Sunday, August 02, 2009

The Second 500 Pages of the Healthcare Bill

**Note**
My real job, the one that actually pays the bills, requires me to read Regulese. For those of you not familiar with that language, it's used primarily in government documents; i.e. ASTM Standards, building codes, and procedures for testing and documenting any number of things. Its a pain in the ass to read, sometimes even harder to understand.

The person reading this bill and reporting his findings to us, is doing what I do for a living, only I do it for engineers and building officials.

My point is this, we all have to rely on someone to provide us with enough information to make an informed decision. The person reading this bill is telling us what the government is trying to do to us.

HIGLIGHTS OF SECOND 500 PAGES OF HEALTH CARE BILL
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Pg 504 Lines 6-10 The "Center" will collect data both published & unpublished (that means public & your private info)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 "QualityMeasures" 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 20 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 (Thatsyour 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 includingvaccines. (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 Sovereignty
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. toregister. Gov't takes over private payment sys.
Pg 820-824 Sec 1801 Govt will identify individuals. 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 HealthService Corps.
PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2 yrs 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.
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 work force 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?

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