You Can Now Afford Health Care, America

Many of us received this video in our e-mail. A friend told me that they considered the video too outrageous to believe. I have to tell you my friend is actually against Obamacare.  They wanted to know if I thought the video believable. I watched the video. Watch the video, what do you think?

I found that the video contained many assertions that I had heard before. I needed to compare the video against the actual bill. This link will get you there. Notice at the top of this .pdf file the statement “Certified by the Superintendent of Documents…”  H. R. 3200 – To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. I compared page by page, line number by line number cited in the video against the actual bill. My conclusion? The video is at least 95+% accurate.

It would not be easy to say the video is 100% accurate. The language of significant portions of the actual bill is extremely obscure and difficult to interpret. This bill was not written for taxpaying schmucks to understand, or to judge. What is important to the people who wrote this legislation is that a government non-elected, non-accountable bureaucrat will be responsible for interpreting and implementing the bill. Guess which way the wind will be blowing.

Here’s my comparison:

Page 22 – The audit is called a “study.” Based on what they are looking for it is hard to see how that will be done without auditing the books.

Page 29 – Sets limits, $5,000 per individual and $10,000 per family. This can be found on line 11. Yes, lines 4-16 addresses limits on treatment.

Page 30, Section 123 – HEALTH BENEFITS ADVISORY COMMITTEE (found on line 11) does establish a rather large machine of bureaucracy to make decisions for consumers and providers.

Page 41, Section 141 – HEALTH CHOICES ADMINISTRATION; HEALTH CHOICES COMMISSIONER. On page 42 begins a detailed description of how the Commissioner will lift a burden from our collective shoulders by making our choices for us.

Page 50, Section 152 – SEC. PROHIBITING DISCRIMINATION IN HEALTH CARE. Beginning on page 50, line 1, and I quote, “covered by this Act shall be provided without regard to personal characteristics extraneous to the provision of high quality health care or related services.” The bottom line of this little pearl of pseudo intellectual progressive liberal obfuscation is they believe that we are too stupid to figure out that there will be no barriers to providing healthcare (our tax dollars) to illegal aliens, or anyone else.

Page 58 – I think this section is rather vague. The section is titled, ‘‘(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS.” It does talk about “permitting no additions or constraints for electronic transactions,” and ‘‘(D) enable the real-time (or near real time) determination of an individual’s financial responsibility at the point of service.” Such language in the context of vagueness means they can do whatever they want. There will be a national Health I.D. card. You can find at line 11, “which may include utilization of a machine-readable health plan beneficiary identification card;”

Page 59 – Line 21 ‘‘(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;”

Page 65, Section 164 – REINSURANCE PROGRAM FOR RETIREES. This is another monument to vagueness. There is no reference to “union” in this section. There is mention of “employee associations.” What do you think? I think the bureaucrats can make whatever they want out of this section. I found the term “labor union” mentioned once (Page 922) in this 1017 page document. What could go wrong?

Page 72 – Line 1, TITLE II—HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS, Subtitle A—Health Insurance Exchange.

Page 84, Section 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.

Page 85, Line 7 – Rationing of Healthcare. Perhaps it is inherent in defining plan levels?

Page 91 – (7) CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES AND COMMUNICATIONS.—The entity shall provide for culturally and linguistically appropriate communication and health services. “Culturally?” Will there be a future for shamans and witch doctors in America’s health care system?

Page 95 – The government will use groups to sign up participants. What groups? Why “appropriate entities” of course. Wonder who will define “appropriate entities?” My best guess is appropriate bureaucrats.

Page 102 – (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.

Page 124 – (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.

Page 126 – I could not find the appropriate language to support this assertion. I did find this fascinating comment, “(B) reduce health disparities (including racial, ethnic, and other disparities);”

Page 127 – Government will tell participating physicians how much income they are allowed to make participating in the government plan.

Page 145 – “(4) AUTOENROLLMENT OF EMPLOYEES.—The employer provides for auto enrollment of the employee in accordance with subsection (c).”

Page 149 – It was previously stated that (a) IN GENERAL.—A contribution is made in accordance with this section with respect to an employee if such contribution is equal to an amount equal to 8 percent of the average wages paid by the employer during the period of enrollment (determined by taking into account all employees of the employer and in such ….. The table below is provided for employer payrolls under $400,000

If the annual payroll of such employer for the preceding calendar year:
The applicable percentage is:
Does not exceed $250,000 ………………………………. 0 percent
Exceeds $250,000, but does not exceed $300,000 2 percent
Exceeds $300,000, but does not exceed $350,000 4 percent
Exceeds $350,000, but does not exceed $400,000 6 percent

Page 167 – 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—

Page 170 – ‘‘(2) NONRESIDENT ALIENS.—Subsection (a) shall not apply to any individual who is a non-resident alien.

Page 195 – Health Choices Act of 2009, shall disclose to officers and employees of the Health Choices Administration or such State-based health insurance exchange, as the case may be, return information of any taxpayer whose income is relevant in determining any affordability credit described in subtitle C of title II of the America’s Affordable Health Choices Act of 2009. Such return information shall be limited to—

‘‘(i) taxpayer identity information with respect to such taxpayer,
‘‘(ii) the filing status of such taxpayer,
‘‘(iii) the modified adjusted gross income of such taxpayer (as defined in section 59B(e)(5)),
‘‘(iv) the number of dependents of the taxpayer,

Page 203 – ‘‘(4) NOT TREATED AS TAX IMPOSED BY THIS CHAPTER FOR CERTAIN PURPOSES.—The tax imposed under this section shall not be treated as tax imposed by this chapter for purposes of determining the amount of any credit under this chapter or for purposes of section 55.’’

Page 239 – More smoke and mirrors. It looks like this passage refers to a section of the Social Security Act about physician Medicaid payments. Since the government has only been known to cut physician payments, not increase them, it is safe to assume there are Medicaid cuts behind the smoke somewhere.

Page 241 – “Service categories established under this paragraph shall apply without regard to the specialty of the physician furnishing the service.’’

Page 253 – ‘‘(ii) COMPONENTS AND ELEMENTS OF WORK.—The process described in clause (i) may include validation of work elements (such as time, mental effort and professional judgment, technical skill and physical effort, and stress due to risk) involved with furnishing a service and may include validation of the pre, post, and intra-service components of work.”

Page 265 – SEC. 1131. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS. This section, from start to finish, is a modification of the Social Security Act. For all I know it tells us how to tune-up a Jaguar. My best guess is that it really does mandate and control productivity for private health care industries. Obviously this section, like the entire health care bill has been written in an obscure language designed not to upset the crazy people in fly-over America.

Page 268 – The government already controls the power chair market under Medicaid. This just gives them control of the entire market.

Page 272 – SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS. The all-knowing government bureaucrats are going to step in and make sure they are cost effective. Will the highly cost effective typical government operation be the gold standard for the greedy private owned hospitals?

Page 280 – ‘‘(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,….” Simple problem, simple solution. Just don’t readmit the patient. Let them go home to die a far less expensive outcome for all concerned. A great win, win for everyone.

Page 317 – ‘‘(B) PROHIBITION ON PHYSICIAN OWNERSHIP OR INVESTMENT.” Who needs crummy free market enterprise?

Page 317-318 – Limits expansion of existing physician owned hospitals. See “Who needs crummy free market enterprise?” above.

Page 321 – Exceptions allowed, but, process must include community input. I am sure politics will not be involved, right?

Page 335, 336-339 – ‘‘(ii) ESTABLISHMENT OF OUTCOME BASED MEASURES.—By not later than 2013 the Secretary shall implement reporting requirements for quality under this section…” Some people have associated this scheme with rationing. Why would a cash strapped government spiraling into bankruptcy ever want to control spending by rationing health care. I mean they don’t control spending, do they?

Page 341 – “(iv) AUTHORITY TO DISQUALIFY CERTAIN PLANS.”

Page 354 – “SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT.”

Page 379 – SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS. This is four pages of bureaucracy on steroids.

Page 425 – Practitioners are mandated to provide advance care counseling to their patients. Presumably patients would be mandated to accept the counseling.

Page 427 – “(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional’s authority under State law) may sign orders for life sustaining treatment;” They may, They may, sign orders for life…….”

Page 429 – ‘‘(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.” Yada, yada, yada/ The feds are certainly focused on advance care directives.

Page 430 – ‘‘(B) The level of treatment indicated under subparagraph (A)(ii) may range from an indication for full treatment to an indication to limit some or all or specified interventions.”

Page 469 – This section does define community-based medical home care is defined in this section.

Page 472 – ‘‘(D) AMOUNT OF PAYMENT.—In determining the amount of such payment, the Secretary shall consider the following:”

Page 489 – SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES.

Page 494-498 – “(b) COVERAGE OF MENTAL HEALTH COUNSELOR SERVICES.—“ actually starts with this title on Page 493.

The Best Resignation Letter in History?

It may be the best resignation letter in history. Last week renowned physicist Hal Lewis wrote the president of the American Physical Society to tell him that he no longer wishes to be part of an organization that is part of the “scam” of global warming and “accepts corruption as the norm.” Lewis then did one better: He released his letter to the public.

Lewis, who is also Professor Emeritus of Physics at the University of California at Santa Barbara, had been a member of APS for 67 years, and his sadness and disgust is apparent as he severs his relationship with the organization. He recalls the days when science was driven by a pure quest for knowledge, likening the choice to be a physicist before WWI as a monkish existence of “poverty and abstinence.” Now, he says, the business of science is just that — a business — with the results slanted toward the highest bidder. And global warming — as we have all seen by the astronomic increase in Al Gore’s wealth — is big business indeed.

“The global warming scam, Lewis wrote, “with the (literally) trillions of dollars driving it, that has corrupted so many scientists, and has carried APS before it like a rogue wave.” He also referred to it as “the greatest and most successful pseudoscientific fraud I have seen in my long life as a physicist.” Well put.

The Patriot Post (www.patriotpost.us/subscribe/ )

The Pride of Chicago

 

I cannot help but wonder if Emanuel’s announcement created a “thrill” in the collective legs of Chicagoland” a la Chris Matthews. If there is a recurring leit motif for Chicago it has to be dead fish. Who better than Rahm “Dead Fish” Emanuel to lead “the city of broad shoulders” as its next mayor.

I watched Emanuel’s send-off live on TV. It is rough watching White House alternative reality shows and this one proved no different. President Obama and Emanuel opened with a mutual admiration schtick echoing each other about pulling America back from the financial brink, preventing a second depression, and restoring America’s leadership role in the world. Tough times, tough decisions, tough guys.

What really got my attention about the show goes to character. President Obama shared with the audience that Emanuel had been rendered mute by the loss of part of a certain digit as a child. Later Emanuel shared that he was sure that the White House staff had not onlylearned new words, from Emanuel, but also an assortment of combinations of words that they also had not heard, or even thought of before. Now isn’t that special?

The use of the East Room of the White House as a confessional for character flaws was amazing. I wonder what General Washington would have to say about the profane, irreverent denizens now inhabiting his city? The God-fearing General famously issued the General Order below about profanity and insults to Heaven by the impiety of the citizen-soldiers.

Head Quarters, New York, August 3rd 1776.
Parole Uxbridge. Countersign Virginia

That the Troops may have an opportunity of attending public worship, as well as take some rest after the great fatigue they have gone through; The General in future excuses them from fatigue duty on Sundays (except at the Ship Yards, or special occasions) until further orders. [1] The General is sorry to be informed that the foolish, and wicked practice, of profane cursing and swearing (a Vice heretofore little known in an American Army) is growing into fashion; he hopes the officers will, by example, as well as influence, endeavour to check it, and that both they, and the men will reflect, that we can have little hopes of the blessing of Heaven on our Arms, if we insult it by our impiety, and folly; added to this, it is a vice so mean and low, without any temptation, that every man of sense, and character, detests and despises it.

Clarkson and Chase under confinement for Desertion, and reinlistment into the Artillery, from another Corps, to return to Capt: Bauman’s Company until Col. Ellmores Regiment, wh. claims them, comes into camp.

Migration Patterns of mindless twits

First thing this morning I spot the headline teaser that Robert Gibbs was migrating somewhere.  I immediately started to speculate where an inept news flack, like Gibbs, might be qualified to go, other than the obvious like CNN, MSNBC, CBS, etc.  I was shocked that the buzz was Gibbs was being considered for the DNC Chairmanship.

Are these people out of their ever loving, collective minds?  Wouldn’t that be an early Christmas present for the Republicans?   Toby Harnden, the Daily Telegraph’s US Editor, get’s it, “Robert Gibbs to DNC?  Do the Democrats want to commit political suicide?”  The Brits get it, but will the demoracists?

 While browsing sources for this story I encountered the gem below.  Andres Martinez migrated to these fair shores from Mexico Lindo.  He received his education at several of our premier institutions of higher ignorance culminating in a law degree from Columbia University.

Martinez’s remark below was posted in the Arena at Politico.com. It would seem to identify him as the common pseudo intellectual progressive liberal mindless twit.  His remark was directed to an Arena discussion about the CNN firing of Rick Sanchez.  This is a good take on Sanchez’s firing, “Rick Sanchez And The Showbiz Third Rail.” 

Here’s a thought I will just throw out there. Perhaps Martinez is not just another common, migratory mindless twit,  There is the distinct possibility he is just a common, run of the mill psycho.

Andres Martinez
Director, Bernard L. Schwartz Fellows Program, New America Foundation :

Sounds like he was auditioning for Fox News!