Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts
U.S. Appeals Court Rules Against Obama's Health Care Law
A federal appeals court ruled Friday that a provision in President Obama's health care law requiring citizens to buy health insurance is unconstitutional, but didn't strike down the rest of the law.
List of Tax Hikes in Obamacare
Remeber when Obama said, "I've been a little amused over the last couple of days where people have been having these rallies about taxes," the president said, noting the numerous tax cuts pushed by his administration. "You would think they'd be saying thank you." Of course you remember, it was yesterday. Well, for all your little smug liberal friends that say Obama cuts taxes, ask them about the taxes stuffed into the new Obamacare disaster:
(Page numbers reference ORIGINAL REID-OBAMA BILL unless noted):
Individual Mandate Tax (Page 324/Sec. 1501/$15 bil/Jan 2014): Starting in 2014, anyone not buying “qualifying” health insurance must pay an income surtax according to the higher of the following (page 71 of manager’s amendment updates Reid bill):
Single
2014 $495/0.5% AGI $990/0.5% AGI $1485/0.5%/AGI
2 People
2015 $495/1.0% AGI $990/1.0% AGI $1485/1.0%/AGI
3+ People
2016+ $495/2.0% AGI $990/2.0% AGI $1485/2.0%/AGI
(Exemptions for religious objectors, undocumented immigrants, prisoners, those earning less than the poverty line, members of Indian tribes, and hardship cases (determined by HHS).)
Employer Mandate Tax (Page 348/Sec. 1513/$28 bil/Jan 2014): If an employer does not offer health coverage, and at least one employee qualifies for a health tax credit, the employer must pay an additional non-deductible tax of $750 for all full-time employees. Applies to all employers with 50 or more employees.
If the employer requires a waiting period to enroll in coverage of 30-60 days, there is a $400 tax per employee ($600 if the period is 60 days or longer).
Excise Tax on Comprehensive Health Insurance Plans (Page 1979/Sec. 9001/$149.1 bil/Jan 2011): Starting in 2013, new 40 percent excise tax on “Cadillac” health insurance plans ($8500 single/$23,000 family). Higher threshold ($9850 single/$26,000 family) for early retirees and high-risk professions. CPI +1 percentage point indexed. Longshoremen have been exempted (page 362 of the manager’s amendment)
From 2013-2015, the 17 highest-cost states are 120% of this level.
Employer Reporting of Insurance on W-2 (Page 1996/Sec. 9002/Min$/Jan 2011): Preamble to taxing health benefits on individual tax returns.
Medicine Cabinet Tax (Page 1997/Sec. 9003/$5 bil/Jan 2011): No longer allowable to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin)
HSA Withdrawal Tax Hike (Page 1998/Sec. 9004/$1.3 bil/Jan 2011): Increases additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent.
FSA Cap (Page 1999/Sec. 9005/$13.3 bil/Jan 2011): Imposes cap on FSAs of $2500 (now unlimited). Indexed to inflation after 2011 (added on page 363 of manager’s amendment)
Corporate 1099-MISC Information Reporting (Page 1999/Sec. 9006/$17.1 bil/Jan 2012): Requires businesses to send 1099-MISC information tax forms to corporations (currently limited to individuals), a huge compliance burden for small employers
Excise Tax on Charitable Hospitals (page 2001/Sec. 9007/Min$/immediate): $50,000 per hospital if they fail to meet new "community health assessment needs," "financial assistance," and "billing and collection" rules set by HHS (updated on page 364 of manager’s amendment).
Tax on Innovator Drug Companies (Page 2010/Sec. 9008/ $22.2 bil/Jan 2010): $2.3 billion annual tax on the industry imposed relative to share of sales made that year.
Tax on Medical Device Manufacturers (Page 2020/Sec. 9009/$19.2 bil/Jan 2010): $2 billion annual tax on the industry imposed relative to shares of sales made that year. Exempts items retailing for <$100. Rises to $3 billion annually in 2017 (updated by page 364 of manager’s amendment).
Tax on Health Insurers (Page 2026/Sec. 9010/$59.6 bil/Jan 2011): $10 billion annual tax on the industry imposed relative to health insurance premiums collected that year. Phases in gradually until 2017. Fully-imposed on firms with $50 million in profits (updated on page 365 of manager’s amendment)
Eliminate tax deduction for employer-provided retirement Rx drug coverage in coordination with Medicare Part D (Page 2034/Sec. 9012/$5.4 bil/Jan 2011)
Raise "Haircut" for Medical Itemized Deduction from 7.5% to 10% of AGI (Page 2034/Sec. 9013/$15.2 bil/Jan 2013): Waived for 65+ taxpayers in 2013-2016 only
$500,000 Annual Executive Compensation Limit for Health Insurance Executives (Page 2035/Sec. 9014/$0.6 bil/Jan 2013)
Hike in Medicare Payroll Tax (Page 2040/Sec. 9015/$86.8 bil/Jan 2013): Current law and changes:
Current Law:
First $200,000 ($250,000 Married) = 1.45%/1.45%
2.9% self-employed
All Remaining Wages Employer/Employee = 1.45%/1.45%
2.9% self-employed
Reid-Obama Tax Hike:
First $200,000($250,000 Married) Employer/Employee = 1.45%/1.45%
2.9% self-employed
All Remaining Wages Employer/Employee = 1.45%/2.35%
3.8% self-employed
The 0.9% new rate addition is not deductible for the self-employment tax adjustment. Updated by page 372 of manager’s amendment.
Blue Cross/Blue Shield Tax Hike (Page 2044/Sec. 9016/$0.4 bil/Jan 2010): The special tax deduction in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are spent on clinical services
STRICKEN: Tax on Cosmetic Medical Procedures (Page 2045/Sec. 9017/$5.8 bil/Jan 2010): New 5% excise tax on elective cosmetic surgery to be paid by the surgery patient.
REPLACED BY: Tax on Indoor Tanning Services (Page 373 of Manager’s amendment/$2.7 billion/July 1, 2010): New 10% excise tax on indoor tanning salons
PDF Version
List of tax hikes in original Reid bill
Manager's Amendment
CBO Score of Manager’s Amendment
JCT Score of Manager’s Amendment
(Page numbers reference ORIGINAL REID-OBAMA BILL unless noted):
Individual Mandate Tax (Page 324/Sec. 1501/$15 bil/Jan 2014): Starting in 2014, anyone not buying “qualifying” health insurance must pay an income surtax according to the higher of the following (page 71 of manager’s amendment updates Reid bill):
Single
2014 $495/0.5% AGI $990/0.5% AGI $1485/0.5%/AGI
2 People
2015 $495/1.0% AGI $990/1.0% AGI $1485/1.0%/AGI
3+ People
2016+ $495/2.0% AGI $990/2.0% AGI $1485/2.0%/AGI
(Exemptions for religious objectors, undocumented immigrants, prisoners, those earning less than the poverty line, members of Indian tribes, and hardship cases (determined by HHS).)
Employer Mandate Tax (Page 348/Sec. 1513/$28 bil/Jan 2014): If an employer does not offer health coverage, and at least one employee qualifies for a health tax credit, the employer must pay an additional non-deductible tax of $750 for all full-time employees. Applies to all employers with 50 or more employees.
If the employer requires a waiting period to enroll in coverage of 30-60 days, there is a $400 tax per employee ($600 if the period is 60 days or longer).
Excise Tax on Comprehensive Health Insurance Plans (Page 1979/Sec. 9001/$149.1 bil/Jan 2011): Starting in 2013, new 40 percent excise tax on “Cadillac” health insurance plans ($8500 single/$23,000 family). Higher threshold ($9850 single/$26,000 family) for early retirees and high-risk professions. CPI +1 percentage point indexed. Longshoremen have been exempted (page 362 of the manager’s amendment)
From 2013-2015, the 17 highest-cost states are 120% of this level.
Employer Reporting of Insurance on W-2 (Page 1996/Sec. 9002/Min$/Jan 2011): Preamble to taxing health benefits on individual tax returns.
Medicine Cabinet Tax (Page 1997/Sec. 9003/$5 bil/Jan 2011): No longer allowable to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin)
HSA Withdrawal Tax Hike (Page 1998/Sec. 9004/$1.3 bil/Jan 2011): Increases additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent.
FSA Cap (Page 1999/Sec. 9005/$13.3 bil/Jan 2011): Imposes cap on FSAs of $2500 (now unlimited). Indexed to inflation after 2011 (added on page 363 of manager’s amendment)
Corporate 1099-MISC Information Reporting (Page 1999/Sec. 9006/$17.1 bil/Jan 2012): Requires businesses to send 1099-MISC information tax forms to corporations (currently limited to individuals), a huge compliance burden for small employers
Excise Tax on Charitable Hospitals (page 2001/Sec. 9007/Min$/immediate): $50,000 per hospital if they fail to meet new "community health assessment needs," "financial assistance," and "billing and collection" rules set by HHS (updated on page 364 of manager’s amendment).
Tax on Innovator Drug Companies (Page 2010/Sec. 9008/ $22.2 bil/Jan 2010): $2.3 billion annual tax on the industry imposed relative to share of sales made that year.
Tax on Medical Device Manufacturers (Page 2020/Sec. 9009/$19.2 bil/Jan 2010): $2 billion annual tax on the industry imposed relative to shares of sales made that year. Exempts items retailing for <$100. Rises to $3 billion annually in 2017 (updated by page 364 of manager’s amendment).
Tax on Health Insurers (Page 2026/Sec. 9010/$59.6 bil/Jan 2011): $10 billion annual tax on the industry imposed relative to health insurance premiums collected that year. Phases in gradually until 2017. Fully-imposed on firms with $50 million in profits (updated on page 365 of manager’s amendment)
Eliminate tax deduction for employer-provided retirement Rx drug coverage in coordination with Medicare Part D (Page 2034/Sec. 9012/$5.4 bil/Jan 2011)
Raise "Haircut" for Medical Itemized Deduction from 7.5% to 10% of AGI (Page 2034/Sec. 9013/$15.2 bil/Jan 2013): Waived for 65+ taxpayers in 2013-2016 only
$500,000 Annual Executive Compensation Limit for Health Insurance Executives (Page 2035/Sec. 9014/$0.6 bil/Jan 2013)
Hike in Medicare Payroll Tax (Page 2040/Sec. 9015/$86.8 bil/Jan 2013): Current law and changes:
Current Law:
First $200,000 ($250,000 Married) = 1.45%/1.45%
2.9% self-employed
All Remaining Wages Employer/Employee = 1.45%/1.45%
2.9% self-employed
Reid-Obama Tax Hike:
First $200,000($250,000 Married) Employer/Employee = 1.45%/1.45%
2.9% self-employed
All Remaining Wages Employer/Employee = 1.45%/2.35%
3.8% self-employed
The 0.9% new rate addition is not deductible for the self-employment tax adjustment. Updated by page 372 of manager’s amendment.
Blue Cross/Blue Shield Tax Hike (Page 2044/Sec. 9016/$0.4 bil/Jan 2010): The special tax deduction in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are spent on clinical services
STRICKEN: Tax on Cosmetic Medical Procedures (Page 2045/Sec. 9017/$5.8 bil/Jan 2010): New 5% excise tax on elective cosmetic surgery to be paid by the surgery patient.
REPLACED BY: Tax on Indoor Tanning Services (Page 373 of Manager’s amendment/$2.7 billion/July 1, 2010): New 10% excise tax on indoor tanning salons
PDF Version
List of tax hikes in original Reid bill
Manager's Amendment
CBO Score of Manager’s Amendment
JCT Score of Manager’s Amendment
Obamacare - New Boards and Commissions
Recently President Obama signed a government takeover of health care into law. Below is a list of new boards and commissions created in the bill. As you read, keep in mind that each of these boards and commissions require staffing, which requires money, which requires taxes. Also keep in mind that each of these requires more bureaucracy, more red tape, more frustration.
1. Grant program for consumer assistance offices (Section 1002, p. 37)
2. Grant program for states to monitor premium increases (Section 1003, p. 42)
3. Committee to review administrative simplification standards (Section 1104, p. 71)
4. Demonstration program for state wellness programs (Section 1201, p. 93)
5. Grant program to establish state Exchanges (Section 1311(a), p. 130)
6. State American Health Benefit Exchanges (Section 1311(b), p. 131)
7. Exchange grants to establish consumer navigator programs (Section 1311(I), p. 150)
8. Grant program for state cooperatives (Section 1322, p. 169)
9. Advisory board for state cooperatives (Section 1322(b)(3), p. 173)
10. Private purchasing council for state cooperatives (Section 1322(d), p. 177)
11. State basic health plan programs (Section 1331, p. 201)
12. State-based reinsurance program (Section 1341, p. 226)
13. Program of risk corridors for individual and small group markets (Section 1342, p. 233)
14. Program to determine eligibility for Exchange participation (Section 1411, p. 267)
15. Program for advance determination of tax credit eligibility (Section 1412, p. 288)
16. Grant program to implement health IT enrollment standards (Section 1561, p. 370)
17. Federal Coordinated Health Care Office for dual eligible beneficiaries (Section 2602, p. 512)
18. Medicaid quality measurement program (Section 2701, p. 518)
19. Medicaid health home program for people with chronic conditions, and grants for planning same (Section 2703, p. 524)
20. Medicaid demonstration project to evaluate bundled payments (Section 2704, p. 532)
21. Medicaid demonstration project for global payment system (Section 2705, p. 536)
22. Medicaid demonstration project for accountable care organizations (Section 2706, p. 538)
23. Medicaid demonstration project for emergency psychiatric care (Section 2707, p. 540)
24. Grant program for delivery of services to individuals with postpartum depression (Section 2952(b), p. 591)
25. State allotments for grants to promote personal responsibility education programs (Section 2953, p. 596)
26. Medicare value-based purchasing program (Section 3001(a), p. 613)
27. Medicare value-based purchasing demonstration program for critical access hospitals (Section 3001(b), p. 637)
28. Medicare value-based purchasing program for skilled nursing facilities (Section 3006(a), p. 666)
29. Medicare value-based purchasing program for home health agencies (Section 3006(b), p. 668)
30. Interagency Working Group on Health Care Quality (Section 3012, p. 688)
31. Grant program to develop health care quality measures (Section 3013, p. 693)
32. Center for Medicare and Medicaid Innovation (Section 3021, p. 712)
33. Medicare shared savings program (Section 3022, p. 728)
34. Medicare pilot program on payment bundling (Section 3023, p. 739)
35. Independence at home medical practice demonstration program (Section 3024, p. 752)
36. Program for use of patient safety organizations to reduce hospital readmission rates (Section 3025(b), p. 775)
37. Community-based care transitions program (Section 3026, p. 776)
38. Demonstration project for payment of complex diagnostic laboratory tests (Section 3113, p. 800)
39. Medicare hospice concurrent care demonstration project (Section 3140, p. 850)
40. Independent Payment Advisory Board (Section 3403, p. 982)
41. Consumer Advisory Council for Independent Payment Advisory Board (Section 3403, p. 1027)
42. Grant program for technical assistance to providers implementing health quality practices (Section 3501, p. 1043)
43. Grant program to establish interdisciplinary health teams (Section 3502, p. 1048)
44. Grant program to implement medication therapy management (Section 3503, p. 1055)
45. Grant program to support emergency care pilot programs (Section 3504, p. 1061)
46. Grant program to promote universal access to trauma services (Section 3505(b), p. 1081)
47. Grant program to develop and promote shared decision-making aids (Section 3506, p. 1088)
48. Grant program to support implementation of shared decision-making (Section 3506, p. 1091)
49. Grant program to integrate quality improvement in clinical education (Section 3508, p. 1095)
50. Health and Human Services Coordinating Committee on Women’s Health (Section 3509(a), p. 1098)
51. Centers for Disease Control Office of Women’s Health (Section 3509(b), p. 1102)
52. Agency for Healthcare Research and Quality Office of Women’s Health (Section 3509(e), p. 1105)
53. Health Resources and Services Administration Office of Women’s Health (Section 3509(f), p. 1106)
54. Food and Drug Administration Office of Women’s Health (Section 3509(g), p. 1109)
55. National Prevention, Health Promotion, and Public Health Council (Section 4001, p. 1114)
56. Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Section 4001(f), p. 1117)
57. Prevention and Public Health Fund (Section 4002, p. 1121)
58. Community Preventive Services Task Force (Section 4003(b), p. 1126)
59. Grant program to support school-based health centers (Section 4101, p. 1135)
60. Grant program to promote research-based dental caries disease management (Section 4102, p. 1147)
61. Grant program for States to prevent chronic disease in Medicaid beneficiaries (Section 4108, p. 1174)
62. Community transformation grants (Section 4201, p. 1182)
63. Grant program to provide public health interventions (Section 4202, p. 1188)
64. Demonstration program of grants to improve child immunization rates (Section 4204(b), p. 1200)
65. Pilot program for risk-factor assessments provided through community health centers (Section 4206, p. 1215)
66. Grant program to increase epidemiology and laboratory capacity (Section 4304, p. 1233)
67. Interagency Pain Research Coordinating Committee (Section 4305, p. 1238)
68. National Health Care Workforce Commission (Section 5101, p. 1256)
69. Grant program to plan health care workforce development activities (Section 5102(c), p. 1275)
70. Grant program to implement health care workforce development activities (Section 5102(d), p. 1279)
71. Pediatric specialty loan repayment program (Section 5203, p. 1295)
72. Public Health Workforce Loan Repayment Program (Section 5204, p. 1300)
73. Allied Health Loan Forgiveness Program (Section 5205, p. 1305)
74. Grant program to provide mid-career training for health professionals (Section 5206, p. 1307)
75. Grant program to fund nurse-managed health clinics (Section 5208, p. 1310)
76. Grant program to support primary care training programs (Section 5301, p. 1315)
77. Grant program to fund training for direct care workers (Section 5302, p. 1322)
78. Grant program to develop dental training programs (Section 5303, p. 1325)
79. Demonstration program to increase access to dental health care in underserved communities (Section 5304, p. 1331)
80. Grant program to promote geriatric education centers (Section 5305, p. 1334)
81. Grant program to promote health professionals entering geriatrics (Section 5305, p. 1339)
82. Grant program to promote training in mental and behavioral health (Section 5306, p. 1344)
83. Grant program to promote nurse retention programs (Section 5309, p. 1354)
84. Student loan forgiveness for nursing school faculty (Section 5311(b), p. 1360)
85. Grant program to promote positive health behaviors and outcomes (Section 5313, p. 1364)
86. Public Health Sciences Track for medical students (Section 5315, p. 1372)
87. Primary Care Extension Program to educate providers (Section 5405, p. 1404)
88. Grant program for demonstration projects to address health workforce shortage needs (Section 5507, p. 1442)
89. Grant program for demonstration projects to develop training programs for home health aides (Section 5507, p. 1447)
90. Grant program to establish new primary care residency programs (Section 5508(a), p. 1458)
91. Program of payments to teaching health centers that sponsor medical residency training (Section 5508(c), p. 1462)
92. Graduate nurse education demonstration program (Section 5509, p. 1472)
93. Grant program to establish demonstration projects for community-based mental health settings (Section 5604, p. 1486)
94. Commission on Key National Indicators (Section 5605, p. 1489)
95. Quality assurance and performance improvement program for skilled nursing facilities (Section 6102, p. 1554)
96. Special focus facility program for skilled nursing facilities (Section 6103(a)(3), p. 1561)
97. Special focus facility program for nursing facilities (Section 6103(b)(3), p. 1568)
98. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 6112, p. 1589)
99. Demonstration projects for nursing facilities involved in the culture change movement (Section 6114, p. 1597)
100. Patient-Centered Outcomes Research Institute (Section 6301, p. 1619)
101. Standing methodology committee for Patient-Centered Outcomes Research Institute (Section 6301, p. 1629)
102. Board of Governors for Patient-Centered Outcomes Research Institute (Section 6301, p. 1638)
103. Patient-Centered Outcomes Research Trust Fund (Section 6301(e), p. 1656)
104. Elder Justice Coordinating Council (Section 6703, p. 1773)
105. Advisory Board on Elder Abuse, Neglect, and Exploitation (Section 6703, p. 1776)
106. Grant program to create elder abuse forensic centers (Section 6703, p. 1783)
107. Grant program to promote continuing education for long-term care staffers (Section 6703, p. 1787)
108. Grant program to improve management practices and training (Section 6703, p. 1788)
109. Grant program to subsidize costs of electronic health records (Section 6703, p. 1791)
110. Grant program to promote adult protective services (Section 6703, p. 1796)
111. Grant program to conduct elder abuse detection and prevention (Section 6703, p. 1798)
112. Grant program to support long-term care ombudsmen (Section 6703, p. 1800)
113. National Training Institute for long-term care surveyors (Section 6703, p. 1806)
114. Grant program to fund State surveys of long-term care residences (Section 6703, p. 1809)
115. CLASS Independence Fund (Section 8002, p. 1926)
116. CLASS Independence Fund Board of Trustees (Section 8002, p. 1927)
117. CLASS Independence Advisory Council (Section 8002, p. 1931)
118. Personal Care Attendants Workforce Advisory Panel (Section 8002(c), p. 1938)
119. Multi-state health plans offered by Office of Personnel Management (Section 10104(p), p. 2086)
120. Advisory board for multi-state health plans (Section 10104(p), p. 2094)
121. Pregnancy Assistance Fund (Section 10212, p. 2164)
122. Value-based purchasing program for ambulatory surgical centers (Section 10301, p. 2176)
123. Demonstration project for payment adjustments to home health services (Section 10315, p. 2200)
124. Pilot program for care of individuals in environmental emergency declaration areas (Section 10323, p. 2223)
125. Grant program to screen at-risk individuals for environmental health conditions (Section 10323(b), p. 2231)
126. Pilot programs to implement value-based purchasing (Section 10326, p. 2242)
127. Grant program to support community-based collaborative care networks (Section 10333, p. 2265)
128. Centers for Disease Control Office of Minority Health (Section 10334, p. 2272)
129. Health Resources and Services Administration Office of Minority Health (Section 10334, p. 2272)
130. Substance Abuse and Mental Health Services Administration Office of Minority Health (Section 10334, p. 2272)
131. Agency for Healthcare Research and Quality Office of Minority Health (Section 10334, p. 2272)
132. Food and Drug Administration Office of Minority Health (Section 10334, p. 2272)
133. Centers for Medicare and Medicaid Services Office of Minority Health (Section 10334, p. 2272)
134. Grant program to promote small business wellness programs (Section 10408, p. 2285)
135. Cures Acceleration Network (Section 10409, p. 2289)
136. Cures Acceleration Network Review Board (Section 10409, p. 2291)
137. Grant program for Cures Acceleration Network (Section 10409, p. 2297)
138. Grant program to promote centers of excellence for depression (Section 10410, p. 2304)
139. Advisory committee for young women’s breast health awareness education campaign (Section 10413, p. 2322)
140. Grant program to provide assistance to provide information to young women with breast cancer (Section 10413, p. 2326)
141. Interagency Access to Health Care in Alaska Task Force (Section 10501, p. 2329)
142. Grant program to train nurse practitioners as primary care providers (Section 10501(e), p. 2332)
143. Grant program for community-based diabetes prevention (Section 10501(g), p. 2337)
144. Grant program for providers who treat a high percentage of medically underserved populations (Section 10501(k), p. 2343)
145. Grant program to recruit students to practice in underserved communities (Section 10501(l), p. 2344)
146. Community Health Center Fund (Section 10503, p. 2355)
147. Demonstration project to provide access to health care for the uninsured at reduced fees (Section 10504, p. 2357)
148. Demonstration program to explore alternatives to tort litigation (Section 10607, p. 2369)
149. Indian Health demonstration program for chronic shortages of health professionals (S. 1790, Section 112, p. 24)*
150. Office of Indian Men’s Health (S. 1790, Section 136, p. 71)*
151. Indian Country modular component facilities demonstration program (S. 1790, Section 146, p. 108)*
152. Indian mobile health stations demonstration program (S. 1790, Section 147, p. 111)*
153. Office of Direct Service Tribes (S. 1790, Section 172, p. 151)*
154. Indian Health Service mental health technician training program (S. 1790, Section 181, p. 173)*
155. Indian Health Service program for treatment of child sexual abuse victims (S. 1790, Section 181, p. 192)*
156. Indian Health Service program for treatment of domestic violence and sexual abuse (S. 1790, Section 181, p. 194)*
157. Indian youth telemental health demonstration project (S. 1790, Section 181, p. 204)*
158. Indian youth life skills demonstration project (S. 1790, Section 181, p. 220)*
159. Indian Health Service Director of HIV/AIDS Prevention and Treatment (S. 1790, Section 199B, p. 258)*
*Section 10221, page 2173 of H.R. 3590 deems that S. 1790 shall be deemed as passed with certain amendments.
1. Grant program for consumer assistance offices (Section 1002, p. 37)
2. Grant program for states to monitor premium increases (Section 1003, p. 42)
3. Committee to review administrative simplification standards (Section 1104, p. 71)
4. Demonstration program for state wellness programs (Section 1201, p. 93)
5. Grant program to establish state Exchanges (Section 1311(a), p. 130)
6. State American Health Benefit Exchanges (Section 1311(b), p. 131)
7. Exchange grants to establish consumer navigator programs (Section 1311(I), p. 150)
8. Grant program for state cooperatives (Section 1322, p. 169)
9. Advisory board for state cooperatives (Section 1322(b)(3), p. 173)
10. Private purchasing council for state cooperatives (Section 1322(d), p. 177)
11. State basic health plan programs (Section 1331, p. 201)
12. State-based reinsurance program (Section 1341, p. 226)
13. Program of risk corridors for individual and small group markets (Section 1342, p. 233)
14. Program to determine eligibility for Exchange participation (Section 1411, p. 267)
15. Program for advance determination of tax credit eligibility (Section 1412, p. 288)
16. Grant program to implement health IT enrollment standards (Section 1561, p. 370)
17. Federal Coordinated Health Care Office for dual eligible beneficiaries (Section 2602, p. 512)
18. Medicaid quality measurement program (Section 2701, p. 518)
19. Medicaid health home program for people with chronic conditions, and grants for planning same (Section 2703, p. 524)
20. Medicaid demonstration project to evaluate bundled payments (Section 2704, p. 532)
21. Medicaid demonstration project for global payment system (Section 2705, p. 536)
22. Medicaid demonstration project for accountable care organizations (Section 2706, p. 538)
23. Medicaid demonstration project for emergency psychiatric care (Section 2707, p. 540)
24. Grant program for delivery of services to individuals with postpartum depression (Section 2952(b), p. 591)
25. State allotments for grants to promote personal responsibility education programs (Section 2953, p. 596)
26. Medicare value-based purchasing program (Section 3001(a), p. 613)
27. Medicare value-based purchasing demonstration program for critical access hospitals (Section 3001(b), p. 637)
28. Medicare value-based purchasing program for skilled nursing facilities (Section 3006(a), p. 666)
29. Medicare value-based purchasing program for home health agencies (Section 3006(b), p. 668)
30. Interagency Working Group on Health Care Quality (Section 3012, p. 688)
31. Grant program to develop health care quality measures (Section 3013, p. 693)
32. Center for Medicare and Medicaid Innovation (Section 3021, p. 712)
33. Medicare shared savings program (Section 3022, p. 728)
34. Medicare pilot program on payment bundling (Section 3023, p. 739)
35. Independence at home medical practice demonstration program (Section 3024, p. 752)
36. Program for use of patient safety organizations to reduce hospital readmission rates (Section 3025(b), p. 775)
37. Community-based care transitions program (Section 3026, p. 776)
38. Demonstration project for payment of complex diagnostic laboratory tests (Section 3113, p. 800)
39. Medicare hospice concurrent care demonstration project (Section 3140, p. 850)
40. Independent Payment Advisory Board (Section 3403, p. 982)
41. Consumer Advisory Council for Independent Payment Advisory Board (Section 3403, p. 1027)
42. Grant program for technical assistance to providers implementing health quality practices (Section 3501, p. 1043)
43. Grant program to establish interdisciplinary health teams (Section 3502, p. 1048)
44. Grant program to implement medication therapy management (Section 3503, p. 1055)
45. Grant program to support emergency care pilot programs (Section 3504, p. 1061)
46. Grant program to promote universal access to trauma services (Section 3505(b), p. 1081)
47. Grant program to develop and promote shared decision-making aids (Section 3506, p. 1088)
48. Grant program to support implementation of shared decision-making (Section 3506, p. 1091)
49. Grant program to integrate quality improvement in clinical education (Section 3508, p. 1095)
50. Health and Human Services Coordinating Committee on Women’s Health (Section 3509(a), p. 1098)
51. Centers for Disease Control Office of Women’s Health (Section 3509(b), p. 1102)
52. Agency for Healthcare Research and Quality Office of Women’s Health (Section 3509(e), p. 1105)
53. Health Resources and Services Administration Office of Women’s Health (Section 3509(f), p. 1106)
54. Food and Drug Administration Office of Women’s Health (Section 3509(g), p. 1109)
55. National Prevention, Health Promotion, and Public Health Council (Section 4001, p. 1114)
56. Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Section 4001(f), p. 1117)
57. Prevention and Public Health Fund (Section 4002, p. 1121)
58. Community Preventive Services Task Force (Section 4003(b), p. 1126)
59. Grant program to support school-based health centers (Section 4101, p. 1135)
60. Grant program to promote research-based dental caries disease management (Section 4102, p. 1147)
61. Grant program for States to prevent chronic disease in Medicaid beneficiaries (Section 4108, p. 1174)
62. Community transformation grants (Section 4201, p. 1182)
63. Grant program to provide public health interventions (Section 4202, p. 1188)
64. Demonstration program of grants to improve child immunization rates (Section 4204(b), p. 1200)
65. Pilot program for risk-factor assessments provided through community health centers (Section 4206, p. 1215)
66. Grant program to increase epidemiology and laboratory capacity (Section 4304, p. 1233)
67. Interagency Pain Research Coordinating Committee (Section 4305, p. 1238)
68. National Health Care Workforce Commission (Section 5101, p. 1256)
69. Grant program to plan health care workforce development activities (Section 5102(c), p. 1275)
70. Grant program to implement health care workforce development activities (Section 5102(d), p. 1279)
71. Pediatric specialty loan repayment program (Section 5203, p. 1295)
72. Public Health Workforce Loan Repayment Program (Section 5204, p. 1300)
73. Allied Health Loan Forgiveness Program (Section 5205, p. 1305)
74. Grant program to provide mid-career training for health professionals (Section 5206, p. 1307)
75. Grant program to fund nurse-managed health clinics (Section 5208, p. 1310)
76. Grant program to support primary care training programs (Section 5301, p. 1315)
77. Grant program to fund training for direct care workers (Section 5302, p. 1322)
78. Grant program to develop dental training programs (Section 5303, p. 1325)
79. Demonstration program to increase access to dental health care in underserved communities (Section 5304, p. 1331)
80. Grant program to promote geriatric education centers (Section 5305, p. 1334)
81. Grant program to promote health professionals entering geriatrics (Section 5305, p. 1339)
82. Grant program to promote training in mental and behavioral health (Section 5306, p. 1344)
83. Grant program to promote nurse retention programs (Section 5309, p. 1354)
84. Student loan forgiveness for nursing school faculty (Section 5311(b), p. 1360)
85. Grant program to promote positive health behaviors and outcomes (Section 5313, p. 1364)
86. Public Health Sciences Track for medical students (Section 5315, p. 1372)
87. Primary Care Extension Program to educate providers (Section 5405, p. 1404)
88. Grant program for demonstration projects to address health workforce shortage needs (Section 5507, p. 1442)
89. Grant program for demonstration projects to develop training programs for home health aides (Section 5507, p. 1447)
90. Grant program to establish new primary care residency programs (Section 5508(a), p. 1458)
91. Program of payments to teaching health centers that sponsor medical residency training (Section 5508(c), p. 1462)
92. Graduate nurse education demonstration program (Section 5509, p. 1472)
93. Grant program to establish demonstration projects for community-based mental health settings (Section 5604, p. 1486)
94. Commission on Key National Indicators (Section 5605, p. 1489)
95. Quality assurance and performance improvement program for skilled nursing facilities (Section 6102, p. 1554)
96. Special focus facility program for skilled nursing facilities (Section 6103(a)(3), p. 1561)
97. Special focus facility program for nursing facilities (Section 6103(b)(3), p. 1568)
98. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 6112, p. 1589)
99. Demonstration projects for nursing facilities involved in the culture change movement (Section 6114, p. 1597)
100. Patient-Centered Outcomes Research Institute (Section 6301, p. 1619)
101. Standing methodology committee for Patient-Centered Outcomes Research Institute (Section 6301, p. 1629)
102. Board of Governors for Patient-Centered Outcomes Research Institute (Section 6301, p. 1638)
103. Patient-Centered Outcomes Research Trust Fund (Section 6301(e), p. 1656)
104. Elder Justice Coordinating Council (Section 6703, p. 1773)
105. Advisory Board on Elder Abuse, Neglect, and Exploitation (Section 6703, p. 1776)
106. Grant program to create elder abuse forensic centers (Section 6703, p. 1783)
107. Grant program to promote continuing education for long-term care staffers (Section 6703, p. 1787)
108. Grant program to improve management practices and training (Section 6703, p. 1788)
109. Grant program to subsidize costs of electronic health records (Section 6703, p. 1791)
110. Grant program to promote adult protective services (Section 6703, p. 1796)
111. Grant program to conduct elder abuse detection and prevention (Section 6703, p. 1798)
112. Grant program to support long-term care ombudsmen (Section 6703, p. 1800)
113. National Training Institute for long-term care surveyors (Section 6703, p. 1806)
114. Grant program to fund State surveys of long-term care residences (Section 6703, p. 1809)
115. CLASS Independence Fund (Section 8002, p. 1926)
116. CLASS Independence Fund Board of Trustees (Section 8002, p. 1927)
117. CLASS Independence Advisory Council (Section 8002, p. 1931)
118. Personal Care Attendants Workforce Advisory Panel (Section 8002(c), p. 1938)
119. Multi-state health plans offered by Office of Personnel Management (Section 10104(p), p. 2086)
120. Advisory board for multi-state health plans (Section 10104(p), p. 2094)
121. Pregnancy Assistance Fund (Section 10212, p. 2164)
122. Value-based purchasing program for ambulatory surgical centers (Section 10301, p. 2176)
123. Demonstration project for payment adjustments to home health services (Section 10315, p. 2200)
124. Pilot program for care of individuals in environmental emergency declaration areas (Section 10323, p. 2223)
125. Grant program to screen at-risk individuals for environmental health conditions (Section 10323(b), p. 2231)
126. Pilot programs to implement value-based purchasing (Section 10326, p. 2242)
127. Grant program to support community-based collaborative care networks (Section 10333, p. 2265)
128. Centers for Disease Control Office of Minority Health (Section 10334, p. 2272)
129. Health Resources and Services Administration Office of Minority Health (Section 10334, p. 2272)
130. Substance Abuse and Mental Health Services Administration Office of Minority Health (Section 10334, p. 2272)
131. Agency for Healthcare Research and Quality Office of Minority Health (Section 10334, p. 2272)
132. Food and Drug Administration Office of Minority Health (Section 10334, p. 2272)
133. Centers for Medicare and Medicaid Services Office of Minority Health (Section 10334, p. 2272)
134. Grant program to promote small business wellness programs (Section 10408, p. 2285)
135. Cures Acceleration Network (Section 10409, p. 2289)
136. Cures Acceleration Network Review Board (Section 10409, p. 2291)
137. Grant program for Cures Acceleration Network (Section 10409, p. 2297)
138. Grant program to promote centers of excellence for depression (Section 10410, p. 2304)
139. Advisory committee for young women’s breast health awareness education campaign (Section 10413, p. 2322)
140. Grant program to provide assistance to provide information to young women with breast cancer (Section 10413, p. 2326)
141. Interagency Access to Health Care in Alaska Task Force (Section 10501, p. 2329)
142. Grant program to train nurse practitioners as primary care providers (Section 10501(e), p. 2332)
143. Grant program for community-based diabetes prevention (Section 10501(g), p. 2337)
144. Grant program for providers who treat a high percentage of medically underserved populations (Section 10501(k), p. 2343)
145. Grant program to recruit students to practice in underserved communities (Section 10501(l), p. 2344)
146. Community Health Center Fund (Section 10503, p. 2355)
147. Demonstration project to provide access to health care for the uninsured at reduced fees (Section 10504, p. 2357)
148. Demonstration program to explore alternatives to tort litigation (Section 10607, p. 2369)
149. Indian Health demonstration program for chronic shortages of health professionals (S. 1790, Section 112, p. 24)*
150. Office of Indian Men’s Health (S. 1790, Section 136, p. 71)*
151. Indian Country modular component facilities demonstration program (S. 1790, Section 146, p. 108)*
152. Indian mobile health stations demonstration program (S. 1790, Section 147, p. 111)*
153. Office of Direct Service Tribes (S. 1790, Section 172, p. 151)*
154. Indian Health Service mental health technician training program (S. 1790, Section 181, p. 173)*
155. Indian Health Service program for treatment of child sexual abuse victims (S. 1790, Section 181, p. 192)*
156. Indian Health Service program for treatment of domestic violence and sexual abuse (S. 1790, Section 181, p. 194)*
157. Indian youth telemental health demonstration project (S. 1790, Section 181, p. 204)*
158. Indian youth life skills demonstration project (S. 1790, Section 181, p. 220)*
159. Indian Health Service Director of HIV/AIDS Prevention and Treatment (S. 1790, Section 199B, p. 258)*
*Section 10221, page 2173 of H.R. 3590 deems that S. 1790 shall be deemed as passed with certain amendments.
Where is the Health Care Change?
Two weeks after President Barack Obama signed the big health care overhaul into law, Americans are struggling to understand how — and when — the sweeping measure will affect them.
Questions reflecting confusion have flooded insurance companies, doctors' offices, human resources departments and business groups.
"They're saying, 'Where do we get the free Obama care, and how do I sign up for that?' " said Carrie McLean, a licensed agent for eHealthInsurance.com. The California-based company sells coverage from 185 health insurance carriers in 50 states.
McLean said the call center had been inundated by uninsured consumers who were hoping that the overhaul would translate into instant, affordable coverage. That widespread misconception may have originated in part from distorted rhetoric about the legislation bubbling up from the hyper-partisan debate about it in Washington and some media outlets, such as when opponents denounced it as socialism.
"We tell them it's not free, that there are going to be things in place that help people who are low-income, but that ultimately most of that is not going to be taking place until 2014," McLean said.
Adults with pre-existing conditions are frustrated to learn that insurers won't have to cover them until 2014 (though those under 18 will be protected in late September); then they become both hopeful and confused upon learning that a federal high-risk pool for them will be established in the next few months. "Health insurance is so confusing. You add this on top of it and it makes it even more confusing," McLean said.
Questions reflecting confusion have flooded insurance companies, doctors' offices, human resources departments and business groups.
"They're saying, 'Where do we get the free Obama care, and how do I sign up for that?' " said Carrie McLean, a licensed agent for eHealthInsurance.com. The California-based company sells coverage from 185 health insurance carriers in 50 states.
McLean said the call center had been inundated by uninsured consumers who were hoping that the overhaul would translate into instant, affordable coverage. That widespread misconception may have originated in part from distorted rhetoric about the legislation bubbling up from the hyper-partisan debate about it in Washington and some media outlets, such as when opponents denounced it as socialism.
"We tell them it's not free, that there are going to be things in place that help people who are low-income, but that ultimately most of that is not going to be taking place until 2014," McLean said.
Adults with pre-existing conditions are frustrated to learn that insurers won't have to cover them until 2014 (though those under 18 will be protected in late September); then they become both hopeful and confused upon learning that a federal high-risk pool for them will be established in the next few months. "Health insurance is so confusing. You add this on top of it and it makes it even more confusing," McLean said.
Rep. Dingell Says ObamaCare Will Eventually ‘Control the People’
Seriously? Now they are coming right out and admitting it? Look, this is a giant leap towards socialism, please, please open your eyes. This has little to nothing to do with lowering the cost of health care, but has everything to do with requiring all Americans to be dependent on the government for health care, and what is health care but the prolonging of life. Do you want to depend on the government to live?
Health Care Bill Full of Empty Promises
The government sold health care reform with 5 basic talking points:
1. You won’t be able to be kicked off of your insurance when you really need it.
Turns out that the insurance companies CAN kick you off if they pay a fine. It is not hard to imagine that an insurance company will figure out pretty quickly that it would be cheaper to pay the fine than to pay for coverage of a long term chronic illness.
2. You won’t be denied medical care for pre-existing conditions.
If the insurance company deems that you have lied on the application you will be denied coverage.
Sick children are no longer considered to have pre-existing conditions, but what about women who are pregnant?
3. You can keep the doctor you have if you are already covered.
With the cuts in Medicare reimbursements that have already happened (no more consultation fees) and the looming 21% cut at the end of October. Many more physicians than the current 30% are looking to opt out of Medicare. When the commercial insurance reimbursement rates drop (as they invariably will since they pay at a percentage of Medicare) there will be more doctors looking to leave commercial insurance as well.
4. Health care reform will lead to increased access.
There is no way that there will be an increase in access when you take into account; 1) the physician shortage, 2) Those physicians who will leave medicine after the passage of this monstrosity (a recent poll of physicians states that 35% would leave the profession), and 3) those who will stop taking insurance all together because they are simply fed up.
Expanding Medicaid to those who are currently uninsured is not going to help since most doctors are not taking Medicaid now. Currently access to specialists is pretty poor, it will decline further.
5. Health care reform will cover 30 million more uninsured people.
The bill will cover approximately 7 million more people over the next nine years and leave over 100 million people under insured.
6. The health care reform bill will decrease the deficit
The CBO numbers do not take into account the “doctor fix” and the government takeover of student loans was added to pad the numbers.
If you do real world accounting by adding in the “doctor fix” (over 230 million dollars) you actually wipe out the cost savings and you increase the deficit (anywhere from 400-700 million dollars.)
If it sways your opinion at all, the woman that wrote this is a Dr. (Dr. Elainia George). And for those of you that keep tabs on this sort of thing, she is also black. Looks like you can't go calling her an ignorant racist.
1. You won’t be able to be kicked off of your insurance when you really need it.
Turns out that the insurance companies CAN kick you off if they pay a fine. It is not hard to imagine that an insurance company will figure out pretty quickly that it would be cheaper to pay the fine than to pay for coverage of a long term chronic illness.
2. You won’t be denied medical care for pre-existing conditions.
If the insurance company deems that you have lied on the application you will be denied coverage.
Sick children are no longer considered to have pre-existing conditions, but what about women who are pregnant?
3. You can keep the doctor you have if you are already covered.
With the cuts in Medicare reimbursements that have already happened (no more consultation fees) and the looming 21% cut at the end of October. Many more physicians than the current 30% are looking to opt out of Medicare. When the commercial insurance reimbursement rates drop (as they invariably will since they pay at a percentage of Medicare) there will be more doctors looking to leave commercial insurance as well.
4. Health care reform will lead to increased access.
There is no way that there will be an increase in access when you take into account; 1) the physician shortage, 2) Those physicians who will leave medicine after the passage of this monstrosity (a recent poll of physicians states that 35% would leave the profession), and 3) those who will stop taking insurance all together because they are simply fed up.
Expanding Medicaid to those who are currently uninsured is not going to help since most doctors are not taking Medicaid now. Currently access to specialists is pretty poor, it will decline further.
5. Health care reform will cover 30 million more uninsured people.
The bill will cover approximately 7 million more people over the next nine years and leave over 100 million people under insured.
6. The health care reform bill will decrease the deficit
The CBO numbers do not take into account the “doctor fix” and the government takeover of student loans was added to pad the numbers.
If you do real world accounting by adding in the “doctor fix” (over 230 million dollars) you actually wipe out the cost savings and you increase the deficit (anywhere from 400-700 million dollars.)
If it sways your opinion at all, the woman that wrote this is a Dr. (Dr. Elainia George). And for those of you that keep tabs on this sort of thing, she is also black. Looks like you can't go calling her an ignorant racist.
Obama Breaks Promise - Signs Bill 36 Hours Later
On the campaign trail President Obama said the "public will have five days to look at every bill that lands on my desk" before he signs it into law. Yet, as with so many promises, this one will be broken today, a mere day and a half later, as he gathers in the East Room to sign the bill into law.
It seems like a good idea, right? Health reform is needed, there is no denying that. Supporters of the bill say it's a step in the right direction. I say BS, it's a step in the wrong direction and a violation of personal liberties.
IBD was kind enough to provide a list of 20 ways Obamacare takes away our freedom. I'll summarize here.
1. You don't want health insurance? Tough, pay up or face fines. (Section 1501)
2. Do you take care of yourself and think your insurance premiums should reflect that? Tough. You have to pay for premiums that cover not only you, but also the guy who smokes, drinks and eats chicken fat off the floor. That’s because insurance companies will no longer be able to underwrite on the basis of a person’s health status. (Section 2701).
3. You would like to pay less in premiums by buying insurance with lifetime or annual limits on coverage? Tough. Health insurers will no longer be able to offer such policies. (Section 2711).
4. Think you’d like a policy that is cheaper because it doesn’t cover preventive care or requires cost-sharing for such care? Tough. Health insurers will no longer be able to offer policies that do not cover preventive services or offer them with cost-sharing. (Section 2712).
5. You are an employer and you would like to offer coverage that doesn’t allow your employers’ slacker children to stay on the policy until age 26? Tough, you are paying for them too. (Section 2714).
6. You must buy a policy that covers ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services; chronic disease management; and pediatric services, including oral and vision care. You’re a single guy without children? Tough, your policy must cover pediatric services. You’re a woman who can’t have children? Tough, your policy must cover maternity services. You’re a teetotaler? Tough, your policy must cover substance abuse treatment. (Section 1302).
7. Do you want a plan with lots of cost-sharing and low premiums? Well, the best you can do is a “Bronze plan,” which has benefits that provide benefits that are actuarially equivalent to 60% of the full actuarial value of the benefits provided under the plan. Anything lower than that, tough. (Section 1302 (d) (1) (A))
8. You are an small employer and you’d like to offer policies with deductibles higher than $2,000 for individuals and $4,000 for families? Tough. (Section 1302 (c) (2) (A).
9. If you are a large employer (101+) and you do not want to provide health insurance to your employee, then you will pay a $750 fine per employee. Tough. (Section 1513).
10. You are an employer who offers health flexible spending arrangements and your employees want to deduct more than $2,500 from their salaries for it? Tough. (Section 9005 (i)).
11. If you are a physician and you don’t want the government looking over your shoulder? Tough. The Secretary of Health and Human Services is authorized to use your claims data to issue you reports that measure the resources you use, provide information on the quality of care you provide, and compare the resources you use to those used by other physicians. (Section 3003 (i))
12. If you are a physician and you want to own your own hospital, you must be an owner and have a “Medicare provider agreement” by Feb. 1, 2010. (Section 6001 (i) (1) (A))
13. If you are a physician owner and you want to expand your hospital? Well, you can’t (Section 6001 (i) (1) (B). Unless, it is located in a country where, over the last five years, population growth has been 150% of what it has been in the state (Section 6601 (i) (3) ( E)). And then you cannot increase your capacity by more than 200% (Section 6001 (i) (3) (C)).
14. You are a health insurer and you want to raise premiums to meet costs? Well, if that increase is deemed “unreasonable” by the Secretary of Health and Human Services it will be subject to review and can be denied. If that forces you out of business, tough. (Section 1003)
15. The government will extract a fee of $2.3 billion annually from the pharmaceutical industry. If you are a pharmaceutical company what you will pay depends on the ratio of the number of brand-name drugs you sell to the total number of brand-name drugs sold in the U.S. So, if you sell 10% of the brand-name drugs in the U.S., what you pay will be 10% multiplied by $2.3 billion, or $230,000,000. (Section 1404) This gigantic over head cripples your company? Tough. (Section 9008 (b)
16. The government will extract a fee of $2 billion annually from medical device makers. If you are a medical device maker what you will pay depends on your share of medical device sales in the U.S. So, if you sell 10% of the medical devices in the U.S., what you pay will be 10% multiplied by $2 billion, or $200,000,000. Forced to ship your manufacturing jobs over seas putting thousands out of work? Tough. (Section 9009 (b)).
The reconciliation package turns that into a 2.9% excise tax for medical device makers. Think you, as a medical device maker, know how to better use that money, say for research and development? Tough. (Section 1405).
17. The government will extract a fee of $6.7 billion annually from insurance companies. If you are an insurer, what you will pay depends on your share of net premiums plus 200% of your administrative costs. So, if your net premiums and administrative costs are equal to 10% of the total, you will pay 10% of $6.7 billion, or $670,000,000. In the reconciliation bill, the fee will start at $8 billion in 2014, $11.3 billion in 2015, $1.9 billion in 2017, and $14.3 billion in 2018 (Section 1406). Fees destroy your profit margin, forcing you out of business? Tough. (Section 9010 (b) (1) (A and B).)
18. If an insurance company board or its stockholders think the CEO is worth more than $500,000 in deferred compensation? Tough. (Section 9014).
19. You will have to pay an additional 0.5% payroll tax on any dollar you make over $250,000 if you file a joint return and $200,000 if you file an individual return. Don't want the government taking more of your hard earned money? Tough, eat it bourgeoisie. (Section 9015). That amount will rise to a 3.8% tax if reconciliation passes. It will also apply to investment income, estates, and trusts. (Section 1402).
20. If you go for cosmetic surgery, you will pay an additional 5% tax on the cost of the procedure. Don't want Uncle Sam double dipping in your pockets? Tough. (Section 9017).
It seems like a good idea, right? Health reform is needed, there is no denying that. Supporters of the bill say it's a step in the right direction. I say BS, it's a step in the wrong direction and a violation of personal liberties.
IBD was kind enough to provide a list of 20 ways Obamacare takes away our freedom. I'll summarize here.
1. You don't want health insurance? Tough, pay up or face fines. (Section 1501)
2. Do you take care of yourself and think your insurance premiums should reflect that? Tough. You have to pay for premiums that cover not only you, but also the guy who smokes, drinks and eats chicken fat off the floor. That’s because insurance companies will no longer be able to underwrite on the basis of a person’s health status. (Section 2701).
3. You would like to pay less in premiums by buying insurance with lifetime or annual limits on coverage? Tough. Health insurers will no longer be able to offer such policies. (Section 2711).
4. Think you’d like a policy that is cheaper because it doesn’t cover preventive care or requires cost-sharing for such care? Tough. Health insurers will no longer be able to offer policies that do not cover preventive services or offer them with cost-sharing. (Section 2712).
5. You are an employer and you would like to offer coverage that doesn’t allow your employers’ slacker children to stay on the policy until age 26? Tough, you are paying for them too. (Section 2714).
6. You must buy a policy that covers ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services; chronic disease management; and pediatric services, including oral and vision care. You’re a single guy without children? Tough, your policy must cover pediatric services. You’re a woman who can’t have children? Tough, your policy must cover maternity services. You’re a teetotaler? Tough, your policy must cover substance abuse treatment. (Section 1302).
7. Do you want a plan with lots of cost-sharing and low premiums? Well, the best you can do is a “Bronze plan,” which has benefits that provide benefits that are actuarially equivalent to 60% of the full actuarial value of the benefits provided under the plan. Anything lower than that, tough. (Section 1302 (d) (1) (A))
8. You are an small employer and you’d like to offer policies with deductibles higher than $2,000 for individuals and $4,000 for families? Tough. (Section 1302 (c) (2) (A).
9. If you are a large employer (101+) and you do not want to provide health insurance to your employee, then you will pay a $750 fine per employee. Tough. (Section 1513).
10. You are an employer who offers health flexible spending arrangements and your employees want to deduct more than $2,500 from their salaries for it? Tough. (Section 9005 (i)).
11. If you are a physician and you don’t want the government looking over your shoulder? Tough. The Secretary of Health and Human Services is authorized to use your claims data to issue you reports that measure the resources you use, provide information on the quality of care you provide, and compare the resources you use to those used by other physicians. (Section 3003 (i))
12. If you are a physician and you want to own your own hospital, you must be an owner and have a “Medicare provider agreement” by Feb. 1, 2010. (Section 6001 (i) (1) (A))
13. If you are a physician owner and you want to expand your hospital? Well, you can’t (Section 6001 (i) (1) (B). Unless, it is located in a country where, over the last five years, population growth has been 150% of what it has been in the state (Section 6601 (i) (3) ( E)). And then you cannot increase your capacity by more than 200% (Section 6001 (i) (3) (C)).
14. You are a health insurer and you want to raise premiums to meet costs? Well, if that increase is deemed “unreasonable” by the Secretary of Health and Human Services it will be subject to review and can be denied. If that forces you out of business, tough. (Section 1003)
15. The government will extract a fee of $2.3 billion annually from the pharmaceutical industry. If you are a pharmaceutical company what you will pay depends on the ratio of the number of brand-name drugs you sell to the total number of brand-name drugs sold in the U.S. So, if you sell 10% of the brand-name drugs in the U.S., what you pay will be 10% multiplied by $2.3 billion, or $230,000,000. (Section 1404) This gigantic over head cripples your company? Tough. (Section 9008 (b)
16. The government will extract a fee of $2 billion annually from medical device makers. If you are a medical device maker what you will pay depends on your share of medical device sales in the U.S. So, if you sell 10% of the medical devices in the U.S., what you pay will be 10% multiplied by $2 billion, or $200,000,000. Forced to ship your manufacturing jobs over seas putting thousands out of work? Tough. (Section 9009 (b)).
The reconciliation package turns that into a 2.9% excise tax for medical device makers. Think you, as a medical device maker, know how to better use that money, say for research and development? Tough. (Section 1405).
17. The government will extract a fee of $6.7 billion annually from insurance companies. If you are an insurer, what you will pay depends on your share of net premiums plus 200% of your administrative costs. So, if your net premiums and administrative costs are equal to 10% of the total, you will pay 10% of $6.7 billion, or $670,000,000. In the reconciliation bill, the fee will start at $8 billion in 2014, $11.3 billion in 2015, $1.9 billion in 2017, and $14.3 billion in 2018 (Section 1406). Fees destroy your profit margin, forcing you out of business? Tough. (Section 9010 (b) (1) (A and B).)
18. If an insurance company board or its stockholders think the CEO is worth more than $500,000 in deferred compensation? Tough. (Section 9014).
19. You will have to pay an additional 0.5% payroll tax on any dollar you make over $250,000 if you file a joint return and $200,000 if you file an individual return. Don't want the government taking more of your hard earned money? Tough, eat it bourgeoisie. (Section 9015). That amount will rise to a 3.8% tax if reconciliation passes. It will also apply to investment income, estates, and trusts. (Section 1402).
20. If you go for cosmetic surgery, you will pay an additional 5% tax on the cost of the procedure. Don't want Uncle Sam double dipping in your pockets? Tough. (Section 9017).
FYI: Democrats Who Voted No Health-Care Bill
These are the Democrats who voted no tonight on the Senate-passed health-care bill, FYI:
Adler (NJ)
Altmire
Arcuri
Barrow
Berry
Boren
Boucher
Bright
Chandler
Childers
Davis (AL)
Davis (TN)
Edwards (TX)
Herseth Sandlin
Holden
Kissell
Kratovil
Lipinski
Lynch
Marshall
Matheson
McIntyre
McMahon
Melancon
Minnick
Nye
Peterson
Ross
Shuler
Skelton
Space
Tanner
Taylor
Teague
Glad to see the sole Democrat congressman from Utah voted no. Still like to see his butt out of office, however.
Adler (NJ)
Altmire
Arcuri
Barrow
Berry
Boren
Boucher
Bright
Chandler
Childers
Davis (AL)
Davis (TN)
Edwards (TX)
Herseth Sandlin
Holden
Kissell
Kratovil
Lipinski
Lynch
Marshall
Matheson
McIntyre
McMahon
Melancon
Minnick
Nye
Peterson
Ross
Shuler
Skelton
Space
Tanner
Taylor
Teague
Glad to see the sole Democrat congressman from Utah voted no. Still like to see his butt out of office, however.
Health Scam Passed the House
Health Care Reform Passes, But At What Cost? "This bill is unlikely to achieve most of the objectives that have been set out for it. In the end, then, we’re left with a highly expensive, fiscally dangerous expansion of health insurance that locks even more people into a broken system. That’s an achievement, all right, but not a particularly good one."Healthcare Bill Will Stir The Next Greatest Generation. "Together, in the chilling dawn of the wake-up call that is the bankrupting powergrab sham that is ObamaCare and the sliming of integrity with which it has been pressed, with the abandonment of allies and the kowtowing to foes, the heavy prices will fall most upon them along with the rest of us.
“Damn Dems” will be the next greatest generation’s battle cry. A cross-generational battle cry."
The real arithmetic of health-care reform. "The bottom line is that Congress would spend a lot more; steal funds from education, Social Security and long-term care to cover the gap; and promise that future Congresses will make up for it by taxing more and spending less."
National Health Insurance Reform Done "This was rammed down the throats of the American people with as much cynicism, trickery, deliberate obfuscation, and budgetary tomfoolery as has ever been seen for a major piece of legislation in the history of the republic."
"Slaughter Solution" Could Lead to Impeachment
The democrats are doing their very best to undermine the constitution. If they choose to "back door" this bill, they will have unequivocally violated the constitution. If this happens, the people must NOT stand for it.
(...)
Hence, Mrs. Pelosi and her congressional Democratic allies are seriously considering using a procedural ruse to circumvent the traditional constitutional process. Led by Rep. Louise M. Slaughter, New York Democrat and chairman of the House Rules Committee, the new plan - called the "Slaughter Solution" - is not to pass the Senate version on an up-or-down vote. Rather, it is to have the House "deem" that the legislation was passed and then have members vote directly on a series of "sidecar" amendments to fix the things it does not like.
This would enable House Democrats to avoid going on the record voting for provisions in the Senate bill - the "Cornhusker Kickback," the "Louisiana Purchase," the tax on high-cost so-called "Cadillac" insurance plans - that are reviled by the public or labor-union bosses. If the reconciliation fixes pass, the House can send the Senate bill to President Obama for his signature without ever having had a formal up-or-down vote on the underlying legislation.
(...)
The Slaughter Solution is a poisoned chalice. By drinking from it, the Democrats would not only commit political suicide. They would guarantee that any bill signed by Mr. Obama is illegitimate, illegal and blatantly unconstitutional. It would be worse than a strategic blunder; it would be a crime - a moral crime against the American people and a direct abrogation of the Constitution and our very democracy.
It would open Mr. Obama, as well as key congressional leaders such as Mrs. Pelosi, to impeachment. The Slaughter Solution would replace the rule of law with arbitrary one-party rule. It violates the entire basis of our constitutional government - meeting the threshold of "high crimes and misdemeanors." If it's enacted, Republicans should campaign for the November elections not only on repealing Obamacare, but on removing Mr. Obama and his gang of leftist thugs from office.
It is time Americans drew a line in the sand. Mr. Obama crosses it at his peril.
(...)Hence, Mrs. Pelosi and her congressional Democratic allies are seriously considering using a procedural ruse to circumvent the traditional constitutional process. Led by Rep. Louise M. Slaughter, New York Democrat and chairman of the House Rules Committee, the new plan - called the "Slaughter Solution" - is not to pass the Senate version on an up-or-down vote. Rather, it is to have the House "deem" that the legislation was passed and then have members vote directly on a series of "sidecar" amendments to fix the things it does not like.
This would enable House Democrats to avoid going on the record voting for provisions in the Senate bill - the "Cornhusker Kickback," the "Louisiana Purchase," the tax on high-cost so-called "Cadillac" insurance plans - that are reviled by the public or labor-union bosses. If the reconciliation fixes pass, the House can send the Senate bill to President Obama for his signature without ever having had a formal up-or-down vote on the underlying legislation.
(...)
The Slaughter Solution is a poisoned chalice. By drinking from it, the Democrats would not only commit political suicide. They would guarantee that any bill signed by Mr. Obama is illegitimate, illegal and blatantly unconstitutional. It would be worse than a strategic blunder; it would be a crime - a moral crime against the American people and a direct abrogation of the Constitution and our very democracy.
It would open Mr. Obama, as well as key congressional leaders such as Mrs. Pelosi, to impeachment. The Slaughter Solution would replace the rule of law with arbitrary one-party rule. It violates the entire basis of our constitutional government - meeting the threshold of "high crimes and misdemeanors." If it's enacted, Republicans should campaign for the November elections not only on repealing Obamacare, but on removing Mr. Obama and his gang of leftist thugs from office.
It is time Americans drew a line in the sand. Mr. Obama crosses it at his peril.
Idaho First to Sign Law Aimed at Health Care Plan
"Idaho took the lead in a growing, nationwide fight against health care overhaul Wednesday when its governor became the first to sign a measure requiring the state attorney general to sue the federal government if residents are forced to buy health insurance.
Similar legislation is pending in 37 other states."
Thanks Stephanie!
Similar legislation is pending in 37 other states."
Thanks Stephanie!
Nearly One-Third of Doctors Could Leave Medicine if Health-Care Reform Bill Passes
Nearly one-third of doctors could leave medicine if health-care reform bill passes, according to survey reported in new england journal of medicine:The survey, which was conducted by the Medicus Firm, a leading physician search and consulting firm based in Atlanta and Dallas, found that a majority of physicians said health-care reform would cause the quality of American medical care to “deteriorate” and it could be the “final straw” that sends a sizeable number of doctors out of medicine.
More than 29 percent (29.2) percent of the nearly 1,200 doctors who responded to the survey said they would quit the profession or retire early if health reform legislation becomes law. If a public option were included in the legislation, as several liberal Senators have indicated they would like, the number would jump to 45.7 percent.
The medical journal published the results in its March and April edition, saying: “While a sudden loss of half of the nations physicians seems unlikely, a very dramatic decrease in the physician workforce could become a reality as an unexpected side effect of health reform.”
Thanks Stephanie!
Proposed Utah Law - Women who Suffer Miscarriage May Face Possible Criminal Prosecution
A proposed Utah law that would open women who suffer a miscarriage to possible criminal prosecution and life imprisonment has enraged feminists and civil rights activists across the United States.
Adopted overwhelmingly by both sides of the state legislature in Salt Lake City earlier this month, the draft bill is now awaiting the signature of the state's Republican Governor, Gary Herbert. It is not clear if the growing national controversy surrounding the proposed law will slow or even stay his pen.
While the main thrust of the law is to enable prosecutors in the majority-Mormon state to pursue women who seek illegal, unsupervised forms of abortion, it includes a provision that could trigger murder charges against women found guilty of an "intentional, knowing or reckless act" that leads to a miscarriage. Some say this could include drinking one glass of wine too many, walking on an icy pavement or skiing.
Lawmakers were responding to the case of a 17-year-old pregnant Utah woman who paid a man $150 to assault her physically in the hope that the beating would cause her to miscarry. The child was born anyway and put up for adoption. And while the man involved is currently behind bars, prosecutors found they had no basis in state law to prosecute the young woman. She was in her seventh month when she tried to terminate her pregnancy.
Last-minute efforts to remove reference in the bill to "reckless" acts failed, feeding the uproar about a law that some people say would be impossible to implement and threatens basic freedoms of women. Statistics suggest that 15 to 20 per cent of recognised pregnancies end in miscarriage. "This creates a law that makes any pregnant woman who has a miscarriage potentially criminally liable for murder," said Missy Bird, director of Planned Parenthood Action Fund of Utah, part of the national organisation that champions abortion rights.
Critics also note that the bill has no exemptions for women who suffer domestic abuse or who have addiction problems. They wonder, for example, about the putative case of a woman remaining with an abusive partner and suffering a miscarriage after an episode of violence. Would remaining in that relationship constitute "reckless" behaviour, they ask?
Adopted overwhelmingly by both sides of the state legislature in Salt Lake City earlier this month, the draft bill is now awaiting the signature of the state's Republican Governor, Gary Herbert. It is not clear if the growing national controversy surrounding the proposed law will slow or even stay his pen.
While the main thrust of the law is to enable prosecutors in the majority-Mormon state to pursue women who seek illegal, unsupervised forms of abortion, it includes a provision that could trigger murder charges against women found guilty of an "intentional, knowing or reckless act" that leads to a miscarriage. Some say this could include drinking one glass of wine too many, walking on an icy pavement or skiing.
Lawmakers were responding to the case of a 17-year-old pregnant Utah woman who paid a man $150 to assault her physically in the hope that the beating would cause her to miscarry. The child was born anyway and put up for adoption. And while the man involved is currently behind bars, prosecutors found they had no basis in state law to prosecute the young woman. She was in her seventh month when she tried to terminate her pregnancy.
Last-minute efforts to remove reference in the bill to "reckless" acts failed, feeding the uproar about a law that some people say would be impossible to implement and threatens basic freedoms of women. Statistics suggest that 15 to 20 per cent of recognised pregnancies end in miscarriage. "This creates a law that makes any pregnant woman who has a miscarriage potentially criminally liable for murder," said Missy Bird, director of Planned Parenthood Action Fund of Utah, part of the national organisation that champions abortion rights.
Critics also note that the bill has no exemptions for women who suffer domestic abuse or who have addiction problems. They wonder, for example, about the putative case of a woman remaining with an abusive partner and suffering a miscarriage after an episode of violence. Would remaining in that relationship constitute "reckless" behaviour, they ask?
Reid Says Not Considering Reconciliation, Obama Says Otherwise
In this video, Reid says that they aren't considering using reconciliation to pass the health care bill (reconciliation is a legislative process in the United States Senate intended to allow consideration of a contentious budget bill without the threat of filibuster). Obama, however suggests very strongly that they will push it through by denying Republicans a fillabuster:After a day of debate and disagreement, President Barack Obama concluded Thursday's unprecedented live talkfest on health care with the bleak assessment that accord between Democrats and Republicans may not be possible. He rejected Republican preferences for seeking a step-by-step solution or simply starting over.
Obama strongly suggested that Democrats will try to pass a sweeping overhaul without GOP support, by using controversial Senate budget rules that would disallow filibusters. And then, he said, this fall's elections would write the verdict on who was right.
"We cannot have another yearlong debate about this," Obama said at the end of a 7 1/2-hour marathon policy session.
Covering the Uninsured Without Obamacare
I have to laugh when I hear people say that we need government run health care. Really? Has the government ever done anything better than the private sector? Well it works in Canada they say. It's working for Canada huh? I guess that's why their elected officals come here for heart surgery. From Big Government:What everyone needs to recognize before the Health Care Summit later today is that the uninsured can be covered at modest additional net cost without the government takeover of health care, government health care rationing, 100 new health control bureaucracies and programs, and trillion dollars in new taxes and spending (woefully underestimated) involved in Obamacare.
The lack of a clear safety net for the uninsured is what gives Democrats the political lift to keep coming back for socialized medicine. Republicans should advance the modest reforms necessary to establish a true safety net that will ensure that no one will be denied essential health care. Only that will permanently protect the health care of the American people from government takeover and control. Republicans should trumpet this point at the health care summit tomorrow.
Reform should start with Medicaid, which already spends over $400 billion a year providing substandard coverage for 50 million poor Americans. Congress should transform Medicaid to provide assistance to purchase private health insurance for all who otherwise could not afford coverage, ideally with health insurance vouchers.
This one step would enormously benefit the poor already on Medicaid. The program today pays doctors and hospitals only 60% of costs for their health care services for the poor. As a result, 40% of doctors and hospitals won't take Medicaid patients. This is already a form of rationing, as Medicaid patients find obtaining health care increasingly difficult, and studies show they suffer worse health outcomes as a result. Health insurance vouchers would free the poor from this Medicaid ghetto, enabling them to obtain the same health care as the middle class, because they would be able to buy the same health insurance in the market.
Ideally this would be done by changing Medicaid financing to provide the federal assistance to the states for the program through finite block grants, which would not vary to match increased state Medicaid spending as today. States that innovate to reduce costs can then keep the savings. States that operate programs with continued runaway costs would pay those additional costs themselves. Such reforms worked spectacularly in stopping the runaway costs of the old AFDC program when Congress adopted welfare reform in 1996.
The block grants should provide states with increased federal funding sufficient, counting state Medicaid funds, to give assistance to all who truly cannot afford health insurance. The voters of each state can then decide how much assistance for the purchase of health insurance to provide families at different income levels. This would rightly vary with the different income and cost levels of each state.
Done right, this would ensure that no one would lack health insurance because they can't afford it. But to ensure a complete safety net, federal funding should also be provided for each state to set up an uninsurable risk pool. Those uninsured who become too sick to purchase health insurance in the market for the first time, perhaps because they have cancer or heart disease, would be assured of guaranteed coverage through the risk pool. They would be charged a premium based on their ability to pay. Federal and state funding would cover remaining costs.
Healthcare List of Congressmen - Swing Votes
Swing Votes on Health CareBy Dick Morris & Eileen McGann
Published on DickMorris.com on February 22, 2010
We don't believe that there is any chance of stopping Obama's renewed push for his horrible health care changes in the Senate. Harry Reid is going to use the reconciliation procedure to jam it through with 51 votes -- and he will get them. All the hype about how difficult it will be is to distract us from the real battle which will come in the House.
There, where every member faces re-election, it will be a lot harder for Pelosi to round up the vote she needs. Last time she passed health care by 220-215. This time, a lot of the Democrats who voted for health care are going to be so worried about re-election that they might be induced to jump ship.
The League of American voters has produced ads targeting these swing Congressmen and we urge you STRONGLY to CLICK HEREto send them money to help fund these ads.
But please do more. If you live in any of the states from which these swing Congressmen come, please call them. Let them know your opposition to health care changes. The phone for Congress is 202-224-3121. Here's the list:
Vulnerable Democratic Congressmen Who Voted FOR Obamacare The First Time Around
These are the folks we need to pressure to switch their votes!
Arizona:
Harry Mitchell (Phoenix suburbs)
Gabrielle Giffords (Tucson)
Ann Kirkpatrick (most of rural Arizona, NE part of state)
California:
Jerry McNerney (Stockton and Pleasanton)
Colorado:
John Salazar (Pueblo)
Connecticut:
Jim Hines (Fairfield County)
Florida:
Alan Grayson (Orlando)
Illinois:
Bill Foster (Dixon, Batavia, and Geneseo)
Indiana:
Baron Hill (from Kentucky border up to Bloomington)
Michigan:
Mark Schauer (Branch, Calhoun, Eaton, Hillsdale, Jackson, Lenawee & Washtenaw counties)
Gary Peters (Oakland County)
Nevada:
Dina Titus (Las Vegas)
New Hampshire:
Carol Shea-Porter (Portsmouth, Manchester, Lakes Region)
New York:
Tim Bishop (Suffolk County)
John Hall (Northern Westchester)
Bill Owens (Plattsburgh up along Vermont border to Canada)
Mike Arcuri (Utica and south central NY)
Dan Maffei (Syracuse)
North Dakota:
Earl Pomneroy (at large)
Ohio:
Steven Driehaus (Cincinnati west to Indiana border)
Mary Jo Kilroy (Columbus and west to Indiana border)
Zach Space (Dover, Zanesville, Chillicothe)
Pennsylvania:
Kathy Dahlkemper (Erie)
Patrick Murphy (Bucks County)
Christopher Carney (NE Penn)
Paul Kanjorski (Scranton, Wilkes-Barre)
South Carolina:
John Spratt (rural SC between Columbia and Charlotte)
Virginia:
Tom Perriello (Charlottesville, Bedford, Timberlake, Martinsville & Danville)
West Virginia:
Alan Mollohan (Wheeling, Morgantown)
Nick Rahall (Huntington)
Wisconsin:
Steve Kagen (Green Bay)
Let's get busy to save health care in America!
Thanks Stephanie!
Obama's Approval Rating Stinks
Rasmussen is reporting that Forty-one percent (41%) strongly disapprove of Obama's job in the White House. That 41% gives him a presidential approval index rating of -19. Why? Becuase he is shoving health care legislation and higher taxes down our throats. Currently, 39% of voters nationwide favor the health care plan proposed by the President and Congressional Democrats. Fifty-eight percent (58%) are opposed. Of the whacky 39% that support it, I'm sure 25% are liberal ding bats and the other 14% are people that don't know any better because they have been living in a cave or something.Slow down the train Obama, no need to force this so hard. If it really is wonderful, take the time to explain it to the American people, open up the discussion and convince us. Stop the backroom deals and shady business. Or don't, I don't care, I'm glad people are catching on to your ways.
Boehner: New Obama Plan Doubles Down on Failure, Puts Summit in Peril...
SWALLOW: White House Warns Republicans: We'll Pass It With 51 VOTES...
PROPOSAL SUMMARY USES WORD 'TAX' 35 TIMES...
'Increase in Fees on Brand Name Pharmaceuticals'...
Broaden 'Tax Base for High-Income Taxpayers'...
Orders 'Comprehensive Database' On Health Claims...
FORCED: 'Raises percent of income assessment that individuals pay if they choose not to become insured'...
BACKDOOR FIX: Healthcare 'Funds will be transferred to the Social Security Trust' if necessary...
White House Endorses Sen. Landrieu's 'Louisiana Purchase'...
Canadian Health Care Sucks
A Canadian Premier is coming to the U.S. for heart surgery. A Premier is like a Governor.We keep hearing how terrible and awful the American health care system is compared to the Canadian one. So why is he coming here?
Via
