A few highlights from the first 500 pages of the Healthcare bill in congress.

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 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 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.

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-
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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.

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