MORE PROVISIONS:
Section 113 b-1 Page 22: Mandates a study and report on the self insurer segment of health care to repoduce
recommendations that "ensure that the law does not provide incentives for small and mid-size employers to self-insure".
.
Section 123 Page 30: A government Health Benefits Advisory Committee will recommend what treatments
and benefits are available. Once accepted and adopted by the Secretary of Health and Human Services, there is no appeal.
.
Section 141 & 142 Page 42: Establish a "Health Choices Commissioner" appointed by the President
who will establish qualified plan standards for the insured, establish a "Health Insurance Exchange", will administer
"Health Insurance Credits" and determine who is eligible, will ensure compliance, conduct audits, administer penalites
and remedies.
.
Section 152 Page 50: All healthcare services will be provided without regard to
"personal characteristcs" which is not defined within the document and is understood to include immigration status.
.
Section 1173A a-2-D Page 58: Calls for a National Health Plan Beneficiary Identification Card for
every person and the ability to determine a persons indivual financial responsibility and eligibility prior to, or at the
time of service.
.
Section 1173A a-4-C Page 59: Requires the ability to have electronic funds tranfer
from insured account to the federal government to automate reconcilliation of health care payment.
.
Section
164 Page 65: Taxpayers will subsidize a retiree reinsurance health fund up to 10 billion dollars to assist participating employment-based
plans (unions, community organizers, etc.) with the cost of providing health benefits to retirees and to eligible spouses,
surviving spouses and dependents of such retirees
.
Section 294 b-7 Page 91: Government mandates culturally and linguistically appropriate
communication and health services for all.
.
Section 205 a-1 Page 95-96: The Government will establish an outreach program
to inform, educate, and enroll participants, directed at "vulnerable" populations and to be accomplished in person
at "community locations", by mail, telephone, or electronically. Tailor made for ACORN and Americorps.
.
Section 205 C-3-3 Page 102: If you do not enroll in a "National Health Exchange Plan" and are eligible
for Medicaid, you will automatically be enrolled in Medicaid. You have no choice in the matter.
.
Section
223 f Page 124: There will be no administrative or "judicial review" permitted for payment rates established under
the National Health Care Plans.
.
Section 224 b Page 125: The Secretary shall design and implement the payment mechanisms
and policies under this section in a manner that — (1) seeks to (B) reduce health disparities (including racial, ethnic
and other disparities).
.
Section
312 a-4, c-2 Page 145-148: An employer MUST auto-enroll employees into a government approved plan, either the public plan
or another plan, unless an employee makes an affirmative decision to opt out.
.
Seaction 312 b-3 Page 146-147: Employers MUST pay pro-rated healthcare contribution for part-time employees
AND their families.
.
Section
313 b-1 Page 150: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll,
$350+-400K it is 6%, for over $300+-350K it is 4%, for $250+-300K it is 2%.
Title IV Amendment to IRS Code Page 167-170 Imposes a 2.5% income tax penalty to those individuals opting
out, not to exceed what would be the National Average Premium, determined by the Secretary of Health and Welfare.
.
Section 1233 E & F Page 426-433 Establishes mandatory end-of-life counseling
for senior citizens over age 65 every five years, or sooner if beneficiary becomes ill.
.
Section 1302 a Page 460-482: Establishes a "Medical Home Pilot Program" for the elderly
or "targeted high need beneficiaries" in urban, rural, and served areas. No physician need be on duty, run by nurse
paractitioners and physician assistants. Care for beneficiaries coordinated by a team of individuals at the practice level
using "evidence based guidelines" which advocate only the use of medical treatments that are supported by effectiveness
research.
.
Most extensive list of issues:
I have had many questions and comments regarding the PDF file of the House Democrat Health
Care plan I made available above for for download.
Most are,
as am I, appalled at the plan and the wording of it...particularly when taken in context with the cited quote and views of
the chief architect of the plan, and chief advisor to Obama on Health Care and Policy and policy advisor to the Democratic
Congress on Health Care, Dr. Ezekiel Emanuel.
Some however attempt
to rationalize, or even make statements regarding the plan that just are not true, are not supported (at least IMHO) by fact,
and certainly are at odds with the views openly stated by the chief advisor who has helped craft the plan.
This is particularly true when it comes to the end-of-life counseling portion
of the plan identified pn page 425 of the plan where it amends the Medicare laws and thus applies to seniors over the age
of 65.
So, I thought I would post the wording of that section,
directly from the plan, but formatted so you can follow it. People need to make up their own minds.
The way I read it, the section makes the sessions required, it brings government administrators into
life planning where the individual, the Dr. and family should make the sole decisions, and it opens up the possibility for
government health orders regarding the end-of-lie treatment of the elderly.
Far, far too much government involvement and power, particularly given the clear eugenics and infanticide
reasoning of the auther.
Here it is. You decide.
.
Advance
Care Planning Consultation
‘‘(hhh)(1) Subject
to paragraphs (3) and (4), the term ‘advance care planning consultation’ means a consultation between the individual
and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual
involved has not had such a consultation within the last 5 years. Such consultation shall include the following:
.
-----‘‘(A) An explanation by the practitioner of advance care planning,
including key questions and considerations, important steps, and suggested peo1ple to talk to.
.
-----‘‘(B) An explanation by the practitioner of advance directives,
including living wills and durable powers of attorney, and their uses.
.
-----‘‘(C) An explanation by the practitioner of the role and responsibilities of a health care
proxy.
.
-----‘‘(D) The provision
by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance
care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service
organizations (including those funded through the Older Americans Act of 1965).
.
-----‘‘(E) An explanation by the practitioner of the continuum of
end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports
that are available under this title.
.
-----‘‘(F)(i)
Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include—
.
----------‘‘(I) the
reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons
why such an order should be updated periodically as the health of the individual changes;
.
----------‘‘(II) the information needed for an individual or legal
surrogate to make informed deci-sions regarding the completion of such an order; and
.
----------‘‘(III) the identification of resources that an individual
may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual
will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation
of a surrogate decisionmaker (also known as a health care proxy).
.
----------‘‘(ii) The Secretary shall limit the requirement for explanations under clause (i) to
consultations furnished in a State—
.
----------‘‘(I) in which all legal barriers have been addressed for enabling orders for life sustaining
treatment to constitute a set of medical orders respected across all care settings; and
.
----------‘‘(II) that has in effect a program for orders for life
sustaining treatment described in clause (iii).
.
----------‘‘(iii) A program for orders for life sustaining treatment for a States described in
this clause is a program that—
.
----------‘‘(I)
ensures such orders are standardized and uniquely identifiable throughout the State;
.
----------‘‘(II) distributes or makes accessible such orders to physicians
and other health professionals that (acting within the scope of the professional’s authority under State law) may sign
orders for life sustaining treatment;
.
----------‘‘(III)
provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining
treatment; and
.
----------‘‘(IV)
is guided by a coalition of stakeholders includes representatives from emergenc medical services, emergency department physicians
or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services,
state department of health, state hospital association, home health association, state bar association, and state hospice
association.
.
‘‘(2) A practitioner
described in this paragraph is—
.
‘‘(A)
a physician (as defined in subsection (r)(1)); and ‘‘(B) a nurse practitioner or physician’s assist1ant
who has the authority under State law to sign orders for life sustaining treatments.
.
‘‘(3)(A) An initial preventive physical examination under subsection
(WW), including any related discussion during such examination, shall not be considered an advance care planning consultation
for purposes of applying the 5-year limitation under paragraph (1).
.
‘‘(B) An advance care planning consultation with respect to an individual may be conducted more
frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including
diagnosis of a chronic, progressive, life-limiting disease, life-threatening or terminal diagnosis or life-threatening injury,
or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.
.
‘‘(4) A consultation
under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.
.
‘‘(5)(A) For purposes of this section, the term ‘order regarding
life sustaining treatment’ means, with respect to an individual, an actionable medical order relating to the treatment
of that individual
There is nothing in this wording that makes
these "sessions" elective and voluntary. To the contrary, their use of the term "shall" is a direct indication
that it will be mandatory.
.
.
Seniors have every right to be worried, and mad.
