Informed Consent for H1N1
There is no shortage of emotions when your child is sick. Especially in light of the recent statistics documenting the increased trend in this point of the pandemic of deaths of children from Swine Flu. Although the CDC has verified that the deaths were among children with serious chronic illnesses like diabetes, asthma and immune compromised patients, that is not comforting to parents of well children. Nonetheless, during this H1N1 Swine flu pandemic there are pre-existing conditions which the CDC has identified and publicized which must be considered when making medical care decisions for special groups, such as pregnant women, children and the elderly. These emotions and conditions may generate considerable questions which must be answered by the patient’s parents and doctor prior to initiating any treatment.That process is known as obtaining informed consent.
A virus does not need consent to infect a child but a doctor must obtain the informed consent of the parent or guardian in order to vaccinate a child or initiate treatment for an infected child.
What constitutes informed consent?
According to the FDA, it is the process of obtaining a patient’s permission for a procedure after the patient and doctor have discussed the risks, benefits, and alternatives of the procedure and the patient understand them.
For example, as an anesthesiologist, the process of obtaining informed consent prior to surgery involves a discussion of both allopathic and integrative medical methods of administering an anesthetic. Intravenous medications such as propofol and inhaled anesthetic gases are administered to keep a patient asleep throughout surgery. A potential anesthetic complication often discussed before surgery is the patient’s fear of having nausea and vomiting while recovering from anesthesia. I obtain consent to use essential oil of ginger as an integrative medicine technique as well as intravenous medications like ondansetron, to prevent and treat post-op nausea and vomiting (PONV).
The topics surrounding the Swine flu pandemic are so complex and emotions are so high during this season of national debate on health care reform, that one would be hard-pressed to say they are truly informed . Especially, when you are in line of people waiting to get immunized by a caregiver at a minute clinic. Our government has spokespeople saying the flu vaccinations are necessary and safely tested. Some lawgivers have written into law that all health care providers must be vaccinated. There are numerous opponents making claims otherwise.
Say your doctor recommends the live, attenutated virus intranasal vaccine (LAIV), for your child. Are you one of the 27% of parents who say they will not allow their child to be vaccinated? Are you informed enough to ask the doctor if the vaccine will harm an unborn child if my child sheds virus for the next 21 days around me? Is the clinic where you are seeking treatment aware that your child has asthma and is therefore not a recommended candidate for FluMist? If your child gets a complications of the vaccine are you aware that the manufacturer is protected from lawsuits. You can apply for government assistance to cover the added medical expenses if it is determined that the complications are indeed from the vaccine.
What is a person to do? Do your due diligence. Seek help using online digital triage.
Be as informed as you possibly can while adopting safe practices. Besides watching Sesame Street videos with your kids to teach them the proper techniques of sneezing and handwashing, one could adopt natural methods of boosting immunity. Using food as your medicine, consider that mangosteen, acai, garlic, olive, onion, ginger, echinacea, cat’s claw, shiitake & maitake & reishi mushrooms, lomatium dissectum, lemon balm, St John’s wart, vitamin C, vitamin D, zinc and probiotics are known traditional remedies with anti-viral and immune boosting function.
Have you heard of Inhalational Therapy? Then stay tuned. Breathing the vapors of essential oils distilled from plants is wonderful.
Be proactive and stay informed.
The oilMD
James Tad Geiger MD
The second opinion book. Give Wellness a chance.
The Sweet Smell of Success by James Tad Geiger MD
Books on wellness and aromatherapy have been written from many points of view. The Sweet Smell of Success takes a very unique approach to both of these topics. As an acute care anesthesiologist, I believe clinical aromatherapy should be integrated with conventional allopathic Western Medicine in the Wellness Revolution of the twenty-first century.
Aromatherapy with essential oils is one entity of the vast array of holistic specialties comprising nutriogenomic medicine and complementary alternative medicine. Although these specialties and aromatherapy are not appreciated by many physicians and are often misrepresented to the public, there are tremendous advantages to be gained from their diverse applications.
There is a widening health care information gap between health consumers and care providers. The material presented here bridges the gap between laypeople as health care consumers and medically oriented health care providers, with detailed natural healing information based on the art and medically scientific knowledge. It is my impression from working with my patients and their families that many people have an interest in using “natural” ways of healing but have doctors who are uninformed, disinterested, or not accepting of alternative medicine. This text contains current and compelling scientific explanations and references, offering food as medicines alternatives meant to be integrated with all forms of healthcare including traditional medical treatment. Patients can give this book to their doctor to provide another medical doctor’s viewpoint, a second opinion.
This process represents a tremendous shift in thought and action for most people. Awareness and concern for the health of the people of our country and all the nations of the world are increasingly shared by growing numbers of medical and health care workers, professionals, celebrities, and even some politicians. The maldistribution of food worldwide perpetuates starvation and obesity epidemics, affecting more adults and children with each passing day. A generation of premature deaths, whether from obesity or starvation, is a sad and unacceptable result. Awareness of these problems is the critical first step to circumvent the predictable progression of illness, disability, and death due to these malnourished states.
Another major concern for our society is aging. Aging increases the need for essential foods as medicines that function as antioxidants, which the body uses as critical building blocks for the formation of free radical scavengers and the energy required for effective metabolism. Read and get enthused to practice these revealing wellness secrets, acting on exciting healthy choices that are naturally good for you.
Aromatically Yours,
James Tad Geiger MD
the oilMD
Peace and Safety
Another Consultation with the Muse of Wellness.
Metalloproteinases:Enzymatic impact on cardiovascular and prostate health.
Metalloproteinase:Enzymatic impact on cardiovascular system.
An enzyme called matrix metalloproteinase-8 plays a crucial role in raising blood pressure and causing abnormal build-up of cells in the arteries – both of which increase the risk of heart disease.
The same metalloproteinase family of enzymes is inhibited by alpha-mangostin found in the mangosteen fruit and impacts prostate cancer cells in the laboratory.
J Agric Food Chem. 2009 Feb 25;57(4):1291-8.
Alpha-mangostin suppresses PC-3 human prostate carcinoma cell metastasis by inhibiting matrix metalloproteinase-2/9 and urokinase-plasminogen expression through the JNK signaling pathway.
Division of Urology, Department of Surgery, Chi Mei Medical Center, No. 901, Jhong-Hua Road, Yong-Kang, Tainan 710, Taiwan, Republic of China.
Alpha-mangostin, a component of Garcinia mangostana Linn, is a xanthone derivative shown to have antioxidant and anticarcinogen properties. In this study, we first report the antimetastatic effect of alpha-mangostin in the human prostate carcinoma cell line PC-3. The results show that alpha-mangostin exhibited an inhibitory effect on the abilities of adhesion, migration, and invasion by cell-matrix adhesion assay, wound healing assay, and Boyden chamber assay. In the cancer cell metastasis process, matrix degrading proteinases are required. Results from zymography showed that alpha-mangostin treatment could decrease the expressions of matrix metalloproteinase-2 (MMP-2), matrix metalloproteinase-9 (MMP-9), and urokinase-plasminogen activator (u-PA) in a concentration-dependent manner. Moreover, alpha-mangostin also exerted an inhibitory effect on phosphorylation of c-Jun N-terminal kinase 1 and 2 (JNK1/2) and inhibition of activation of nuclear factor kappa B (NF-kappaB), c-Fos, and c-Jun. Furthermore, the treatment of inhibitors specific for JNK (SP600125) to PC-3 cells could result in a reduced expression of MMP-2, MMP-9, and u-PA. These results demonstrated that alpha-mangostin could mediate PC-3 cells metastasis by reduction of MMP-2, MMP-9, and u-PA expression through the suppression of the JNK1/2 signaling pathway and inhibition of NF-kappaB and AP-1 binding activity. These findings proved that alpha-mangostin might be offered further application as an antimetastatic agent.
James Tad Geiger MD
The Green Theory of Meaningful Ageing
Is there a well balanced wellness paradigm available to adopt which would increase a healthy lifespan?
Heal the US health care system by promoting integrative medicine which is preventative and enhances meaningful ageing.
Nutriogenomics of the Body/Soul/Spirit
Meaningful Ageing Begins Early
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Can we intervene in human ageing?
School of Pharmacy and Biomolecular Science, University of Brighton, Brighton, BN2 4GJ, UK. rgaf@brighton.ac.uk
Ageing is a progressive failure of defence and repair processes that produces physiological frailty (the loss of organ reserve with age), loss of homeostasis and eventual death. Over the past ten years exceptional progress has been made in understanding both why the ageing process happens and the mechanisms that are responsible for it. The study of natural mutants that accelerate some, but not all, of the features of the human ageing process has now progressed to a degree that drug trials are either taking place or can be envisaged. Simultaneously, a series of mutations have been identified in different species that confer extended healthy life, indicating that the ageing process is much more malleable than might have been expected and that single interventions have the potential to delay the onset of multiple age-associated conditions. Data generated using these organisms have led to the formulation of a powerful new hypothesis, the ‘green theory’ of ageing. This proposes that a finite capacity to carry out broad-spectrum detoxification and recycling is the primary mechanistic limit on organismal lifespan. This is turn suggests important new experimental approaches and potential interventions designed to increase healthy lifespan.
Wellness paradigm increases healthy lifespan.
Twitter: @TheoilMD
James Tad Geiger MD
Lungs are a big part of my job. As an anesthesiologist I use an anesthesia machine to breathe for patients undergoing surgery, administering anesthetic gases into the patients lungs. Smoke from fire contains toxic gases plus particulate matter that injures the entire respiratory system. When I saw the pictures of monstrous clouds of billowing smoke over Los Angeles it made me wonder what are the consequences of breathing that air. What are the risks of smoke inhalation to people with heart diseases or respiratory diseases, like asthma? Does it predispose to influenza complications? Perhaps you are even asking yourself if you should see a doctor after breathing what that smoke contains.
LA Times Pulitzer Reporter Julie Cart, has described the emotional and physical costs of wild fire management. The Australian property protection “stay or go” policy during wildfires rests on the homeowner to decide if they will defend their home or not. In Southern California, the evacuations have been mandatory for tens of thousands of people.
Climates have changed and so have the global health risks due to effects of massive firestorms burning the earth’s biomass. Newscasters are broadcasting prescription weather conditions to inform humanity of new health worries impacted by events of global warming. Medical science has learned from the injuries fire damage has caused to firefighter and civilians from the firestorms of Southeast Asia, Darwin Australia, Athens Greece and now Southern California again. Fire fatalities are more commonly the result of inhalation of the toxic gases produced during combustion of vegetation producing mucosal irritants such as acrolein and formaldehyde, rather than actual burns. The following studies of patients describes how inhalation of airborne pollutants has caused ongoing health problems.
- Short-term exposure to Fine Particulate Matter less than 2.5microns increases the risk for hospital admission for cardiovascular and respiratory diseases in Medicare patients.
- Emergency Room Visits: Ambient levels of elemental carbon (EC) and organic carbon matter (OCM), which are generated primarily from vehicle emissions, diesel, and wood burning, were associated with the largest risks of emergency hospitalization for Medicare patients across the major chemical constituents of fine airborne particulate matter less than 2.5 microns.
- Smoke Inhalation and Hospital Admissions: Airborne coarse particulate matter of less than 10 microns derived from vegetation fires of ambient biomass producing smoke pollution were predominantly associated with more respiratory than cardiovascular admissions. The indigenous peoples of Australia in this study appear to be at higher risk of respiratory as well as cardiac hospital admissions associated with exposure to particulate matter less than 10 microns.
There is increased lung injury caused by air polluted with small and large airborne particulate matter resulting in acute and chronic respiratory aliments that require ER visits and hospital admissions. These events coinciding with flu season may contribute to future increased morbidity and possibly mortality of these patients when exposed to influenza and swine flu. Descriptions of when to seek medical help after exposure to inhalation of smoke are found in extensive detail on WEBMD and emedicine.
Firefighters are special people. Fire fighters have increased short term and long term health concerns including respiratory and risk of urogenital cancer. There are few jobs in which people willingly go into risky situations like firestorms, risking everything, to save people and their property. Special thanks for a job well-done.
This post is a dedicated tribute to Capt. Tedmund Hall and Specialist Arnaldo Quinones and the brave public servants both men and women of fire, EMS and police, taking enormous risks even loss of life to protect and serve.
James Tad Geiger MD
the oilMD
Integrative Immunity Boosters & the H1 N1 Vaccine
Hippocrates taught that food is our medicine. Since when did medicine become synonymous with drugs rather than the original meaning of “thoughtful action to establish order.” In our ongoing search for viral immunity do we have to look any farther than our kitchen spice rack or pantry?
I prefer the term integrative medicine to complementary, alternative or holistic medicine when considering various natural options for the health care of families, CEO’s and their businesses. There are some truly amazing discoveries of the 21st Century that take us way beyond the obvious 20th Century physical methods of antiviral protection: hand-washing, wearing a mask and allopathic vaccines, especially in light of flu season and the Swine Flu (Novel H1N1 RNA Virus) Pandemic.
As far as vaccines are concerned, the squalene-containing adjuvants in the various influenza vaccinations, used to boost immunogenicity, dramatically reduce the amount of attenuated live virus needed for production purposes. This translates into more efficient production of desired vaccine quantities. That might not be a good thing for your body even though it gets the job done for manufacturers stock prices.
Are you in a vulnerable risk group for Swine Flu? Get really sick easily? Could you end hospitalized requiring advanced respiratory life support and intravenous antiviral medications. Don’t want to end up there? Consider these essential natural plant substances, untested by the FDA, but that could one day become integrated as complementary medicine approaches to wellness.
The following are few notables: vitamin C, supplements, nutraceuticals, herbs, spices and plants like mushrooms, as well as eucalyptus and tea tree essential oils.
As for high doses of Vitamin C . How high is high? Linus Pauling of orthomolecular medicine fame said, therapy with megadoses of multiple grams per day was claimed to be an effective antiviral.
Some studies suggests the mucolytic, n-acetylcysteine and glutathione works against viral symptoms in general. A proper diet of fruits might provide adequate levels of glutathione without the risk of upsetting the delicate homeostatic balance and ratio of intracellular to extracellular glutathione caused by adding a supplement.
What actually boosts the immune system? The answer could be sitting in your cupboard or refrigerator: Food is your medicine and foods like apples, broccoli, tea and red onions are rich in the immune flavonoid called quercetin.
- Queen of fruit, mangosteen when combined with essential minerals, vitamins and aloe raises human ORAC, interlukin, CD cell counts and complement while decreasing the inflammatory biomarker C-reactive protein.
- Cordyceps Mushroom, contains essential sugars, the polysaccharides d-galactose, L-arabinose, D-xylose, L-rhamnose, when intranasally administered decreased virus titers in the bronchoalveolar lavage fluid and the lung of mice infected with influenza A virus and increased survival rate.
- Your Spice Rack contains bottles of condiments used in laboratory experiments to kill many types of viruses such as lemon balm (Melissa officinalis), peppermint (Mentha x piperita), prunella (Prunella vulgaris), rosemary (Rosmarinus officinalis), sage (Salvia officinalis) and thyme (Thymus vulgaris).
- Basil, Ocimum basilicum has undergone successfull antiviral invitro testing of a few it’s essential components, namely apigenin, linalool and ursolic acid against (herpes viruses (HSV), adenoviruses (ADV) and hepatitis B virus) and RNA viruses (coxsackievirus B1 (CVB1) and enterovirus 71 (EV71).
- Rosemary (Rosmarinus officinalis): this herb’s anti-viral activities has direct activity on the respiratory tract, the coughing reflex and the airflow in the nasal tract.
- Thyme (Thymus vulgaris): both essential oil and the extracted monoterpenes exhibited high anti-HSV-1 activity by direct inactivation of free virus particles.
- Curcumin (diferuloylmethane): a yellow pigment in the spice turmeric (also called curry powder) possess potent antiviral activities against severe acute respiratory syndrome coronavirus.
- Clove (Eugenia caryophyllata), main constituents of the essential oil are phenylpropanoids such as carvacrol, thymol, eugenol and cinnamaldehyde. Topical application relieves pain and promotes healing. The biological activities of clove have been investigated on microorganisms and parasites, and antiviral activity against Herpes simplex and hepatitis C viruses. Clove also has antimicrobial, antioxidant, antifungal and antiinflammatory, insect repellent and anaesthetic properties.
- Bay Laurel (Laurus nobilis): this oil was characterized by the presence of beta-ocimene, 1,8-cineole, alpha-pinene, and beta-pinene as the main constituents exerting an interesting activity against SARS-CoV.
I share these non-FDA approved and invitro (in glass petri dishes) non-human spice studies because everybody ought to know the current state of research and potential for future discoveries in the field of integrative medicine for personal preventative health care. No health care claims are made for their use as antiviral treatments. Don’t you agree they are interesting and wish the FDA would study them.
James Tad Geiger MD
the oilMD
Swine Flu Vaccines To Vary–Majority Using Thimerosal
Aug 17, 2009
James Geiger M.D.–
Curious me took a poll of my 500 plus friends on Facebook and 1600 plus followers on Twitter.
The Poll asked…The Swine Flu vaccination. Will you get it?
Preliminary Results of my friends and followers poll.
75% said they will definitely not get the vaccine when it becomes available.
25% said, “Maybe.”
Why is that? Perhaps you have read many online reports of side effects and complications caused by vaccinations.
- Overwhelmed and confused by back-to-school Vaccination recommendations for Hepatitis, Tentanus-Diptheria-Pertussis (Td/Tdap), Varicella,Measles-Mumps-Rubella(MMR), Human papillomavirus (HPV), Meningococcal, Shingles, plus Flu and Swine Flu.
- Concern that the vaccine contains adjuvants may cause chronic inflammation.
- Concern that Preservatives (mercury) may cause brain and immune dysfunction diseases. e.g. Autism.
- Concern that chicken eggs, monkey organs and Live Avian Virus were used to make the vaccine.
What is known about the Swine Flu and the Vaccine.
- The vaccine will become available starting late Sept./Oct.
- Thousands of people have died worldwide from Swine Flu.
- Five manufacturers are producing vaccine for the U.S.: Sanofi Pasteur, Novartis, GSK, Medimmune, CSL and possibly Baxter.
- Formulation will vary by provider. For Novartis, vaccine may be preformulated with adjuvant (oil in water to stimulate the immune system). For CSL, GSK and Sanofi Pasteur, mixing of vaccine and adjuvant at the site of administration will be necessary. Medimmune vaccine will not be adjuvanted.
- The majority of vaccine will be in multi-dose vials with the preservative Thimerosal (mercury). The aim is to have enough vaccine in nasal inhalers and single dose syringes Thimerosal (mercury) preservative free for young children and pregnant women.
- The committee recommended that vaccination efforts initially focus on 5 target groups: vaccination for pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months through 24 years, and people ages 25 through 64 years who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems.
TBA: Things yet to be determined about the vaccine.
- To be determined if a booster shot taken 21-28 days after the first shot will be necessary.
- To be determined if you should get the combination Swine Flu and regular flu vaccine at the same time.
- To be determined is how significant the Swine Flu resistance to Tamiflu will become.
- To be determined if Guillain-Barre Syndrome will become a significant side effect of the vaccine.
Influenza and Swine Flu Preparedness for Novel H1N1 Swine Flu Virus Pandemic:
Take steps to protect yourself from getting ill and spreading germs.
- Develop a family preparedness plan.
- Stock up on supplies.
- Stay Calm to enhance your immune system.
As for me, I still have two months to decide.
Dr. James L. Geiger is a board certified anesthesiologist practicing acute care anesthesia and clinical aromatherapy in 
Arizona. He c ompleted residency at USC and Internship at St. Mary’s Center in San Francisco where he remained to perform cardiac anesthesia with his father, a Cardiothoracic surgeon, for 16 years. At St. Mary’s he developed and lectured on Fast Track Cardiac Anesthesia programs for early recovery from anesthesia and was chairman of the critical care committee. Currently Dr. Geiger is on staff at several medical centers, orthopedic hospitals and surgicenters where he has introduced therapy with essential oils into the operating and recovery rooms. Dr Geiger’s special interest is consulting in the development of patient services for Integrative Therapies and Medical Spa services which care for the needs of those seeking integrative treatments. Dr. Geiger’s speaking presentations are suitable for conventions, resorts, spas and business meetings worldwide. He is the author of The Sweet Smell of Success: Health and Wealth Secrets (LifeSuccess Publishing/ Feb 2009).
The Antiviral Shortage Predicament
Vaccine Side Effects: Swine Flu History
Copyright © 2006-2009, Basil & Spice. All rights reserved.
H1N1, autism, james geiger, live avian virus, mercury, side effect, swine flu, vaccine thimerosal in Autism, Flu, Geiger, James, Guillain Barre, Mercury, Thimerosal, VirusThe Novel H1N1 Swine Flu vaccination. Will you get it?
Curious me took a poll of my 500 plus friends on Facebook and 1600 plus followers on Twitter.
The Poll asked…The Swine Flu vaccination. Will you get it?
Preliminary Results of my poll.
75% said they will definitely not get the vaccine when it becomes available.
25% said, “Maybe.”
Why is that? Perhaps you have read many online reports of side effects and complications caused by vaccinations.
- Overwhelmed and confused by back-to-school Vaccination recommendations for Hepatitis,Tentanus-Diptheria-Pertussis(Td/Tdap),Varicella,Measles-Mumps-Rubella(MMR),Human papillomavirus(HPV), Meningococcal, Shingles,plus Flu and Swine Flu.
- Concern that the vaccine contains adjuvants may cause chronic inflammation.
- Concern that Preservatives (mercury) may cause brain and immune dysfunction diseases .e.g. Autism .
- Concern that chicken eggs, monkey organs and Live Avian Virus were used to make the vaccine.
What is known about the Swine Flu and the Vaccine.
- The vaccine will become available starting late Sept./Oct.
- Thousands of people have died worldwide from Swine Flu.
- Five manufacturers are producing vaccine for the U.S.: Sanofi Pasteur, Novartis, GSK, Medimmune,CSL and possibly Baxter.
- Formulation will vary by provider. For Novartis, vaccine may be preformulated with adjuvant (oil in water to stimulate the immune system). For CSL, GSK and Sanofi Pasteur, mixing of vaccine and adjuvant at the site of administration will be necessary. Medimmune vaccine will not be adjuvanted.
- The majority of vaccine will be in multi-dose vials with the preservative Thimerosal(mercury). The aim is to have enough vaccine in nasal inhalers and single dose syringes Thimerosal(mercury) preservative free for young children and pregnant women.
- The committee recommended that vaccination efforts initially focus on 5 target groups: vaccination for pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months through 24 years, and people ages 25 through 64 years who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems.
TBA: Things yet to be determined about the vaccine.
- To be determined if a booster shot taken 21-28 days after the first shot will be necessary.
- To be determined if you should get the combination Swine Flu and regular flu vaccine at the same time.
- To be determined is how significant the Swine Flu resistance to Tamiflu will become.
- To be determined if Guillain-Barre Syndrome will become a significant side effect of the vaccine.
Influenza and Swine Flu Preparedness for Novel H1N1 Swine Flu Virus Pandemic.
Take steps to protect yourself from getting ill and spreading germs.
- Develop a family preparedness plan.
- Stay Calm to enhance your immune system.
As for me, I still have two months to decide.
James Tad Geiger MD
Where is the integrative wellness mandate to heal the people and the US health care system in this bill?
Read the bill. The bill is very technical but try to distinguish if the sections on these pages are as wide reaching as they seem.This bill is much more than keeping your plan and your doctor. Your plan, your doctor and your hospital will be mandated by the govt to provide a govt prescribed level of care. If these items are true and become the law of the land there will be far reaching effects and consequences.
This is not real reform because there is no real reform without medical malpractice tort reform.
This is not real reform without the wellness integrative medicine mandate.
Page 29: Medical Admissions
Page 30: A government committee will decide what treatments and benefits you get, limited appeals process
Page 42: The “Health Choices Commissioner” will allocate health benefits
Page 50: All non-US citizens, illegal or not, will be provided with free healthcare services
Page 58: Every person will be issued a National ID Healthcard.
Page 59: The federal government will have direct, real-time access to individual bank accounts for electronic funds transfer.
Page 65: Taxpayers will subsidize union retiree and community organizer health plans
Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange
Page 84: All private healthcare plans must participate in the Healthcare Exchange
Page 91: Government mandates linguistic infrastructure for services
Page 95: The Government will pay certain groups to sign up individuals for Government-run Health Care plan
Page 102: Those eligible for Medicaid will be automatically enrolled
Page 124: No company can sue the government for price-fixing. No judicial review
Page 127: Government will set doctors wages.
Page 145: An employer MUST auto-enroll employees into the government-run public plan
Page 126: Employers MUST pay healthcare bills for part-time employees and their families
Page 149: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll
Page 150: Any employer with a payroll of $250K-400K or more, who does not offer the public option, pays a 2 to 6% tax on payroll
Page 167: Any individual who does not have acceptable healthcare will be taxed 2.5% of income.
Page 170: Any NON-RESIDENT alien is exempt from individual taxes
Page 195: Officers and employees of Government Healthcare Bureaucracy will have access to personal financial records
Page 203: The tax imposed under this section shall not be treated as tax
Page 239: Bill will reduce certain physician services for Medicaid.
Page 241: Doctors of all specialties will be paid the same.
Page 253: Government sets value of doctors’ time, their professional judgment
Page 265: Government mandates and controls productivity for private healthcare industries.
Page 268: Government regulates rental and purchase of power-driven wheelchairs.
Page 272: Cancer patients mandated levels of care
Page 280: Hospitals will be penalized for what the government deems preventable re-admissions.
Page 298: Doctors: if you treat a patient during an initial admission that results in a readmission, then penalized by the government.
Page 317: Doctors: you are now prohibited for owning and investing in healthcare companies!
Page 318: Prohibition on hospital expansion. Hospitals cannot expand without government approval.
Page 321: Hospital expansion hinges on “community” input
Page 335: Government mandates establishment of outcome-based measures: i.e., rationing.
Page 341: Government has authority to disqualify Medicare Advantage Plans, HMOs
Page 354: Government will restrict enrollment of SPECIAL NEEDS individuals.
Page 379: Telehealth Advisory Committee
Page 425: Advance Care Planning Consult paid medical visit.
Page 425: Government will instruct and consult regarding living wills, durable powers of attorney
Page 425: Goverment provides approved list of end-of-life resources, guiding you in death.
Page 427: Government mandates program that approves end-of-life treatment
Page 429: Advance Care Planning Consult will be used to dictate treatment as patient’s health deteriorates
Page 430: Government will decide what level of treatments you may have at end-of-life.
Page 469: Community-based Home Medical Services
Page 472: Payments to Community-based organizations
Page 489: Government will cover marriage and family therapy
Page 494: Government will cover mental health services
That is paraphrased from the first 500 pages. HR3200 is much more than Health Insurance Reform.
This is the Whitehouse reality check facts page about the stability of Health Insurance Reform.
James Tad Geiger MD
