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NATIONAL HEALTH SCARE
By Rick Joyner
When I read the brief on what was contained in the National Health Care bill that is now being presented before Congress, I could not believe I was reading something that was actually being considered in the United States of America. This is not about money or government mismanagement—this is about something far more diabolical than that. As incomprehensible as it may seem, this is about euthanasia, the power to determine who lives or dies in America. Hitler and Stalin would have loved to have had a means such as this for dispatching the millions they killed—it would have made their job much easier, and probably given them the ability to kill many more than they did. THIS BILL IS THAT SINISTER. This is not a joke—this is actually the nature of what is being proposed in the National Health Care legislation, and it is the obvious reason why the Obama Administration wants to ram it through Congress before anyone gets a chance to read it.
I have resolved to always be as generous as I can toward people with opposing views of my own. I do this because I believe it is the mandate of I Corinthians 13 to always believe the best about people, rather than the worst. I know this opens me up to be misled by some, but I consider that a small price to pay to not become cynical. I also do it because I think it is wise to always try and understand the position of my opponents—to be open to consider their positions and not be too rigid or inflexible to change because we all “see in part,” and “know in part.” Because of this, I have been chided for being too generous by giving those I do challenge grace by believing that they had not thought through the consequences of their proposals, or had other good intentioned reasons for doing what they were doing. However, after reading the brief on this health care bill, I don’t see how anyone could not see that there is profound evil and evil intent at work here. I just do not see any way to be any more generous with those who proposed this bill than that. It is that bad.
This bill is obviously designed to put the authority to determine who lives and dies in America into the hands of government bureaucrats. As outrageous as that seems, it is true—you can read it yourself. It even gives the government access to all of your accounts, and the authority to make withdrawals. I know this is hard to believe, but you can read it yourself.
Do you want a government bureaucrat to determine if your mother or father can receive treatment, even in life and death cases? Would you want a government bureaucrat to determine if your child, or you, could receive treatment, even when it means life or death? Think of the best experience that you ever had working with a government bureaucrat, and then think about them having the power to make a potentially life or death choice for your child, your parents, or for you. This is actually what is being proposed.
Add to that chilling thought the fact that this bureaucrat does not have to know one thing about medicine to be in that position. In fact, this bill proposes letting the government define what quality health care is and impose that definition on health care workers. Nowhere does it even specify what training, expertise, or qualifications this all-powerful government bureaucrat has to have to be placed in the position to make such ultimate decisions for the health, well-being, and even the lives of Americans.
Am I being too hard on bureaucrats, or the Obama Administration’s intentions? Certainly there are many bureaucrats who are sincere and true public servants. I agree that such are deserving of our appreciation and respect. The modern world could not exist without them. Think of the most noble and conscientious there are. What kind of position would we be putting them in to have to go to work every day and decide who is going to get treatment, who is going to have to go on a waiting list and for how long, and who are they going to have to just let die?
Who could live with such a job? There are many who could, who would just see it as paperwork, and those are the ones who would be in that position because the truly noble ones could not endure it. Hitler found many who could dispatch thousands each day, and then go home and enjoy their own families at night. There are people with that kind of moral disconnect. These jobs will be filled and by the very ones we would never want in such positions.
It is beyond anything I thought I would ever see in my lifetime that such a bill could ever be seriously considered in the U.S. Congress. This bill has the potential for totalitarian control to be imposed on America to a degree that Hitler and Stalin could not have even imagined. With the technology available now, totalitarian control can very quickly be imposed to a degree far beyond what was attained by either the Nazis or the Communists, and this bill has provisions in it for just that. It mandates the sharing of all of your personal information, from just about every conceivable source, with the new health care bureaucracy being set up to implement this national health care system. The penalties for trying to escape this web are serious. This would actually make America into a national concentration camp, and we can be sure that ultimately it will be a national death camp. You do not have to take my word for it—read it for yourself. Below I will include a brief on this bill so that you can look it up, chapter and verse.
I am a pastor and a watchman, and I therefore have a mandate to watch out for the people, and to sound the alarm when I see a threat. I have never seen one like this before. Even so, I have prayed for restraint and calm as I address this, and do not want to exaggerate anything. In spite of this terrible evil that is manifesting itself through the Obama Administration, I am resolved to pray for our government leaders, and I try to pray for the President every day. My sincere hope is for a spiritual awakening for him and for those in every government position, and for the Lord to give them wisdom and help for the most difficult task they have. However, with all due respect (and I mean this), what is coming out of the Obama Administration is evil, more evil than anything I thought I would ever see in America. It is time to call it what it is.
In the early 1990s, myself and a few other prophetic friends were all shown separately, but at the same general time, that the same evil that gained access to Germany in the 1930s was going to seek access to America. I have shared this often since then, and have made many trips to Germany to seek to understand what happened there. Col. Eugene Bird became one of my dearest friends, and I spent many days with him listening to what he had learned about this, which was considerable. Col. Bird was the U.S. Commandant of the Spandau Prison that held the Nazi war criminals, and ultimately became the one many considered to be the foremost authority on Nazi Germany. Bird’s insight into how evil can gain entry into the human soul and into governments was remarkable, but I always had trouble seeing a connection that would allow what happened there to actually happen in America. Bird often chastised me for this, warning that it could easily happen in America (Col. Bird lived most of his life in Germany, where he became loved and esteemed by that nation, but he remained a patriotic American to the end). Bird often explained how the evil spirit of death that took over Germany gained entry through its health care system. Now it is easy to see what he was talking about in what is being proposed by the Obama Administration.
In Germany, the National Socialists (Nazis) gradually desensitized the nation to death beginning with abortion. Then they quietly, seemingly with the most noble intentions, rounded up the retarded and insane, claiming that the state could take much better care of them, but no one ever saw or heard from them again. Then they did the same with the elderly. As word slipped out that they were being euthanized, it was explained that war made it necessary to eliminate all of the “useless eaters” so that the troops could be fed, as well as those who worked for the war machine. By that time, the grip of control was too strong for anyone to protest or they would also be sent to the camps. Life became cheaper and cheaper, people became more and more depraved, and millions were slaughtered in the death camps.
America is following a parallel course. If Hitler had a tool such as the health care bill that is being proposed by Congress, along with the technology of control now available, it would have made his task much easier and more effective, and probably resulted in many millions more having been easily murdered.
I have had Presidents, candidates, senators, and congressmen and congresswomen from both parties tell me they have read and appreciated my writings. I have maintained for many years that an eagle needs both a left wing and a right wing to fly, and believe that there are excellent men and women of true conviction in both parties. I realize that by writing with this tenor, I risk being considered an extremist, and maybe risk many relationships, but I cannot be concerned about that. With such an extreme evil threatening our country, I would have a difficult time standing before the Lord on that great judgment day if I did not speak up as boldly, as clearly, and as loudly as I can. Call me an alarmist and I will agree with you—I am going to do my best to sound the alarm against evil in every way that I can, and I don’t think I have ever seen anything with the potential for evil like this national health care bill.
I pray that senators and congressmen from both parties who have courage and conviction will stand up against this terrible impending holocaust and stop this bill. I expect that it will be hard for many who read and understand what this Democratic Administration has proposed not to refer to the Democratic Party as the Death Party from now on, but let’s wait and see how the Democrats in Congress respond to this before condemning them, too. This bill is criminal—it opens the door for a crime against humanity on a level that could easily surpass what happened in the last century. We must hold accountable all who have written, proposed, and sided with this bill—and determine that with all the resources we are given, they will never be elected again for anything.
I pray that every Christian will wake up and rise up to take their stand against what is happening in our country now. If we do, we can stop this. If we don’t, we will have to stand before the Judge having let this happen on our watch. We can expect persecution and even death for standing against such a bold and obvious attack of the spirit of death, but no Christian should fear death, and no Christian will want to live in the world that is now taking shape if we do not become the salt and light we are called to be.
We are in need of the courage and resolve of Gandalf in the Lord of the Rings, who stood before the huge and terrible Balrog demon and declared—“YOU SHALL NOT PASS!” The demon was stopped, and even though it was able to grab and drag Gandalf down with it, Gandalf returned with a new level of authority. It does not matter what the consequences are for standing for truth, as Christians we must stand because it is our basic duty. As the first apostles demonstrated, to be persecuted and to suffer shame for our God and His truth is one of the greatest honors. However, we must do it for more than honor—we must also do it for our children and their children.
Last night on Fox News, a former Clinton Administration council to the President stated courageously that this bill was not just about money, it was about euthanasia. The money part does not make any sense at all, but now that the real evil that is driving this can be clearly seen, we can understand that the Administration really does not care about saving money or providing health care for everyone; rather it is about control. There is already talk about this being about saving money by being able to euthanize the baby boomers so they will not have to be paid social security, or weigh down the health care system with their needs. I’m not ready to go that far, but that is obviously why the Florida congressman declared that this bill was a death sentence for the elderly. That is true.
The only commandment with a promise that it will go well with us, and that we may live long, is the commandment to honor our fathers and mothers. This commandment is found in both the Old and New Testaments (see Ephesians 6:2-3). Killing them when they can no longer be productive, as Hitler and Stalin resolved to do, is the most dishonorable thing we could ever do, and we can be sure will bring the opposite to the blessing promised. As you read the bill, and see how excessively long they stay on the point of being able to determine what and if any care is given to the elderly, you will see it really is chilling. It is obvious this is a primary purpose of those who wrote this bill. I know this sounds far-fetched, and I would not have believed it myself a few days ago, but just read it for yourself.
The following is a brief outline of this bill put together by Mat Staver of the Freedom Foundation and Liberty Counsel (contact info is at the end). The comments by the brief are Mat’s, except where I have noted my own by putting them in italics. The bold is also mine.
After reading, please do not wait to contact your representatives to protest this. If you don’t get through, keep calling, send emails, but do not stop until you know your voice has been heard.
Obama Health Care Plan Details
HR 3200 currently under consideration in the House of Representatives
Pg 22 of the HC Bill MANDATES the Govt will audit the books of ALL EMPLOYERS that self insure!!
Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits 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 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 – Gov’t will have real-time access to individual’s finances & a National ID Health care card will be issued!
Pg 59 HC Bill lines 21-24 Govt will have direct access to your banks accts 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 Govt is creating an HC Exchange to bring priv HC plans under Govt control.
Pg 84 Sec 203 HC bill - Govt mandates ALL benefit packages for private Health Care plans in the Exchange
Pg 85 Line 7 HC Bill - Specs for of Benefit Levels for Plans = The Govt will ration your Healthcare!
Pg 91 Lines 4-7 HC Bill - Govt mandates linguistic appropriate services.
Example - Translation for illegal aliens.
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps to sign up individuals for Govt HC plan
Pg 85 Line 7 HC Bill - Specs of Ben Levels 4 Plans. #AARP members - Your Health Care WILL be rationed
Pg 102 Lines 12-18 HC Bill - Medicaid Eligible Individual will be automat.enrolled in Medicaid. No choice.
Pg 124 lines 24-25 HC No company can sue Govt on price fixing. No “judicial review” against Govt Monopoly.
Pg 127 Lines 1-16 HC Bill - Doctors/ #AMA - The Govt will tell YOU what you can make.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into public opt 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 prov. pub opt. pays 8% tax on all payroll
Pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt provide public opt pays 2-6% tax on all payroll Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC according to Govt will be taxed 2.5% of income.
Pg 170 Lines 1-3 Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay).
Pg 195 Officers & employees of HC Admin (GOVT) will have access to ALL Americans financial and 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 Govt will reduce physician services for Medicaid. Seniors, low income, poor affected.
Pg 241 Line 6-8 HC Bill - Doctors, it does not matter what specialty you have, you’ll all be paid the same.
Pg 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
Pg 265 Sec 1131Govt mandates & controls productivity for private HC industries.
Pg 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs.
Pg 272 SEC. 1145. Treatment of certain cancer hospitals – Cancer patients - welcome to rationing!
Page 280 Sec 1151 The Govt will penalize hospitals for what Govt deems preventable readmissions. (Incentives for hospital to not treat and release.)
Pg 298 Lines 9-11 Drs, treat a patient during initial admission that results in a readmission-Govt will penalize you.
Pg 317 L 13-20 PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand.
pg 321 2-13 Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!
Pg335 L 16-25 Pg 336-339 - Govt mandates established of outcome based measures. HC the way they want. Rationing.
Pg 341 Lines 3-9 Govt has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc. Forcing people into Govt plan.
Pg 354 Sec 1177 - Govt will RESTRICT enrollment of Special needs people!
Pg 379 Sec 1191 Govt creates more bureaucracy - Telehealth Advisory Committee. HC by phone/Internet?
Pg 425 Lines 4-12 Govt mandates Advance [Death] Care Planning Consult. Think Senior Citizens end of life.
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
Pg 425 Lines 22-25, 426 Lines 1-3 Gov’t provides approved list of end of life resources, guiding you in death.
Pg 427 Lines 15-24 Govt mandates program for orders for end of life. The Gov’t has a say in how your life ends.
Pg 429 Lines 1-9 An “adv. care planning consult” will be used frequently as patients health deteriorates.
Pg 429 Lines 10-12 “adv. care consultation” may incl an ORDER for end of life plans. AN ORDER from GOV
Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
PG 430 Lines 11-15 The Govt will decide what level of treatment you will have at end of life
(NOTE FROM RJ: The above really does give the government the authority to determine who lives and dies, and when. A government bureaucrat really will be making this decision for you and your loved ones.)
Pg 469 - Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Pg 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment to a community-based org. Like ACORN?
Pg 489 Sec 1308 The Govt will cover Marriage & Family therapy. They will insert Government into your marriage. Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
PG 502 Sec 1181 Center for Comparative Effectiveness Research Established. – Hello Big Brother – Literally.
Pg 503 Lines 13-19 Gov’t will build registries and data networks from YOUR electronic med records.
Pg 503 lines 21-25 Gov’t may secure data directly from any depart or agency of the US including your data.
Pg 504 Lines 6-10 The “Center” will collect data both published & unpublished (that means public & your private info)
PG 506 Lines 19-21 The Center will recommend policies that would allow for public access of data.
PG 518 Lines 21-25 The Commission will have input from HC consumer reps – Can you say unions & ACORN?
PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.
PG 621 Lines 20-25 Gov’t will define what Quality means in HC. Since when does Gov’t know about quality?
Pg 622 Lines 2-9 To pay for the Quality Standards, Govt will transfer $$ from to other Govt Trust Funds. More Taxes.
PG 624 “Quality” measures shall be designed to assess outcomes & functional status of patients.
PG 624 “Quality” measures shall be designed to profile you including race, age, gender, place of residence, etc
Pg 628 Sec 1443 Gov’t will give “Multi-Stake Holders” Pre-Rule Making input into Selection of “Quality” Measures.
Pg 630 9-24/631 1-9 Those Multi-stake holder groups incl. Unions & groups like ACORN deciding HC quality.
Pg 632 Lines 14-25 The Gov’t may implement any “Quality measure” of HC Services as they see fit.
PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services.
Pg 635 to 653 Physicians Payments Sunshine Provision – Gov’t wants to shine sunlight on Docs but not Govt.
Pg 654-659 Public Reporting on Health Care-Associated Infections – Looks okay.
PG 660-671 Doctors in Residency – Gov’t will tell you where your residency will be, thus where you’ll live.
Pg 676-686 Gov’t will regulate hospitals in EVERY aspect of residency programs, incl. teaching hospitals.
Pg 686-700 Increased Funding to Fight Waste, Fraud, and Abuse. You mean like the Gov’t with an $18 million website?
PGs 701-704 Sec 1619 If your part of HC plan isn’t in Gov’t HC Exchange but you qualify for Fed aid, no payment.
PG 705-709 SEC. 1128 If Secr gets complaints (ACORN) on HC provider or supplier, Gov’t can do background check.
PG 711 Lines 8-14 The Secretary has broad powers to deny HC providers/ suppliers admittance into HC Exchange. Your doctor could be thrown out of business.
Pg 719-720 Sec 1637 ANY Doctor who orders durable med equip or home med services MUST be enrolled in Medicare.
PG 722 Sec 1639 Gov’t MANDATES Doctors must have face to face with patient to certify patient for Home Health Svcs.
PG 724 23-25 PG 725 1-5 The same Gov’t certifications will apply to Medicaid & CHIP (your kids)
PG 724 Lines 16-22 Gov’t reserves rt to apply face to face certification for patient to ANY other HC service.
Pg 735 lines 16-25 For law enforce. proposes the Secretary-HHS will give Atty General access to ALL data.
PG 740-757 Gov’t sets guidelines for subsidizing the uninsured (Thats your tax dollars people)
Pg 757-762 Fed gov’t will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)
Pg 763 1-8 No DS/EA hospitals will be paid unless they provide services without regard to national origin
Pg 765 Sec 1711 Gov’t will require Preventative Services including vaccines. (Choice?)
Pg 768 Sec 1713 Gov’t – Nurse Home Visitation Svcs (Hello union paybacks)
Pg 769 11-14 Nurse Home Visit Svcs include-economic self-sufficiency, employ adv, school-readiness.
Pg 769 3-5 Nurse Home Visit Services - “increasing birth intervals between pregnancies.” Govt ABORTIONS anyone
Pg 770 SEC 1714 Fed Gov’t mandates eligibility for State Family Planning Services. Abortion & State Sovereign.
Pg 789-797 Gov’t will set, mandate drug prices, controlling which drugs brought to market. Bye innovation.
Pgs 797-800 SEC. 1744 PAYMENTS for graduate medical education. The government will now control Drs’ education.
PG 801 Sec 1751 The Govt will decide which Health care conditions will be paid. Say RATION!
Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc req. to register. Gov’t takes over private payment sys.
Pg 820-824 Sec 1801 Govt will identify individ. ineligible for subsidies. Will access all personal financial information.
Pg 824-829 SEC. 1802. Govt Sets up Comparative Effectiveness Research Trust Fund. Another tax black hole.
PG 829-833 Gov’t will impose a fee on ALL private health ins. plans incl. self insured to pay for Trust Fund!
PG 835 11-13 fees imposed by Gov’t for Trust Fund shall be treated as if they were taxes.
Pg 838-840 Gov’t will design & implement Home Visitation Program for families with young kids & families expect kids.
PG 844-845 This Home Visitation Prog. includes Gov’t coming into your house & telling you how to parent!!!
Pg 859 Gov’t will establish a Public Health Fund at a cost of $88,800,000,000. Yes that’s Billion.
Pg 865 The Gov’t will MANDATE the establishment of a National Health Service Corps.
PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2yrs for part loan repayment.
PG 876-892 The govt takes over the education of our Med students and Drs.
PG 898 The Govt will establish a Public Health Workforce Corps to ensure supply of public health prof.
PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.
PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.
PG 900 The Public Health Workforce Corps includes veterinarians. Maybe Chiropractors too?
PG 901 The Public Health Workforce Corps WILL include commissioned Regular & Reserve Officers. HC Draft?
PG 910 The Govt will develop, build & run Public Health Training Centers.
PG 913-914 Govt starts a HC affirmative action program thru guise of diversity scholarships.
PG 915 SEC. 2251. Govt MANDDATES Cultural & linguistic competency training for HC professionals.
Pg 932 The Govt will estab Preventative & Wellness Trust fund- initial cost of $30,800,000,000-Billion.
PG 935 21-22 Govt will identify specific goals & objectives for prevention & wellness activities. Control YOU!!
PG 936 Govt will develop “Healthy People & National Public Health Perform. Standards” Tell me what to eat?
PG 942 Lines 22-25 More Gov’t? Offices of Surgeon General -Public Health Svc, Minority Health, Women’s Health
PG 950- 980 BIG GOV’T core pub health infrastructure including workforce capacity, lab systems; health info sys, etc
PG 993 Gov’t will establish school based health clinics. Your kids won’t have a chance.
PG 994 School Based Health Clinic will be integrated into the school environment. Say GOVT Brainwash!
PG 1001 The Govt will establish a National Medical Device Registry. Will you be tracked?
The misinformation above just can't go unchallenged. And fortunately it doesn't have to. Read below for the FACTS on what is actually being discussed. The first post is full of misinformation. I hope if you've seen it and are inclined to believe some of the inaccurate information that you'll read below and see what the legislation really says.
Ask yourself seriously - do you really think that the stuff above could even be real? ACORN, rationing, brainwashing, euthansia and other scare tactics? All this is is a collection of slogans and scary phrases with no basis in reality. Whoever came up with this tripe should be ashamed of themselves.
The FACTS ABOUT HEALTH REFORM
There is an email going around that talks about a lot of scary stuff in HR3200 – the health reform legislation before Congress. Stuff like rationing and ACORN and euthanasia and illegals getting free care and all the rest. And you know what – none of that is true. I got this email from a friend who got it from some people who’ve read this bill more times than they can count. And I trust them – they’ve gone over it thoroughly. So the next time you get something purporting to be about what is in the bill, send them this in reply. Yeah, it is long – but if they really care about educating themselves they’ll read through it.
Claim: Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS THAT SELF-INSURE!!
The bill does not require the government to audit the books of all employers that self-insure. The bill simply requires that the government study the health care market for large employers. The purpose of the study is to learn more about:
• How employers who self-insure and who buy insurance are alike and differ.
• Whether self-insuring employers have sufficient funds to pay their health care obligations.
• Whether rate regulations cause some employers to buy insurance and others to self-insure.
The results of the study are to be presented to Congress, along with any recommended changes, within 18 months of the bill passing, and then again 18 months after all the new regulations have taken effect. This will help Congress learn how the reforms are working and if they need to make any changes.
Claim: Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVT COMMITTEE that decides what treatments/ benefits you get
A government-appointed advisory committee will recommend what essential benefits health insurance should include for plans offered through the proposed health insurance exchange, and what cost sharing should include. This committee will not influence what benefits are offered by grandfathered insurance plans outside the exchange. The committee is not in charge of deciding what specific treatments are covered.
The committee will be made up of representatives of the following groups: doctors and other health care providers, consumers, employers, labor groups, insurers, and experts on disability, children’s health, racial and other disparities, and health financing. Public input is required as the committee develops its recommendations. And as medical care improves, the committee will be able to recommend benefit changes to keep up with developments.
Claim: Pg 354 Sec 1177 - Govt WILL RESTRICT ENROLLMENT of Special needs people
Special Needs Plans (SNPs) are managed-care plans added to Medicare in 2003. Under current law, a SNP may restrict enrollment to specified groups of Medicare beneficiaries believed to benefit from specialty care tailored to their group characteristics. But Congress has had doubts about whether these plans were improving care for enrollees, so a law passed in 2008 would have ended the SNP program on December 31, 2009.
In fact, Section 1177 of the House bill would give SNPs more time to prove themselves by extending them from 2 to 5 more years, 2011 to 2014, depending on the type of plan. This provision in no way affects the ability of people with special needs to continue their traditional Medicare enrollment or enrollment in regular Medicare Advantage plans.
Claim: Pg 42 of HC Bill - The Health Choices Commissioner will choose your HC Benefits for you.
Just as state insurance departments today see that health plans satisfy state insurance laws, the federal Health Choices Commissioner would work with state insurance departments and other federal agencies to make sure that qualified health plans meet any new standards. The Commissioner will also be responsible for seeing that Health Insurance Exchanges are up and running to offer people without access to employer-provided coverage a choice of qualified health plans, and for getting people who qualify for help the credits available under the bill to make premiums and cost sharing more affordable.
Claim: PG 50 Section 152 in HC bill - HC WILL BE PROVIDED TO ALL NON-US CITIZENS, illegal or otherwise
People in this country illegally would not be eligible for coverage and subsidies under the new health insurance program (see p.143).
This section says nothing about immigrants, legal or otherwise. Rather, it would ban discrimination in health plans and health care based on personal characteristics, such as gender, ethnicity, race, and disability.
Claim: Pg 170 Lines 1-3 HC Bill- ALL NON-RESIDENT ALIENS will be exempt from individual taxes. (Resident Americans will pay)
Indeed, non-resident aliens would not be required to pay the tax – but they would not be eligible to receive health care subsidies or join the exchange either.
Claim: Pg 58 HC Bill - Govt will have real-time access to individuals finances & a National ID Healthcard will be issued
This section of the proposed legislation has nothing to do with individual personal finances or with a National Health Identification card. In fact, in a search of all 1,018 pages of the legislation, there is not one mention of any such card, nor are there any sections that would permit expanded government access to your personal financial records. (Keep in mind that the Internal Revenue Service already has access to taxpayer data.) This proposed section would set standards for electronic health records – and it sets privacy standards to protect personal information.
Claim: Pg 59 HC Bill lines 21-24 Govt will have direct access to your bank accounts for electronic funds transfer, no choice
Again, this proposed section would set standards for electronic health records – and it sets privacy standards to protect personal information.
Claim: Pg 72 Lines 8-14 Govt is creating an HC EXCHANGE to bring private HC plans under Govt control.
A Health Care Exchange is being proposed to make it easier for individuals and small businesses to have access to a number of qualified health insurance plans. The Exchange would contract with plans that meet benefit standards in the same way that the federal government’s Office of Personnel Management contracts with the health insurance providers offered to members of Congress and federal employees. Similarly, the Exchanges will provide central place where people eligible for affordability credits can shop for coverage.
Claim: PG 84 Sec 203 HC bill - Govt mandates ALL benefit pkgs for private HC plans in the Exchange
The bill would set broad levels of benefit packages that private plans should offer in the Exchange. The broad categories of benefits specified in the law are like those for federal employees, and there are three different levels of generosity so that people can choose the plan that meets their needs. While the law sets certain aspects of the benefit packages, insurers are allowed to vary within the rules, much as they can under Medicare’s contracts with health plans for Medicare Advantage and for the Medicare prescription drug program. This has successfully spurred competition among providers that benefits consumers.
Claim: PG 85 Line 7 HC Bill - Specs. for of Benefit Levels for Plans
Response: TRUE – see response above.
This section defines three broad levels of generosity of benefit packages. As noted above, there is room within these broad levels for private plans to vary the packages.
Claim: Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps to sign up individuals for Govt HC plan
Response: PARTLY TRUE.
This section of the proposed legislation talks in very broad terms about conducting outreach activities to inform people about the important health insurance benefits that they may be eligible for and help them to sign up. But the section does not identify any specific organizations.
Experience shows that, when any new program is launched, outreach is essential to let people know about it and manage the required paperwork. For example, when the Medicare prescription drug benefit began, the government worked with a wide range of community groups, religious institutions and other organizations to get the word out.
Claim: pg 124 lines 24-25 HC No company can sue Government on price fixing. No "judicial review" against Government Monopoly
Response: TRUE BUT…
Providers that choose to participate in the proposed Exchange would not be able to seek administrative or judicial review of the payment rates or methodologies established under the plan. This is consistent with long-standing practices in Medicare and in private insurance generally.
Claim: pg 127 Lines 1-16 HC Bill -DOCTORS/ AMA - The Govt will tell you what your salary will be.
The government would not employ physicians in the Exchange, so it would not set salaries. The Secretary of Health and Human Services would set the amount it will pay for different services that doctors who participate in the public plan provide. This is the same way the Medicare and private insurance plans now operate.
Claim: Pg 145 Line 15-17 An Employers MUST auto enroll employees into public option plan. NO CHOICE
In fact, this section does not even deal with a public option plan. This section seeks to encourage automatic enrollment of workers in employer-sponsored health insurance plans. But the provision makes it clear that the employer must provide the worker with a 30-day period to choose whether to enroll or not enroll.
Claim: Pg 146 Lines 22-25 Employers MUST pay for HC for part time employees AND their families.
Response: PARTLY TRUE.
This section states that employers must make some minimum contribution towards premiums for employees who work less than full-time. This minimum contribution will be a share of the contribution the employer makes for full-time employees, based on the average number of hours worked weekly compared to full-time status.
Claim: Pg 150 Lines 16-24 ANY Employer with payroll 400k & above, who does not provide public option, pays 8% tax on all payroll
Response: PARTLY TRUE.
This proposed section does not refer to the public option plan. It states that employers with an annual payroll of $400,000 or more who choose not to offer any coverage to their employees will pay an 8% payroll tax. And amendments have been proposed to raise this threshold to $750,000.
Claim: pg 150 Lines 9-13 Businesses with payroll btw 251k & 400k who doesn't provide public option pays 2-6% tax on all payroll
Employers with annual payrolls between $251,000 and $400,000 that don’t offer health coverage and don’t make a contribution to the premium of their employees will have to pay a payroll tax of 2 to 6%, to help the government pay for health coverage. The amount of the tax rises as the total payroll rises.
Claim: Pg 167 Lines 18-23 ANY individual who doesn't have acceptable HC according to the Govt will be taxed 2.5% of income
Response: PARTLY TRUE.
The goal of the bill is to encourage people to have health insurance coverage so they have the security of having affordable access to health care if they get injured or sick. To give people an incentive to get coverage, those without coverage will have to pay a tax equal to 2.5% of the amount that their income exceeds an income threshold. The threshold is the amount of income at which a taxpayer is required to file a tax return. This income threshold varies by filing status and age, and is adjusted each year for inflation. So people whose incomes are below the filing threshold will not pay the tax, and the tax will not apply to certain individuals exempt because of religious beliefs, living abroad, or in the case of hardship (to be defined in regulation),
To help make coverage more available and affordable than it is today, the bill would change rules so that private insurers can’t turn away applicants or make sick people pay much more. It also provides subsidies to make coverage more affordable to those with modest incomes. And, it expands eligibility for Medicaid to more people with low incomes.
Claim: Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access to ALL Americans finances/ personal records
This section would not give the Health Choices Commissioner access to financial records of all Americans. This section would authorize the IRS, upon written request, to disclose to the Commissioner limited information necessary to determine if those applying for subsidies should qualify. It strictly limits the type of information that IRS would share and limits the ways the information can be used – and any unauthorized disclosure of the information would be a felony.
Claim: Pg 239 Line 14-24 HC Bill- Govt WILL REDUCE PHYSICIAN SERVICES for Medicaid Seniors, and low income people.
This section of the bill would reform the system Medicare uses to set rates for service payments to physicians. This section has nothing at all to do with seniors on Medicaid or with other low-income people.
Claim: Pg 241 Line 6-8 HC Bill - Doctors, doesn't matter what specialty you have, you'll all be paid the same
Response: TRUE BUT…
This provision simply clarifies that all physicians who participate in the Medicare program will continue to be paid the same amount, regardless of their specialty, for providing a specific service. That’s the way Medicare now works, and it would stay the same. For example, if you get an EKG from your primary care doctor, she gets paid the same amount as a cardiologist would get for doing the same EKG. Similarly, if a general surgeon operates on your broken wrist, he receives the same payment from Medicare as an orthopedic surgeon would get for doing the same operation.
The next set of claims all concern end-of-life counseling:
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consultations. (seniors)
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
Pg 425 Lines 22-25, 426 Lines 1-3 Govt provides approved list of end of life resources, guiding you in death
Pg 427 Lines 15-24 Govt mandates program for orders for end of life. The Govt has a say in how your life ends
Pg 429 Lines 1-9 An "adv. care planning consult" will be used frequently as patients health deteriorates
PG 429 Lines 10-12 "adv. care consultation" may include an ORDER FOR END OFLIFE plans. AN "ORDER" from GOV
Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
PG 430 Lines 11-15 The Govt will decide what level of treatment you will have at end of life.
Response: ALL FALSE.
The bill would not require people to make end of life decisions or take any specific action, and suggesting otherwise is a misleading and cruel scare tactic. In fact, this bill would provide a new optional benefit to help individuals talk with their doctors in advance about difficult choices every family faces when loved ones near the end of their lives. This bill helps prepare for their care needs before they are in a crisis and ensure that their wishes —whatever those are—are respected.
This measure would allow Medicare to pay doctors for taking the time to talk with individuals about difficult end-of-life care decisions. Such consultations are not currently covered by Medicare. It would help provide people with better information on the positives and negatives—both physical and financial—that different treatments can mean for them and their families.
Facing a terminal disease or debilitating accident, some people will choose to take every possible life-saving measure in the hopes that treatment will allow them more time with their families. Others will decide that additional treatment would impose too great a burden—emotional, physical and otherwise—on themselves and their families, declining extraordinary measures and instead choosing care to manage their discomfort. Either way, it should be their choice.
This measure would not only help people make the best decisions for themselves, but also better ensure that their wishes are followed.