to in normal english, and what it actually MEANS. This just steams me.

“SEC. 1147. PAYMENT FOR IMAGING SERVICES.
ADJUSTMENT IN PRACTICE EXPENSE TO REFLECT HIGHER PRESUMED UTILIZATION
In computing the number of practice expense relative value units under subsection the Secretary shall adjust such number of units so it reflects a 75 percent (rather than 50 percent) presumed rate of utilization of imaging equipment.”

(I am no expert on this, but downloading a Powerpoint Presentation, and looking around at various critiques of the way practice expense is calculated, INCREASING the presumed rate of utilization drives DOWN the amount of money you get paid. I am a genius. I assumed that, but figured I better check it out...)
END RESULT: LESS MONEY FOR IMAGING, FEWER SERVICES OFFERED.

“Section 1848
ADJUSTMENT IN TECHNICAL COMPONENT DISCOUNT ON SINGLE-SESSION IMAGING INVOLVING CONSECUTIVE BODY PARTS.
The Secretary shall increase the reduction in expenditures attributable to the multiple procedure payment reduction applicable to the technical component for imaging from 25 percent to 50 percent.”

(What this means is that from now on, if you do a CT of the Abdomen AND a CT of the pelvis without moving the patient, you now get paid 50% less rather than 25% less. This is huge, and just one example of how they are going to cut billions of dollars a year in costs. The scumbags will say with a straight face that they aren’t rationing, but if you don’t get paid for the service, you either don’t do the service, or you go broke)
END RESULT: LESS MONEY FOR IMAGING, FEWER SERVICES OFFERED.

According to the Association of American Physicians and Surgeons (at this link: http://www.aapsonline.org/ this is an organization that advocates for physicians, not like the AMA which is advocating for liberalism) these sections above up to a reduction of 4.3 billion dollars a year in money to be paid for imaging. If someone interprets that some different way, please let me know...but if you bring in 45 million more people and reduce the money you pay...gee whiz, what is the end result?

Now, I wasn’t born yesterday, and I know why they are doing this, but this is our healthcare we are talking about, and they have deliberately tried to bury as much of it in incomprehensible legalese as they can get it. It made me madder and madder as I tried to go through it.

THEY DON’T WANT ANYONE TO READ AND UNDERSTAND THIS.


14 posted on 08/07/2009 5:32:52 PM PDT by rlmorel ("The Road to Serfdom" by F.A.Hayek - Read it...today.)
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To: Exton1

Thanks!


15 posted on 08/07/2009 5:33:28 PM PDT by VRWCTexan (History has a long memory - but still repeats itself)
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To: Exton1
• Page 298: Doctors: if you treat a patient during an initial admission that results in a readmission, you will be penalized by the government.

WTH???..you can't even make this stuff up!

sw

16 posted on 08/07/2009 5:33:53 PM PDT by spectre (Spectre's wife (United We Stand)
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To: Exton1

ping


17 posted on 08/07/2009 5:37:48 PM PDT by TNoldman (Conservative Values FOREVER!)
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To: Exton1

Page 59 is the death knell for privacy of any sort. As soon as the feds get access to bank accounts, it’s over.

It’s time to take back the country.


18 posted on 08/07/2009 5:38:51 PM PDT by PubliusMM (RKBA; a matter of fact, not opinion. 01-20-2013: Change we can look forward to.)
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To: spectre

It reads like Ezekial Emmanuel wrote the bill.


19 posted on 08/07/2009 5:39:02 PM PDT by Kackikat
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To: chris37

Well put.

Chicago radio has been saying that Dick Dirtbag Durbin will be announcing “major changes” including health care co-ops in the near future.

Friday afternoon trial balloon no doubt, but they know their dog won’t hunt. Watch them start negotiating to gain enough support to get some form of crap sandwich passed and shoved down our throats.


20 posted on 08/07/2009 5:39:45 PM PDT by bigbob
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To: Exton1
Get Your Obama Card Now!


Get Your Personalized Obama Card!

Click Here

to watch this great video on getting your personalized Obama card,

Give all of your money to Obama


We want Sarah!
Run Sarah Run!!

21 posted on 08/07/2009 5:43:19 PM PDT by B-Cause (It's not what you gather, but what you scatter that tells what kind of life you have lived.)
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To: Exton1

Here’s a question: “How are temporary employees classified? Do they buy their own insurance or does the company they temporarily work AT or the temporary agency?

I can see a big opportunity for employee leasing.


22 posted on 08/07/2009 5:43:28 PM PDT by NTHockey (Rules of engagement #1: Take no prisoners)
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To: NTHockey

This will destroy the Democratic Party.


23 posted on 08/07/2009 5:47:19 PM PDT by scooby321
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To: Exton1

It is unbelievable that such a horrendous bill is even under consideration in our country’s Congress.

They wanted to shove it down our throats so fast we wouldn’t know what hit us....but thanks to the internet.....anybody with any sense can read the bill and find out just with the use of common sense that what’s in it is a true HORROR STORY!

That is why Americans by the thousands have turned out at these Town Hall Meetings and that is why Zero’s approval ratings are going down into the toilet.

And - after reading this line - no wonder the Union thug goons are out there doing Obama and Emmanuel’s bidding:

• Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and ACORN)

Well, no matter what they do, Americans are NOT going to shut up about this travesty of a bill.


24 posted on 08/07/2009 5:51:35 PM PDT by Freedom'sWorthIt (Obama's Deathcare ---- many will suffer and/or die unnecessarily.)
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To: Exton1

....nearing the critical mass....

http://www.youtube.com/watch?v=Cmr-tFPUx9M

James Hooker, not quite 2 minutes...


25 posted on 08/07/2009 5:51:52 PM PDT by Vladzred
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To: Kackikat

My wife and are are early 60s. We worked hard and we have insurance and supplemental insurance. This bill is genocide for my generation. It is the systematic denial of TREATMENT. We don’t want our money paying for abortions or illegal aliens but when it comes to denial of treatment because we are too old, we are ready to fight. Please join us. No more Mr. Nice guy. We are pissed.


26 posted on 08/07/2009 5:52:32 PM PDT by ludlowm
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To: Exton1

bookmark


27 posted on 08/07/2009 5:52:41 PM PDT by GiovannaNicoletta
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To: Exton1
Please provide a SOURCE for the Health Care Bill in Congress, you're quoting.

28 posted on 08/07/2009 6:00:26 PM PDT by pyx (Rule#1.The LEFT lies.Rule#2.See Rule#1. IF THE LEFT CONTROLS THE LANGUAGE, IT CONTROLS THE ARGUMENT.)
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To: Vladzred

Beautifully done. Thank you for your work. I’m ready.


29 posted on 08/07/2009 6:02:25 PM PDT by ludlowm
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To: Exton1
Please link to me the source of the bill. I want to read the lawyer speak with my own eyes.

Thanks!

30 posted on 08/07/2009 6:18:57 PM PDT by PureSolace (Trust in God)
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To: Exton1

Thank you very much. I’m emailing the list to friends.

I really appreciate the work you did to put this together.


31 posted on 08/07/2009 6:33:57 PM PDT by Balding_Eagle (Overproduction, one of the top five worries for the American farmer.)
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To: Exton1

A lot of people will exit the medical field rather than put up with the harassment.


32 posted on 08/07/2009 6:39:10 PM PDT by Waco (Libs exhale too much)
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To: ludlowm

Off topic... All credit to Mr. Hooker, a talented patriot. I just pointed the way. Also see his tribute to American fighting men & women,
http://www.youtube.com/watch?v=I0_vEUDwkqs
..now back to the matter at hand....


33 posted on 08/07/2009 6:42:56 PM PDT by Vladzred
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To: Exton1
The URL for this PDF you are quoting is at, http://docs.house.gov/edlabor/AAHCA-BillText-071409.pdf

34 posted on 08/07/2009 6:43:08 PM PDT by pyx (Rule#1.The LEFT lies.Rule#2.See Rule#1. IF THE LEFT CONTROLS THE LANGUAGE, IT CONTROLS THE ARGUMENT.)
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To: Exton1

Is this the right bill?
http://docs.house.gov/edlabor/AAHCA-BillText-071409.pdf


35 posted on 08/07/2009 6:44:30 PM PDT by gulf1609
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To: Exton1
1: Where did you get this information?
2: What leads you to believe it factual?

Is something else going on right now which all this healthcare ruckus might be diverting our attention?

36 posted on 08/07/2009 6:58:25 PM PDT by sirchtruth (Gravity Of The Situation...)
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To: Exton1

Ok, posted before I saw the PDF link. Thanks for sourcing!


37 posted on 08/07/2009 7:01:19 PM PDT by sirchtruth (Gravity Of The Situation...)
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To: pyx
Seems similar to the one I've been using since I ran across it earlier...

http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.txt.pdf

Kinda makes me wish that in most cases, any bill that goes the floor would be made public with bells and whistles and easy to find links... as well as a waiting period, so we the people can read through them, since our representatives refuse to do that job for us.

...man I hate lawyer speak. *dives in*

38 posted on 08/07/2009 7:05:06 PM PDT by PureSolace (Trust in God)
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To: Gargantua

I apologize to anyone I may have offended with my post.

Sometimes when I see how far my world had fallen, all I can do is state the name of my Lord.

I know I’m not supposed to, but I can’t help it.


39 posted on 08/07/2009 8:10:41 PM PDT by chris37
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To: Exton1

bump


40 posted on 08/07/2009 8:11:51 PM PDT by Exton1
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To: Exton1

Most of the pages I read do NOT say what you wrote.

You are not doing anyone a service by misinterpreting the facts. This bill is bad enough without any help of the kind you give in this post.


41 posted on 08/07/2009 8:43:32 PM PDT by mjaneangels@aolcom
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To: long hard slogger; FormerACLUmember; Harrius Magnus; hocndoc; parousia; Hydroshock; skippermd; ...


Socialized Medicine aka Universal Health Care PING LIST

FReepmail me if you want to be added to or removed from this ping list.

**This is a high volume ping list! (sign of the times)**


42 posted on 08/07/2009 8:54:06 PM PDT by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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To: Exton1

• Page 22: Mandates audits of all employers that self-insure!

No it does not, it references a plan to study all types of employer health insurance including self-insurers.

• Page 29: Admission: your health care will be rationed!

There is no reference to rationing on page 29.

• Page 30: A government committee will decide what treatments and benefits you get (and, unlike an insurer, there will be no appeals process)

This is in the document.

• Page 42: The “Health Choices Commissioner” will decide health benefits for you. You will have no choice. None.

Whether or not you have a choice depends on what the Health Commissioner decides. This just puts that ball in his court. The decision has not been made.

• Page 50: All non-US citizens, illegal or not, will be provided with free healthcare services.

I found no reference to this on page 50.

• Page 58: Every person will be issued a National ID Health card.

No. This is a reference, in general, to how health care works. I have had a health card for years.

• Page 59: The federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer.

This is only for those claiming they cannot afford the out of payment expenses. (It is still wrong).

• Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and ACORN)

Page 65 says no such thing. Also, the taxpayers already pay for everything for SEIU. And there is no reference to ACORN anywhere in the document.

• Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange.

It does say this.

• Page 84: All private healthcare plans must participate in the Healthcare Exchange (i.e., total government control of private plans)

It does not say that. It states that if a private plan participates, there are regulations for them to qualify.

• Page 91: Government mandates linguistic infrastructure for services; translation: illegal aliens

It does say that.

• Page 95: The Government will pay ACORN and Americorps to sign up individuals for Government-run Health Care plan.

The document does not name any group to be paid, simply that any group that does the “educating” about this bill will be determined later and, yes, will be paid.

• Page 102: Those eligible for Medicaid will be automatically enrolled: you have no choice in the matter.

It does not say that. It says that certain people who are not eligible for Medicaid can join this bill and that the others will be automatically enrolled.

• Page 124: No “judicial review” is permitted against the government monopoly.

It does say no judicial review.

• Page 127: The AMA sold doctors out: the government will set wages.

Government will only set the wages for this health care bill, the same as private insurance sets the wages for doctors regarding private insurance.

• Page 145: An employer MUST auto-enroll employees into the government-run public plan. No alternatives.

It does not say that.

• Page 126: Employers MUST pay healthcare bills for part-time employees AND their familie s.

No, employers must pay a portion of the premiums for part-time employees, not their medical bills.

• Page 167: Any individual who doesn’t have acceptable healthcare (according to the government) will be taxed 2.5% of income.

It does say that.

• Page 195: Officers and employees of Government Healthcare Bureaucracy will have access to ALL American financial and personal records.

Again, this is only for those that join this health care bill who claim they cannot afford the out of pocket expenses.

• Page 203: “The tax imposed under this section shall not be treated as tax.” Yes, it really says that.

I did not read this page.

• Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor most affected.”

That is not what it says.

• Page 241: Doctors: no matter what specialty you have, you’ll all be paid the same (thanks, AMA!)

For the same service. Doctors visits will all pay 1 amount, hospital visits will all pay another amount, etc.

• Page 253: Government sets value of doctors’ time, their professional judgment, etc.

It does state this.

• Page 265: Government mandates and controls productivity for private healthcare industries.

No, this is a study, not a mandate or control.

• Page 272: Cancer patients: welcome to the wonderful world of rationing!

That is not what it says. It could lead to that, but there is no rationing referred to. This is a reference to decisions yet to be made by the commissioner.

• Page 318: Prohibition on hospital expansion. Hospitals cannot expand without government approval. • Page 321: Hospital expansion hinges on “community” input: in other words, yet another payoff for ACORN.

Community does not equal ACORN. This is a reference to medical facilities that want to convert to Hospitals. It is normal proceedure now for the homes and businessses in the area to be asked for an opinion about how the difference in traffic might affect them.

• Page 335: Government mandates establishment of outcome-based measures: i.e., rationing.

Outcome-based measures means they will not pay for experimental treatments. Private Insurance doesn’t pay for it either.

• Page 341: Government has authority to disqualify Medicare Advantage Plans, HMOs, etc.

It does say this.

• Page 354: Government will restrict enrollment of SPECIAL NEEDS individuals.

It does not say that. It refers to looking at all the Special Needs programs and determining if they are cost effective.

• Page 425: More bureaucracy: Advance Care Planning Consult: Senior Citizens, assisted suicide, euthanasia?

There is no reference to euthanasia or anything like it. It does, however, mandate Seniors over 65 have this consultation every 5 years, and can happen more often, but no mandate on how the seniors are respond.

• Page 425: Government will instruct and consult regarding living wills, durable powers of attorney, etc. Mandatory. Appears to lock in estate taxes ahead of time.

Instruct and consult does not mean the government gets any control.

• Page 425: Government provides approved list of end-of-life resources, guiding you in death.

This can be such things as a patient giving their doctor an order to not give chemo therapy, not do any surgeries, etc. The bill does state this has to be signed by a doctor and other health professionals have to abide by it. This is happening now and has been for a long time.

• Page 427: Government mandates program that orders end-of-life treatment; government dictates how your life ends.

It does not order end-of-life treatment.

• Page 429: Advance Care Planning Consult will be used to dictate treatment as patient’s health deteriorates. This can include an ORDER for end-of-life plans. An ORDER from the GOVERNMENT.

The order is not from the government, it is an order you give to your doctor and your doctor signs. It has been going on for a long time.

• Page 430: Government will decide what level of treatments you may have at end-of-life.

That goes back to the decisions that have not been made by the commissioner. The decisions have not been made yet.

• Page 469: Community-based Home Medical Services: more payoffs for ACORN. • Page 472: Payments to Community-based organizations: more payoffs for ACORN.

This is a reference to Hospice, nursing homes etc. This has nothing to do with ACORN.

• Page 489: Government will cover marriage and family therapy. Government interferes in your marriage.

It does say this.

• Page 494: Government will cover mental health services: defining, creating and rationing those services.

It does say this.


43 posted on 08/07/2009 9:28:43 PM PDT by mjaneangels@aolcom
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To: Exton1

bttt


44 posted on 08/08/2009 2:16:20 AM PDT by SuperLuminal (Where is another agitator for republicanism like Sam Adams when we need him?)
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To: Exton1

posted on my blog without your handle (for your privacy)

Thank you


45 posted on 08/08/2009 8:12:18 AM PDT by Munz (All tyranny needs to gain a foothold is for people of good conscience to remain silent.)
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To: mjaneangels@aolcom

This sounds like an audit to me.

SEC. 113. INSURANCE RATING RULES.
(a) IN GENERAL.—The premium rate charged for an
insured qualified health benefits plan may not vary except
as follows:(1) STUDY.—The Commissioner, in coordination with the Secretary of Health and Human Services and the Secretary of Labor, shall conduct a study of the large group insured and self-insured employer health care markets. Such study shall examine the following:
A) The types of employers by key characteristics, including size, that purchase insured products versus those that self-insure.
(B) The similarities and differences be7
tween typical insured and self-insured health plans.
(C) The financial solvency and capital reerve levels of employers that self-insure by employer size.
(D) The risk of self-insured employers not being able to pay obligations or otherwise becoming financially insolvent.
(E) The extent to which rating rules are likely to cause adverse selection in the large group market or to encourage small and mid size employers to self-insure


46 posted on 08/08/2009 10:42:17 AM PDT by Exton1
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To: mjaneangels@aolcom
mjaneangels What are you an paid ACORN propagandist?

Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor most affected.”
This is what as written and it seems I was correct.

(c) LIMITATION ON PHYSICIANS’ SERVICES INCLUDED IN TARGET GROWTH RATE COMPUTATION TO SERVICES COVERED UNDER PHYSICIAN FEE SCHEDULE.—Effective for services furnished on or after January 1, 2009, section 1848(f)(4)(A) of such Act is amended striking ‘‘(such as clinical’’ and all that follows through ‘‘in a physician’s office’’ and inserting ‘‘for which payment under this part is made under the fee schedule under this section, for services for practitioners described in section 1842(b)(18)(C) on a basis related to such fee schedule, or for services described in section 1861(p) (other than such services when furnished in the facility of a provider of services)’’.

At this point you have to jump to another part of the bill to understand everything.

INCLUSION OF MENTAL HEALTH COUNSELORS AS PRACTITIONERS FOR ASSIGNMENT OF CLAIMS.—Section 1842(b)(18)(C) of the Social Security Act (42 U.S.C. 1395u(b)(18)(C)), as amended by subsection (a)(7), is amended by adding at the end the following new clause: ‘‘(viii) A mental health counselor (as defined in section 1861(kkk)(2)).’’. (c) EFFECTIVE DATE.—The amendments made by this section shall apply to items and services furnished on or after January 1, 2011.

SEC. 1309. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON.
Section 138(a)(1) of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110–275) is amended by striking ‘‘December 31, 2009’’ and inserting ‘‘December 31, 2011’’.

47 posted on 08/08/2009 11:00:47 AM PDT by Exton1
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To: Exton1
Of course GENDER & SEXUAL ORIENTATION ARE IMPORTANT.

Page 973 ‘‘(ii) include standards, as appropriate, for the collection of accurate data on health and health care by race, ethnicity, primary language, sex, sexual orientation, gender identity, disability, socioeconomic status, rural, urban, or other geographic setting, and any other population or subpopulation determined appropriate by the Secretary;

48 posted on 08/08/2009 11:08:37 AM PDT by Exton1
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To: Exton1

“Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor most affected.”
This is what as written and it seems I was correct.

(c) LIMITATION ON PHYSICIANS’ SERVICES INCLUDED IN TARGET GROWTH RATE COMPUTATION TO SERVICES COVERED UNDER PHYSICIAN FEE SCHEDULE.—Effective for services furnished on or after January 1, 2009, section 1848(f)(4)(A) of such Act is amended striking ‘‘(such as clinical’’ and all that follows through ‘‘in a physician’s office’’ and inserting ‘‘for which payment under this part is made under the fee schedule under this section, for services for practitioners described in section 1842(b)(18)(C) on a basis related to such fee schedule, or for services described in section 1861(p) (other than such services when furnished in the facility of a provider of services)’’.

Where is the word Medicaid or the word ACORN? in your quote?


49 posted on 08/08/2009 11:14:15 PM PDT by mjaneangels@aolcom
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To: Exton1

“Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor most affected.”
This is what as written and it seems I was correct.

(c) LIMITATION ON PHYSICIANS’ SERVICES INCLUDED IN TARGET GROWTH RATE COMPUTATION TO SERVICES COVERED UNDER PHYSICIAN FEE SCHEDULE.—Effective for services furnished on or after January 1, 2009, section 1848(f)(4)(A) of such Act is amended striking ‘‘(such as clinical’’ and all that follows through ‘‘in a physician’s office’’ and inserting ‘‘for which payment under this part is made under the fee schedule under this section, for services for practitioners described in section 1842(b)(18)(C) on a basis related to such fee schedule, or for services described in section 1861(p) (other than such services when furnished in the facility of a provider of services)’’.”

A study is NOT an audit, I do not care what it sounds like to you. There is no Audit in this bill relating to physicians services.


50 posted on 08/08/2009 11:16:21 PM PDT by mjaneangels@aolcom
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