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GOVT mandated Health is not reform.

August 11, 2009

HR 3200 proposed

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

6 Comments leave one →
  1. October 27, 2009 4:47 am

    HR 3200 changes hourly.

    Urge support for anesthesiology-specific amendment to H.R. 3200

    Rep. Eddie Bernice Johnson (D-TX-30) has introduced an amendment to H.R. 3200, health reform legislation in the U.S. House of Representatives, that would de-link anesthesia payments from Medicare rates under a public plan.

    Under the “Johnson Amendment,” payments for anesthesia services would be based on the average of the payment rates of commercial insurers and health plans participating in the “Exchange.” This would level the playing field and ensure fair anesthesiology payments.

    Please call your Representative and ask him or her to support the Johnson amendment.

    Democratic leadership is involved in closed-door negotiations to craft the final House health reform bill. In the process, they must merge three separate Committee versions of the bill, two of which include a public plan based upon Medicare payment rates. ASA has consistently lobbied for negotiated payment rates, as included in a third Committee version of H.R. 3200.

    The content of H.R. 3200 changes hourly. However, press reports and information from ASA lobbyists indicate that the House is leaning heavily toward including a public plan tied to Medicare rates.

    Rep. Johnson is working with Speaker Pelosi’s office in an effort to have her amendment language incorporated into whatever version of H.R. 3200 is ultimately brought to the floor of the House by the Democratic leadership. The precise mechanism by which the language would be incorporated has not yet been determined. Additionally, the specific date for full House consideration of H.R. 3200 has not yet been determined but could occur within the next 7-10 days.

  2. November 3, 2009 5:06 am

    – H.R. 3962 contains a government-run option which will crowd out private plans over time.

    – H.R. 3962 does not clearly prohibit funding for abortions.

    – H.R. 3962 does not require Members of Congress to join the government-run health plan.

    – H.R. 3962 does not adequately address medical liability reform, which could help control healthcare costs. In fact, those states that have laws on the books that limit medical malpractice punitive claims will essentially be forced to change their laws or risk losing federal funding.

    – H.R. 3962 places a tax on businesses where they will have to surrender 8% of their payroll if they do not offer insurance to their employees or pay at least 72.5% of their employees’ premiums.

  3. November 14, 2009 4:47 am

    If Americans knew the latest data…..would they still support Obamacare?

    1. The $400 billion cut in Medicare

    2. The inevitable scarcity that will result from the addition of 35 million new patients with no new doctors or nurses

    3. The fine on the uninsured of 2.5 percent of their income if they don’t buy insurance

    4. The high cost of these mandatory insurance policies ($15,000 per family)

    5. The low level of subsidy available for the uninsured (only after they pay 8-12 percent of their incomes)

    6. The likelihood of a $1,700 increase in the average family’s premiums

    7. The possibility of up to five years in prison for failing to buy insurance or pay the fine

    8. The taxation of medical devices like pacemakers, wheelchairs, prosthetic limbs, hearing aids, etc.

    9. The tax on sick people (increasing the threshold for deducting medical expenses from 7.5 percent to 10 percent of income

    10. The additional fiscal burden on the states of the increase in Medicaid eligibility

    11. The 40 percent tax on health insurance premiums that will affect households earning more than $75,000 by the fifth year of the plan.

  4. January 24, 2010 6:52 am

    The Affordable Health Care Choices Act of 2009

    From Michael Connelly – Retired attorney, Constitutional Law Instructor,
    Carrollton, Texas:

    Well, I have done it! I have read the entire text of proposed House Bill
    3200: The Affordable Health Care Choices Act of 2009. I studied it with
    particular emphasis from my area of expertise, constitutional law. I was
    frankly concerned that parts of the proposed law that were being discussed
    might be unconstitutional. What I found was far worse than what I had
    heard or expected.

    To begin with, much of what has been said about the law and its
    implications is in fact true, despite what the Democrats and the media are
    saying. The law does provide for rationing of health care, particularly
    where senior citizens and other classes of citizens are involved, free
    health care for illegal immigrants, free abortion services, and probably
    forced participation in abortions by members of the medical profession.

    The Bill will also eventually force private insurance companies out of
    business and put everyone into a government run system. All decisions
    about personal health care will ultimately be made by federal bureaucrats
    and most of them will not be health care professionals. Hospital
    admissions, payments to physicians, and allocations of necessary medical
    devices will be strictly controlled.

    However, as scary as all of that it, it just scratches the surface. In
    fact, I have concluded that this legislation really has no intention of
    providing affordable health care choices. Instead it is a convenient cover
    for the most massive transfer of power to the Executive Branch of
    government that has ever occurred, or even been contemplated. If this law
    or a similar one is adopted, major portions of the Constitution of the
    United States will effectively have been destroyed.

    The first thing to go will be the masterfully crafted balance of power
    between the Executive, Legislative, and Judicial branches of the U.S.
    Government. The Congress will be transferring to the Obama Administration
    authority in a number of different areas over the lives of the America
    people and the businesses they own. The irony is that the Congress doesn’t
    have any authority to legislate in most of those areas to begin with. I
    defy anyone to read the text of the U.S. Constitution and find any
    authority granted to the members of Congress to regulate health care.

    This legislation also provides for access by the appointees of the Obama
    administration of all of your personal healthcare information, your
    personal financial information, and the information of your employer,
    physician, and hospital. All of this is a direct violation of the specific
    provisions of the 4th Amendment to the Constitution protecting against
    unreasonable searches and seizures. You can also forget about the right to
    privacy. That will have been legislated into oblivion regardless of what
    the 3rd and 4th Amendments may provide.

    If you decide not to have healthcare insurance or if you have private
    insurance that is not deemed “acceptable” to the “Health Choices
    Administrator” appointed by Obama there will be a tax imposed on you. It
    is called a “tax” instead of a fine because of the intent to avoid
    application of the due process clause of the 5th Amendment. However, that
    doesn’t work because since there is nothing in the law that allows you to
    contest or appeal the imposition of the tax, it is definitely depriving
    someone of property without the “due process of law.

    So, there are three of those pesky amendments that the far left hate so
    much out the original ten in the Bill of Rights that are effectively
    nullified by this law. It doesn’t stop there though. The 9th Amendment
    that provides: “The enumeration in the Constitution, of certain rights,
    shall not be construed to deny or disparage others retained by the
    people;” The 10th Amendment states: “The powers not delegated to the
    United States by the Constitution, nor prohibited by it to the States, are
    preserved to the States respectively, or to the people.” Under the
    provisions of this piece of Congressional handiwork neither the people nor
    the states are going to have any rights or powers at all in many areas
    that once were theirs to control.

    I could write many more pages about this legislation, but I think you get
    the idea. This is not about health care; it is about seizing power and
    limiting rights. Article 6 of the Constitution requires the members of
    both houses of Congress to “be bound by oath or affirmation” to support
    the Constitution. If I was a member of Congress I would not be able to
    vote for this legislation or anything like it without feeling I was
    violating that sacred oath or affirmation. If I voted for it anyway I
    would hope the American people would hold me accountable.

    For those who might doubt the nature of this threat I suggest they consult
    the source. Here is a link to the Constitution:

    And another to the Bill of Rights:

    There you can see exactly what we are about to have taken from us.

    Michael Connelly
    Retired attorney,
    Constitutional Law Instructor
    Carrollton, Texas

    Please keep this moving–many people are buying into the Dem. Idea just to
    please the party. Use your head, both parties are leading us to slaughter.


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