H.R. 3962 HeLLthcare Carriage Hearse and Tax Analysis!
A WARNING...
My friends, just small detail that i hope everyone will pass to their friend on other groups in this Health bill of 1990 pages... something that seems very small and I believe that people don't notice.
To the start of this bill the words are... " for "all" Americans" do not say for the Citizens of the USA, this typpo can give away the health that you paid to anyone on the American Continent, knowing that they make bills with words that eventually they use for other intentions, knowing that they try to make this Country part of the Global economy and sign the treaty against the sovereignty fo the USA, I sugest to think that this ALL AMERICANS, is a global americans, the whole continent, as you can imagen, that will cover ALL THE ILLEGALS, with out saying. So please, pass this on to everyone you know. The bill is to big for 72 hours, but just with this small fraccion of the bill, we know that we need TO STOPPED!!!
Let's work on that! Thank you. I will send this info to everyone. Please to the same in your mail boxes and other groups that you may belong.
This is the analysis that so far is been gathering, and it's not very good. Pass to all it's viral, start making phone calls and allow your voice to be hear, loud and clear.
This is long, but worth to read, it's less than 1990 pages I promise you that.
Fighting for Freedom to Stay Free.
from Jeff Schreiber's website:
www.americasright.com
Facts and Contents of Health Care Reform Bill Unveiled Today by Democrats (Open Thread)
.
One thousand, nine hundred and ninety pages. 1.990. That's the number of pages in H.R. 3962, the so-called Affordable Health Care for America Act unveiled by House Speaker Nancy Pelosi at a press conference this morning.
Three thousand, four hundred and twenty-five. 3.425. That's the number of times the word "shall" appears within those one thousand, nine hundred and ninety pages, representing all the ways the government shall become more and more involved in the daily lives of Americans. By contrast, the word "shall" occurs 306 times in our entire Constitution, Which of course lays out our entire system of limited government as established by our founders. (And subsequently forgotten, it seems.)
Just from a cursory look and from what I'm reading elsewhere, it seems that there are no provisions in the 1.990-page health care reform bill Which will increase freedom and either drive down costs through tort reform or by Providing for portability of insurance or opening up the industry to interstate competition. Those are the ways Which would allow many of the uninsured To obtain coverage and would drive down costs for all involved. But the Democrats have not included those provisions - because, remember, the health care reform bill is not about health care at all, but rather about expanding the size, scope and reach of the federal government.
It's a nightmare, folks. Believe me, there will be more on this legislation here at America's Right. In the meantime, grab some popcorn, unfold your Snuggie and clean off your reading glasses - because you can read the bill for yourself.
http://docs.house.gov/rules/health/111_ahcaa.pdf
http://health.burgess.house.gov/UploadedFiles/House_HCR_bill.pdf
Congressional Intervention in Vending Machines
Here's one fun selection:
(viii) VENDING MACHINES.-In the case of an article of food sold from a vending machine that (I) does not permit a prospective purchaser to examine the Nutrition Facts panel before purchasing the article or does not otherwise provided nutrition information visible at the point of purchase, and (II) is operated by a person who is engaged in the business of owning or operating 20 or more vending machines, the vending machine operator shall Provide a sign in close proximity to each article of food or the selection button that includes a clear and conspicuous statement Disclosing the number of calories contained in the article.
A couple of things jump out about this particular tidbit. First, it appears that the federal government is in the business of regulating vending machines now. Excuse me while I thumb through my pocket Constitution and look for the provision Providing authority for that. Second, Congress is Establishing itself as the ultimate alternative to personal responsibility. I know that I should not be Inhaling Twinkies by the dozen, and do not need to calorie count to understand that. Third, look for vending machine costs to skyrocket. For those kids who are not fed breakfast Because their parents can not afford it, no longer will the two quarters found in the sofa cushions or on the floor of the school bus suffice for a six-pack of peanut butter crackers.
Dems: Color Competence Should Not Govern Health Care Staffing
Also on the minds of Democrats in the 1.990-page bill is so-called "workplace diversity." Supplemental materials released with the health care reform bill tout "greater support" to be provided to "workplace diversity programs to help Ensure that the nation's health workforce Reflects the population it serves." Three cheers for social justice!
I do not know about you, but when I'm in the hospital with a javelin sticking out of my chest and a super-apologetic teenager in a track team outfit pacing frantically outside the room, I do not care Whether my doctor's name is Dr. John Smith, or Dr. Moojibooji Ooberjavango. I do not care what my nurses look like. I do not know about you, but I want a health workforce with competence as its defining characteristic; race, color, sex, national origin, political affiliation, favorite color, astrological sign and Whether they're left-handed or right-handed does not figure into it.
The Unveiling of the Public Option Was Anything But
(Videos can be viewed at America's Right)
These videos show ordinary Americans being denied access to the press conference this morning at Which Nancy Pelosi unveiled the health care bill. That's right - for all the talk of "open and transparent," the public unveiling of the public option at a public place was closed to the public.
In a Twitter entry, South Carolina Sen. Jim DeMint called it "a very disturbing trend from this administration in favor of secrecy and against transparency." I agree.
On the other hand, that the Democrats have gone through with this brand of health care reform shows that they do not give a rat's posterior for the opinions of the people they represent anyway, so why should we expect them to want involvement from the unwashed masses now?
Did Obama Promise No New Taxes On The Middle Class?
At 1.990 pages, it's going to take a while for folks to work their way through the health care reform bill unveiled today by the Democrats. Thank goodness for folks like those at Americans for Tax Reform, who have been doing more than any one guy like me could ever hope to do.
According to that group, along with the word "shall" being used 3.425 times in the legislation, the word "tax" was used 87 times, "taxable" used 62 times, "excise tax" used ten times, "taxes" used 15 times, "fee" used 59 times, and "penalty" used 113 times. They also provided a list of 13 specific tax hikes contained within the bill, and even were so kind to include page numbers.
Here you go, from Americans for Tax Reform:
http://www.atr.org/breaking-comprehensive-list-taxesbr-house-democr...
Employer Mandate Excise Tax (Page 275): If an employer does not pay 72.5 percent of a single employee's health premium (65 percent of a family employee), the employer must pay an excise tax equal to 8 percent of average wages. Small employers (measured by payroll size) have smaller payroll tax rates of 0 percent (<$ 500,000), 2 percent ($ 500,000 - $ 585,000), 4 percent ($ 585,000 - $ 670,000), and 6 percent ($ 670,000 - $ 750,000).
Mandate Individual surtax (Page 296): If an individual fails to Obtain qualifying coverage, I must pay an income surtax equal to the lesser of 2.5 percent of modified adjusted gross income (MAGI) or the average premium. MAGI adds back in the foreign earned income exclusion and municipal bond interest.
Medicine Cabinet Tax (Page 324): Non-prescription medications would no longer be able to be purchased from health savings accounts (HSAs), Flexible Spending Accounts (FSAs) or health reimbursement arrangements (HRAS). Insulin excepted. Cap on FSAs (Page 325): FSAs would face an annual cap of $ 2500 (currently uncapped).
Increased Additional Tax on Non-Qualified HSA Distributions (Page 326): Non-qualified distributions from HSAs would face an additional tax of 20 percent (current law is 10 percent). HSAs This disadvantages relative to other tax-free accounts (eg IRAs, 401 (k) s, 529 plans, etc.).
Denial of Tax Deduction for Employer Health Plans Coordinating with Medicare Part D (Page 327): This would further erode private sector participation in delivery of Medicare services.
Surtax on Individuals and Small Businesses (Page 336): Impose an income surtax of 5.4 percent on MAGI over $ 500,000 ($ 1 million Married Filing Jointly). MAGI adds back in the itemized deduction for margin loan interest. This would raise the top marginal tax rate from 39.6 percent in 2011 under current law to 45 percent-a new effective top rate.
Excise Tax on Medical Devices (Page 339): Impose a new excise tax on medical device manufacturers equal to 2.5 percent of the wholesale price. It excludes retail sales and unspecified medical devices sold to the general public.
1099-MISC Information Corporate Reporting (Page 344): Requires that 1099-MISC forms be issued to corporations as well as persons for trade or business payments. Current law limits to just compliance for small business persons complexity reasons. Also expands reporting to exchanges of property.
Delay in Worldwide Allocation of Interest (Page 345): Delays for nine years the worldwide allocation of interest to corporate tax relief provision from the American Jobs Creation Act
Limitation on Tax Treaty Benefits for Certain Payments (Page 346): Increases taxes on U.S. employers with overseas operations looking to avoid double taxation of earnings.
Codification of the "Economic Substance Doctrine" (Page 349): Empowers the IRS to disallow a perfectly legal tax deduction or other tax relief Merely Because the IRS Deems that the motive of the taxpayer was not Primarily business-related.
Application of "More Likely Than Not" Rule (Page 357): Publicly-traded partnerships and corporations with annual gross receipts in excess of $ 100 million have raised standards on penalties. If there is a Tax Underpayment by these Taxpayers, they must be able to prove that the estimated tax paid would have been more likely than not sufficient to cover final tax liability.
Just a few notes from the top of my head (the location of an as-yet-untaxed flesh yarmulke), if I may do so:
First, I can not help but wonder how our nation's seniors will be able to escape rising health care costs considering the inherent Medicare cuts involved in this bill, as well as the measures like the denial of tax deductions for employer health plans coordinating with Medicare Part D , and the excise tax on medical devices. These are people already on a fixed budget. Those seniors that do work could see employers drop Which plans coordinate with Medicare Part D, and those who do work are going to see the price go up on motorized wheelchairs and other devices that have become a part of their everyday life.
Second, I can not help but notice that the taxes here go right at the heart of American liberty. Health savings accounts and flexible spending accounts Provide perhaps the most freedom for Americans with regard to managing their own health care. Increasing the tax burden on these people and Increasing the taxable nature of these accounts only serve to make Americans more dependent upon private insurers and, after the public option pushes them out of the market, upon the federal government.
Third, look at the potential effect on small business, the engine of our nation's economy. Surtax, excise taxes and mandates will make it more difficult and expensive for these people to do business, and will stifle growth and job creation. My goodness - an excise tax of eight percent of average wages? On top of the rising cost of doing business in America? On top of the Which Increased energy costs could come along with cap-and-trade? It's absolutely insane, and it goes to the heart of the New Democratic Party's War on Success and Prosperity.
$ 500 Million Per Page
I'm only now learning how to use Twitter, and I'm still not very proficient. Still, a very interesting note - I refuse to use the word "tweet" - popped up on Louisiana Sen. David Vitter's Twitter page:
DavidVitter According to GOP Leader's office: 2000 pg health care bill that costs $ 1 trill. pg every means that costs the U.S. citizens a half-billion $.
Translated into Español from the constraints of Twitter's 140-character limit, what Sen. Vitter is saying is that the health care reform bill released today will cost approximately $ 500 million per page given its cost and length, both of which will prove to be grossly underestimated by the time all is said and done.
Boehner: '1, 990 Pages of Bureaucracy '
(Video can be viewed at America's Right)
You know me. I'm not Congressman Boehner's biggest fan. As far as I'm concerned, he's on the wrong side of where the GOP should be going politically, and is Largely responsible for the nonfeasance Which allowed for so many House seats to be lost in 2006 and 2008. However - and this is a big, big "however" - I was absolutely phenomenal when it came to debating the Waxman-Markey cap-and-trade bill a few months back, and I'm seeing that same passion here as well .
Four Legs Good, Two Legs Bad
Now, do not get me wrong - I love animals. We have a dog and two cats at home (in fact, one of them is pictured here). I grew up with dogs and cats. And I value veterinarians, and while I was doing my undergraduate work at Auburn University, I knew quite a few in my Alma Mater's fantastic School of Veterinary Medicine.
This bill, however, is about health care reform for people. At a time when we're already spending trillions of dollars we do have, we could be spending hundreds of millions to educate veterinarians as well.
It just makes me wonder Which of those soulless Democrats have the ear of the Purina lobby.
More Statements From the House Republican Leadership
Say what you want about the Republican Party, but one thing they've got going for them is unity, especially when compared with their counterparts across the aisle fractured. What we need to do is to take that unity and take that passion and Ensure they know that the American will be right behind them so long as they do not abdicate conservatism.
House Leader John Boehner (OH)The American people have spoken. Speaker Pelosi and House Democrats have ignored them. Through the month of August, the American people let Members of Congress from both parties know that they did not want a government takeover of health care. That has not changed.
But instead of listening to the American people, Democrats hid behind closed doors and came back with a bill designed to appease the liberal special interests. Three things about Speaker Pelosi's health care bill are already clear: it will raise the cost of Americans 'health insurance premiums; it will kill jobs with tax hikes and new mandates, and it will cut seniors' Medicare benefits. The fact that it weighs in at nearly 2,000 Pages - more than 620 pages longer than the government takeover of health care Hillary Clinton proposed in 1993 - is as good an indication as any of just how costly and Unsustainable Speaker Pelosi's proposal is.
There is a better way. Republicans have offered solutions to lower health care costs and expand access at a cost our nation can afford. You can read about them at healthcare.gop.gov. Democrats need to listen to the American people, and work with us on the real reforms families want and need.
Rep. Phil Roe (TN): While I will be reading the 1900 + page bill over the next week to find out what other problems are buried in the text, one thing is clear - this bill will lead to decreased access to care, decreased quality of care, and increased cost to beneficiaries. It needs to be rewritten before we do irreparable harm to our health care system.
Rep. Judy Biggert (IL): Instead of producing a bipartisan proposal that delivers the solutions Americans want, Democrat leaders are simply pushing ahead with a go-it-alone approach that raises costs, slashes Medicare, and will drive families into government-run care. Americans need common-sense health care solutions, and those do not require massive new costs on individuals and small businesses at the worst possible time for our economy.
Rep. Gregg Harper (MS): After weeks of Negotiating behind closed doors, Democratic leaders emerged today with a plan that will increase premiums for Mississippi families by $ 3,869 per year according to an analysis by the Blue Cross Blue Shield Association. Negotiators claim they were able to 'lower the price tag' of the legislation by expanding Medicaid. The truth is the federal government has irresponsibly pitched the burden to individuals through Increased premiums for private policy holders and states in the form of unfunded mandates that Mississippi will cost an additional $ 200 million a year. This bill is bad for my state and our country. "
Rep. Patrick McHenry (NC): Nowhere in this 1.990-page bill are the common sense reforms that everyone agrees on. Insurance companies are not forced to compete with one another across state lines. Small businesses are not permitted to join together to purchase affordable coverage for their employees. Lawsuit abuse will continue to thrive so the real victims are denied justice and the cost of healthcare can continue to escalate.
Rep. Blaine Luetkemeyer (MO): Even though the American people spoke loud and clear this past summer against a government takeover of health care, Speaker Nancy Pelosi and her fellow liberals in the House Have Decided to ignore them and instead have chosen to proceed with a bill that puts government bureaucrats in control of health care.
Rep. Steve King (IA): The Pelosi Democrats are willing to spend nearly a trillion dollars to reduce the percentage of uninsured from less than four percent of Americans without affordable options down to perhaps two percent, and in the process put in place the framework for socialized medicine. This is a bad deal for every American, present and those yet to be born grandchildren. The American people need to rise up, shut down the phone lines in Congress and kill this bill. "
Rep. Jeff Flake (AZ): The House Democrats' bill takes us in the wrong direction ... This bill does nothing to control healthcare costs. It simply shifts billions of dollars of liability to Taxpayers. It just creates a whole new set of problems.
Ten Facts Every American Should Know About H.R. 3962
From Congressman Boehner's Web site, Released only a few minutes ago:
Members of Congress and the American people are just beginning to look at Speaker Nancy Pelosi's (D-CA) 1.990-page government takeover of health care, but it's already becoming clear just how costly and Unsustainable this proposal is. From higher taxes on middle-class families to job-killing mandates on small businesses to cuts in Medicare benefits for seniors, here are 10 facts every American should know about Speaker Pelosi's 1.990-page government takeover of health care:
RAISE TAXES ON MIDDLE CLASS FAMILIES. Speaker Pelosi's health care bill imposed a range of tax increases on families with income below $ 250,000, breaking a promise made by President Obama. Tax increases on middle class families include: an individual mandate tax of up to 2.5 percent of income for Taxpayers earning as little as $ 9,350; repeal of a tax break on medicine purchased with funds from an HSA (health savings account), limits to tax relief through FSAs (flexible spending accounts), taxes on medical devices that will inevitably be passed on to consumers, and a new tax on all insurance policies.
MASSIVE CUTS TO MEDICARE BENEFITS FOR SENIORS. Despite grave warnings from CBO, FactCheck.org, and the independent Lewin Group that cuts to Medicare of the magnitude included in Speaker Pelosi's bill would have a negative impact on seniors' benefits and choices, Speaker Pelosi's health care bill stays the course and cuts Medicare by hundreds of billions of dollars.
NO PROTECTIONS FOR SMALL BUSINESSES. Speaker Pelosi's health care bill claims to exempt small businesses from the steep eight percent "pay or play" employer mandate. The facts tell a different story. Using Census data compiled by the Small Business Administration, this so-called 'exemption' small employers with only hammers, on average, 17 or more employees to new taxes and mandates. The outfits affected employ 70 percent of all small business employees, or 42.3 million workers. Adding to the assault on small businesses, the bill does not index the small business "exemption" amounts, meaning more and more small businesses will be ensnared by this job-killing employer mandate each year.
INCREASES THE COST OF HEALTH INSURANCE. Imposing a new $ 2 billion tax on insurance policies will be passed on to patients in the form of higher premiums. Changes to the Medicare Part D prescription drug benefit will, according to estimates by CBO, will raise Medicare Part B premiums by $ 25 billion and Part D premiums by 20 percent. And imposing an unfunded mandate on the states to pay for the bill's Medicaid expansion will shift the burden of this expansion on state Taxpayers who may experience tax increases to cover the cost.
USE GIMMICKS TO HIDE-busting BUDGET COST DEBT PILES UP ON FUTURE GENERATIONS. Speaker Pelosi's health care bill claims to be deficit neutral, but use budget gimmickry to hide its massive total cost. Working families across America know they can not simply decide that a bill they get in the mail does not exist, but that's exactly what congressional Democrats are doing. In order to meet the President's' target 'total spending of $ 900 billion, Democrats have simply swept under the rug costly provisions, including the $ 245 billion' doc fix. "
IMPOSSIBLE JOB-KILLING EMPLOYER MANDATES. Additional taxes on employers and new government mandates dictate acceptable insurance that will place new and crushing burdens on employers. These are burdens Ultimately that will fall squarely on the backs of workers in the form of reduced wages, fewer hours or lost employment. CBO agrees that "[e] mployees Largely bear the cost of ... play-or-pay fees in the form of lower wages." According to the National Federation of Independent Business (NFIB), the nation's largest small business association, an employer mandate of this magnitude will disproportionately impact small businesses, triggering up to 1.6 million lost jobs. Two-Thirds of those jobs would be shed by small businesses.
TILTS THE PLAYING FIELD IN FAVOR OF GOVERNMENT-RUN THE INSURANCE COMPANY. Speaker Pelosi's health care bill promises not to give the government-run plan advantages over private insurers in the market, but the opposite is true. The bill provides billions in start-up funding for the government-run plan, and while it requires the plan to repay the money over time it does not require the plan to pay interest on this "loan." This interest-free, taxpayer - subsidized loan is potentially worth millions of dollars and tilts the playing field in favor of the government-run plan.
Threatens CASH-STRAPPED STATES WITH UNFUNDED MANDATES. Speaker Pelosi's health care bill swells the number of Americans on the government rolls by expanding Medicaid eligibility. Medicaid is financed through a federal-state partnerships, but the bill dumps nearly ten percent of the Mandated expansion included in the bill onto the states. States, already struggling with fiscal constraints, would be left on the hook for billions of dollars due to this unfunded mandate.
Create A New MONSTROSITY IN THE TAX CODE. Starting in 2011, Speaker Pelosi's health care bill to 5.4 percent tax imposed on adjusted gross income above $ 500,000 for individuals and $ 1 million for married couples. Yet, the dollar amounts For which the tax kicks in are not indexed for inflation. We've seen this horror film before: the Alternative Minimum Tax, another Frankenstein's monster of the tax code, also was not indexed for inflation and now affects millions of middle class families with incomes below the Democrat's surtax.
MISSES AN OPPORTUNITY TO JUNK curtail lawsuits. Speaker Pelosi's health care bill misses a critical opportunity to rein in junk lawsuits and costly defensive medicine. The bill includes only a voluntary grant program to deal with the medical liability crisis instead of including real reform, Which would produce tens of billions of dollars in savings, Improve efficiency in our health care system and reduces costs for patients and providers.
BONUS: Republicans have offered better solutions to lower health care costs and expand access to quality, affordable coverage at a price our nation can afford. Learn more by visiting healthcare.gop.gov.
In addition to the list of taxes for in the ATR report, our people found the following:
FINE Employer Mandated Under Excise Tax (Page 310): A $ 100 per day excise tax imposed on employers for each employee for whom employer fails to "satisfy the health coverage participation requirements". Excise tax will not apply even if Secretary determines after "exercising reasonable diligence" employer was unaware of employee's lack of participation in health coverage.
"CADILLAC" INSURANCE PLANS
Credit vs. Points (Pages 318-320) This portion gives the appearance of Providing a two-year temporary credit while at the same time deducting "points" if the Secretary Deems that the employer is too generous with its health care benefit package. Ex p. 319, lines 11-18: "Credit not allowed with respect to Certain highly compensated employees. No credit shall be determined under subsection (a) with respect to qualified expenses paid employee health coverage or INCURRED with respect to any employee for any taxable year if the aggregate compensation paid by the employer to such employee during such taxable year Exceeds $ 80,000.
MEDICAL REIMBURSEMENT
Uncompensated Care Increase (Page 389-390) Page 389, lines 14-19 detail a "significant" decrease in uninsurance will be triggered by only 8% decrease - "There is a" significant "decrease in the national rate of uninsurance as the result of this Act "if there is a decrease in the national rate of uninsurance from 2012 to 2014 that Exceeds 8 percentage points." Page 390, lines 4.9 detail the increase in uncompensated care - "For each fiscal year (beginning with 2017), the Secretary shall estimate the aggregate reduction in the amount of Medicare DSH payment that would be expected to result from the adjustment under paragraph (1) (A) ". This, in turn, will lower payments to hospitals in reimbursement rates.
Gov't to legislate Pain Research, page 1493 line 14
Begins with Line 14''SEC. 409J. PAIN RESEARCH.
This section covers research that will be conducted at National Institutes of Health (NIH)
Provides for a "Pain Consortium and a committee to be known as" Pain Research Interagency Coordinating Committee "
page 1496 describes the attributes of committee members (6 members are scientists, physicians, other health professionals while another 6 members are from the general public Representatives from leading in research, advocacy and service organizations for individuals with pain-related conditions)
This committee will coordinate all Efforts within the Department of Health and Human Services and other federal agencies that relate to pain research. Appears to be a board decision making on treatment protocols (rationing could be involved here?), Create a public awareness campaign on pain,
page 1501
15 AUTHORIZAT ION OF APPROPRIATIONS.-For
16 purposes of carrying out this section, there are authorized
17 to be appropriated $ 2,000,000 for fiscal year 2011 and
18 $ 4,000,000 for each of fiscal years 2012 and 2015..''
Employer Excise Tax (Pages 313-317): If an employer chooses not to Provide health insurance to employees, an excise tax on the total wages paid is imposed on the employer. The excise tax percentage ranges from 2% of total payroll of $ 500,000 to 8% of payroll of $ 750,000 or more. If an employer has less than $ 500,000 annual payroll, he pays no excise tax.
Employer Health Coverage Tax Credit (Pages 317-319): Small business owners receive a tax credit of 50% of health insurance paid for employees Whose wages are $ 20,000 or less per year when the employer has 10 or fewer employees. The tax credit is prorated as the amount of wages increases, leaving no tax credit for the employer when such employee's wages total $ 80,000 or more per year.
For employers with more than 10 employees, the tax credit calculated by the proratio shall be reduced by an amount in the ratio of 10 to total number of employees.
SEC. 1416. Ensuring Accountability Staffing
(a) Skilled Nursing Facilities
(b) Nursing Facilities
Page #: 822-826
Subject: privacy
Remarks:
This section of the bill calls for an amendment to the Social Security Act "(C) Submission of Staffing Information Based on Payroll Data in a Uniform Format."The Secretary of Health and Human Services shall require a skilled nursing facility to electronically submit to the Secretary direct care staffing information including agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format (GE?) (As established by the Secretary in consultation with among others, consumer advocacy groups (ACORN?))
GOVERNMENT REGULATION OF CARE AND RESEARCH
* Government Panel for Senior Care Decisions (Pages 649-661): The Secretary has the right to Waive Requirements of the Social Security Act Titles XI & XVIII. These providers will put together patient decisions aids and share in seniors' decisions regarding their health care. Seniors will attend counseling provided by said panel. Compensation will be granted to providers who generate less cost for care with regards to Parts A and B of Medicare.
Government Legislation of Pain Research (Pages 1493-1501): Page 1496 describes the attributes of committee members (6 members are scientists, physicians, other health professionals while another 6 members are from the general public Representatives from leading in research, advocacy and service organizations for individuals with pain-related conditions). This committee will coordinate all Efforts within the Department of Health and Human Services and other federal agencies that relate to pain research. Appears to be a board decision making on treatment protocols, create a public awareness campaign on pain. Ramifications include overly regulated treatment protocols for chronic pain and the possible end result of rationing. The viability of private research is questioned in light of this section.
(Page 1501): Lines 15-18 Establish the authorization of appropriations - "For purposes of carrying out this section, there are authorized to be appropriated $ 2,000,000 for fiscal year 2011 and $ 4,000,000 for each of fiscal years 2012 and 2015.
Government Regulation of Staffing in Nursing Facilities (Pages 822-826): In a motion to alter state specific authority of nursing facilities and to Provide the Secretary and consumer advocacy groups with overreaching authority, this section of the bill calls for an amendment to the Social Security Act "(C) Submission of Staffing Information Based on Payroll Data in a Uniform Format. " The Secretary of Health and Human Services shall require a skilled nursing facility to electronically submit to the Secretary direct care staffing information including agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format as established by the Secretary in consultation with among others, consumer advocacy groups.
Government Authority in Determining Medical Home Models (Pages 680-690): Secretary is provided wide latitude to fund and create both independent and community-based medical home models in order to reward physicians and others to coordinate treatment for chronically ill patients in underserved (rural) areas. Patient need not designate a doctor as their caregiver.
NATIONAL HEALTH SERVICE CORPS
Sec 2201
Obligate Service Requirement (Page 1220): "The entity and the Corps member agree in writing that the Corps member will perform half-time clinical practice. Essentially, this details "those individuals who have entered into a contract for obligate service under the Scholarship Program or Loan Repayment Program Which one the individuals are authorized to satisfy the requirement of Obligato Providing service through clinical practice. Essentially these individuals are Obliged to work off debt in this capacity.
ABORTION
Abortion Coverage (Page 110): "Nothing in this Act shall be construe as preventing the public health insurance option from Providing for or order prohibiting coverage of services described in paragraph (4) (A)". Paragraph (4) (A) Abortion Services - Abortions For which public funding is prohibited. That said, paragraph (4) (B) "The services described in this subparagraph are for abortions For which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted.
GOVERNMENT REGULATION OF INDUSTRY
Health Czar (Page 133): Establishes Health Czar and bureaucracy, ie "Health Choices Commissioner" and "Health Choices Administration. Essentially, this area lends the Health Commissioner and Health Administration Choices power over health insurance plans both inside and outside of the Health Insurance Exchange. The concern is that the provision invites overreaching authority and oversight of plans specifically set up to Provide timely and needed care not readily available through the government-controlled exchange plans.
Health Czar Health Plan Audits (Page 133-134) Provides "Health Commissioner" / Czar with wide discretion to audit "qualified health benefits plans" and then bill the plan for the cost of the audit, regardless of grounds for the audit and regardless of whether or not the plan was found to have violated any regulation. The concern is the overreaching of authority and power over private health plans and the conjecture is that this will force the process by Which Significantly consumers are limited in their health plan choices. As written, no protection from abuse of power in this regard is provided.
Word / Topic Reviewed: Subtitle E-Public Reporting on Health Care-Associated Infections
SEC. 1138A. REQUIREMENT FOR REPORTING BY PUBLIC HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
This section is vaguely disturbing in the way it micro-manages hospitals, a vast overreach of federal power, but that's nothing surprising in this bill. Two network specific flags:
Sub-topic (b) (2).
Page #. 915Paragraph #. 2
Subject: 02, 03
Remarks: Infections are to be publicly posted and compared by demographic information. (Age? Race?)
Sub-topic (c) (4).
Page #. 916
Paragraph #. 2
Subject: 03, 04
Remarks: Infections are being studied in such detail in order to reduce costs, not position because quality of care concerns
Government regulati of Patient Care
Regulation of Services (Page 383) Lines 11-16 allot for using appropriate indicators for non-therapy ancillary services classification, Which may include age, physical and mental status, ability to perform activities of daily living, and so on. The concern is over the method of Deciding care delivery, placing key decision-making elements in the hands of politicians and other non-medical staff as Opposed to the hands of patients' doctors and families.
Regulation on Patient Stay (Page 385) Establishes payment based on total costs during stay in a skilled nursing facility as Opposed to the number of days in such stay.
ABORTION
Abortion Coverage (Page 110): "Nothing in this Act shall be construe as preventing the public health insurance option from Providing for or order prohibiting coverage of services described in paragraph (4) (A)". Paragraph (4) (A) Abortion Services - Abortions For which public funding is prohibited. Paragraph (4) (B) "The services described in this subparagraph are for abortions For which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted."
Federal Funding of Abortion (Page 147) Lines 14 - (1) IN GENERAL .- "Nothing in this Act shall be construe to have any effect on Federal laws regarding - (A) conscience protection; (B) Provide willingness or refusal to abortion, (C) discrimination on the basis of the willingness or refusal To provide, pay for, cover, or refer for abortion or to Provide or participate in training To provide abortion. The concern regards lines 20-23 (C) as it is viewed as a potential open door for funding of organizations such as Planned Parenthood. The document affirms that this bill has no effect on current law where discrimination based on either willingness or refusal to participate in abortion services, and thus, provides no additional protect against the use of Federal funds allocated for abortion services. As, additionally, the Hyde Amendment is in no way incorporated into this piece of legislation and because no explicit additional protections exist in this document, this piece of legislation will, indeed, provide authorization of federal funding of abortion under the public option.
Additionally, Because there is no ban on abortion funding under the reauthorization of the Indian Health Service (IHS), and additionally no additional protections such as the Vitter Amendment, there is nothing to Prevent abortion funding.
Mandated School-Based Health Clinics (Page 1354) Lines 9-21 states, "(c) Use of Funds - Funds awarded under a grant under this section ... (2) may not be Used to Provide abortions. However, there is no specific language either abortion referrals or order prohibiting the distribution of information materials regarding access to abortion.
Required Reporting Regarding Infections Section 1138A - Requirement for public reporting by hospitals and ambulatory surgical centers on health care-associated infections. Page 915 - States, "infections are to be publicly posted and compared by demographic information." Page 916 - States' infections are being studied in such detail in order to reduce costs, not position because quality of care concerns. The concern stems from both the ambiguity that exists in the statement referenced on page 915 as well as the lack of concern over quality of care in regards to infection.
Required Reporting Trumps State Laws Section 1128H - Financial reports on physicians' financial relationships with manufacturers and distributors of covered drugs, devices, biologicals or medical supplies under Medicare, Medicaid, or CHIP and with entities that bill for services under Medicare. Page 910 - Concerns that language is pre-empts state laws Requiring manufacturers to report their relationships to physicians. Page 912 - Establishes that "Comptroller General" is to file a report Establishing that no loopholes exist in said section.
GOVERNMENT REGULATION OF NON-HEALTH INDUSTRY
Regulation of Disclosure of Nutrient Content / Menu Variability (Page 1514) Lines 5-14 - "The Secretary shall Establish by regulation standards for Determining and Disclosing the nutrient content for standard menu items that come in different flavors, varieties, or combinations, But which are listed as a single menu item, such as soft drinks, ice cream, pizza, donuts, or children's combination meals, through means determined by the Secretary, including ranges, averages, or other methods ". Rules extend to Maintaining the calculation of combo meals cost an addition to restaurants.
Regulation of Vending Machine Owners / Suppliers (Page 1516) Lines 4-8 - Pertaining to businesses that own or operation 20 or more vending machines, "the vending machine operator shall Provide a sign in close proximity to each article of food or the selection button that included a clear and conspicuous statement Disclosing the number of calories contained in the article.
Regulation of Food Preparation / Presentation (Page 1517) Lines 14-22 - "The Secretary shall (aa) consider standardization of recipes and methods of preparation, reasonable variation in serving size and formulation of menu items, space on menus and menu boards, inadvertent human error, training of food service workers, variations in ingredients, and other factors, as the Secretary determines.
Pg 1601
19 solved with reasonable premium increases
PG 1555lines 1 through 7 and no such
5 Information or documentary material may be
6 made public
''(E) ENFORCEMENT .-
14''(i) CIVIL PENALTY.-Any person
15 that Violates a provision of this paragraph
16 shall be LIABLE for a civil penalty of not
17 more than $ 11,000 for each day on Which
18 the violation occurs.
Pg 16245 (2) PERSONAL ATTENDANT CARE WORKFORCE
Section 6 ADVISORY PANEL.-202 of such Act (42
7 U.S.C. 3012)
Pg 1800
22''(3) PEER REVIEW PANELS18''(e) PEER REVIEW-The Secretary may PANELS.
19 Provide for the establishment of peer review panels, as nec20
Essary, to review and evaluate applications using the cri21
teria developed Pursuant to subsection (d)
Pg 180512''SEC. 307. LAND TRANSFER
15 departments of the United States are authorized to transfer, at
16 no cost, land and improvements to the Service
Pg 1584
11 paid into a Life Independence Account for ob
12 Taining assistance with decisionmaking
13concerning medical care
See attachment for a compilation of what's been found so far on p. 110-200. Some highlights:
p. 110 (4) (B) Federal funding for abortion is in;
p. 111 Section 223 "Health Benefits Advisory Committee" to recommend covered benefits (AKA "rationing board")
p. HHS Sec 120-130 directed to clarify / define several bits in this section (reader found 50 + calls for Sec to clarify / define, including in rest of bill)
p.133-134 "Health Choices Administration" with power over health insurance plans both inside and outside the Health Insurance Exchange invites harassment of non-Exchange plans and abuse Aimed at driving private plans out of business.
Lots more where these tidbits came from in the attachment. Will get to work any reports collating Which may have come in since 4:30 PM Central Time today as soon as I post this.
Pages 1850 - 1860 Titled "HEALTH SERVICES FOR URBAN INDIANS" contains a lot of double talk. What it says in plain summarily Español is that the Secretary now controls and approves any and all grants and / or contracts entered into or Referred by an Indian Tribe or Tribal Organizations Urban Indians, including but not limited to healthcare needs, education of any kind , desease prevention, wild life preservation, land preservation or land purchases, and anything else covered under the 1921 Snyder Act I specifically found it interesting that on page 1860, lines 14-23, The purpose of a contract or grant ... shall be the determination ... in order to assist the Secretary in assessing the health status and health care needs of Urban Indians in the Urban Center involved and Determining whether the Secretary should enter into a contract or make a grant ...
ADDITIONAL ITEM TO INDIAN HEALTH RELATED:
Septic System Regulations (Pages 1780-1790) The Federal government will fund sanitation facilities for Indian Tribes with the following provisions: (Page1781) "Sec 302 (a) (1) financial and technical assistance to operate and maintain sanitation facilities .... (a) (3) funding to operate and maintain sanitation facilities .... (b) Congress reaffirms the primary responsibility and authority of the Service to Provide the necessary sanitation facilities and services as provided in section 7 of the Act of August 5, 1954 ( 42 USC 2004a) ... .. (Page 1783) - (c) (5) fund up to 100% of a loan for sanitation facility tribes .... ... (Page 1785) (c) (8) the Secretary of Health and Human Services shall, by regulation, established standards applicable to the planning, design, and construction of sanitation facilities funded under this Act ... (Page 1787) (d) The financial and technical capability of an Indian Tribe, Tribal Organization, or Indian community to safely operate , manage, and maintain a sanitation facility shall not be a prerequisite to the provision or construction of sanitation facilities by the Secretary ". It is posit that this item is a necessary item for the bill as septic-related issues directly Affect health issues for the Indian Community. However, it is a concern that this is transition of power overrides local standards for the Indian Community and usurps local authority over key community infrastructure and systems. It is worthy to note, as well, that sanitation needs include a clean water source Which Involves a myriad of issues related to clean water and environmental concerns.
My friends, just small detail that i hope everyone will pass to their friend on other groups in this Health bill of 1990 pages... something that seems very small and I believe that people don't notice.
To the start of this bill the words are... " for "all" Americans" do not say for the Citizens of the USA, this typpo can give away the health that you paid to anyone on the American Continent, knowing that they make bills with words that eventually they use for other intentions, knowing that they try to make this Country part of the Global economy and sign the treaty against the sovereignty fo the USA, I sugest to think that this ALL AMERICANS, is a global americans, the whole continent, as you can imagen, that will cover ALL THE ILLEGALS, with out saying. So please, pass this on to everyone you know. The bill is to big for 72 hours, but just with this small fraccion of the bill, we know that we need TO STOPPED!!!
Let's work on that! Thank you. I will send this info to everyone. Please to the same in your mail boxes and other groups that you may belong.
This is the analysis that so far is been gathering, and it's not very good. Pass to all it's viral, start making phone calls and allow your voice to be hear, loud and clear.
This is long, but worth to read, it's less than 1990 pages I promise you that.
Fighting for Freedom to Stay Free.
from Jeff Schreiber's website:
www.americasright.com
Facts and Contents of Health Care Reform Bill Unveiled Today by Democrats (Open Thread)
.
One thousand, nine hundred and ninety pages. 1.990. That's the number of pages in H.R. 3962, the so-called Affordable Health Care for America Act unveiled by House Speaker Nancy Pelosi at a press conference this morning.
Three thousand, four hundred and twenty-five. 3.425. That's the number of times the word "shall" appears within those one thousand, nine hundred and ninety pages, representing all the ways the government shall become more and more involved in the daily lives of Americans. By contrast, the word "shall" occurs 306 times in our entire Constitution, Which of course lays out our entire system of limited government as established by our founders. (And subsequently forgotten, it seems.)
Just from a cursory look and from what I'm reading elsewhere, it seems that there are no provisions in the 1.990-page health care reform bill Which will increase freedom and either drive down costs through tort reform or by Providing for portability of insurance or opening up the industry to interstate competition. Those are the ways Which would allow many of the uninsured To obtain coverage and would drive down costs for all involved. But the Democrats have not included those provisions - because, remember, the health care reform bill is not about health care at all, but rather about expanding the size, scope and reach of the federal government.
It's a nightmare, folks. Believe me, there will be more on this legislation here at America's Right. In the meantime, grab some popcorn, unfold your Snuggie and clean off your reading glasses - because you can read the bill for yourself.
http://docs.house.gov/rules/health/111_ahcaa.pdf
http://health.burgess.house.gov/UploadedFiles/House_HCR_bill.pdf
Congressional Intervention in Vending Machines
Here's one fun selection:
(viii) VENDING MACHINES.-In the case of an article of food sold from a vending machine that (I) does not permit a prospective purchaser to examine the Nutrition Facts panel before purchasing the article or does not otherwise provided nutrition information visible at the point of purchase, and (II) is operated by a person who is engaged in the business of owning or operating 20 or more vending machines, the vending machine operator shall Provide a sign in close proximity to each article of food or the selection button that includes a clear and conspicuous statement Disclosing the number of calories contained in the article.
A couple of things jump out about this particular tidbit. First, it appears that the federal government is in the business of regulating vending machines now. Excuse me while I thumb through my pocket Constitution and look for the provision Providing authority for that. Second, Congress is Establishing itself as the ultimate alternative to personal responsibility. I know that I should not be Inhaling Twinkies by the dozen, and do not need to calorie count to understand that. Third, look for vending machine costs to skyrocket. For those kids who are not fed breakfast Because their parents can not afford it, no longer will the two quarters found in the sofa cushions or on the floor of the school bus suffice for a six-pack of peanut butter crackers.
Dems: Color Competence Should Not Govern Health Care Staffing
Also on the minds of Democrats in the 1.990-page bill is so-called "workplace diversity." Supplemental materials released with the health care reform bill tout "greater support" to be provided to "workplace diversity programs to help Ensure that the nation's health workforce Reflects the population it serves." Three cheers for social justice!
I do not know about you, but when I'm in the hospital with a javelin sticking out of my chest and a super-apologetic teenager in a track team outfit pacing frantically outside the room, I do not care Whether my doctor's name is Dr. John Smith, or Dr. Moojibooji Ooberjavango. I do not care what my nurses look like. I do not know about you, but I want a health workforce with competence as its defining characteristic; race, color, sex, national origin, political affiliation, favorite color, astrological sign and Whether they're left-handed or right-handed does not figure into it.
The Unveiling of the Public Option Was Anything But
(Videos can be viewed at America's Right)
These videos show ordinary Americans being denied access to the press conference this morning at Which Nancy Pelosi unveiled the health care bill. That's right - for all the talk of "open and transparent," the public unveiling of the public option at a public place was closed to the public.
In a Twitter entry, South Carolina Sen. Jim DeMint called it "a very disturbing trend from this administration in favor of secrecy and against transparency." I agree.
On the other hand, that the Democrats have gone through with this brand of health care reform shows that they do not give a rat's posterior for the opinions of the people they represent anyway, so why should we expect them to want involvement from the unwashed masses now?
Did Obama Promise No New Taxes On The Middle Class?
At 1.990 pages, it's going to take a while for folks to work their way through the health care reform bill unveiled today by the Democrats. Thank goodness for folks like those at Americans for Tax Reform, who have been doing more than any one guy like me could ever hope to do.
According to that group, along with the word "shall" being used 3.425 times in the legislation, the word "tax" was used 87 times, "taxable" used 62 times, "excise tax" used ten times, "taxes" used 15 times, "fee" used 59 times, and "penalty" used 113 times. They also provided a list of 13 specific tax hikes contained within the bill, and even were so kind to include page numbers.
Here you go, from Americans for Tax Reform:
http://www.atr.org/breaking-comprehensive-list-taxesbr-house-democr...
Employer Mandate Excise Tax (Page 275): If an employer does not pay 72.5 percent of a single employee's health premium (65 percent of a family employee), the employer must pay an excise tax equal to 8 percent of average wages. Small employers (measured by payroll size) have smaller payroll tax rates of 0 percent (<$ 500,000), 2 percent ($ 500,000 - $ 585,000), 4 percent ($ 585,000 - $ 670,000), and 6 percent ($ 670,000 - $ 750,000).
Mandate Individual surtax (Page 296): If an individual fails to Obtain qualifying coverage, I must pay an income surtax equal to the lesser of 2.5 percent of modified adjusted gross income (MAGI) or the average premium. MAGI adds back in the foreign earned income exclusion and municipal bond interest.
Medicine Cabinet Tax (Page 324): Non-prescription medications would no longer be able to be purchased from health savings accounts (HSAs), Flexible Spending Accounts (FSAs) or health reimbursement arrangements (HRAS). Insulin excepted. Cap on FSAs (Page 325): FSAs would face an annual cap of $ 2500 (currently uncapped).
Increased Additional Tax on Non-Qualified HSA Distributions (Page 326): Non-qualified distributions from HSAs would face an additional tax of 20 percent (current law is 10 percent). HSAs This disadvantages relative to other tax-free accounts (eg IRAs, 401 (k) s, 529 plans, etc.).
Denial of Tax Deduction for Employer Health Plans Coordinating with Medicare Part D (Page 327): This would further erode private sector participation in delivery of Medicare services.
Surtax on Individuals and Small Businesses (Page 336): Impose an income surtax of 5.4 percent on MAGI over $ 500,000 ($ 1 million Married Filing Jointly). MAGI adds back in the itemized deduction for margin loan interest. This would raise the top marginal tax rate from 39.6 percent in 2011 under current law to 45 percent-a new effective top rate.
Excise Tax on Medical Devices (Page 339): Impose a new excise tax on medical device manufacturers equal to 2.5 percent of the wholesale price. It excludes retail sales and unspecified medical devices sold to the general public.
1099-MISC Information Corporate Reporting (Page 344): Requires that 1099-MISC forms be issued to corporations as well as persons for trade or business payments. Current law limits to just compliance for small business persons complexity reasons. Also expands reporting to exchanges of property.
Delay in Worldwide Allocation of Interest (Page 345): Delays for nine years the worldwide allocation of interest to corporate tax relief provision from the American Jobs Creation Act
Limitation on Tax Treaty Benefits for Certain Payments (Page 346): Increases taxes on U.S. employers with overseas operations looking to avoid double taxation of earnings.
Codification of the "Economic Substance Doctrine" (Page 349): Empowers the IRS to disallow a perfectly legal tax deduction or other tax relief Merely Because the IRS Deems that the motive of the taxpayer was not Primarily business-related.
Application of "More Likely Than Not" Rule (Page 357): Publicly-traded partnerships and corporations with annual gross receipts in excess of $ 100 million have raised standards on penalties. If there is a Tax Underpayment by these Taxpayers, they must be able to prove that the estimated tax paid would have been more likely than not sufficient to cover final tax liability.
Just a few notes from the top of my head (the location of an as-yet-untaxed flesh yarmulke), if I may do so:
First, I can not help but wonder how our nation's seniors will be able to escape rising health care costs considering the inherent Medicare cuts involved in this bill, as well as the measures like the denial of tax deductions for employer health plans coordinating with Medicare Part D , and the excise tax on medical devices. These are people already on a fixed budget. Those seniors that do work could see employers drop Which plans coordinate with Medicare Part D, and those who do work are going to see the price go up on motorized wheelchairs and other devices that have become a part of their everyday life.
Second, I can not help but notice that the taxes here go right at the heart of American liberty. Health savings accounts and flexible spending accounts Provide perhaps the most freedom for Americans with regard to managing their own health care. Increasing the tax burden on these people and Increasing the taxable nature of these accounts only serve to make Americans more dependent upon private insurers and, after the public option pushes them out of the market, upon the federal government.
Third, look at the potential effect on small business, the engine of our nation's economy. Surtax, excise taxes and mandates will make it more difficult and expensive for these people to do business, and will stifle growth and job creation. My goodness - an excise tax of eight percent of average wages? On top of the rising cost of doing business in America? On top of the Which Increased energy costs could come along with cap-and-trade? It's absolutely insane, and it goes to the heart of the New Democratic Party's War on Success and Prosperity.
$ 500 Million Per Page
I'm only now learning how to use Twitter, and I'm still not very proficient. Still, a very interesting note - I refuse to use the word "tweet" - popped up on Louisiana Sen. David Vitter's Twitter page:
DavidVitter According to GOP Leader's office: 2000 pg health care bill that costs $ 1 trill. pg every means that costs the U.S. citizens a half-billion $.
Translated into Español from the constraints of Twitter's 140-character limit, what Sen. Vitter is saying is that the health care reform bill released today will cost approximately $ 500 million per page given its cost and length, both of which will prove to be grossly underestimated by the time all is said and done.
Boehner: '1, 990 Pages of Bureaucracy '
(Video can be viewed at America's Right)
You know me. I'm not Congressman Boehner's biggest fan. As far as I'm concerned, he's on the wrong side of where the GOP should be going politically, and is Largely responsible for the nonfeasance Which allowed for so many House seats to be lost in 2006 and 2008. However - and this is a big, big "however" - I was absolutely phenomenal when it came to debating the Waxman-Markey cap-and-trade bill a few months back, and I'm seeing that same passion here as well .
Four Legs Good, Two Legs Bad
Now, do not get me wrong - I love animals. We have a dog and two cats at home (in fact, one of them is pictured here). I grew up with dogs and cats. And I value veterinarians, and while I was doing my undergraduate work at Auburn University, I knew quite a few in my Alma Mater's fantastic School of Veterinary Medicine.
This bill, however, is about health care reform for people. At a time when we're already spending trillions of dollars we do have, we could be spending hundreds of millions to educate veterinarians as well.
It just makes me wonder Which of those soulless Democrats have the ear of the Purina lobby.
More Statements From the House Republican Leadership
Say what you want about the Republican Party, but one thing they've got going for them is unity, especially when compared with their counterparts across the aisle fractured. What we need to do is to take that unity and take that passion and Ensure they know that the American will be right behind them so long as they do not abdicate conservatism.
House Leader John Boehner (OH)The American people have spoken. Speaker Pelosi and House Democrats have ignored them. Through the month of August, the American people let Members of Congress from both parties know that they did not want a government takeover of health care. That has not changed.
But instead of listening to the American people, Democrats hid behind closed doors and came back with a bill designed to appease the liberal special interests. Three things about Speaker Pelosi's health care bill are already clear: it will raise the cost of Americans 'health insurance premiums; it will kill jobs with tax hikes and new mandates, and it will cut seniors' Medicare benefits. The fact that it weighs in at nearly 2,000 Pages - more than 620 pages longer than the government takeover of health care Hillary Clinton proposed in 1993 - is as good an indication as any of just how costly and Unsustainable Speaker Pelosi's proposal is.
There is a better way. Republicans have offered solutions to lower health care costs and expand access at a cost our nation can afford. You can read about them at healthcare.gop.gov. Democrats need to listen to the American people, and work with us on the real reforms families want and need.
Rep. Phil Roe (TN): While I will be reading the 1900 + page bill over the next week to find out what other problems are buried in the text, one thing is clear - this bill will lead to decreased access to care, decreased quality of care, and increased cost to beneficiaries. It needs to be rewritten before we do irreparable harm to our health care system.
Rep. Judy Biggert (IL): Instead of producing a bipartisan proposal that delivers the solutions Americans want, Democrat leaders are simply pushing ahead with a go-it-alone approach that raises costs, slashes Medicare, and will drive families into government-run care. Americans need common-sense health care solutions, and those do not require massive new costs on individuals and small businesses at the worst possible time for our economy.
Rep. Gregg Harper (MS): After weeks of Negotiating behind closed doors, Democratic leaders emerged today with a plan that will increase premiums for Mississippi families by $ 3,869 per year according to an analysis by the Blue Cross Blue Shield Association. Negotiators claim they were able to 'lower the price tag' of the legislation by expanding Medicaid. The truth is the federal government has irresponsibly pitched the burden to individuals through Increased premiums for private policy holders and states in the form of unfunded mandates that Mississippi will cost an additional $ 200 million a year. This bill is bad for my state and our country. "
Rep. Patrick McHenry (NC): Nowhere in this 1.990-page bill are the common sense reforms that everyone agrees on. Insurance companies are not forced to compete with one another across state lines. Small businesses are not permitted to join together to purchase affordable coverage for their employees. Lawsuit abuse will continue to thrive so the real victims are denied justice and the cost of healthcare can continue to escalate.
Rep. Blaine Luetkemeyer (MO): Even though the American people spoke loud and clear this past summer against a government takeover of health care, Speaker Nancy Pelosi and her fellow liberals in the House Have Decided to ignore them and instead have chosen to proceed with a bill that puts government bureaucrats in control of health care.
Rep. Steve King (IA): The Pelosi Democrats are willing to spend nearly a trillion dollars to reduce the percentage of uninsured from less than four percent of Americans without affordable options down to perhaps two percent, and in the process put in place the framework for socialized medicine. This is a bad deal for every American, present and those yet to be born grandchildren. The American people need to rise up, shut down the phone lines in Congress and kill this bill. "
Rep. Jeff Flake (AZ): The House Democrats' bill takes us in the wrong direction ... This bill does nothing to control healthcare costs. It simply shifts billions of dollars of liability to Taxpayers. It just creates a whole new set of problems.
Ten Facts Every American Should Know About H.R. 3962
From Congressman Boehner's Web site, Released only a few minutes ago:
Members of Congress and the American people are just beginning to look at Speaker Nancy Pelosi's (D-CA) 1.990-page government takeover of health care, but it's already becoming clear just how costly and Unsustainable this proposal is. From higher taxes on middle-class families to job-killing mandates on small businesses to cuts in Medicare benefits for seniors, here are 10 facts every American should know about Speaker Pelosi's 1.990-page government takeover of health care:
RAISE TAXES ON MIDDLE CLASS FAMILIES. Speaker Pelosi's health care bill imposed a range of tax increases on families with income below $ 250,000, breaking a promise made by President Obama. Tax increases on middle class families include: an individual mandate tax of up to 2.5 percent of income for Taxpayers earning as little as $ 9,350; repeal of a tax break on medicine purchased with funds from an HSA (health savings account), limits to tax relief through FSAs (flexible spending accounts), taxes on medical devices that will inevitably be passed on to consumers, and a new tax on all insurance policies.
MASSIVE CUTS TO MEDICARE BENEFITS FOR SENIORS. Despite grave warnings from CBO, FactCheck.org, and the independent Lewin Group that cuts to Medicare of the magnitude included in Speaker Pelosi's bill would have a negative impact on seniors' benefits and choices, Speaker Pelosi's health care bill stays the course and cuts Medicare by hundreds of billions of dollars.
NO PROTECTIONS FOR SMALL BUSINESSES. Speaker Pelosi's health care bill claims to exempt small businesses from the steep eight percent "pay or play" employer mandate. The facts tell a different story. Using Census data compiled by the Small Business Administration, this so-called 'exemption' small employers with only hammers, on average, 17 or more employees to new taxes and mandates. The outfits affected employ 70 percent of all small business employees, or 42.3 million workers. Adding to the assault on small businesses, the bill does not index the small business "exemption" amounts, meaning more and more small businesses will be ensnared by this job-killing employer mandate each year.
INCREASES THE COST OF HEALTH INSURANCE. Imposing a new $ 2 billion tax on insurance policies will be passed on to patients in the form of higher premiums. Changes to the Medicare Part D prescription drug benefit will, according to estimates by CBO, will raise Medicare Part B premiums by $ 25 billion and Part D premiums by 20 percent. And imposing an unfunded mandate on the states to pay for the bill's Medicaid expansion will shift the burden of this expansion on state Taxpayers who may experience tax increases to cover the cost.
USE GIMMICKS TO HIDE-busting BUDGET COST DEBT PILES UP ON FUTURE GENERATIONS. Speaker Pelosi's health care bill claims to be deficit neutral, but use budget gimmickry to hide its massive total cost. Working families across America know they can not simply decide that a bill they get in the mail does not exist, but that's exactly what congressional Democrats are doing. In order to meet the President's' target 'total spending of $ 900 billion, Democrats have simply swept under the rug costly provisions, including the $ 245 billion' doc fix. "
IMPOSSIBLE JOB-KILLING EMPLOYER MANDATES. Additional taxes on employers and new government mandates dictate acceptable insurance that will place new and crushing burdens on employers. These are burdens Ultimately that will fall squarely on the backs of workers in the form of reduced wages, fewer hours or lost employment. CBO agrees that "[e] mployees Largely bear the cost of ... play-or-pay fees in the form of lower wages." According to the National Federation of Independent Business (NFIB), the nation's largest small business association, an employer mandate of this magnitude will disproportionately impact small businesses, triggering up to 1.6 million lost jobs. Two-Thirds of those jobs would be shed by small businesses.
TILTS THE PLAYING FIELD IN FAVOR OF GOVERNMENT-RUN THE INSURANCE COMPANY. Speaker Pelosi's health care bill promises not to give the government-run plan advantages over private insurers in the market, but the opposite is true. The bill provides billions in start-up funding for the government-run plan, and while it requires the plan to repay the money over time it does not require the plan to pay interest on this "loan." This interest-free, taxpayer - subsidized loan is potentially worth millions of dollars and tilts the playing field in favor of the government-run plan.
Threatens CASH-STRAPPED STATES WITH UNFUNDED MANDATES. Speaker Pelosi's health care bill swells the number of Americans on the government rolls by expanding Medicaid eligibility. Medicaid is financed through a federal-state partnerships, but the bill dumps nearly ten percent of the Mandated expansion included in the bill onto the states. States, already struggling with fiscal constraints, would be left on the hook for billions of dollars due to this unfunded mandate.
Create A New MONSTROSITY IN THE TAX CODE. Starting in 2011, Speaker Pelosi's health care bill to 5.4 percent tax imposed on adjusted gross income above $ 500,000 for individuals and $ 1 million for married couples. Yet, the dollar amounts For which the tax kicks in are not indexed for inflation. We've seen this horror film before: the Alternative Minimum Tax, another Frankenstein's monster of the tax code, also was not indexed for inflation and now affects millions of middle class families with incomes below the Democrat's surtax.
MISSES AN OPPORTUNITY TO JUNK curtail lawsuits. Speaker Pelosi's health care bill misses a critical opportunity to rein in junk lawsuits and costly defensive medicine. The bill includes only a voluntary grant program to deal with the medical liability crisis instead of including real reform, Which would produce tens of billions of dollars in savings, Improve efficiency in our health care system and reduces costs for patients and providers.
BONUS: Republicans have offered better solutions to lower health care costs and expand access to quality, affordable coverage at a price our nation can afford. Learn more by visiting healthcare.gop.gov.
In addition to the list of taxes for in the ATR report, our people found the following:
FINE Employer Mandated Under Excise Tax (Page 310): A $ 100 per day excise tax imposed on employers for each employee for whom employer fails to "satisfy the health coverage participation requirements". Excise tax will not apply even if Secretary determines after "exercising reasonable diligence" employer was unaware of employee's lack of participation in health coverage.
"CADILLAC" INSURANCE PLANS
Credit vs. Points (Pages 318-320) This portion gives the appearance of Providing a two-year temporary credit while at the same time deducting "points" if the Secretary Deems that the employer is too generous with its health care benefit package. Ex p. 319, lines 11-18: "Credit not allowed with respect to Certain highly compensated employees. No credit shall be determined under subsection (a) with respect to qualified expenses paid employee health coverage or INCURRED with respect to any employee for any taxable year if the aggregate compensation paid by the employer to such employee during such taxable year Exceeds $ 80,000.
MEDICAL REIMBURSEMENT
Uncompensated Care Increase (Page 389-390) Page 389, lines 14-19 detail a "significant" decrease in uninsurance will be triggered by only 8% decrease - "There is a" significant "decrease in the national rate of uninsurance as the result of this Act "if there is a decrease in the national rate of uninsurance from 2012 to 2014 that Exceeds 8 percentage points." Page 390, lines 4.9 detail the increase in uncompensated care - "For each fiscal year (beginning with 2017), the Secretary shall estimate the aggregate reduction in the amount of Medicare DSH payment that would be expected to result from the adjustment under paragraph (1) (A) ". This, in turn, will lower payments to hospitals in reimbursement rates.
Gov't to legislate Pain Research, page 1493 line 14
Begins with Line 14''SEC. 409J. PAIN RESEARCH.
This section covers research that will be conducted at National Institutes of Health (NIH)
Provides for a "Pain Consortium and a committee to be known as" Pain Research Interagency Coordinating Committee "
page 1496 describes the attributes of committee members (6 members are scientists, physicians, other health professionals while another 6 members are from the general public Representatives from leading in research, advocacy and service organizations for individuals with pain-related conditions)
This committee will coordinate all Efforts within the Department of Health and Human Services and other federal agencies that relate to pain research. Appears to be a board decision making on treatment protocols (rationing could be involved here?), Create a public awareness campaign on pain,
page 1501
15 AUTHORIZAT ION OF APPROPRIATIONS.-For
16 purposes of carrying out this section, there are authorized
17 to be appropriated $ 2,000,000 for fiscal year 2011 and
18 $ 4,000,000 for each of fiscal years 2012 and 2015..''
Employer Excise Tax (Pages 313-317): If an employer chooses not to Provide health insurance to employees, an excise tax on the total wages paid is imposed on the employer. The excise tax percentage ranges from 2% of total payroll of $ 500,000 to 8% of payroll of $ 750,000 or more. If an employer has less than $ 500,000 annual payroll, he pays no excise tax.
Employer Health Coverage Tax Credit (Pages 317-319): Small business owners receive a tax credit of 50% of health insurance paid for employees Whose wages are $ 20,000 or less per year when the employer has 10 or fewer employees. The tax credit is prorated as the amount of wages increases, leaving no tax credit for the employer when such employee's wages total $ 80,000 or more per year.
For employers with more than 10 employees, the tax credit calculated by the proratio shall be reduced by an amount in the ratio of 10 to total number of employees.
SEC. 1416. Ensuring Accountability Staffing
(a) Skilled Nursing Facilities
(b) Nursing Facilities
Page #: 822-826
Subject: privacy
Remarks:
This section of the bill calls for an amendment to the Social Security Act "(C) Submission of Staffing Information Based on Payroll Data in a Uniform Format."The Secretary of Health and Human Services shall require a skilled nursing facility to electronically submit to the Secretary direct care staffing information including agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format (GE?) (As established by the Secretary in consultation with among others, consumer advocacy groups (ACORN?))
GOVERNMENT REGULATION OF CARE AND RESEARCH
* Government Panel for Senior Care Decisions (Pages 649-661): The Secretary has the right to Waive Requirements of the Social Security Act Titles XI & XVIII. These providers will put together patient decisions aids and share in seniors' decisions regarding their health care. Seniors will attend counseling provided by said panel. Compensation will be granted to providers who generate less cost for care with regards to Parts A and B of Medicare.
Government Legislation of Pain Research (Pages 1493-1501): Page 1496 describes the attributes of committee members (6 members are scientists, physicians, other health professionals while another 6 members are from the general public Representatives from leading in research, advocacy and service organizations for individuals with pain-related conditions). This committee will coordinate all Efforts within the Department of Health and Human Services and other federal agencies that relate to pain research. Appears to be a board decision making on treatment protocols, create a public awareness campaign on pain. Ramifications include overly regulated treatment protocols for chronic pain and the possible end result of rationing. The viability of private research is questioned in light of this section.
(Page 1501): Lines 15-18 Establish the authorization of appropriations - "For purposes of carrying out this section, there are authorized to be appropriated $ 2,000,000 for fiscal year 2011 and $ 4,000,000 for each of fiscal years 2012 and 2015.
Government Regulation of Staffing in Nursing Facilities (Pages 822-826): In a motion to alter state specific authority of nursing facilities and to Provide the Secretary and consumer advocacy groups with overreaching authority, this section of the bill calls for an amendment to the Social Security Act "(C) Submission of Staffing Information Based on Payroll Data in a Uniform Format. " The Secretary of Health and Human Services shall require a skilled nursing facility to electronically submit to the Secretary direct care staffing information including agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format as established by the Secretary in consultation with among others, consumer advocacy groups.
Government Authority in Determining Medical Home Models (Pages 680-690): Secretary is provided wide latitude to fund and create both independent and community-based medical home models in order to reward physicians and others to coordinate treatment for chronically ill patients in underserved (rural) areas. Patient need not designate a doctor as their caregiver.
NATIONAL HEALTH SERVICE CORPS
Sec 2201
Obligate Service Requirement (Page 1220): "The entity and the Corps member agree in writing that the Corps member will perform half-time clinical practice. Essentially, this details "those individuals who have entered into a contract for obligate service under the Scholarship Program or Loan Repayment Program Which one the individuals are authorized to satisfy the requirement of Obligato Providing service through clinical practice. Essentially these individuals are Obliged to work off debt in this capacity.
ABORTION
Abortion Coverage (Page 110): "Nothing in this Act shall be construe as preventing the public health insurance option from Providing for or order prohibiting coverage of services described in paragraph (4) (A)". Paragraph (4) (A) Abortion Services - Abortions For which public funding is prohibited. That said, paragraph (4) (B) "The services described in this subparagraph are for abortions For which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted.
GOVERNMENT REGULATION OF INDUSTRY
Health Czar (Page 133): Establishes Health Czar and bureaucracy, ie "Health Choices Commissioner" and "Health Choices Administration. Essentially, this area lends the Health Commissioner and Health Administration Choices power over health insurance plans both inside and outside of the Health Insurance Exchange. The concern is that the provision invites overreaching authority and oversight of plans specifically set up to Provide timely and needed care not readily available through the government-controlled exchange plans.
Health Czar Health Plan Audits (Page 133-134) Provides "Health Commissioner" / Czar with wide discretion to audit "qualified health benefits plans" and then bill the plan for the cost of the audit, regardless of grounds for the audit and regardless of whether or not the plan was found to have violated any regulation. The concern is the overreaching of authority and power over private health plans and the conjecture is that this will force the process by Which Significantly consumers are limited in their health plan choices. As written, no protection from abuse of power in this regard is provided.
Word / Topic Reviewed: Subtitle E-Public Reporting on Health Care-Associated Infections
SEC. 1138A. REQUIREMENT FOR REPORTING BY PUBLIC HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
This section is vaguely disturbing in the way it micro-manages hospitals, a vast overreach of federal power, but that's nothing surprising in this bill. Two network specific flags:
Sub-topic (b) (2).
Page #. 915Paragraph #. 2
Subject: 02, 03
Remarks: Infections are to be publicly posted and compared by demographic information. (Age? Race?)
Sub-topic (c) (4).
Page #. 916
Paragraph #. 2
Subject: 03, 04
Remarks: Infections are being studied in such detail in order to reduce costs, not position because quality of care concerns
Government regulati of Patient Care
Regulation of Services (Page 383) Lines 11-16 allot for using appropriate indicators for non-therapy ancillary services classification, Which may include age, physical and mental status, ability to perform activities of daily living, and so on. The concern is over the method of Deciding care delivery, placing key decision-making elements in the hands of politicians and other non-medical staff as Opposed to the hands of patients' doctors and families.
Regulation on Patient Stay (Page 385) Establishes payment based on total costs during stay in a skilled nursing facility as Opposed to the number of days in such stay.
ABORTION
Abortion Coverage (Page 110): "Nothing in this Act shall be construe as preventing the public health insurance option from Providing for or order prohibiting coverage of services described in paragraph (4) (A)". Paragraph (4) (A) Abortion Services - Abortions For which public funding is prohibited. Paragraph (4) (B) "The services described in this subparagraph are for abortions For which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted."
Federal Funding of Abortion (Page 147) Lines 14 - (1) IN GENERAL .- "Nothing in this Act shall be construe to have any effect on Federal laws regarding - (A) conscience protection; (B) Provide willingness or refusal to abortion, (C) discrimination on the basis of the willingness or refusal To provide, pay for, cover, or refer for abortion or to Provide or participate in training To provide abortion. The concern regards lines 20-23 (C) as it is viewed as a potential open door for funding of organizations such as Planned Parenthood. The document affirms that this bill has no effect on current law where discrimination based on either willingness or refusal to participate in abortion services, and thus, provides no additional protect against the use of Federal funds allocated for abortion services. As, additionally, the Hyde Amendment is in no way incorporated into this piece of legislation and because no explicit additional protections exist in this document, this piece of legislation will, indeed, provide authorization of federal funding of abortion under the public option.
Additionally, Because there is no ban on abortion funding under the reauthorization of the Indian Health Service (IHS), and additionally no additional protections such as the Vitter Amendment, there is nothing to Prevent abortion funding.
Mandated School-Based Health Clinics (Page 1354) Lines 9-21 states, "(c) Use of Funds - Funds awarded under a grant under this section ... (2) may not be Used to Provide abortions. However, there is no specific language either abortion referrals or order prohibiting the distribution of information materials regarding access to abortion.
Required Reporting Regarding Infections Section 1138A - Requirement for public reporting by hospitals and ambulatory surgical centers on health care-associated infections. Page 915 - States, "infections are to be publicly posted and compared by demographic information." Page 916 - States' infections are being studied in such detail in order to reduce costs, not position because quality of care concerns. The concern stems from both the ambiguity that exists in the statement referenced on page 915 as well as the lack of concern over quality of care in regards to infection.
Required Reporting Trumps State Laws Section 1128H - Financial reports on physicians' financial relationships with manufacturers and distributors of covered drugs, devices, biologicals or medical supplies under Medicare, Medicaid, or CHIP and with entities that bill for services under Medicare. Page 910 - Concerns that language is pre-empts state laws Requiring manufacturers to report their relationships to physicians. Page 912 - Establishes that "Comptroller General" is to file a report Establishing that no loopholes exist in said section.
GOVERNMENT REGULATION OF NON-HEALTH INDUSTRY
Regulation of Disclosure of Nutrient Content / Menu Variability (Page 1514) Lines 5-14 - "The Secretary shall Establish by regulation standards for Determining and Disclosing the nutrient content for standard menu items that come in different flavors, varieties, or combinations, But which are listed as a single menu item, such as soft drinks, ice cream, pizza, donuts, or children's combination meals, through means determined by the Secretary, including ranges, averages, or other methods ". Rules extend to Maintaining the calculation of combo meals cost an addition to restaurants.
Regulation of Vending Machine Owners / Suppliers (Page 1516) Lines 4-8 - Pertaining to businesses that own or operation 20 or more vending machines, "the vending machine operator shall Provide a sign in close proximity to each article of food or the selection button that included a clear and conspicuous statement Disclosing the number of calories contained in the article.
Regulation of Food Preparation / Presentation (Page 1517) Lines 14-22 - "The Secretary shall (aa) consider standardization of recipes and methods of preparation, reasonable variation in serving size and formulation of menu items, space on menus and menu boards, inadvertent human error, training of food service workers, variations in ingredients, and other factors, as the Secretary determines.
Pg 1601
19 solved with reasonable premium increases
PG 1555lines 1 through 7 and no such
5 Information or documentary material may be
6 made public
''(E) ENFORCEMENT .-
14''(i) CIVIL PENALTY.-Any person
15 that Violates a provision of this paragraph
16 shall be LIABLE for a civil penalty of not
17 more than $ 11,000 for each day on Which
18 the violation occurs.
Pg 16245 (2) PERSONAL ATTENDANT CARE WORKFORCE
Section 6 ADVISORY PANEL.-202 of such Act (42
7 U.S.C. 3012)
Pg 1800
22''(3) PEER REVIEW PANELS18''(e) PEER REVIEW-The Secretary may PANELS.
19 Provide for the establishment of peer review panels, as nec20
Essary, to review and evaluate applications using the cri21
teria developed Pursuant to subsection (d)
Pg 180512''SEC. 307. LAND TRANSFER
15 departments of the United States are authorized to transfer, at
16 no cost, land and improvements to the Service
Pg 1584
11 paid into a Life Independence Account for ob
12 Taining assistance with decisionmaking
13concerning medical care
See attachment for a compilation of what's been found so far on p. 110-200. Some highlights:
p. 110 (4) (B) Federal funding for abortion is in;
p. 111 Section 223 "Health Benefits Advisory Committee" to recommend covered benefits (AKA "rationing board")
p. HHS Sec 120-130 directed to clarify / define several bits in this section (reader found 50 + calls for Sec to clarify / define, including in rest of bill)
p.133-134 "Health Choices Administration" with power over health insurance plans both inside and outside the Health Insurance Exchange invites harassment of non-Exchange plans and abuse Aimed at driving private plans out of business.
Lots more where these tidbits came from in the attachment. Will get to work any reports collating Which may have come in since 4:30 PM Central Time today as soon as I post this.
Pages 1850 - 1860 Titled "HEALTH SERVICES FOR URBAN INDIANS" contains a lot of double talk. What it says in plain summarily Español is that the Secretary now controls and approves any and all grants and / or contracts entered into or Referred by an Indian Tribe or Tribal Organizations Urban Indians, including but not limited to healthcare needs, education of any kind , desease prevention, wild life preservation, land preservation or land purchases, and anything else covered under the 1921 Snyder Act I specifically found it interesting that on page 1860, lines 14-23, The purpose of a contract or grant ... shall be the determination ... in order to assist the Secretary in assessing the health status and health care needs of Urban Indians in the Urban Center involved and Determining whether the Secretary should enter into a contract or make a grant ...
ADDITIONAL ITEM TO INDIAN HEALTH RELATED:
Septic System Regulations (Pages 1780-1790) The Federal government will fund sanitation facilities for Indian Tribes with the following provisions: (Page1781) "Sec 302 (a) (1) financial and technical assistance to operate and maintain sanitation facilities .... (a) (3) funding to operate and maintain sanitation facilities .... (b) Congress reaffirms the primary responsibility and authority of the Service to Provide the necessary sanitation facilities and services as provided in section 7 of the Act of August 5, 1954 ( 42 USC 2004a) ... .. (Page 1783) - (c) (5) fund up to 100% of a loan for sanitation facility tribes .... ... (Page 1785) (c) (8) the Secretary of Health and Human Services shall, by regulation, established standards applicable to the planning, design, and construction of sanitation facilities funded under this Act ... (Page 1787) (d) The financial and technical capability of an Indian Tribe, Tribal Organization, or Indian community to safely operate , manage, and maintain a sanitation facility shall not be a prerequisite to the provision or construction of sanitation facilities by the Secretary ". It is posit that this item is a necessary item for the bill as septic-related issues directly Affect health issues for the Indian Community. However, it is a concern that this is transition of power overrides local standards for the Indian Community and usurps local authority over key community infrastructure and systems. It is worthy to note, as well, that sanitation needs include a clean water source Which Involves a myriad of issues related to clean water and environmental concerns.
Comment
-
Comment by Charles R Kolb on October 30, 2009 at 6:45pm -
...
This is How the BIG Blue Machine Works - no more secrets
This truly is the operation of the liberal mind set - I should have taken this out of the evidentiary vault months ago !
~ CK
...
-
Comment by Aida Medina on October 30, 2009 at 2:55pm -
WOW! My God I need to hire an Expert lawyer to understand all the garbage added in this bill! It seems the three stooges had nothing else to do in order to hurt the American citizens. Are they going to join this HELLth plan or are they going to keep their Cadillac taxpayers paid Rich Plancare?
If they are really so sure it's so good for all of us to be in this HELLPLAN, it's time for them to join in, too! What is good for the goose is good for the gander or are they exempt and it's only for the slaves hardworking taxpayers citizens and the rest of us seniors?????? These know it all thugs in this administration think they are above the law. He who laughs last will laugh better at the end. Their luck will NOT last forever and their deserving reward will some day be at hand and the Real Judge will hand them what they deserved for abusing the power put in their hands!
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explain
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