What's In H.R. 3200 Health Care "Reform"

Congress adjourned (mercifully), Congressmen and Senators are going back home and more than half of them (mostly Democrats) will be trying hard to sell us the health care "reform", whose bill, H.R. 3200, you can bet your farm (or windmill or solar panel) that they haven't even read. So, before you go to these increasingly acrimonious townhall meetings with your Congressman/Senator, please educate yourself and know what to ask.

This blog has already discussed in detail two particular sections of the bill, Section 1233 ("advanced care" for senior citizens) and Section 141 (unelected health care Commissar deciding everything for you). I continue to browse the section titles of the actual bill and look in detail if they look "interesting". I was going to write about another section that I found during browsing, Section 163, which will allow the government a direct, electronic access to your bank account, and provides a back-door national ID card system.

I will write a post about Section 163, but for your quick reference I found this list at UrbanGrounds.com. It seems someone else is reading the actual bill, and twittering as he reads. The following list covers about half the bill, which is over 1000 pages. Page numbers may change as they mark up the bill, but section numbers should remain. Here goes:

"There is a man by the name of Peter Fleckstein (aka Fleckman) who is reading it and has been posting on Twitter his findings. This is from his postings (Note: All comments are Fleckman’s):

Pg 16: SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE. lines 3-26 of the HC Bill – OUTLAWS PRIVATE INSURANCE by forbidding enrollment after HR 3022 is passed into law.

Pg 21-22: SEC. 113. INSURANCE RATING RULES of the HC Bill MANDATES the Government will audit books of ALL EMPLOYERS that self insure!!

Pg 29: SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED: lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!

Pg 30: SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE of HC bill – THERE WILL BE A GOVERNMENT COMMITTEE that decides what treatments/benefits you get.

Pg 42: SEC. 142. DUTIES AND AUTHORITY OF COMMISSIONER of HC Bill – The Health Choices Commissioner will choose your HC Benefits for you. You have no choice!

PG 50-51: SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE in HC bill – HC will be provided to ALL non US citizens, ILLEGAL or otherwise.

Pg 58: SEC. 163. ADMINISTRATIVE SIMPLIFICATION HC Bill – Government will have real-time access to individual’s finances and a National ID Healthcard will be issued!

Pg 59: SEC. 163. ADMINISTRATIVE SIMPLIFICATIONHC Bill lines 21-24 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.

PG 65: SEC. 164. REINSURANCE PROGRAM FOR RETIREES is a payoff subsidized plan for retirees and their families in Unions and community orgs (ACORN).

Pg 72: SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS Lines 8-14 Government is creating an HC Exchange to bring private HC plans under Government control.

PG 84: SEC. 203. BENEFITS PACKAGE LEVELS HC Bill – Government mandates ALL benefit packages for private HC plans in the Exchange

PG 85: SEC. 203. BENEFITS PACKAGE LEVELS Line 7 HC Bill – SPECIFICATION OF BENEFIT LEVELS FOR PLANS = The Government will ration your Healthcare!

PG 91: SEC. 204. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS Lines 4-7 HC Bill – Government mandates linguistic appropriate services. Example – Translation for illegal aliens!

Pg 95: SEC. 205. OUTREACH AND ENROLLMENT OF EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH BENEFITS PLAN HC Bill Lines 8-18 The Government will use groups i.e., ACORN & Americorps to sign up individuals for Government HC plan.

PG 102: SEC. 205. OUTREACH AND ENROLLMENT OF EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH BENEFITS PLAN Lines 12-18 HC Bill – Medicaid Eligible Individuals will be automatically enrolled in Medicaid. No choice!

pg 124: SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES lines 24-25 HC No company can sue the GOVERNMENT on price fixing! No “judicial review” against Government Monopoly!!

pg 127: SEC. 225. PROVIDER PARTICIPATION Lines 1-16 HC Bill – Doctors/ AMA – The Government will tell YOU what you can make.

Pg 145: SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE Line 15-17 An Employer MUST auto enroll employees into public option plan. NO CHOICE!!

Pg 146: SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.

Pg 149: SEC. 313. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE Lines 16-24 ANY Employer with payroll of $400k and above who does not provide public option pays 8% tax on all payroll.

pg 150: SEC. 313. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE Lines 9-13 Business’s with payroll between $251k – $400k who doesn’t provide public option pays 2-6% tax on all payroll.

Pg 167: SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE Lines 18-23 ANY individual who doesn’t have acceptable HC according to Government will be taxed 2.5% of income.

Pg 170: SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE Lines 1-3 HC Bill Any NONRESIDENT Alien is EXEMPT from individual taxes. (Americans will pay)

Pg 195: HC Bill – SEC. 421. CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES Officers and employees of HC Administration (GOVERNMENT) will have access to ALL Americans financial and personal records!

PG 203: SEC. 441. SURCHARGE ON HIGH INCOME INDIVIDUALS Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that!

Pg 239: SEC. 1121. SUSTAINABLE GROWTH RATE REFORM Line 14-24 HC Bill Government will reduce physician services for Medicaid. Seniors, low income, poor affected.

Pg 241: SEC. 1121. SUSTAINABLE GROWTH RATE REFORM Line 6-8 HC Bill – Doctors, doesn’t matter what specialty you have, you’ll all be paid the same.

PG 253: SEC. 1122. MISVALUED CODES UNDER THE PHYSICIAN FEE
SCHEDULE Line 10-18 Government sets value of Doctor’s time, professional judgment, etc. Literally value of humans.

PG 265: SEC. 1131. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS. Government mandates and controls productivity for private HC industries.

PG 268: SEC. 1141. RENTAL AND PURCHASE OF POWER-DRIVEN WHEELCHAIRS. Federal Government regulates rental and purchase of power driven wheelchairs

PG 272: SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!

Page 280: SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS The Government will penalize hospitals for what Government deems preventable readmissions.

Pg 298: SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS Lines 9-11 Doctors! Treat a patient during initial admission that results in a readmission? Government will penalize you.

Pg 317: SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS Lines 13-20 OMG!! PROHIBITION on ownership and investment! Government tells Doctors what and how much they can own!

Pg 317-318: SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS lines 21-25, 1-3 PROHIBITION on expansion – Government is mandating hospitals cannot expand!

pg 321: SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS Lines 2-13 Hospitals have option to apply for exception BUT community input required. Can you say ACORN?!!

Pg 335: SEC. 1162. QUALITY BONUS PAYMENTS Lines 16-25 Pg 336-339 – Government mandates establishment of outcome based measures. HC the way they want. Rationing

Pg 341: SEC. 1162. QUALITY BONUS PAYMENTS Lines 3-9 Government has authority to disqualify Medicare Advantage Plans, HMOs, etc. Forcing people into Government plan.

Pg 354: SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT – Government will RESTRICT enrollment of Special needs people! OMG! My sister has Downs Syndrome!!!

Pg 379: SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS Government creates more bureaucracy – Telehealth Advisory Committee Can you say HC by phone?

PG 425: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 4-12 Government mandates Advance Care Planning Consult. Think Senior Citizens end of life

Pg 425: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 17-19 Government will instruct and consult regarding living wills, durable powers of attorney. Mandatory!

PG 425: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 22-25, 426 Lines 1-3 Government provides approved list of end of life resources, guiding you in death!

PG 427: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 15-24 Government mandates program for orders for end of life. The Government has a say in how your life ends!

Pg 429: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 1-9 An “advance care planning consultant” will be used frequently as patients health deteriorates.

PG 429: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 10-12 “advance care consultation” may include an ORDER 4 end of life plans. AN ORDER from GOV

Pg 429: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 13-25 – The Government will specify which Doctors can write an end of life order.

PG 430: SEC. 1233. ADVANCE CARE PLANNING CONSULTATION Lines 11-15 The Government will decide what level of treatment you will have at end of life.

Pg 469: SEC. 1302. MEDICAL HOME PILOT PROGRAM Community Based Home Medical Services=Non profit organizations. Hello, ACORN Medical Services here!!?

Page 472: SEC. 1302. MEDICAL HOME PILOT PROGRAM Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?

PG 489: SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES The Government will cover Marriage and Family therapy. Which means they will insert Government into your marriage

Pg 494-498: SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES Government will cover Mental Health Services including defining, creating, rationing those services.

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Most importantly, ask your Congressmen/Senator this: WHY NOW?

The country is in the worst recession since the Great Depression, and it is a recession caused by excess credit and leverage, not by excess inventory. The last time this type of recession happened was the Great Depression. Consumers don't have extra money, the country is utterly broke. WHY are we embarking on a huge, costly project like health care "reform", NOW?

The president's sense of "urgency" seems to coincide with the health care industry lobby's effort. (In case you are not aware, the health care industry is FOR the "reform and is planning on advertisement blitz this summer. That alone would tell you who is going to benefit. Not you and me.) Also remember that Congress would be EXEMPT from their own "reform".

The stock market didn't crash last September because of health care crisis. It crashed last September because of credit problems at world's major banks. The credit problems were caused by the loose monetary policies by the Federal Reserve under the misguided government policy of home ownership as a right (just like what they are saying now, that heath care is a right). That caused a price inflation of all asset classes, most notably real estate; resultant low cost of capital (= low interest rate) led to malinvestment in inefficient sectors with low returns on capital. This recession was caused by financial reasons.

The government and this particular administration don't seem to care what caused it, but care about not wasting this excellent opportunity to shove in "reforms" that are their life-long dreams. They want to put one of the culprits of the financial debacle the Federal Reserve as the head of the sweeping financial "reform". They don't seem to care that the country does not have money; they want to create brave new, enormous projects like health care and climate, on credit (= debt. remember, this country is broke. Just in July, it had to issue over $700 billion worth of Treasuries), in the middle of a credit-driven recession.

What's more, the health care in the U.S. has already been taken over by the government for all intent and purposes, and it is one of the most inefficient sectors of the economy because of that. More money and bureaucracy dumped on top of the inefficient sector, how would that help? If they truly believe it will help lift the country out of recession, they need to have their heads examined.

I wish their summer vacation would last for ever and ever.

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