Archive for August 7th, 2009


HR 3200 – America’s Affordable Health Choices Act of 2009

August 7, 2009
Posted by clinicalthinker @ 17:11 PM

Everyone is discussing the great Health Care Program that the government is trying to ram down the throats of ALL CITIZENS.

What is your best defense?
BEING INFORMED and YOUR VOICE.
Here is the Full PDF of HR3200:
America’s Affordable Health Choices Act of 2009

Vote if you approve or disapprove at OpenCongress
Vote as of today is 13% in favor.
You can also follow a link to your state representatives where you can also voice your choice in the matter

Here is a review of HR3200 … I suggest you read and compare and determine if you come to the same conclusion.

Its all important but the red notes are most disturbing.

The information below is reviewed, revised and adapted on July 29, 2009, by Liberty Counsel from the original authored
by Peter Fleckenstein and posted on FreeRepublic.com and his blog, http://blog.flecksoflife.com.

  • Sec. 113, Pg. 21-22 of the Health Care (HC) Bill MANDATES a government audit of the
    books of ALL EMPLOYERS that self-insure in order to “ensure that the law does not
    provide incentives for small and mid-size employers to self-insure”!
  • Sec. 122, Pg. 29, Lines 4-16 – YOUR HEALTH CARE WILL BE RATIONED!
  • Sec. 123, Pg. 30 – THERE WILL BE A GOVERNMENT COMMITTEE deciding what
    treatments and benefits you get.
  • Sec. 142, Pg. 42 – The Health Choices Commissioner will choose your benefits for you.
    You have no choice!
  • Sec. 152, Pg. 50-51 – HC will be provided to ALL NON-US citizens.
  • Sec. 163, Pg. 58-59 beginning at line 5 – Government will have real-time access to
    individual’s finances & a National ID health care card will be issued!
  • Sec. 163, Pg. 59, Lines 21-24 – Government will have direct access to your bank accounts
    for electronic funds transfer.
  • Sec. 164, Pg. 65 is a payoff subsidized plan for retirees and their families in unions &
    community organizations (ACORN).
  • Sec. 201, Pg. 72, Lines 8-14 – Government is creating an HC Exchange to bring private
    plans under government control.

  • Sec. 203, Pg. 84 – Government mandates ALL benefit packages for private Health Care
    plans in the exchange.
  • Sec. 203, Pg. 85, Line 7 – Specifications of benefit levels for plans means that the
    government will define your HC plan and has the ability to ration your health care!
  • Sec. 205, Pg. 95, Lines 8-18 – The government will use groups (i.e., ACORN &
    AmeriCorps) to “inform and educate” (sign up) individuals for government plan.
  • Sec. 205, Pg. 102, Lines 12-18 – Medicaid-eligible individuals will be automatically
    enrolled in Medicaid. No freedom to choose.
  • Sec. 223, Pg. 124, Lines 24-25 – No company can sue the government for price-fixing.
    No “administrative of judicial review” against a government monopoly.
  • Sec. 225, Pg. 127, Lines 1-16 – Doctors – the government will tell YOU what you can
    make. “The Secretary shall provide for the annual participation of physicians under the
    public health insurance option, for which payment may be made for services furnished
    during the year.”
  • Sec. 312, Pg. 145, Lines 15-17 – Employers MUST auto-enroll employees into public
    option plan.
  • Sec. 313, Pg. 149, Lines 16-23 – ANY employer with payroll $400,000 and above who
    does not provide public option pays 8% tax on all payroll.
  • Sec. 313, Pg. 150, Lines 9-13 – Businesses with payroll between $251,000 and $400,000
    who do not provide public option pay 2-6% tax on all payroll.
  • Sec. 401.59B, Pg. 167, Lines 18-23 – ANY individual who does not have acceptable care,
    according to government, will be taxed 2.5% of income.
  • Sec. 59B, Pg. 170, Line 1 – Any NONRESIDENT alien is exempt from individual taxes.
    (Americans will pay for their health care.)
  • Sec. 431, Pg. 195, Lines 1-3 – Officers and employees of HC Administration
    (government) will have access to ALL Americans’ financial and personal records.
  • Sec. 441, Pg. 203, Lines 14-15 – “The tax imposed under this section shall not be treated
    as tax.” (Yes, it says that.)

  • Sec. 1121, Pg. 239, Lines 14-24 – The government will limit and reduce physician
    services for Medicaid. Seniors, low income and poor are the ones affected.
  • Sec. 1121, Pg. 241, Lines 6-8 – Doctors, it does not matter what specialty you have;
    you’ll all be paid the same. “Service categories established under this paragraph shall
    apply without regard to the specialty of the physician furnishing the service.”
  • Sec. 1122, Pg. 253, Lines 10-23 – The government “validates work relative value units”
    (sets value of doctor’s time), professional judgment, methods etc. (defining the value of
    humans).
  • Sec. 1131, Pg. 265 – Government mandates and controls productivity for private HC
    industries. “Incorporating Productivity Improvements into Market Basket Updates that
    Do Not Already Incorporate Such Improvements.”
  • Sec. 1141, Pg. 268 – The government regulates rental and purchase of power-driven
    wheelchairs.
  • Sec. 1145, Pg. 272 – Treatment of certain cancer hospitals: Cancer patients and their
    treatment are open to rationing!
  • Sec. 1151, Pg. 280 – The government will penalize hospitals for what government deems
    preventable readmissions (incentives for hospital to not treat and release).
  • Sec. 1151, Pg. 298, Lines 9-11 – Doctors, treat a patient during initial admission that
    results in a readmission and the government will penalize you for that action.
  • Sec. 1156, Pg. 317, Lines 13-20 – “PROHIBITION on physician ownership or
    Investment.” Government tells doctors what/how much they can own.
  • Sec. 1156, Pg. 317-318, Lines 21-25, 1-3 – “PROHIBITION on Expansion of Facility
    Capacity.” The government will mandate that hospitals cannot expand (“number of
    operating rooms or beds”).
  • Sec. 1156, Pg. 321, Lines 2-13 – Hospitals have opportunity to apply for exception BUT
    community input required.
  • Sec. 1162, Pg. 335-339, Lines 16-25 – The government mandates establishment of
    outcome-based measures. Rationing.
  • Sec. 1162, Pg. 341, Lines 3-9 – The government has authority to disqualify Medicare
    Advantage Plans (Part B), HMOs, etc. This will force people into a government plan.

    “The Secretary may determine not to identify a Medicare Advantage plan if the Secretary
    has identified deficiencies in the plan’s compliance with rules for such plans under this
    part.”

  • Sec. 1177, Pg. 354 – Government will RESTRICT enrollment of special needs people!
    “Extension of Authority of Special Needs Plans to Restrict Enrollment.”
  • Sec. 1191, Pg. 379 – Government creates more bureaucracy – “Telehealth Advisory
    Committee.” HC by phone or the Internet – dial 1 for your health care advice?
  • Sec. 1233, Pg. 425, Lines 4-12 – Government mandates Advance (Death) Care Planning
    consultation. Think Senior Citizens and end of life. END-OF-LIFE COUNSELING.
    SOME IN THE ADMINISTRATION HAVE ALREADY DISCUSSED RATIONING
    HEALTH CARE FOR THE ELDERLY.
  • Sec. 1233, Pg. 425, Lines 17-19 – Government WILL instruct and consult regarding
    living wills and durable powers of attorney. Mandatory end-of-life planning!
  • Sec. 1233, Pg. 425-426, Lines 22-25, 1-3 – Government provides approved list of end-of-
    life resources, guiding you in death.
  • Sec. 1233, Pg. 427, Lines 15-24 – Government mandates program for orders for life-
    sustaining treatment (i.e. end of life). The government has a say in how your life ends.
  • Sec. 1233, Pg. 429, Lines 1-9 – An “advanced care planning consult” will be used as
    patient’s health deteriorates.
  • Sec. 1233, Pg. 429, Lines 10-12 – “Advanced Care Consultation” may include an
    ORDER for end-of-life plans – from the government.
  • Sec. 1233, Pg. 429, Lines 13-25 – The government will specify which Doctors
    (professional authority under state law includes Nurse Practitioners or Physician’s
    Assistants) can write an end-of-life order.
  • Sec. 1233, Pg. 430, Lines 11-15 – The government will decide what level of treatment
    you will have at end of life, according to preset methods (not individually decided).
  • Sec. 1302, Pg. 468, Lines 16-21 – “Community-Based Home Medical Services means a
    nonprofit community-based or state-based organization.”

  • Sec. 1302, Pg. 472, Lines 14-17 – PAYMENT TO COMMUNITY-BASED
    ORGANIZATION: One monthly payment to a community-based organization. Like
    ACORN?
  • Sec. 1308, Pg. 489 – The government will cover Marriage and Family therapy. This will
    involve government control of your marriage.
  • Sec. 1308, Pg. 494-498 – The government will cover Mental Health Services including
    defining, creating and rationing those services.
  • Sec. 1401, Pg. 502 – Center for Comparative Effectiveness Research Established. Big
    Brother is watching how your treatment works.
  • Sec. 1401, Pg. 503, Lines 13-19 – The government will build registries and data networks
    from YOUR electronic medical records. “The Center may secure directly from any
    department or agency of the United States information necessary to enable it to carry out
    this section.”
  • Sec. 1401, Pg. 503, Lines 21-25 – The government may secure data directly from any
    department or agency of the US, including your data.
  • Sec. 1401, Pg. 503, Lines 21-25 – The “Center” will collect data both “published and
    unpublished” (that means public & your private information).
  • Sec. 1401, Pg. 506, Lines 19-21 – An “Appointed Clinical Perspective Advisory Panel”
    will advise The Center and recommend policies that would allow for public access of
    data.
  • Sec. 1401, Pg. 518, Lines 21-25 – The Commission will have input from HC consumer
    representatives.
  • Sec. 1411, Pg. 524, Lines 18-22 – Establishes the “Comparative Effectiveness Research
    Trust Fund.” More taxes for ALL.
  • Sec. 1441, Pg. 621, Lines 20-25 – The government will define “NEW Quality” measures
    in HC. Since when does government know about quality?
  • Sec. 1442, Pg. 622, Lines 2-9 – To pay for the Quality Standards, government will
    transfer money from “qualified entities” (government Trust Funds) to other government
    Trust Funds. More Taxes.

  • Sec. 1442, Pg. 624, Lines 19-23 – Qualified Entities: “The Secretary shall ensure that the
    entity is a public, nonprofit or academic institution with technical expertise in the area of
    health quality measurement.”
  • Sec. 1442, Pg. 623, Lines 5-10 – “Quality” measures shall be designed to assess outcomes
    and functional status of patients.
  • Sec. 1442, Pg. 623, Lines 15-17 – “Quality” measures shall be designed to profile you,
    including race, age, gender, place of residence, etc.
  • Sec. 1443, Pg. 628 – The government will give “Multi-Stake Holders” pre-rulemaking
    input into selection of “quality” measures.
  • Sec. 1443, Pg. 630-31, Lines 9-24, 1-9 – Those Multi-Stake Holder groups include unions
    and groups like ACORN deciding what constitutes quality.
  • Sec. 1444, Pg. 632, Lines 14-25 – The government may implement any “Quality
    measure” of HC services that bureaucrats see fit.
  • Sec. 1444, Pg. 632-333, Lines 14-25, 1-9 – The Secretary may issue nonendorsed
    “Quality Measures” for physician and dialysis services.
  • Sec. 1251 (beginning), Pg. 634 to 652 – “Physician Payments Sunshine Provision” –
    government wants to shine sunlight on Doctors but not government. “Reports on
    financial relationships between manufacturers and distributors . . . and between
    physicians and other health care entities.”
  • Sec. 1501 (beginning), Pg. 659-670 – Doctors in Residency – government will tell you
    where your residency will be, thus where you’ll live.
  • Sec. 1503 (beginning), Pg. 675-685 – Government will regulate hospitals in EVERY
    aspect of residency programs, including teaching hospitals.
  • Sec. 1601 (beginning), Pg. 685-699 – Increased funding to fight waste, fraud, and abuse.
    (Like the government with an $18 million website?)
  • Sec. 1619, Pg. 700-703 – If your part of HC plan isn’t in the government’s HC Exchange
    but you qualify for federal aid, you don’t have to pay.
  • Sec. 1128G, Pg. 704-708 – If the Secretary determines there is a “significant risk of
    fraudulent activity,” on HC provider or supplier, the government can do a background
    check.

  • Sec. 1632, Pg. 710, Lines 8-14 – The Secretary has broad powers to deny HC providers
    and suppliers admittance into HC Exchange. Your doctor could be thrown out of
    business.
  • Sec. 1637, Pg. 718-719 – ANY Doctor who orders durable medical equipment or home
    medical services is REQUIRED to be enrolled in, or eligible for, Medicare.
  • Sec. 1639, Pg. 721 – Government MANDATES that Doctors must have face-to-face with
    patient to certify patient for home health services.
  • Sec. 1639, Pg. 723-24, Lines 23-25, 1-5 – The same government certifications will apply
    to Medicaid and CHIP (Children’s health plan: Your kids).
  • Sec. 1640, Pg. 723, Lines 16-22 – The government reserves right to apply face-to-face
    certification for patient to ANY other HC service.
  • Sec. 1651, Pg. 734, Lines 16-25 – Proposes, for law enforcement sake, that the Secretary
    of HHS will give Attorney General access to ALL medical data.
  • Sec. 1701 (beginning), Pg. 739-756 – The government sets guidelines for subsidizing the
    uninsured (and you have to pay for them).
  • Sec. 1704, Pg. 756-761 – The government will shift burden of payments to
    Disproportionate Share Hospitals (DSH) to states (your taxes).
  • Sec. 1711, Pg. 764 – The government will require preventative services – including
    vaccinations (no choice).
  • Sec. 1713, Pg. 768 – Government-determined Nurse Home Visitation Services (Hello
    union paybacks).
  • Sec. 1713, Pg. 768, Lines 3-5 – Nurse Home Visit Services – Service #1: “Improving
    maternal or child health and pregnancy outcomes or increasing birth intervals between
    pregnancies.” Compulsory ABORTIONS?
  • Sec. 1713, Pg. 768, Lines 11-14 – Nurse Home Visit Services include determinations of
    economic self-sufficiency, employment advancement and school-readiness.
  • Sec. 1714, Pg. 769 – Federal government mandates eligibility for State Family Planning
    Services. Abortion and government control intertwined.
  • Sec. 1733, Pg. 788-798 – Government will set and mandate drug prices, therefore
    controlling which drugs are brought to market. (Goodbye innovation and private
    research.)
  • Sec. 1744, Pg. 796-799 – Establishes PAYMENTS for graduate medical education. The
    government will now control your doctor’s education.
  • Sec.1751, Pg. 800 – The government will decide which Health Care conditions will be
    paid. Say “RATION!”
  • Sec. 1759, Pg. 809 – Billing Agents, clearinghouses, or other alternate payees are required
    to register. The government takes over private payment systems too.

  • Sec. 1801, Pg. 819-823 – The Government will identify individuals “likely to be
    ineligible” for subsidies. Will access all personal financial information.
  • Sec. 1802, Pg. 823-828 – Government sets up Comparative Effectiveness Research Trust
    Fund. Another bottomless tax pit.
  • Sec. 4375, Pg. 828-832, Lines 12-16 – Government will impose a fee on ALL private
    health insurance plans, including self-insured, to pay for Trust Fund!
  • Sec. 4377, Pg. 835, Lines 11-13 – Fees imposed by government for Trust Fund shall be
    treated as if they were taxes.
  • Sec. 440, Pg. 837-839 – The government will design and implement Home Visitation
    Program for families with young kids and families that are expecting children.
  • Sec. 1904, Pg. 843-844 – This Home Visitation Program includes the government coming
    into your house and teaching/telling you how to parent!
  • Sec. 2002, Pg. 858 – The government will establish a Public Health Fund at a cost of
    $88,800,000,000 (That’s Billions).
  • Sec. 2201, Pg. 864 – The government will MANDATE the establishment of a National
    Health Service Corps.
  • Sec. 2201 – “Fulfillment of Obligated Service Requirement”
  • Sec. 2201, Pg. 864-875 – The NHS Corps is a program where Doctors perform
    mandatory HC for 2 years for partial loan repayment.
  • Sec. 2212, Pg. 875-891 – The government takes over the education of Medical students
    and Doctors through education and loans.

  • Sec. 340L, Pg. 897 – The government will establish a Public Health Workforce Corps to
    ensure an adequate supply of public health professionals.
  • Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of civilian
    employees of the United States as Secretary deems necessary.
  • Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of officers of
    Regular and Reserve Corps of Service.
  • Sec. 340M, Pg. 899 – The Public Health Workforce Corps includes veterinarians. Will
    animals have heath care too?

  • Sec. 2233, Pg. 909 – The government will develop, build and run Public Health Training
    Centers.
  • Sec. 2241, Pg. 912-913 – Government starts a HC affirmative action program under the
    guise of diversity scholarships.
  • Sec. 2251, Pg. 915 – Government MANDATES cultural and linguistic competency
    training for HC professionals.
  • Sec. 3111, Pg. 931 – The government will establish a Preventative and Wellness Trust
    fund, with initial cost of $30,800,000,000 (Billions more).
  • Sec. 3121, Pg. 934, Lines 21-22 – Government will identify specific goals and objectives
    for prevention and wellness activities. More control of your life.
  • Sec. 3121, Pg. 935, Lines 1-2 – The government will develop “Healthy People & National
    Public Health Performance Standards.” They will tell us what to eat?
  • Sec. 3131, Pg. 942, Lines 22-25 – “Task Force on Community Preventive Services.”
    More government? Under the Offices of Surgeon General, Public Health Services,
    Minority Health and Women’s Health.
  • Sec. 3141, Pg. 949-979 – BIG GOVERNMENT core public health infrastructure includes
    workforce capacity, lab systems, health information systems, etc.
  • Sec. 2511, Pg. 992 – Government will establish school-based “health” clinics. Your
    children will be indoctrinated and your grandchildren may be aborted!

  • Sec. 399Z-1, Pg. 993 – School-Based Health Clinics will be integrated into the school
    environment. More government brainwashing in school.
  • Sec. 2521, Pg. 1000 – The government will establish a National Medical Device Registry.
    Will you be tracked?