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Synopsis Of ObamaCare - MUST READ & PASS ALONG!
email | 8/12/09 | Curt Wittman

Posted on 08/14/2009 11:19:34 AM PDT by Uhhhbama

After 2 weeks of sleepless nights, I have finished reading all 1,017 pages of the Health Care Bill and writing a Synopsis. Unlike our elected representatives, I have an entire copy of the bill and have provided page numbers and line numbers in my synopsis making it easy for anyone to look up what I am saying. It's scary and we will all soon be in the public health plan. Please send this to as many people as possible.

SYNOPSIS OF HR 3200 America’s Affordable Health Choices Act of 2009

The bill is a 1,017 page document broken out in three Divisions:

1. Division A – Affordable Health Care Choices 2. Division B – Medicare and Medicaid Improvements 3. Division C – Public Health and Workforce Development

Division A – Affordable Health Care Choices (pages 4-215) This division creates a Health Insurance Exchange (HIE) with a public health insurance option along with private insurance plans.

The government will determine what is a qualifying plan (section (202 (d)(2)). You must be covered under a qualifying plan on January 1, 2013 or you will be automatically enrolled in the public plan (Div.A Title I Subtitle A Section 102 (a)(1)(A) page 16 lines 11-16).

There are NO new enrollees in private health plans after January 1, 2013 (Div. A Title I Subtitle A Section 102 (a)(1)(A) page 16 lines 11-16).

There is an out for the government to deny all private plans from qualifying after 2018 (Div.A Title I Subtitle A Section 102 (b)(1)(A) page 17 lines 13-19).

The government can disqualify any plan for not adhering to the American Recovery and Reinvestment Act of 2009, the Employee Retirement Income Security Act of 1974 or any other reason the Commissioner sees fit ((Div.A Title I Subtitle A Section 102 (b)(1)(B) page 18 lines 13-17).

There will be a Health Benefits Advisory Committee made up of 26 members and chaired by the Surgeon General. Of the 26 members, 17 are appointed by the President. There might not be one single Medical Doctor (Div.A Title I Subtitle A Section 123 (a)(3)(A-C) and (4) pages 31-32 lines 1-25 and 1-10).

There is a statement that the government has the right to conduct examinations and audits of Qualifying Health Benefit Plans (QHBP) and recoup the costs involved (Div.A Title I Subtitle E Section 142 (b)(2)(B) page 43 lines 13-18). Nothing in the paragraph stipulates how infrequent these audits need to be. Therefore, the government could run private plans out of business. Once the government disqualifies a plan, you’re in the public plan (Div.A Title I Subtitle E Section 142 (d)(2)(B) page 44 lines 16-22) and (Div.A Title I Subtitle E Section 142 (d)(2)(D) page 45 lines 7-10).

Private Insurers are not allowed to make a profit (Div.A Title I Subtitle F Section 2714 (a) page 54 lines 1-13). This obviously will bankrupt private insurers. Each company must reinsure all retirees, their spouses and dependents (Div.A Title I Subtitle F Section 164 (a)(1) page 65 lines 14-22). This obviously will bankrupt companies.

The government will automatically enroll you in the public plan if you are not in a qualifying health plan (Div.A Title II Subtitle A Section 205 (b)(3)(A) pages 97-98 lines 22-25 and 1-2). I thought this was all about choice.

If you have any sort of family change: marriage; divorce; new child; child completing college and now off of your insurance or move, you are automatically enrolled in the government plan (Div. A Title II Subtitle A Section 205 (b)(2)(B) pages 96-97 lines 24-25 and 1-11).

The public health plan has no dental coverage (Div.A Title II Subtitle B Section 221 (b)(3)(B) page 117 line 9). We’re going to have “English Teeth”

There is a 2.5% tax on all individuals who do not get acceptable coverage (Div.A Title IV Subtitle A Section 59B (a) page 167 line 23). And Obama says there are no new taxes for this.

If your employer elects to not provide coverage, there is an 8% tax on wages (Div.A Title IV Subtitle A Section 412 (a) page 183 lines 17-20). If your current employer pays more than 8% now, what do you think they will do? You’re going on the public plan.

There is a range of taxes (1%-5.4%) for people making over $350,000/year (Div.A Title IV Subtitle D Section 59C (a)(1-3) pages 197-198 lines 21-23 and 1-6). And Obama says there are no new taxes for this.

By 2012, there must be submitted, a study showing the savings, through 2019, generated as a result of the public health care (Div.A Title IV Subtitle D Section 59C (i)(4) page 201 lines 5-11). How could they possible predict this? The date is awfully close to Obama’s next election day.

Division B – Medicare and Medicaid Improvements (pages 215-854) This division discusses all of the changes to Medicare and Medicaid.

The public health plan will be reducing “Durable Medical Equipment” (Div. B Title I Subtitle B Part 2 Section 1131 (e)(1) page 267 lines 7-8). This means, folks, no more MRIs, CT Scans, etc. The government will arbitrarily adjust “utilization rates” on such equipment so less of them are required (Div. B Title I Subtitle B Part 2 Section 1147 (a)(1)(C) pages 273-274 lines 20-25 and 1-4).

No more specialty hospitals, like cancer treatment centers (Div. B Title I Subtitle B Part 2 Section 1145 (B) page 272 lines 8-25). If these specialty hospitals cannot charge a premium for their services, they will go bankrupt.

The government will ration the amount of time you are allowed in a hospital (Div. B Title I Subtitle C Section 1151 (a)(1) page 280 lines 15-20). Good luck infirm and elderly.

Physicians can no longer have ownership interest in a hospital (Div. B Title I Subtitle C Section 1156 (i)(1)(B) page 317 lines 13-20).

No new hospitals or expansion of existing hospitals (Div. B Title I Subtitle C Section 1156 (i)(1)(C) page 317 lines 21-25). Obviously, this is of concern and needs no further comment.

If any increase in hospital facilities is allowed, through exception, it can only occur at the main campus (Div. B Title I Subtitle C Section 1156 subsection (i)(2)(D) page 323 lines 15-20). Main campuses are usually located in urban areas forcing money into cities and away from rural populations. There will be studies on how to get you to go back to the cities (Div. B Title I Subtitle C Section 1157 (c)(1)(A) page 329 lines 7-9).

The only way a rural hospital will be allowed to increase their facilities will be after 5 years and only if they are located in a county showing a 150% population growth over the state aggregate population growth; admission rates for the hospital must be greater than other county hospitals; in a state that has less bed capacity than the national average; has a bed occupancy rate more than the state average and other conditions determined by the Secretary (Div. B Title I Subtitle C Section 1156 subsection (i)(2)(E)(i-v) pages 323-325). Seems pretty difficult to get new hospitals built, huh?

The public health plan fully admits there will be a lack of Physicians (Div. B Title I Subtitle C Section 1156 subsection (i)(4) page 326).

Pharmaceutical companies cannot make a profit (Div. B Title I Subtitle D Section 1181 (b)(1) pages 361-362 and Div. B Title VII Subtitle E Section 1742 (a)(1)(C) pages 793-794 lines 5-25 and 1-8). Obviously, without profit, there is no further research.

The poor, in order to get benefits without paying for them, can self-report income (Div. B Title II Subtitle A Section 1203 (a)(1) page 390 lines 12-25). No potential for fraud here!

ACORN will be getting grants under public health care (Div. B Title II Subtitle A Section 1222 (a)(2)(B) page 407 lines 5-9). No potential for fraud here!

The elderly will be counseled every five years on end-of-life issues (Div. B Title II Subtitle C Section 1223 (a)(1) pages 424-426). Good bye useless old people.

The state will limit the explanations needed to euthanize you (Div. B Title II Subtitle C Section 1223 (a)(1) pages 426 lines 22-24).

A “practitioner” who will be given the authority to turn your life support off can be a nurse practitioner or a physicians assistant (Div. B Title II Subtitle C Section 1223 (a)(1) page 428 lines 9-10 and page 429 line 13). Good bye useless old people.

The capitol gains on your primary residence will be used to compute your income to determine your Part B income-related premium (Div. B Title II Subtitle A Section 1235 (a) page 437 lines 17-24). Suddenly, you’re rich!

Incentives will be given to health care providers who spend less on you than originally anticipated (Div. B Title III Section 1301 (c)(1)(A) page 447 lines 19-23). No potential to deny services here.

Nurse Practitioners and Physicians Assistants are being elevated to the same status as Medical Doctors under the public health plan (Div. B Title III Section 1302 (a)(4)(A-B) page 461 lines 8-21 and Section 1303 (a)(3)(A)(i-ii) pages 480-481). The dumbing down of our health care.

Midwives get an increase in pay (Div. B Title III Section 1304 (a) page 482 lines 20-21). The dumbing down of our health care. The dumbing down of our health care.

There will be a commission to determine the most efficient method to provide health care and to ration care (Div. B Title IV Subtitle A Section 1401 (a)(1) pages 501-502 lines 20-21) and (Div. B Title IV Section 1304 (e)(2) page 522 lines 9-10).

Of the 15 members on the commission only 1 needs to be a Medical Doctor (Div. B Title IV Section 1304 (b)(3)(A-C) pages 507-509 lines 20-24; 1-25 and 1-19, inclusive).

The “Sunshine Provision” regarding payment for services suddenly doesn’t include Nurse Practitioners or Physicians Assistants (Div. B Title IV Subtitle D Section 1128H pages 646-647 lines 15-25 and 1-12). Dissuading Medical Doctors and persuading Nurse Practitioners or Physicians Assistants. There will be fewer Medical Doctors overall (Div. B Title V Section 1501 (a) pages 659-665). How will this improve health care?

There will be fewer medical specialists (Div. B Title V Section 1501 pages 666-670) and (Div. B Title V Section 1501 page 674 lines 9-11). How will this improve health care?

There is addition funding and special emphasis on Hospice (Div. B Title V Sections 1614; 1819A and 2114 pages 691-696). Why is Hospice elevated in Obama’s plan? Is the government planning on denying you advanced cancer treatments?

There will be a reduction in home health aides as Physicians will be required to meet with each patient face-to-face before your equipment is scripted (Div. B Title V Section 1639 pages 721-724). You know Physicians don’t have this kind of time.

Family planning services are left to the states (Div. B Title VII Subtitle B Section 1714 page 769).

There is another per capita tax on self-insured health plans (Div. B Title VIII Subtitle B Section 4376 page 830 lines 2-25).

Division C – Public Health and Workforce Development (pages 855-1017) This division is about training of future health care professionals.

Future doctors and/or nurses can no longer pick their specialties. The Secretary will pick their areas of interest based upon “needs” (Div. C Title II Part 2 Section 340H page 869 lines 21-24).

Primary Care Physicians and “Other Healthcare Professionals” will make up 90% of the healthcare workforce (Div. C Title II Part 2 Section 340K pages 874-875 lines 22-24 and 1-2 and Div. C Title II Part 2 Section 2213 pages 877-880 lines 14-25 and 1-23, inclusive).

Quotas are in full effect throughout the bill (Div. C Title II Part 2 Section 2213 (c-d)(1-3)(pages 880- 881 lines 4-23 and 1-7 and page 884 lines 4-10 and page 939 lines 16-19 and page 946 lines 3-5).

There will be funding for “additional health services” at schools (Div. C Title V Subtitle A Section 2501 page 994 lines 11-13). What are the “additional health services”?

Only unionized healthcare entities can train future nurses (Div. C Title V Subtitle D section 2531 page 1008 lines 13-16 and page 1010 lines 4-5).

All state, county and municipal workers are under the public health plan (Div. C Title V Subtitle E section 2541 page 1017 lines 6-19).


TOPICS: Your Opinion/Questions
KEYWORDS: congress; formom; healthcare; lies; obama
Please read this and forward to as many people as possible. They are lying and we must get the truth out!
1 posted on 08/14/2009 11:19:38 AM PDT by Uhhhbama
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To: Uhhhbama

I’d say it’s a MIRACLE America got along for over 233 years without this absolute NECESSARY piece of legislation. I can see why they wanted to pass it in such a hurry, we’re DYING as a country, and with this, it compares almost to the PREAMBLE to the Constition. or the Declaration of Independence. We have some real weiners in Washington that know how to sell snake oil. Democrats are BUYING. Oh, but the way, I am pretty SOLD on the Constitution, not so much sold on the present Congress camped on the Potomac.


2 posted on 08/14/2009 11:27:40 AM PDT by rovenstinez
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To: Uhhhbama

OMG! everytime I read this health care bill it get worse!


3 posted on 08/14/2009 11:31:53 AM PDT by A. Morgan (The essential American soul is hard, isolate, stoic, and a killer. It has never yet melted. Lawrence)
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To: RepublicanChick

ping


4 posted on 08/14/2009 11:32:05 AM PDT by kara2008 (Government cannot be the solution when government is the problem)
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To: Uhhhbama

Thanks for posting this information. I will pass it along.


5 posted on 08/14/2009 11:32:36 AM PDT by ishabibble (ALL-AMERICAN INFIDEL)
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To: Uhhhbama

Thank you for your thorough research. I appreciate the time it must have taken to compile all of this! Bless you.


6 posted on 08/14/2009 11:33:12 AM PDT by NorwegianViking (Organizing for America)
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To: Uhhhbama

Thank you
and BUMP

TT


7 posted on 08/14/2009 11:34:52 AM PDT by TexasTransplant (NEMO ME IMPUNE LACESSET)
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To: Uhhhbama

OBAMA CARE BY THE NUMBERS


EZEKIEL EMANUEL AND THE OBAMA CARE FINAL SOLUTION

(Must Read - Shocking, cited quotes by Emanuel)


OBAMA'S BRIDGE TOO FAR

8 posted on 08/14/2009 11:35:20 AM PDT by Jeff Head (Freedom is not free...never has been, never will be. (www.dragonsfuryseries.com))
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To: Uhhhbama

BTTT


9 posted on 08/14/2009 11:36:01 AM PDT by Jet Jaguar (Live free or die.)
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To: Uhhhbama

The medieval guilds were the ‘unions’ of their day, restricting the training and promotion of the practitioners of their professions. There is a similar limitation on the training of doctors, nurses, and other medical personnel, in that they must apply for the training in the first place under the auspices of a union, most likely AFL-CIO or SEIU.

This is sure to attract the highest quality of applicants.


10 posted on 08/14/2009 11:38:16 AM PDT by alloysteel (Never let an inanimate object know that you are in a hurry.)
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To: Uhhhbama
The more digging people do into this bill, the greater the stench. Good night! It is an extension of the Stimulus Bill: It is shovel ready garbage to be picked up for the landfill.
11 posted on 08/14/2009 11:47:31 AM PDT by jonrick46 (The Obama Administration is a blueprint for Fabian Socialism.)
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To: Uhhhbama

Has someone sent this to Glen Beck? If the info is correct they sure want to get rid of the elderly. Also what bothers me if someone has a family “change” like a divorce, marriage, new child etc. & they will automatically stick you in the government plan.
Since the government has failed at running the Medicare, Social Security & Post Office & probably many other departments they need to drop this bill like a “hot potato” & work on improving the departments we already have.


12 posted on 08/14/2009 11:55:41 AM PDT by jrcats (Well, I never thought there was going to be a worse President than Carter but Obama has him beat.)
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To: Uhhhbama

I see you just signed up today. Welcome to FR and thanks for the work. May I ask what your professional background is?


13 posted on 08/14/2009 12:00:06 PM PDT by GunsAndBibles (God save Calif. - 'cause it's gonna take a miracle.)
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To: Uhhhbama

If they pass this and there’s not a revolution, we deserve to live under it.


14 posted on 08/14/2009 12:03:01 PM PDT by Antoninus (Sarah Palin will soon have more fans on Facebook than most major newspapers have readers.)
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To: Uhhhbama; skateman

God save us..........


15 posted on 08/14/2009 12:06:15 PM PDT by AxelPaulsenJr (Please God Save The United States From Barack Hussein Al-Obama. Amen.)
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To: Uhhhbama

Thanks for posting this.

This bill is even worse than I had feared. The parts about restricting hospital expansion and medical equipment use is very troubling.


16 posted on 08/14/2009 12:07:45 PM PDT by BigBobber
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To: Uhhhbama
Obama Health Death care bump.
17 posted on 08/14/2009 12:25:12 PM PDT by Sans-Culotte
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To: Uhhhbama

Curt —

I took the liberty of forwarding your synopsis to Neal Boortz. In my email I referred to you as a friend whom I trust. ( as a FReeper, that’s good enough for me ) I did not take credit for your work, and you are attributed.

As I am ‘involved’ in health care as an industry, I made small changes to the tone but not content of your synopsis.

Below is what I sent to Neal


For the Talkmaster and the Web Wench —

Here is a commented synopsis of many of the rather egregious portions of the 1100 + pages of this proposed crap. This was provided to me by a friend whom I trust- I did not do this work, but felt compelled to pass it along. He tends to write in absolute terms like “no more X” or “no more Y” wherein better language might be “there is high risk of” or “there is the likelihood of.” Having said this, his insightful and perhaps inflammatory remarks with references make for interesting pre-show reading.

While I trust my friend to be [largely] accurate, the information provided herein is subject to error, audit and correction ... and prudence demands YOU check my/his references ;-) Like you say — don’t believe anything I send you until you verify it for yourself, but at least the references are there for folks to actually READ and see the male bovine excrement in this bill.

But seriously, take a look a what appears to be in this bill.

OMG.


SYNOPSIS OF HR 3200 America’s Affordable Health Choices Act of 2009

The bill is a 1,017 page document broken out in three Divisions:

1. Division A – Affordable Health Care Choices 2. Division B – Medicare and Medicaid Improvements 3. Division C – Public Health and Workforce Development

Division A – Affordable Health Care Choices (pages 4-215) This division creates a Health Insurance Exchange (HIE) with a public health insurance option along with private insurance plans.

[ hacks in ] ... the government will determine what is a qualifying plan (section (202 (d)(2)). You must be covered under a qualifying plan on January 1, 2013 or you will be automatically enrolled in the public plan (Div.A Title I Subtitle A Section 102 (a)(1)(A) page 16 lines 11-16).

There are NO new enrollees in private health plans after January 1, 2013 (Div. A Title I Subtitle A Section 102 (a)(1)(A) page 16 lines 11-16).

There is an out for the government to deny all private plans from qualifying after 2018 (Div.A Title I Subtitle A Section 102 (b)(1)(A) page 17 lines 13-19).

The government can [ has awarded itself the power and authority to ] disqualify any plan for not adhering to the American Recovery and Reinvestment Act of 2009, the Employee Retirement Income Security Act of 1974 or any other reason the Commissioner sees fit (Div.A Title I Subtitle A Section 102 (b)(1)(B) page 18 lines 13-17).

There will be a Health Benefits Advisory Committee made up of 26 members and chaired by the Surgeon General. Of the 26 members, 17 are appointed by the President. There might not be one single Medical Doctor (Div.A Title I Subtitle A Section 123 (a)(3)(A-C) and (4) pages 31-32 lines 1-25 and 1-10). How many LAWYERS do you think will be on that committee?

There is a statement that the government has the right to conduct examinations and audits of Qualifying Health Benefit Plans (QHBP) and recoup the costs involved (Div.A Title I Subtitle E Section 142 (b)(2)(B) page 43 lines 13-18). Nothing in the paragraph stipulates how infrequent these audits need to be. Therefore, the government could run private plans out of business. Once the government disqualifies a plan, you’re in the public plan (Div.A Title I Subtitle E Section 142 (d)(2)(B) page 44 lines 16-22) and (Div.A Title I Subtitle E Section 142 (d)(2)(D) page 45 lines 7-10). And we think the IRS is vindictive!!

Private Insurers are [apparently] not allowed to make a profit (Div.A Title I Subtitle F Section 2714 (a) page 54 lines 1-13). This obviously would dis-incent private insurers. Each company must apparently re-insure all retirees, their spouses and dependents (Div.A Title I Subtitle F Section 164 (a)(1) page 65 lines 14-22). This obviously will bankrupt companies.

The government will automatically enroll you in the public plan if you are not in a qualifying health plan (Div.A Title II Subtitle A Section 205 (b)(3)(A) pages 97-98 lines 22-25 and 1-2). I thought this was all about choice. ;-)

If you have any sort of family change: marriage; divorce; new child; child completing college and now off of your insurance or move, you are automatically enrolled in the government plan (Div. A Title II Subtitle A Section 205 (b)(2)(B) pages 96-97 lines 24-25 and 1-11). ( you may have time to re-enroll in a private plan, but it doesn’t seem to read that way)

THIS public health plan has no dental coverage (Div.A Title II Subtitle B Section 221 (b)(3)(B) page 117 line 9). We’re going to have “English Teeth”

There is a 2.5% tax on all individuals who do not get acceptable coverage (Div.A Title IV Subtitle A Section 59B (a) page 167 line 23). And Obama says there are no new taxes for this.

If your employer elects to not provide coverage, there is an 8% tax on wages (Div.A Title IV Subtitle A Section 412 (a) page 183 lines 17-20). If your current employer pays more than 8% now, what do you think they will do? You’re going on the public plan. Doesn’t seem to say if this is deducted/taken out like FICA-E or FICA-R.

There is a range of taxes (1%-5.4%) for people making over $350,000/year (Div.A Title IV Subtitle D Section 59C (a)(1-3) pages 197-198 lines 21-23 and 1-6). And Obama says there are no new taxes for this.

By 2012, there must be submitted, a study showing the savings, (not the truth, mind you, but the savings ;-)) through 2019, generated as a result of the public health care (Div.A Title IV Subtitle D Section 59C (i)(4) page 201 lines 5-11). Go produce a report that proves we save money so I can campaign with it.

Division B – Medicare and Medicaid Improvements (pages 215-854) This division discusses all of the changes to Medicare and Medicaid.

The public health plan will be reducing “Durable Medical Equipment” (Div. B Title I Subtitle B Part 2 Section 1131 (e)(1) page 267 lines 7-8). This means, folks, fewer (dare we say rationed) MRIs, CT Scans, etc. The government will arbitrarily adjust “utilization rates” on such equipment so less of them are required (Div. B Title I Subtitle B Part 2 Section 1147 (a)(1)(C) pages 273-274 lines 20-25 and 1-4). If utilization rates are reduced, then of course no actual “rationing” is needed.

There is the hint of no more specialty hospitals due to fiscal constraints; e.g., cancer treatment centers (Div. B Title I Subtitle B Part 2 Section 1145 (B) page 272 lines 8-25). If these specialty hospitals cannot charge a premium for their services, they will go “bankrupt” — even the so-called not-for-profits are affected seemingly.

The government will ration (not the government’s words) the amount of time you are allowed in a hospital (Div. B Title I Subtitle C Section 1151 (a)(1) page 280 lines 15-20). Good luck infirm and elderly. Length of stay has long been set by Payers, but now a government hack will set the LOS.

Physicians can no longer have ownership interest in a hospital (Div. B Title I Subtitle C Section 1156 (i)(1)(B) page 317 lines 13-20).

No new hospitals or expansion of existing hospitals (Div. B Title I Subtitle C Section 1156 (i)(1)(C) page 317 lines 21-25). Obviously, this is of concern and needs no further comment if true. It appears to be sloppy writing in conflict with the typical Certificate of Need process that has actually worked pretty well for years.

If any increase in hospital facilities is allowed, through exception, it can only occur at the main campus (Div. B Title I Subtitle C Section 1156 subsection (i)(2)(D) page 323 lines 15-20). Main campuses are often located in urban areas forcing money into cities and away from rural populations. There will be studies on how to get you to go back to the cities (Div. B Title I Subtitle C Section 1157 (c)(1)(A) page 329 lines 7-9). Quality of Care in ‘urban’ hospitals *IS* a legitimate issue, as is the viability of those facilities and networks ... but this appears to be a force fit/ entitlement as opposed to a fix.

The only way a rural hospital will be allowed to increase their facilities will be after 5 years and only if they are located in a county showing a 150% population growth over the state aggregate population growth; admission rates for the hospital must be greater than other county hospitals; in a state that has less bed capacity than the national average; has a bed occupancy rate more than the state average and other conditions determined by the Secretary (Div. B Title I Subtitle C Section 1156 subsection (i)(2)(E)(i-v) pages 323-325). Seems pretty difficult to get new hospitals built, huh? Rural quality of care, particularly specialist care *IS* also an issue. This seems to blunt facilities directly instead of figuring out how to provide affordable access to quality care for rural America.

The public health plan fully admits there will be a lack of Physicians (Div. B Title I Subtitle C Section 1156 subsection (i)(4) page 326). Well, there’s a lack of physicians in many markets today, particularly OB/GYNS in states with punitive tort laws ... but this proposed legislation does NOTHING to attract *quality* docs into the US system.

Pharmaceutical companies cannot apparently make a profit (Div. B Title I Subtitle D Section 1181 (b)(1) pages 361-362 and Div. B Title VII Subtitle E Section 1742 (a)(1)(C) pages 793-794 lines 5-25 and 1-8). Obviously, without profit, there is little research, and without adequate research we don’t get the new and improved therapeutics the market demands! OOPS, we don’t care about the market anymore ...

The poor, in order to get benefits without paying for them, can self-report income (Div. B Title II Subtitle A Section 1203 (a)(1) page 390 lines 12-25). No reduced potential for fraud here! The emergency departments of hospitals are already day-care and waiting rooms for the poor anyway. This fixes/improves nothing.

ACORN will be getting grants under public health care (Div. B Title II Subtitle A Section 1222 (a)(2)(B) page 407 lines 5-9). No potential for fraud here! </ sarcasm off>

The elderly will be counseled every five years on end-of-life issues (Div. B Title II Subtitle C Section 1223 (a)(1) pages 424-426). Good bye less-than-productive old people.

The State will limit the explanations needed to euthanize (euthanize is not their word) you (Div. B Title II Subtitle C Section 1223 (a)(1) pages 426 lines 22-24). Never mind the rights and jurisdictions of the 50 states and their statutes ...

It looks like a “practitioner” who will be given the authority to turn your life support off can be a nurse practitioner or a physician’s assistant (Div. B Title II Subtitle C Section 1223 (a)(1) page 428 lines 9-10 and page 429 line 13). Good bye useless old people.

The capital gains on your primary residence will be used to compute your income to determine your Part B income-related premium (Div. B Title II Subtitle A Section 1235 (a) page 437 lines 17-24). Suddenly, you’re rich! I guess technically this isn’t a NEW tax, just an old revenue source unearthed?

Incentives will be given to health care providers who spend less on you than originally anticipated (Div. B Title III Section 1301 (c)(1)(A) page 447 lines 19-23). No potential to deny services here. I can understand, sorta, the logic here to be ‘right’ in your guess/diagnosis, but the bill doesn’t put in place the ability to care rightly after a right diagnosis and thus reduce overall costs.

Nurse Practitioners and Physicians Assistants in some ways are being elevated to the same status as Medical Doctors under the public health plan (Div. B Title III Section 1302 (a)(4)(A-B) page 461 lines 8-21 and Section 1303 (a)(3)(A)(i-ii) pages 480-481). The dumbing down of our health care has risks if this becomes too pervasive. Docs ARE trained, and they are trained for a reason. PLUS the bill makes little if any direct mention of employing new computer-aided diagnostics that would enable a lot of health care to be delivered by folks at the ‘technician’ level of training. CAD is ‘real’ and improving. Find it in the bill ...

Midwives get an increase in pay (Div. B Title III Section 1304 (a) page 482 lines 20-21). A para pro way to address the lack of OB/GYNs drivin away by risk of lawsuits/ cost of insurance.

There will be a commission to determine the most efficient method to provide health care and to ration (I mean deliver) care (Div. B Title IV Subtitle A Section 1401 (a)(1) pages 501-502 lines 20-21) and (Div. B Title IV Section 1304 (e)(2) page 522 lines 9-10).

Of the 15 members on the commission only 1 needs to be a Medical Doctor (Div. B Title IV Section 1304 (b)(3)(A-C) pages 507-509 lines 20-24; 1-25 and 1-19, inclusive).

The “Sunshine Provision” regarding payment for services suddenly doesn’t include Nurse Practitioners or Physicians Assistants (Div. B Title IV Subtitle D Section 1128H pages 646-647 lines 15-25 and 1-12). Dissuading Medical Doctors and persuading Nurse Practitioners or Physicians Assistants. There will be fewer Medical Doctors overall (Div. B Title V Section 1501 (a) pages 659-665). How will this improve health care? How will this improve patient outcomes?

Perhaps not by direct intent, there will be fewer medical specialists (Div. B Title V Section 1501 pages 666-670) and (Div. B Title V Section 1501 page 674 lines 9-11). How will this improve health care?

There is additional funding and special emphasis on Hospice (Div. B Title V Sections 1614; 1819A and 2114 pages 691-696). Why is Hospice elevated in Obama’s plan? Is the government planning on denying you advanced cancer treatments? Regardless of that answer, whether this makes sense depends a LOT on how you define ‘hospice’, who qualifies, and for how long.

There will be a reduction in home health aides as Physicians will be required to meet with each patient face-to-face before your equipment is scripted (Div. B Title V Section 1639 pages 721-724). This could be a good thing since the number of “we’ll get your lard @ss a scooter, guaranteed!” ads off the TV. But actually, docs will likely not be adequately reimbursed for this office visit/scripting, adding to frustration. I wonder about the intent behind this provision.

Family planning services are left to the states (Div. B Title VII Subtitle B Section 1714 page 769). Can you say “unfunded mandate”?

There is another per capita tax on self-insured health plans (Div. B Title VIII Subtitle B Section 4376 page 830 lines 2-25).

Division C – Public Health and Workforce Development (pages 855-1017) This division is about training of future health care professionals.

Future doctors and/or nurses can no longer pick their specialties. The Secretary will pick their areas of interest based upon “needs” (Div. C Title II Part 2 Section 340H page 869 lines 21-24). Kinda like an MOS in the military — you can fill out your Dream Sheet, but the needs of the Secretary, as set by the soviet, will inform you of your choice of specialty.

Primary Care Physicians and “Other Healthcare Professionals” will make up 90% of the healthcare workforce (Div. C Title II Part 2 Section 340K pages 874-875 lines 22-24 and 1-2 and Div. C Title II Part 2 Section 2213 pages 877-880 lines 14-25 and 1-23, inclusive). WTF are the other 10%?

Quotas are in full effect throughout the bill (Div. C Title II Part 2 Section 2213 (c-d)(1-3)(pages 880- 881 lines 4-23 and 1-7 and page 884 lines 4-10 and page 939 lines 16-19 and page 946 lines 3-5).

There will be funding for “additional health services” at schools (Div. C Title V Subtitle A Section 2501 page 994 lines 11-13). What are the “additional health services”? TBD? BY WHOM??? HOW FUNDED???

Only unionized healthcare entities can train future nurses (Div. C Title V Subtitle D section 2531 page 1008 lines 13-16 and page 1010 lines 4-5). Nice little entitlement, eh?

All state, county and municipal workers are under the public health plan (Div. C Title V Subtitle E section 2541 page 1017 lines 6-19). Aren’t you SURPRISED by that one ;-)


18 posted on 08/14/2009 12:38:27 PM PDT by Blueflag (Res ipsa loquitur)
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To: GunsAndBibles

I noticed that as well, but decided to pass along his work to Neal Boortz anyway.

No ‘troll’ would ever work that hard.


19 posted on 08/14/2009 12:40:49 PM PDT by Blueflag (Res ipsa loquitur)
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To: Uhhhbama

“There will be funding for “additional health services” at schools (Div. C Title V Subtitle A Section 2501 page 994 lines 11-13). What are the “additional health services”?”

I used to work as a school nurse in a large district. They had “clinics” staffed by nurse practitioners where kids w/o health coverage could be sent. They had samples of meds there to give out, and could call in scripts for ones they didn’t carry. This is my take on the situation. BTW, the kids most often sent were illegal aliens.


20 posted on 08/14/2009 12:47:03 PM PDT by Enough_Deceit (Proud Mama of a US Marine and a US Soldier Bitterly Hanging On to Her Guns and Religion. Ooorahh!)
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To: Uhhhbama

I would not use this “synopsis” and certainly would not pass it on to anyone because it contains a number of factual errors. Until those errors are corrected, anyone using this “synopsis” will be accused of lying and will do more harm than good.

For example, paragraph 102(a)(1)(A) (page 16, lines 11-16) does NOT say that “[t]here are NO new enrollees in private health plans after January 1, 2013.” Paragraph 102(a)(1)(A) is actually part of the definition of “Grandfathered Health Insurance Coverage” (see page 16, lines 3-4). One of the requirements for a health insurance plan to be considered “grandfathered” is that is must not be offered for sale after the effective date of the statute. That does not mean that other private plans cannot be offered.

Nor does paragraph 102(a)(1)(A) mean that “You must be covered under a qualifying plan on January 1, 2013 or you will be automatically enrolled in the public plan.” The automatic enrollment provision in paragraph 205(b)(3) (pages 97-98, lines 20-25 and 1-7) does NOT apply to all persons generally, but applies only to “Exchange-eligible individuals described in subparagraph (B).” Paragraph 205(b)(3)(B)(i)(I) allows you to opt out of the automatic enrollment.

There is much, much more, but I do not have time now to correct this entire synopsis. I suggest that everyone read the bill for themselves and not rely on what other people tell you, including what I say. Check it out before you use it.


21 posted on 08/14/2009 12:52:17 PM PDT by allouchsit
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To: allouchsit

help me understand. So a plan is grandfathered and someone new wants to join the plan will they be allowed to?

If a plan is not grandfathered doesn’t that mean new plans are not allowed?

if any change at all happens to the plan then doesn’t that shut the plan down?For instance if an employer makes changes to co pays or deductible then isn’t the plan then voided and pple would have to go on the public option?


22 posted on 08/14/2009 1:13:03 PM PDT by RWGinger
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To: allouchsit

So, you think the bill is a good bill?


23 posted on 08/14/2009 1:16:13 PM PDT by skateman (Kris won!)
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To: Uhhhbama

Thank you. This is very useful. Do you have a link to the full bill?


24 posted on 08/14/2009 1:17:20 PM PDT by mlo
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To: allouchsit

BTW, welcome back. Next time don’t stay away for nearly three years.


25 posted on 08/14/2009 1:21:21 PM PDT by skateman (Kris won!)
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To: allouchsit

Are you the same, allouchsit that wrties over at Salon?


26 posted on 08/14/2009 1:27:51 PM PDT by skateman (Kris won!)
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To: allouchsit
Are you the same, allouchsit that writes over at Salon?

oops, correction in spelling.

27 posted on 08/14/2009 1:28:52 PM PDT by skateman (Kris won!)
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To: allouchsit

Kiss your ass bye-bye, you slimeball Obamabot.


28 posted on 08/14/2009 1:45:17 PM PDT by Admin Moderator
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To: allouchsit
Oh my gosh........Your splitting of hairs is so typical of the freaks that would push this nationalization of so called health care.

You want YOUR mom to be denied cancer meds because they are too expensive down the road, like is happening in BRITAIN? What are you SICK? Of COURSE we will all be forced onto the sick plan in progress right now in DC-there is no real choice because THOSE CHOICES WILL ALL BE DEAD ENDS WITHIN A FEW YEARS, AND YOU KNOW IT you pathetic freebie hunter.

You are the type that WANTS your neighbor to pay for YOUR health care with their hard earned money, don't you?

Take the WORDS for what they mean, and stop trying to relate them to scmuck that really says the same thing.

Gish.

You are not a liar, you are a slimey liberal who likes to threaten those who seek the truth because NO LIBERAL can ever face truth.

Shame on you for trying to help destroy the GREATEST MEDICAL HEALTH CARE SYSTEM IN THE WORLD.

29 posted on 08/14/2009 2:24:52 PM PDT by Republic (Uhbama is a LIAR! Uhbama is REALLY A LIAR! UhBAMA LIED TO ALL OF US TODAY!)
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To: Uhhhbama

BTTT


30 posted on 08/14/2009 2:59:18 PM PDT by WOBBLY BOB (ACORN:American Corruption for Obama Right Now)
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To: Uhhhbama

THANK YOU! Will copy and post everywhere.


31 posted on 08/14/2009 3:13:04 PM PDT by mombyprofession
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To: FreedomHammer

original post ping


32 posted on 08/14/2009 3:13:39 PM PDT by mombyprofession
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To: Uhhhbama
Has obama come out and declared that house bill HR 3200 is the one, of many, that he has authored or now supports? These liberal scumbags always have a way out and I am afraid seem to always be ahead of us conservatives in strategy and dirty tricks.
33 posted on 08/14/2009 3:25:36 PM PDT by my right
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To: my right

obama is being very coy, he hasn’t written or offered any input on obamacare.

so far HR 3200 is the only bill that has made it out of a committee. It is serving as the trial balloon.Obama knows most of it won’t make it but by having so much crap in it what does survive will still be pushing us toward total gov’t control.

I agree dems are masters at dirty tricks. They were stunned by the public reaction but they quickly regrouped. Notice the new messages, that protestors are lunatic evil mongers and now HR 3200 is merely one of many plans the Congress is considering so why are we so angry. MSM is helping obama all it can.

We must not give up


34 posted on 08/14/2009 3:33:47 PM PDT by RWGinger
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To: Uhhhbama
"No new hospitals or expansion of existing hospitals (Div. B Title I Subtitle C Section 1156 (i)(1)(C) page 317 lines 21-25). Obviously, this is of concern and needs no further comment."

ha ha ha LOL, yeah I must laugh. This is funny.

There are NO hospitals in my County, which is located in the glorious State of NY. Since there are no hospitals here, all residents in this county should be exempt from obamacare.

35 posted on 08/14/2009 3:42:42 PM PDT by 1_Rain_Drop
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To: Uhhhbama
obamacare2
36 posted on 08/14/2009 4:20:26 PM PDT by Flag_This (They wouldn't be libs if they weren't hypocrits and liars)
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To: Uhhhbama

This is not only deathcare it is the death of America. It appears Obama has lots of little ways to kill capitalism.

THIS IS NOT AMERICA.


37 posted on 08/14/2009 4:41:51 PM PDT by freekitty (Give me back my conservative vote; then find me a real conservative to vote for)
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To: Uhhhbama

“Only unionized healthcare entities can train future nurses (Div. C Title V Subtitle D section 2531 page 1008 lines 13-16 and page 1010 lines 4-5).”

You don’t belong to a union; you don’t get a job. This has far reaching consequences. They are going to control every aspect of our lives.

Will we even have real doctors treating us too?


38 posted on 08/14/2009 4:45:54 PM PDT by freekitty (Give me back my conservative vote; then find me a real conservative to vote for)
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To: allouchsit
This account has been banned or suspended.
Okay

Looks like the FReeper "death panel" exists.

39 posted on 08/14/2009 4:58:02 PM PDT by McGruff (We have the right to debate and disagree with any administration - Hillary Clinton)
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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)**


40 posted on 08/15/2009 7:40:01 AM PDT by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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To: Uhhhbama
Excellent post. The bill is double spaced, with 2 to 3 inch margins, so it's not that tough to skim. Please email the last page of the bill to all your friends who work for a city, state or county government.

Subtitle E—States Failing To Adhere to Certain Employment Obligations SEC. 2541. LIMITATION ON FEDERAL FUNDS.
A State is eligible for Federal funds under the provisions of the Public Health Service Act (42 U.S.C. 201 et seq.) only if the State—
(1) agrees to be subject in its capacity as an employer to each obligation under division A of this Act and the amendments made by such division applicable to persons in their capacity as an employer;
and
(2) assures that all political subdivisions in the State will do the same.

41 posted on 08/15/2009 10:55:04 AM PDT by aimhigh
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