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ObamaCare by Rev. Dr. Leslie Mary Trombly
Yup Folks, It time again for my monthly rant: This time it is on the Proposed “Healthcare plan Obama is trying to push through before the August recess. Below are the important parts to the Healthcare plan that every American should know. First the real meaning of each section, then what the each section from the Health care plan HR3200 says. I. Shocking finds inside the Healthcare Plan: Pg 22 of the HC Bill MANDATES the Government will audit books of ALL EMPLOYERS that self insure!! Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVERNMENT COMMITTEE that decides what treatments/benefits that you get. Pg 29 lines 4-16 in the HC bill - YOUR HEALTHCARE IS RATIONED!!! Pg 42 of HC Bill - The Health Choices Commissioner will choose Your HC Benefits for you. You have no choice! Pg 50 Section 152 in HC bill - HC will be provided to ALL non US citizens, illegal or otherwise. Pg 58HC Bill - Government will have real-time access to individuals finances & a National ID Healthcard will be issued! Pg 59 HC Bill lines 21-24 - Government will have direct access to your banks accounts for electronic funds transfer. Pg 65 Sec 164 - is a payoff subsidized plan for retirees and their families in Unions & community orgs (ACORN). Pg 72 Lines 8-14 - Government is creating an HC Exchange to bring private HC plans under Government control. Pg 84 Sec 203 HC bill - Government mandates ALL benefit pkgs for private HC plans in the Exchange. Pg 85 Line 7 HC Bill - Specs for of Benefit Levels for Plans = The Government will ration ur Healthcare! Pg 91 Lines 4-7 HC Bill - Government mandates linguistic appropriate services. Example - Translation for illegal aliens. Pg 95 HC Bill Lines 8-18 - The Government will use groups i.e., ACORN & Ameri-corps to sign up individual for Government HC plan. Pg 85 Line 7 HC Bill - Specs of Benefits Levels for Plans. #AARP members - Your Health care WILL be rationed. Pg 102 Lines 12-18 HC Bill - Medicaid Eligible Individual will be automatically enrolled in Medicaid. No choice. Pg 124 lines 24-25 HC - No company can sue GOVERNMENT on price fixing. No "judicial review" against Government Monopoly. Pg 127 Lines 1-16 HC Bill - Doctors/ #AMA - The Government will tell YOU what you can make. Pg 145 Line 15-17 - An Employer MUST auto enroll employees into public option plan. NO CHOICE. Pg 126 Lines 22-25 - Employers MUST pay for HC for part time employees AND their families. Pg 149 Lines 16-24 - ANY Employer w payroll 400k & above who does not provide public options pays 8% tax on all payroll. Pg 150 Lines 9-13 - Businesses with payroll with a 251k & 400k who doesnt provide public options pays 2-6% tax on all payroll. Pg 167 Lines 18-23 - ANY individual who doesnt have acceptable HC according to Government will be taxed 2.5% of inc. Pg 170 Lines 1-3 HC Bill - Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay). Pg 195 HC Bill - officers & employees of HC Admin (GOVERNMENT) will have access to ALL Americans financial / personal records. Pg 203 Line 14-15 HC - "The tax imposed under this section shall not be treated as tax" Yes, it says that. Pg 239 Line 14-24 HC - Bill Government will reduce physician services for Medicaid. Seniors, low income, poor affected. Pg 241 Line 6-8 HC Bill - Doctors, doesn’t matter what specialty you have, you'll all be paid the same. Pg 253 Line 10-18 - Government sets value of Dr's time, profession, judge, etc. Literally value of humans. Pg 265 Sec 1131 - Government mandates & controls productivity for private HC industries. Pg 268 Sec 1141 - Fed Government regulates rental & purchase of power driven wheelchairs. Pg 272 SEC. 1145 - TREATMENT OF CERTAIN CANCER HOSPITALS - Cancer patients - welcome to rationing! Pg 280 Sec 1151 - The Government will penalize hospitals for what Government deems preventable readmissions. Pg 298 Lines 9-11 - Drs, treat a patient during initial admission that results in a re-admissions, Government will penalize you. Pg 317 L 13-20 - PROHIBITION on ownership/investment. Government tells Drs. what / how much they can own. Pg 317-318 lines 21-25,1-3 - PROHIBITION on expansion- Government is mandating hospitals cannot expand. Pg 321 2-13 - Hospitals have option to apply for exception BUT community input required. Can you say ACORN?!! Pg 335 L 16-25 Pg 336-339 - Government mandates establishment of outcome based measures. HC the way they want. Rationing!!!! Pg 341 Lines 3-9 - Government has authority to disqualify Medicare Advance Plans, HMOs, etc. Forcing people in to Government plan Pg 354 Sec 1177 - Government will RESTRICT enrollment of Special needs people!!! Pg 379 Sec 1191 - Government creates more bureaucracy - Tele-health Advisory Committee. Can you say HC by phone? Pg 425 Lines 4-12 - Government mandates Advance Care Planning Consult. Think Senior Citizens end of life. Pg 425 Lines 17-19 - Will instruct & consult regarding living wills, durable powers of attorney. Mandatory! Pg 425 Lines 22-25, 426 Lines 1-3 - Government provides approved list of end of life resources, guiding you in death. Pg 427 Lines 15-24 - Government mandates program for orders for end of life. The Government has a say in how your life ends. Pg 429 Lines 1-9 - An "advance care planning consult" will be used frequently as patients health deteriorates. Pg 429 Lines 10-12 - "advance care consultation" may include an ORDER for end of life plans. AN ORDER from GOVERNMENT. Pg 429 Lines 13-25 - The Government will specify which Doctors can write an end of life order. Pg 430 Lines 11-15 - The Government will decide what level of treatment you will have at end of life. Pg 469 - Community Based Home Medical Services - Non profit organizations. Hello, ACORN Medical Services here? Pg 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORGANIZATION. A monthly payment to a community-based org. Like ACORN? Pg 489 Sec 1308 The Government will cover Marriage & Family therapy. Which means they will insert Government into your marriage. Pg 494-498 Government will cover Mental Health Services including defining, creating, rationing those services II. THERE IS MORE! In SEC. 102 - Outlaws private insurance by forbidding enrollment after HR 3200 is passed into law. H.R. 3200 states: SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE. (a) GRANDFATHERED HEALTH INSURANCE COVERAGE DEFINED.—Subject to the succeeding provisions of 4 this section, for purposes of establishing acceptable coverage under this division, the term ‘grandfathered health insurance coverage’ means individual health insurance coverage that is offered and in force and effect before the first day of Y1 if the following conditions are met: (1) LIMITATION ON NEW ENROLLMENT. (A) INGENERAL.—Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1. (B) DEPENDENT COVERAGE PERMITTED.—Subparagraph (A) shall not affect the subsequent enrollment of a dependent of an individual who is covered as of such first day. (2) LIMITATION ON CHANGES IN TERMS OR CONDITIONS. (A) Subject to paragraph (3) and except as required by law, the issuer does not change any of its terms or conditions, including benefits and cost-sharing, from those in effect as of the day before the first day of Y1. SEC. 122 - YOUR HEALTHCARE IS RATIONED!!! H.R. 3200 states: SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED. (2) ANNUAL LIMITATION- (A) ANNUAL LIMITATION- The cost-sharing incurred under the essential benefits package with respect to an individual (or family) for a year does not exceed the applicable level specified in subparagraph (B). (B) APPLICABLE LEVEL- The applicable level specified in this subparagraph for Y1 is $5,000 for an individual and $10,000 for a family. Such levels shall be increased (rounded to the nearest $100) for each subsequent year by the annual percentage increase in the Consumer Price Index (United States city average) applicable to such year. (C) USE OF COPAYMENTS- In establishing cost-sharing levels for basic, enhanced, and premium plans under this subsection, the Secretary shall, to the maximum extent possible, use only copayments and not coinsurance. H.R. 3200 States:
SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.
(a) ESTABLISHMENT.— IN GENERAL. There is established a
private-public advisory committee which shall be a panel of medical and
other experts to be known as the Health Benefits Advisory Committee to
recommend covered benefits and essential, enhanced, and premium plans.
SEC. 142 - The Health Choices
Commissioner will choose your HC Benefits for you. You have no
choice!
SEC. 142 DUTIES AND AUTHORITY OF COMMISSIONER
(a) Duties- The Commissioner is responsible for carrying out the
following functions under this division:
(1) QUALIFIED PLAN STANDARDS- The establishment of qualified health
benefits plan standards under this title, including the enforcement of
such standards in coordination with State insurance regulators and the
Secretaries of Labor and the Treasury.
(2) HEALTH INSURANCE EXCHANGE- The establishment and operation of a
Health Insurance Exchange under subtitle A of title II.
(3) INDIVIDUAL AFFORDABILITY CREDITS- The administration of individual
affordability credits under subtitle C of title II, including
determination of eligibility for such credits.
(4) ADDITIONAL FUNCTIONS- Such additional functions as may be specified
in this division.
SEC. 152 - HC will be provided
to ALL non US citizens, ILLEGAL or otherwise.
H.R. 3200 states:
SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE.
(a) In General- Except as otherwise explicitly permitted by this Act and
by subsequent regulations consistent with this Act, all health care and
related services (including insurance coverage and public health
activities) covered by this Act shall be provided without regard to
personal characteristics extraneous to the provision of high quality
health care or related services.
(b) Implementation- To implement the requirement set forth in subsection
(a), the Secretary of Health and Human Services shall, not later than 18
months after the date of the enactment of this Act, promulgate such
regulations as are necessary or appropriate to insure that all health
care and related services (including insurance coverage and public
health activities) covered by this Act are provided (whether directly or
through contractual, licensing, or other arrangements) without regard to
personal characteristics extraneous to the provision of high quality
health care or related services.
SEC. 163. - Government will
have real-time access to individuals' finances and a national ID health
card will be issued- Government will have DIRECT access to your BANK
ACCOUNTS for electronic funds transfer. This means the government can go
in and take your money right out of your bank account.
H.R. 3200 states:
SEC. 163. ADMINISTRATIVE SIMPLIFICATION.
(a) Standardizing Electronic Administrative Transactions-
(1) IN GENERAL- Part C of title XI of the Social Security Act (42 U.S.C.
1320d et seq.) is amended by inserting after section 1173 the following
new section:
(D) enable the real-time (or near real-time) determination of an
individual's financial responsibility at the point of service and, to
the extent possible, prior to service, including whether the individual
is eligible for a specific service with a specific physician at a
specific facility, which may include utilization of a machine-readable
health plan beneficiary identification card;
(E) enable, where feasible, near real-time adjudication of claims;
SEC. 201 - Government is
creating an HC Exchange to bring private HC plans under Government
control.
H.R. 3200 states:
SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF
DUTIES; DEFINITIONS.
(a) Establishment- There is established within the Health Choices
Administration and under the direction of the Commissioner a Health
Insurance Exchange in order to facilitate access of individuals and
employers, through a transparent process, to a variety of choices of
affordable, quality health insurance coverage, including a public health
insurance option.
(b) Outline of Duties of Commissioner- In accordance with this subtitle
and in coordination with appropriate Federal and State officials as
provided under section 143(b), the Commissioner shall--
(1) under section 204 establish standards for, accept bids from, and
negotiate and enter into contracts with, QHBP offering entities for the
offering of health benefits plans through the Health Insurance Exchange,
with different levels of benefits required under section 203, and
including with respect to oversight and enforcement;
(2) under section 205 facilitate outreach and enrollment in such plans
of Exchange-eligible individuals and employers described in section 202;
and
(3) conduct such activities related to the Health Insurance Exchange as
required, including establishment of a risk pooling mechanism under
section 206 and consumer protections under subtitle D of title I.
(c) Exchange-participating Health Benefits Plan Defined- In this
division, the term `Exchange-participating health benefits plan' means a
qualified health benefits plan that is offered through the Health
Insurance Exchange. (ci)
SEC. 203. - Government
mandates ALL benefit packages for private HC plans in the Exchange and
again RATIONS health care.
H.R. 3200 States:
SEC. 203. BENEFITS PACKAGE LEVELS.
(a) In General- The Commissioner shall specify the benefits to be made
available under Exchange-participating health benefits plans during each
plan year, consistent with subtitle C of title I and this section.
(b) Limitation on Health Benefits Plans Offered by Offering Entities-
The Commissioner may not enter into a contract with a QHBP offering
entity under section 204(c) for the offering of an
Exchange-participating health benefits plan in a service area unless the
following requirements are met:
(1) REQUIRED OFFERING OF BASIC PLAN- The entity offers only one basic
plan for such service area.
(2) OPTIONAL OFFERING OF ENHANCED PLAN- If and only if the entity offers
a basic plan for such service area, the entity may offer one enhanced
plan for such area.
(3) OPTIONAL OFFERING OF PREMIUM PLAN- If and only if the entity offers
an enhanced plan for such service area, the entity may offer one premium
plan for such area.
(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS- If and only if the entity
offers a premium plan for such service area, the entity may offer one or
more premium-plus plans for such area.
SEC. 205. - The Government
will use groups i.e., ACORN & Ameri-corps to sign up individuals for
Government HC plan AND Medicaid Eligible Individuals will be
automatically enrolled in Medicaid. No choice!
H.R. 3200 States:
SEC. 205. OUTREACH AND ENROLLMENT OF EXCHANGE-ELIGIBLE
INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH BENEFITS
PLAN.
(A) IN GENERAL-
(1) OUTREACH- The Commissioner shall conduct outreach activities
consistent with subsection (c), including through use of appropriate
entities as described in paragraph (4) of such subsection, to inform and
educate individuals and employers about the Health Insurance Exchange
and Exchange-participating health benefits plan options. Such outreach
shall include outreach specific to vulnerable populations, such as
children, individuals with disabilities, individuals with mental
illness, and individuals with other cognitive impairments.
(3) AUTOMATIC ENROLLMENT FOR NON-MEDICAID ELIGIBLE INDIVIDUALS -
(A) IN GENERAL- The Commissioner shall provide for a process under which
individuals who are Exchange-eligible individuals described in
subparagraph (B) are automatically enrolled under an appropriate
Exchange-participating health benefits plan. Such process may involve a
random assignment or some other form of assignment that takes into
account the health care providers used by the individual involved or
such other relevant factors as the Commissioner may specify.
(3) AUTOMATIC ENROLLMENT OF MEDICAID ELIGIBLE INDIVIDUALS INTO MEDICAID-
The Commissioner shall provide for a process under which an individual
who is described in section 202(d)(3) and has not elected to enroll in
an Exchange-participating health benefits plan is automatically enrolled
under Medicaid.
SEC. 223. - No company can sue
the GOVERNMENT on price fixing! No “judicial review” against
Government Monopoly!!
H.R. 3200 States:
SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES
(f) Limitations on Review- There shall be no administrative or judicial
review of a payment rate or methodology established under this section
or under section 224.
SEC. 225. - Doctors/ AMA - The
Government will tell YOU what you can make.
H.R. 3200 States:
SEC. 225. PROVIDER PARTICIPATION
(a) In General- The Secretary shall establish conditions of
participation insurance option.
(b) Licensure or Certification- The Secretary shall not allow a health
care provider to participate in the public health insurance option
unless such provider is appropriately licensed or certified under State
law.
(c) Payment Terms for Providers-
(1) PHYSICIANS- The Secretary shall provide for the annual participation
of physicians under the public health insurance option, for which
payment may be made for services furnished during the year, in one of 2
classes:
(A) PREFERRED PHYSICIANS- Those physicians who agree to accept the
payment rate established under section 223 (without regard to
cost-sharing) as the payment in full.
(B) PARTICIPATING, NON-PREFERRED PHYSICIANS- Those physicians who agree
not to impose charges (in relation to the payment rate described in
section 223 for such physicians) that exceed the ratio permitted under
section 1848(g)(2)(C) of the Social Security Act.
SEC. 312. - An Employer MUST
auto enroll employees into public option plan and employers MUST pay for
HC for part time employees AND their families. NO CHOICE!!
H.R. 3200 States:
SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE
AND DEPENDENT COVERAGE
(a) In General- An employer meets the requirements of this section with
respect to an employee if the following requirements are met:
(1) OFFERING OF COVERAGE- The employer offers the coverage described in
section 311(1) either through an Exchange-participating health benefits
plan or other than through such a plan.
(2) EMPLOYER REQUIRED CONTRIBUTION- The employer timely pays to the
issuer of such coverage an amount not less than the employer required
contribution specified in subsection (b) for such coverage.
(3) PROVISION OF INFORMATION- The employer provides the Health Choices
Commissioner, the Secretary of Labor, the Secretary of Health and Human
Services, and the Secretary of the Treasury, as applicable, with such
information as the Commissioner may require to ascertain compliance with
the requirements of this section.
(4) AUTOENROLLMENT OF EMPLOYEES- The employer provides for
autoenrollment of the employee in accordance with subsection (c).
(b) Reduction of Employee Premiums Through Minimum Employer
Contribution-
(3) MINIMUM EMPLOYER CONTRIBUTION FOR EMPLOYEES OTHER THAN FULL-TIME
EMPLOYEES- In the case of coverage for an employee who is not a
full-time employee, the amount of the minimum employer contribution
under this subsection shall be a proportion (as determined in accordance
with rules of the Health Choices Commissioner, the Secretary of Labor,
the Secretary of Health and Human Services, and the Secretary of the
Treasury, as applicable) of the minimum employer contribution under this
subsection with respect to a full-time employee that reflects the
proportion of--
(A) the average weekly hours of employment of the employee by the
employer, to
(B) the minimum weekly hours specified by the Commissioner for an
employee to be a full-time employee.
SEC. 401. - ANY individual who
doesn’t have acceptable HC according to Government will be taxed
2.5% of income AND Any NONRESIDENT Alien is EXEMPT from individual
taxes. (Americans will pay)
H.R. 3200 STATES:
SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE
COVERAGE
Subpart A--Tax on Individuals Without Acceptable Health Care Coverage
`Sec. 59B. Tax on individuals without acceptable health care coverage.
`SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
`(a) Tax Imposed- In the case of any individual who does not meet the
requirements of subsection (d) at any time during the taxable year,
there is hereby imposed a tax equal to 2.5 percent of the excess of--
(1) the taxpayer's modified adjusted gross income for the taxable year,
over
(2) the amount of gross income specified in section 6012(a)(1) with
respect to the taxpayer.
(c) Exceptions-
(2) NONRESIDENT ALIENS- Subsection (a) shall not apply to any individual
who is a nonresident alien.
SEC. 1122. - Government sets
value of Doctor’s time, professional judgment, etc. Literally
value of humans.
H.R. 3200 STATES:
SEC. 1122. MISVALUED CODES UNDER THE PHYSICIAN FEE
SCHEDULE.
(a) In General- Section 1848(c)(2) of the Social Security Act (42 U.S.C.
1395w-4(c)(2)) is amended by adding at the end the following new
subparagraphs:
(K) POTENTIALLY MISVALUED CODES-
(i) IN GENERAL- The Secretary shall--
(I) periodically identify services as being potentially misvalued using
criteria specified in clause (ii); and
(II) review and make appropriate adjustments to the relative values
established under this paragraph for services identified as being
potentially misvalued under subclause (I).
(ii) IDENTIFICATION OF POTENTIALLY MISVALUED CODES- For purposes of
identifying potentially misvalued services pursuant to clause (i)(I),
the Secretary shall examine (as the Secretary determines to be
appropriate) codes (and families of codes as appropriate) for which
there has been the fastest growth; codes (and families of codes as
appropriate) that have experienced substantial changes in practice
expenses; codes for new technologies or services within an appropriate
period (such as three years) after the relative values are initially
established for such codes; multiple codes that are frequently billed in
conjunction with furnishing a single service; codes with low relative
values, particularly those that are often billed multiple times for a
single treatment; codes which have not been subject to review since the
implementation of the RBRVS (the so-called `Harvard-valued codes'); and
such other codes determined to be appropriate by the Secretary.
SEC. 1141. - Federal
Government regulates rental and purchase of power driven
wheelchairs
H.R. 3200 STATES:
PART 3--OTHER PROVISIONS
SEC. 1141. RENTAL AND PURCHASE OF POWER-DRIVEN
WHEELCHAIRS.
(a) In General- Section 1834(a)(7)(A)(iii) of the Social Security Act
(42 U.S.C. 1395m(a)(7)(A)(iii)) is amended--
(1) in the heading, by inserting `CERTAIN COMPLEX REHABILITATIVE' after
`OPTION FOR'; and
(2) by striking `power-driven wheelchair' and inserting `complex
rehabilitative power-driven wheelchair recognized by the Secretary as
classified within group 3 or higher'.
(b) Effective Date- The amendments made by subsection (a) shall take
effect on January 1, 2011, and shall apply to power-driven wheelchairs
furnished on or after such date. Such amendments shall not apply to
contracts entered into under section 1847 of the Social Security Act (42
U.S.C. 1395w-3) pursuant to a bid submitted under such section before
October 1, 2010, under subsection (a)(1)(B)(i)(I) of such section.
SEC. 1145. - Cancer patients -
welcome to rationing! You may not get that 'specilized' cancer treatment
center as an option.
H.R. 3200 STATES:
SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.
Section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)) is
amended by adding at the end the following new paragraph:
(18) AUTHORIZATION OF ADJUSTMENT FOR CANCER HOSPITALS-
(A) STUDY- The Secretary shall conduct a study to determine if, under
the system under this subsection, costs incurred by hospitals described
in section 1886(d)(1)(B)(v) with respect to ambulatory payment
classification groups exceed those costs incurred by other hospitals
furnishing services under this subsection (as determined appropriate by
the Secretary).
(B) AUTHORIZATION OF ADJUSTMENT- Insofar as the Secretary determines
under subparagraph (A) that costs incurred by hospitals described in
section 1886(d)(1)(B)(v) exceed those costs incurred by other hospitals
furnishing services under this subsection, the Secretary shall provide
for an appropriate adjustment under paragraph (2)(E) to reflect those
higher costs effective for services furnished on or after January 1,
2011.'.
SEC. 1151. - The Government
will penalize hospitals for what Government deems preventable
readmissions. Doctors! Treat a patient during initial admission that
results in a readmission? Government will penalize you.
H.R. 3200 States:
SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL
READMISSIONS.
(a) Hospitals-
(1) IN GENERAL- Section 1886 of the Social Security Act (42 U.S.C.
1395ww), as amended by section 1103(a), is amended by adding at the end
the following new subsection:
(p) Adjustment to Hospital Payments for Excess Readmissions-
(1) IN GENERAL- With respect to payment for discharges from an
applicable hospital (as defined in paragraph (5)(C)) occurring during a
fiscal year beginning on or after October 1, 2011, in order to account
for excess readmissions in the hospital, the Secretary shall reduce the
payments that would otherwise be made to such hospital under subsection
(d) (or section 1814(b)(3), as the case may be) for such a discharge by
an amount equal to the product of--
(d) Physicians-
(1) STUDY- The Secretary of Health and Human Services shall conduct a
study to determine how the readmissions policy described in the previous
subsections could be applied to physicians.
(2) CONSIDERATIONS- In conducting the study, the Secretary shall
consider approaches such as--
(A) creating a new code (or codes) and payment amount (or amounts) under
the fee schedule in section 1848 of the Social Security Act (in a budget
neutral manner) for services furnished by an appropriate physician who
sees an individual within the first week after discharge from a hospital
or critical access hospital;
(B) developing measures of rates of readmission for individuals treated
by physicians;
(C) applying a payment reduction for physicians who treat the patient
during the initial admission that results in a readmission; and
(D) methods for attributing payments or payment reductions to the
appropriate physician or physicians.
SEC. 1156. - PROHIBITION on
ownership and investment! Government tells Doctors what and how much
they can own!
H.R. 3200 States:
SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION
ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS
(B) PROHIBITION ON PHYSICIAN OWNERSHIP OR INVESTMENT- The percentage of
the total value of the ownership or investment interests held in the
hospital, or in an entity whose assets include the hospital, by
physician owners or investors in the aggregate does not exceed such
percentage as of the date of enactment of this subsection.
SEC. 1177 - Government will
RESTRICT enrollment of special needs people
H.R. 3200 states:
SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO
RESTRICT ENROLLMENT.
(a) In General- Section 1859(f)(1) of the Social Security Act (42 U.S.C.
1395w-28(f)(1)) is amended by striking `January 1, 2011' and inserting
January 1, 2013 (or January 1, 2016, in the case of a plan described in
section 1177(b)(1) of the America's Affordable Health Choices Act of
2009)'.
(b) Grandfathering of Certain Plans-
(1) PLANS DESCRIBED- For purposes of section 1859(f)(1) of the Social
Security Act (42 U.S.C. 1395w-28(f)(1)), a plan described in this
paragraph is a plan that had a contract with a State that had a State
program to operate an integrated Medicaid-Medicare program that had been
approved by the Centers for Medicare & Medicaid Services as of
January 1, 2004.
(2) ANALYSIS; REPORT- The Secretary of Health and Human Services shall
provide, through a contract with an independent health services
evaluation organization, for an analysis of the plans described in
paragraph (1) with regard to the impact of such plans on cost, quality
of care, patient satisfaction, and other subjects as specified by the
Secretary. Not later than December 31, 2011, the Secretary shall submit
to Congress a report on such analysis and shall include in such report
such recommendations with regard to the treatment of such plans as the
Secretary deems appropriate.
SEC. 1233. - Government
mandates Advance Care Planning Consult. Think Senior Citizens end of
life. Government will instruct and consult regarding living wills,
durable powers of attorney. Mandatory! Government provides approved list
of end of life resources, guiding you in death! Government mandates
program for orders for end of life. The Government has a say in how your
life ends! An “advance care planning consultant” will be
used frequently as patients health deteriorates. “advance care
consultation” may include an ORDER for end of life plans. AN ORDER
from GOVERNMENT
The Government will specify which Doctors can write an end of life
order. The Government will decide what level of treatment you will have
at end of life.
H.R. 3200 States:
SEC. 1233. ADVANCE CARE PLANNING CONSULTATION
(1) Subject to paragraphs (3) and (4), the term `advance care planning
consultation' means a consultation between the individual and a
practitioner described in paragraph (2) regarding advance care planning,
if, subject to paragraph (3), the individual involved has not had such a
consultation within the last 5 years. Such consultation shall include
the following:
(A) An explanation by the practitioner of advance care planning,
including key questions and considerations, important steps, and
suggested people to talk to.
(B) An explanation by the practitioner of advance directives, including
living wills and durable powers of attorney, and their uses.
(C) An explanation by the practitioner of the role and responsibilities
of a health care proxy.
(D) The provision by the practitioner of a list of national and
State-specific resources to assist consumers and their families with
advance care planning, including the national toll-free hotline, the
advance care planning clearinghouses, and State legal service
organizations (including those funded through the Older Americans Act of
1965).
(E) An explanation by the practitioner of the continuum of end-of-life
services and supports available, including palliative care and hospice,
and benefits for such services and supports that are available under
this title.
(F)(i) Subject to clause (ii), an explanation of orders regarding life
sustaining treatment or similar orders, which shall include--
(I) the reasons why the development of such an order is beneficial to
the individual and the individual's family and the reasons why such an
order should be updated periodically as the health of the individual
changes;
(II) the information needed for an individual or legal surrogate to make
informed decisions regarding the completion of such an order; and
(III) the identification of resources that an individual may use to
determine the requirements of the State in which such individual resides
so that the treatment wishes of that individual will be carried out if
the individual is unable to communicate those wishes, including
requirements regarding the designation of a surrogate decisionmaker
(also known as a health care proxy).
III. Page 389 - Mentally handicapped referred to as Mentally retarded:
Obamacare's Insults to the Intellectually Disabled and the Elderly
Obama’s Constant lies and insults are no more a teaching lesson
than I am a POPE! He thinks he is getting away with insulting the
Special Olympics and then insulting others intelligence with this
“racist card, he thinks he is playing.Then he thinks that he can
cover it all up with a “Let’s get together for a beer at the
Whitehouse with Prof. Gates and Officer Crowley. Does he really think
that the entire American public is so absorbed in this self-absorbed
President that they will believe everything he says? NOT! There are
those Americans that get nauseated at the very sigh of him and totally
disgusted with his lies and deceptions and oh yes! His feeble attempts
at cover ups for his “true feelings statements” concerning
others and the United States of America! How dare he go around this
country and tell other countries We were never a Christian Country! We
were and still are to some point it is the ones who hate God so much
that they are trying to destroy God completely in this country and it
isn’t going to happen! having said that it leads me to the next
deception in Obamacare [healthcare agenda and bill].
I continue to pore through the 1,018 pages of the House health care
reform bill (commonly known as “Obamacare”) in an effort to
compare what it says to the public pronouncements of U.S. President
Barack Obama, Speaker of the House of Representatives Nancy Pelosi and
others in the Democratic leadership.
...I’m referring to the bill’s provisions for caring for
what it calls the “mentally retarded.” Found at the very end
of Page 389 and the very beginning of Page 390 of this quite confusing
piece of proposed legislation is the government’s plan for taking
care of the intellectually disabled or developmentally disabled, as
those worthy and deserving citizens are actually called these days.
…I
also find on Page 424, Section 1233 — under the title
“Advance Care Planning Consultation” — a mandate that
all persons considered “elderly” (we think they mean those
65 years of age and older) under the definitions contained within the
bill must meet with a care provider (called a
“practitioner”) every 5 years to discuss “end of
life” issues such as the need to ponder upon when would be the
right time, in essence, to discontinue life-prolonging medical care and
receipt of services.
Somehow, I can’t escape the memory of “Soylent Green,”
the 1973 movie starring Charleton Heston and Edward G. Robinson which
portrayed a dystopian future where the old or those who could not feed
or otherwise take care of themselves were encouraged to end their lives
(with government assistance, of course) so that they wouldn’t take
up “vital resources.” We’ll leave it to the
imagination to come up with what their bodies were turned into (all for
the “greater good”) of course.
IV. Page 425 or HR 3200: Doing Yourself In For the Sake of the
Government’s Pleasure
Fifteen years ago, Colorado's governor Richard Lamm got
himself in trouble by saying elderly people have "a duty to die and get out of the way."Lamm knew
how much governments spend on end-of-life care. About one-third of Medicare's
budget goes for costs incurred in the last
one year of life, and 40% of that goes
for expenses in the last one month of life. It is so much
cheaper if old people just do their duty and get out of the way rather
than go to hospitals, get expensive tests and surgeries, and take
medications.
Congress knows this too, which is why they include Section
1233 in the proposed health care reform bill.
Under Section 1233, doctors get paid to sit down with all patients over
65 years old to talk about end-of-life issues. The idea is to encourage
people to sign living wills and enter hospices rather than getting
expensive treatments. Since hospice provides only pain relief and
palliative care, everyone else saves money. Under the
new rules, you enter hospice when you have only 18 months to
live, compared to today's six months- so this way you speed
things along even faster for us.
Section 1233 is aimed in particular at patients who have expensive
diseases, such as cancer and congestive heart failure. In states where
physician-assisted suicide is legal, end-of-life talks would no doubt
include assisted suicide, the cheapest option of all....
It is too bad the this lazy congressmen and senators who never take the
time to read a bill that goes through the House and the Senate what they
are trying to push through and make it law. If this deadly healthcare
goes through then they will find themselves in the very same position as
are those that they want to Euthanize and or force suicide upon. Because
the ones who are now reaching 65 and/or are older than 65 will find
themselves in the very same position they want to put the rest of us in.
I, for one will personally tell the government to go to hell if they
think for one moment I am going to go against the laws of God and commit
suicide or Euthanasia I did that trip once when I was younger and is
hell is your never ending horrific nightmare from which there is no end
and no escape. I still smell the sulphur and brimstone. I still see
people burning like coals and can’t die and I still hear their
endless screams of agony in my ears some 40 years later. NO THANKS SATAN
CAN KEEP HIS HELL! If they want to end my life then they will have to
kill me themselves. I won’t and I can promise you that any real
Christian and believer in God won’t either! For those of you who
do not believe in heaven and hell and live with the concept that once
you are dead - you’re dead, THINK AGAIN! You are in for a very
painful and rude awakening. Enough said.
Wake up America! Obama doesn’t care one iota about America or its
people! He is a self-absorbed Power seeker and other things which I
won’t mention here; but sooner or later you will get the picture.
I just hope that it isn’t too late. You may find yourself face
with killing your parents or your child, your spouse or any other loved
one because of age and disability!
Top tags: government, health, sec, section, care, plan, services, individual, benefits, secretary
Comments from Tom
199.64.0.252
you are so full of crap
Comments from mike
98.176.54.157
I'm curious.
If, as you emphatically state, there's no escape from Hell, how then
is it possible that you are here?
Comments from Rev. Dr. Leslie Trombly
172.16.63.33
None are so blind as those who do not wish to seeI Guess I am not
the only one who knows what the Health care bill really is. It is all
over the Internet . So who is full of crap..eh? the ones who have taken
the time to read and study the bill or the ones who are the "Obamanites"
that are following him like blind sheep to their own slaughter?
God help you if you are 65 or disabled if this bill goes through! If
you are a young person and this bill passes and you become disabled
and/or elderly eventually...you are going to realize that the years
that had past since the bill had passed includes you either committing
suicide or being subjected to Euthansia. Then tell me I am full of "
crap" as you so aptly put it. Better yet when they tell you that you
have to kill your elderly mother or father or you spouse bcause she
becomes disabled or has a terminal illness, what are you going to do
then? Has the world grown so cold and indifferent that they wouldn't
give it a second though about killing their loved ones? Obviously
so.......or perhaps not. We will see.
Comments from Rev. Dr. Leslie Trombly
172.16.63.33
Mike;
There is no escape from hell's lake of fire and when I referred to
"No escape" it was referring to your eternal state after the final
judgment is rendered. As for the reason I am here after I committed
suicide.... God has given certain ones a second chance at life and
if you doubt this go check out Near death Experiences. People have
been to both heaven and hell and it has changed their lives. One such
person, other than myself is a man by the name of Howard Storm. He was
a complete atheist and now he is a Minister of the Gospel. As to why
God chooses certain people to give a second chance at life to...that
is something that only God Can answer. From what i have been witnessed
to as others have, we were chosen to tell others what hell was like and
also heaven, as he doesn't desire anyone to perish.That is the message
the Lord commanded me to give to all people. Whether you choose to
believe it or not is up to you but before you condemn me go check out
all those who have had Near death experiences and have see heaven or
hell or both as some of us have.
Comments from Chiara
118.210.70.42
Um, and you can't be privately insured still? This sort of deal might
sound 'rationed' to you, but so many others have nothing at all right
now, they can't afford insurance. Others will still be able to have
private health care. And those that never could will be able to be
treated, finally.
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