Healthcare Step-By-Step – Fact from Fiction

     Hi!  We are transforming into Healthcare Headquarters!  My plan is to systematically uncover the healthcare industry, the prevailing fact and fiction.  My intent is clear.  I disagree with President’s current agenda to reform healthcare.  What may surprise you, is that the Republicans aren’t doing much better with their proposal.  If you come along, we will, as the weeks go on, look at symptoms of the current system.  We will discuss the etiology of each.  And I will propose my system to reform.  Hey, why not?  They’ve got nothing on me!

     Understanding the basic tenants of healthcare as it exists today is essential to understanding any undertaking to enhance its benefits.  My qualifications to paint the landscape may seem odd to you at first glance.  I’m not a doctor.  I’m not an Administrator.  I’m a Mom.  However, if you subscribe to the basic premise that almost any issue under earth can be deconstructed using a logical, simple approach, as I do, I think you’ll at least lend me your ear.  

     First, my father is a doctor and my mother is a nurse.  I have been sitting around the dinner table for the last 20 or more years, that I could engage in the discussion, contemplating Medicare “reforms,” Medicaid expansion and contraction and the overhead associated with running a practice.  When I was going to college, I worked for various private practices, billing insurance companies and writing referrals.  I also worked at the local Emergency Room, entering orders and insurance information.  I have worked for nurses, doctors, administrators.  I have witnessed the heroic efforts of doctors and nurses whose intubation tube, quickly placed, kept a crushed uninsured drunk driver alive after he tried to pass the salt truck on an icy December night.  I have also called the Chaplin for families who have to face that defining moment –  their loved one, at once farming the field, and then again, clutching his chest as they came to their knees.  I am aware that healthcare is a business.  It is also a helping hand for you in your most desperate of times.

    Our current President, as he steams forward intent on checking off promise after promise on his campaign to-do list, has set his sights on reforming our “broken” healthcare system.  It often seems as if the ideas are being sprayed out from a firing squad of reformists each day as I contemplate the newest agenda item.  I have watched as my representatives and congressmen have sat complacent, and even disgusted, as we suggest they actually *read* the legislation that they are passing.  Profoundly, my democratic twitter friends tell me, “the people voted for change, and this is what we voted for.  You are wrong, not us.  You are wrong.”  I will stake it all on this statement: If we allow this legislation to pass, we have opened the door to the cold wind at the back of every American, who will break themselves under the weight of its crushing blow: Socialism in America.

     First, there is the idea that the system is broken.  Just in case you feel I am putting words into the mouth of the President, let me alleviate that fear by posting his exact rhetoric on the subject below:

There are two ways in which that his statements can be construed.  First of which, that people are dissatisfied with their care.  There are blurred lines which run like veins into the heart of this matter.  Studies can oft be used to the advantage of either side.  For instance, Fox news commentators have been citing a study by the Kaiser Family Foundation, ABC News and USA Today from 2006 which states that 89% of Americans were satisfied with their “own personal medical care.”  It goes on to state, however, that only 44% were satisfied with the “American medical system overall.”

     Pew Research Center published its findings on June 19, 2009 stating that while public opinion has changed since 1993’s Clinton proposal, it has only slightly shifted away from making sure that healthcare is harnessed in an economic way. 

     Therefore, it seems clear, people do not think providers need reform.  They do however, favor addressing cost.  They know that cost is being driven up by the uninsured and they wish to do something about it.  They therefore, make a simple association and believe that providing insurance to the uninsured would be the best method for reform.  For any politician to deny doing something to address the cost of healthcare, would be political suicide. 

     The premise of the logic is that the healthcare system must be overhauled.  I assert that healthcare, the components of the delivery system – the doctor patient relationship – is not broken.   It is a fallacy therefore, to believe healthcare is where we need to focus our attention.  Cost is indeed the culprit of our current problem.   The majority of the speech from the President is dedicated, in fact, to that premise.  We need to stop thinking of this mess as a healthcare mess and realize that health care is the act of healing.  The cost involved, is in the business of making that happen.  The trouble comes as business drives to create ever-increasing profits for the miriad of intermingling agents that have inserted themselves into the equation. 

     Insurance is not healthcare.  It is the regulator because it is the payor system.  Our attention should be on the cause and effect that have Americans paying a disproportionate share of their GDP to deliver this care.  It is therefore the Insurance system; private, Medicare and Medicaid, that we need to feature as we attend to cost. 

     I am aware that President Obama believes the other component is to change the healthcare delivery system to drive down cost.  However, people don’t seem to be dissatisfied with their doctor or the care they receive.  Therefore, in my upcoming posts, I will disprove the idea that Government should be an intermediary in this regard.  And, how, in fact, that component is merely being exploited to convince the American public that they must surrender their liberties in exchange for “percieved security.”  Which, watch out folks, is pretty much the driving argument behind all discord in these times.

     The next post will be to look at insurance as an intermediary in the delivery of healthcare.  The good, the bad, and the unhealthy. I will look at how cost rises due to it’s presence in the marketplace.  I will also debunk the claim that government intervention acts to “increase competition” as is asserted by President Obama.

1. 

   Liseth says:

   June 28, 2009 at 2:47 pm

   I have worked for the medical field for a while already and the problem is certainly, like you mentioned, not the quality of care, but they way it is been administered by the Insurance Companies. They are the ones denying basic preventive care, such as chiropractic, when the cost annually to them is minimum, but they are paying outrageous amounts of money for pharmaceuticals. They authorize a system to keep America sick, but when it comes to necessary extended treatments for severe problems, they allege the “unnecessary treatment” or even worse the “pre-existent condition”BS. Insurance Companies, are the ones robbing America from their health by dictating, what, when and how you will receive their crumbs.
   Sorry if I sounded a little bitter, but this is the cruel truth.
   Thanks for voicing this out!
2. 

   Dawn says:

   July 1, 2009 at 8:14 pm

   I think I hear exactly what you are saying. Uh finally. Or maybe because I read it twice. (This is a reflection on me, not you.)

   I love my doctor. I would love being in her office more if she were not overscheduled to the point that when I have a 930am appt, I do not get to see the inside of an exam room for *at least* 90 minutes.

   I’ve lived with insurance, and without it. I go to the doctor with the same regularity now that I did without it. I wish I could pay for insurance the same way I do auto insurance – I just need some collision coverage.
3. 

   Sugar Jones says:

   July 13, 2009 at 10:28 am

   I used to think I was the only one that thought insurance companies were scammers. Then I met friends who had children living with major, life-threatening diseases. Now I not only thing they are scammers, but heartless crooks.

   Insurance seems to be code for “paying for false security”. If we all stopped paying for insurance and went to a cash system, we’d go back to the days of real doctor-patient relationships. Until then, money making companies will have too much of a say in how things are managed.

   In my family, we found that we ended up putting out more of our own money paying our monthly premiums only to find out that we still had huge out of pocket expenses for anything from well-baby checks to out-patient surgery for my broken leg. Had we just paid cash, we would have actually saved money. Don’t even get me started on dental! Dental insurance coverage doesn’t come near covering anything major. A few years back, I maxed out my insurance within the first two months of having it.

   We no longer have insurance coverage. Some people think it’s risky, but we can take that monthly premium and put it away for the times we need it. All of our doctors and dentists give us a substantial discount for being cash patients. Seems they like to reward those that let them get away from dealing with the insurance companies not paying their bills.
4. 

   politicalmommy says:

   July 19, 2009 at 12:02 pm

   Thanks Sugar for your clear words on this topic. When I gave birth to all three of my children, I paid out of pocket. I found that I got better than insurance-discounted rates for prepaying due to the fact that the doctors were ensured that they weren’t going to be faced with the headache and overhead that is permeating their business.

   We need to ensure and make affordable preventative and maintenance care. We must take the middle-man out of our therapeutic care. It should be left between the patient and the doctor to decide.

   More to come soon!
5. 

   Femme Patriot says:

   July 25, 2009 at 3:14 pm

   With all due respect to Liseth, you sound just like the nationalized healthcare proponents. First indication to me is that you just work FOR the healthcare industry and not IN healthcare. You are not in the clinical/direct patient care field, you are in administration and, by default, that makes you an expert. Reality is that majority of the Americans ARE satisfied with their healthcare and their insurance policy. The reality is that, compared with the rest of the world, we do have the best healthcare system. And I am saying this by actually experiencing and receiving care from a nation with socialized healthcare system, unlike most of the clueless nationalized healthcare lovers. The government is already mandating care and reimbursement to the insurance companies and the next thing coming, pending this nightmare will pass, will be a shortage in MDs and PAs and RNs. But let me summarize it for you and let us know again the ills of our current health coverage:
   PG 22 MANDATES the Government will audit books of ALL EMPLOYERS that self insure!!
   PG 24 Line 116 Government effectively sets prices for ALL private health plans.
   PG 30 Line 123 THERE WILL BE A Government COMMITTEE that decides what treatments/benefits you get.
   PG 37 Line 132 The Government will be reviewing grievances about themselves and will decide on appeals for rejected claims.
   PG 29 Line 4-16 YOUR HEALTHCARE IS RATIONED!!! Additionally you can reference PG 15 Line 19-25.
   PG 42 The Health Choices Commissioner will choose your HealthCare Benefits for you. You have no choice!
   PG 50 Line 152 HealthCare will be provided to ALL non US citizens, illegal or otherwise.
   PG 58 Government will have real-time access to individuals’ finances & a National ID HealthCare Card will be issued!
   PG 59 Line 21-24 Government will have direct access to your banks accounts for electronic funds transfer!
   PG 61 Line 22-24 Congress has no clue what Electronic Medical Records will cost. Asks for estimate.
   PG 62 Protection of Data, Government shows they will have database of your personal & financial info.
   PG64 L 21-25, pg65 L 1-5 which refers to processing payment transactions by financial institutions
   PG 65 Line 164 is a payoff subsidized plan for retirees and their families in Unions & community organizations (ACORN).
   PG 72 Line 8-14 Government is creating an HealthCare Exchange to bring private HealthCare plans under Government control.
   PG 84 Line 203 Government mandates ALL benefit packages for private. HealthCare plans in the Exchange.
   PG 85 Line 7 Specs for of Benefit Levels for Plans = The Government will ration your HealthCare! #AARP members your Health care Will be rationed.
   PG 89 Line 6-10 The FAR is not applicable. Government can write contracts any way they want.
   PG 95 Line 8-18 The Gov. will use groups i.e., ACORN & Americorps to sign up individuals for Government HealthCare plan.
   PG 98 Line 8 Americans – You will be paying for others HealthCare while paying for your own.
   PG 100 Line 15-19 The Government Will be using ACORN and other community groups to promote & enroll.
   PG 102 Line 12-18 Medicaid Eligible Individual will be automatically enrolled in Medicaid. No choice.
   PG 109 Line 207 Health Trust Fund. The Government will raise taxes on EVERYONE to fund HealthCare as they see fit.
   PG 110 Line 7-12 Employment taxes on ALL employers NOT offering Government HealthCare. No choice.
   PG 110 Line 13-18 An excise tax on ALL goods from companies not offering Government HealthCare. ALL Americans pay.
   PG 110 Line 19-24 the Treasury can take $$ from Soc Line to pay HealthCare.
   PG 111 Line 208 The Federal Government will usurp all State powers in State Based HealthCare Exchange. Violation of 10th Amendment.
   PG 119 Line 1-3 establish geographically-adjusted premium rates for public option Can you say ACORN census?
   PG 121 Line 223 PAYMENT RATES FOR ITEMS AND SERVICES. Can you say Government price fixing & monopoly?
   PG 124 Line 24-25 No company can sue Government on price fixing. No “judicial review” against Government Monopoly.
   PG 126 Line 10-15 The Government can make up prices for anything at anytime for any reason.
   PG 126 Line 22-25 Employers MUST pay for HealthCare for part time employees AND their families.
   PG 127 Line 1-16 Doctors: The Government will tell YOU what you can make.
   PG 129 The public option will be subsidized. Credits = your tax dollars. Redistribution of wealth.
   PG 130 Line 10-23 Federal Government will subsidize State Medicaid = Even Higher State & Federal taxes for ALL.
   PG 145 Line 15-17 An Employer MUST auto enroll employees into public option plan. NO CHOICE.
   PG 149 Line 16-24 ANY Employer with payroll 400k & above who does not provide public option pays 8% tax on all payroll.
   PG 150 Line 9-13 Biz with payroll btw 251k & 400k who doesn’t provide public option pays 2-6% tax on all payroll.
   PG 151 Line 1-3 Aggregate Rules-tax on employers payroll not on public option include payroll of other biz.
   PG 167 Line 18-23 ANY individual who doesn’t have acceptable HealthCare according to Government will be taxed 2.5% of inc.
   PG 170 Line 1-3 Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay)
   PG 195 officers & employees of HealthCare Administration (Government) will have access to ALL Americans financial/personal records.
   PG 198 Line 1-3 1.5% ADDITIONAL TAX on peeps who have income of 500k to 1mil. Redistribution of Wealth.
   PG 198 Line 4-6 5.4% ADDITIONAL TAX on peeps who have income of 1mil+. Redistribution of Wealth
   PG 199 Line 1-4 Surtax rates on raised AGAIN on Americans in 2012.
   PG 203 Line 14-15 “The tax imposed under this section shall not be treated as tax” Yes, it says that.
   PG 202-215 is a Government rewrite of the tax code ensuring more taxes for EVERYONE, Everywhere.
   PG 239 Line 14-24 Government will reduce physician services for Medicaid. Seniors, low income, poor affected.
   PG 241 Line 6-8 Doctors, doesn’t matter what specialty you have, you’ll all be paid the same.
   PG236 L22-25, 237 L1-3 National rate of uninsured defined by Census. Can you say ACORN corruption?
   PG 239 Line 10-12 Medicare DSH payments will be increased. Can you say even higher taxes for all?
   PG 238-249 Line 1121 Doctors-Government mandates your growth, costs, value, services, & income. Welcome to rationing
   PG 253 Line 10-18 Government sets value of Dr’s time, prof judg, etc. Literally value of humans. We’re next.
   PG 260 Line 1125 Fed Government will adjust Medicare Payment Localities for California based on Census. ACORN?
   PG 265 Line 1131 Government mandates & controls productivity for private HealthCare industries.
   PG 268 Line 1141 Fed Government regulates rental & purchase of power driven wheelchairs.
   PG 270 Line 1144 Government Mandates that all private ambulatory surgical centers submit cost data & other data
   PG 272 Line 1145 TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
   PG 276 Line 3-20 Oxygen Equipment & Supply Companies – Government MANDATES you will provide supplies NO MATTER where individual is.
   PG 287 Line 14-25 PROOF that Government will ration HealthCare by mandating waiting periods for readmission.
   PG 298 Line 9-11 Drs, treat a patient during initial admission that results in a readmission – Government will penalize you.
   PG 303 Line 12-25 Post Acute Care Services Data – Government will collect data including personal information as they see fit.
   PG 304 Line 17-19 BIG ONE HERE: Expedited Data Collection –
   PG 304 Line 17-19 Government does NOT have to protect your private information, share with anyone, & is not resp Expedited Data Collection – Chapter 35 of Title 44 of USC SHALL NOT APPLY. Folks this gives the govt the right to access ur data any way the see fit. Here is link to the chapter: http://www.law.cornell.edu/uscode/html/uscode44/usc_sec_44_00003501—— 000-.html Look at number 8 THE GOVT IS SAYING THAT THEY DONT HAVE TO DO THIS!!! (8) ensure that the creation, collection, maintenance, use, dissemination, and disposition of information by or for the Federal Government is consistent with applicable laws, including laws relating to— (A) privacy and confidentiality, including section 552a of title 5; (B) security of information, including section 11332 of title 40 [1] ; and (C) access to information, including section 552 of title 5;
   PG 306 Line 3-6 The Government can expand the scope & size of Post Acute Program Services anytime & as they see fit.
   PG 313 Line 9-14 Government MANDATES Health Services providers will state ownership, invest, & compensation arrangements.
   PG 317 Line 13-20 PROHIBITION on ownership/investment. Government tells Drs. what/how much they can own.
   PG 317-318 L 21-25,1-3 PROHIBITION on expansion- Government is mandating hospitals cannot expand.
   PG 318-319 Government is mandating how hospitals & physicians conduct business & investments. We’re next!
   PG 321 2-13 Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!
   PG 328 Line 1157 Government study disguised. Its a HealthCare workforce study mandated by law for unionization.
   Pg335 L16-25,PG 336-339 Government mandates estab. of outcome based measures. HealthCare the way they want. Rationing.
   PG 341 Line 3-9 Government has authority to disqualify Medicare Adv Plans, HMOs, etc. forcing into Government plan.
   PG 354 Line 1177 Government will RESTRICT enrollment of Special needs people!
   PG 355-369 Line 1181 Government disguises tax on Drug Companies as rebate to Government to subsidize Drugs. We pay in the end.
   PG 379 Line 1191 Government creates more bureaucracy – Telehealth Advisory Committee. Can you say HealthCare by phone?
   PG 399 If your a subsidy eligible individual under Medicare part D and you don’t enroll, the Government will auto enroll you.
   PG 401 Section 1221 Americans will fund Medicare Language & Translation Services Program. Can you say MORE taxes?
   PG 404 Lines 12-16 Government exempts itself again from – Chap 35 of title 44, USC including privacy of Americans.
   PG 404 Lines 17-19 Government doesn’t know the cost of Language services but states that money is there.
   PG 425 Lines 4-12 Government mandates Advance Care Planning Consult. Think Senior Citizens end of life.
   PG 425 Lines 17-19 Government will instruct & consult regarding living wills, durable powers of atty. Mandatory!
   PG425 L22-25, 426 L1-3 Government provides approved list of end of life resources, guiding you in death.
   PG 427 Lines 15-24 Government mandates program for orders for end of life. The Government has a say in how your life ends.
   PG 429 Lines 1-9 An “advance care planning consultant” will be used frequently as patients health deteriorates.
   PG 429 Lines 10-12 “advance care consultation” may include an ORDER for end of life plans. AN ORDER from Government.
   PG 429 Lines 13-25 The Government will specify which Doctors can write an end of life order. Logan’s Run anyone?
   PG 430 Lines 11-15 The Government will decide what level of treatment you will have at end of life.
   PG 432 Lines 18-21 The Government will publish “quality measures” for individual’s end of life in Federal Register.
   PG 434 Section 1234 Military Active, Reservists, Families – If you’re not enrolled in Tricare it is mandated.
   PG 434 Section 1234 Military Active, Reservists, Families – Once HealthCare bill is passed your premiums will go up.
   PG 438 Section 1236 The Government will develop a patient decision making aid program that you & Dr. WILL use.
   PG 443 Lines 7-24 Government at taxpayers expense test out an “Accountable Care Org” program (Government doesn’t have plan.)
   PG 444 Lines 1-6 Government’s Accountable Care Program will mandate services & infrastructure thru reward/penalty system.
   PG 448 Lines 4-17 Government will set performance targets for ALL Accountable Care Organizations including private.
   PG 455 Lines 3-4 Government exempts itself from Chapter 35, Title 44 Paperwork Reduction & Citizens Privacy Protection Act
   PG 460 Section 1302 Knock Knock – It’s the Government and I’m here with the Medical Home Program – YOUR home.
   PG 460 Section 1302 The Government WILL provide medical services in your home. Paging Nurse Pelosi!!
   PG 464 Lines 17-22 Independent Patient Center Home Medical Services – Drs. don’t have to be at your home just some directed by Dr
   PG 469 Community Based Home Medical Services=Non profit organizations. Hello, ACORN Medical Services here!!?
   Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED Organization – 1 monthly payment to a community-based organization Like ACORN?
   PG 476 19-20 Chapter 35/ title 44, (Privacy of personal records) shall not apply Home Medical Services. ACORN ACCESS
   PG 489 Section 1308 Government will cover Marriage & Family therapy. Which means they will insert Govt into your marriage.
   PG 494-498 Government will cover Mental Health Services including defining, creating, rationing those services.
   PG 502 Section 1181 Center for Comparative Effectiveness Research Established. – Hello Big Brother – Literally.
   PG 502 Line 5-18 Government builds the “Center” to conduct, support, & synthesize research to define our HealthCare Services.
   PG 503 Line 13-19 Government will build registries and data networks from YOUR electronic medical records.
   PG 503 Line 21-25 Government may secure data directly from any department or agency of the US including your data.
   PG 504 Line 6-10 The “Center” will collect data both published & unpublished (that means public & your private info)
   PG 506 Line 19-21 The Center will recommend policies that would allow for public access of data
   PG 518 Line 21-25 The Commission will have input from HealthCare consumer reps – Can you say unions & ACORN?
   PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.
   PG 525-620 deals with the Government bascally taking over nursing homes,
   PGs 525-620 deals with the Govt basically taking over nursing homes,long-term care facilities (think assisted living) through regulations of the facilities, the owners of sd facilities, the employees of sd facilities and even the land owners of that sd facilities reside on. Additionally as you read these 90+ pages you can come to the conclusion that any Health related svcs will be determined and rationed by the Govt for our senior citizens and others in nursing homes. This one post should do enough to raise awareness of the control the Govt is exerting over the older population of American citizens.
   PG 620 Line 1-9 The Government will define, prioritize, and nationalize your Health Care Services.
   PG 621 Lines 20-25 Government will define what Quality means in HealthCare. Since when does Government know about quality?
   PG 622 Lines 2-9 To pay for the quality Standards Government will transfer $$ from to other Government Trust Funds. More Taxes.
   PG 624 “Quality” measures shall be designed to assess outcomes & functional status of patients.
   PG 628 Section 1443 Government will give “Multi-Stake Holders” Pre-Rule Making input into Selection of “Quality” Measures.
   PG 630 9-24/631 1-9 Those Multi-stake holder groups including Unions & groups like ACORN deciding HealthCare quality.
   PG 632 Lines 14-25 The Government may implement any “Quality measure” of HealthCare Services as they see fit.
   PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services.
   PG 635 – 653 Physicians Payments Sunshine Provision – Government wants to shine sunlight on Docs but not Government.
   PG 654-659 Public Reporting on Health Care-Associated Infections – Looks okay.
   PG 660-671 Doctors in Residency – Government will tell you where your residency will be, thus where you’ll live.
   PG 676-686 Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals.
   PG 686-700 Increased Funding to Fight Waste, Fraud, and Abuse. You mean the Government with an $18 mil website?
   PGs 701-704 Section 1619 If your part of HealthCare plan that isn’t in Government HealthCare Exchange but you qualify for Federal aid, no payment.
   PG 705-709 SEC. 1128 If Secretary gets complaints (ACORN) on HealthCare provider or supplier, Government can do background check.
   PG 711 Lines 8-14 The Secretary has broad powers to deny HealthCare providers/suppliers admittance into HealthCare Exchange.
   Pg 719-720 Section 1637 ANY Doctor who orders durable medical equipment or home medical services MUST be enrolled in Medicare.
   PG 722 Section 1639 Government Mandates Doctors must have face-to-face with patient to certify patient for Home Health Services.
   PG 724 Lines 16-22 Government reserves right to apply face-to-face certification for patient to ANY other HealthCare service.
   PG 724 23-25 PG 725 1-5 The same Government certifications will apply to medicaid & CHIP (your kids)
   Pg 735 lines 16-25 For law enforcement purposes, the Secretary of Health & Human Services will give Attorney General access to ALL data.
   PG 740-757 Government sets guidelines for subsidizing the uninsured (That’s your tax dollars peeps)
   Pg 757-762 Fed Government will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)
   Page 763 1-8 No DS/EA hospitals will be paid unless they provide services without regard to national origin
   Pg 765 Section 1711 Government will require Preventative Services including vaccines. (Choice?)
   Pg 768 Section 1713 Government – Nurse Home Visitation Services (Hello union paybacks)
   Pg 769 3-5 Nurse Home Visit Services – “increasing birth intervals between pregnancies.” Government Abortions anyone?
   Pg 769 11-14 Nurse Home Visit Services include-economic self-sufficiency, employment advancement, school-readiness.
   Pg 769 3-5 Nurse Home Visit Services – “increasing birth intervals between pregnancies.” Government ABORTIONS anyone?
   Pg 770 SEC 1714 Federal Government mandates eligibility for State Family Planning Services. Say abortion & State Sovereign.
   Pg 789-797 Government will set & mandate drug prices, controlling which drugs will brought to market. Bye innovation
   Pgs 797-800 SEC. 1744 PAYMENTS for grad medical education. The government will now control Drs education. PG 801 Sec 1751 The Government will decide which Health care conditions will be paid. Say RATION!
   Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc. required to register. Government takes over private payment system.
   Page 820-824 Sec 1801 Government will identify individuals ineligible for subsidies. Will access all personal finances.
   Pg 824-829 SEC. 1802. Government Sets up Comparative Effectiveness Research Trust Fund. Another tax black hole.
   PG 829-833 Government will impose a fee on ALL private health insurance plans including self insured to pay for Trust Fund!
   PG 835 11-13 fees imposed by Government for Trust Fund shall be treated as if they were taxes.
   Pg 838-840 Government will design & implement Home Visitation Program for families with young kids & families expecting kids.
   PG 844-845 This Home Visitation Program includes Government coming into your house & telling you how to parent!!!
   Pg 859 Government will establish a Public Health Fund at a cost of $88,800,000,000. Yes thats Billion.
   PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HealthCare for 2 years for part loan repayment.
   PG 876-892 The Government takes over the education of our Medical students and Drs.
   PG 898 The Government will establish a Public Health Workforce Corps. to ensure supply of public health professionals.
   PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.
   PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.
   PG 900 The Public Health Workforce Corps includes veterinarians.
   PG 901 The Public Health Workforce Corps WILL include commissioned Regular & Reserve Officers. HealthCare Draft?
   PG 910 The Government will develop, build & run Public Health Training Centers.
   PG 913-914 Government starts a HealthCare affirmative action program thru guise of diversity scholarships.
   PG 915 SEC. 2251. Government MANDATES Cultural & linguistic competency training for HealthCare professionals.
   Pg 932 The Government will establish Preventative & Wellness Trust fund – intial cost of $30,800,000,000-Billion.
   PG 935 21-22 Government will identify specific goals & objectives for prevention & wellness activities. Control You!!
   PG 936 Government will develop “Healthy People & National Public Health Performance Standards” Tell me what to eat?
   PG 942 Lines 22-25 More Government? Offices of Surgeon General -Public Health Services, Minority Health, Women’s Health
   PG 950- 980 BIG Government core public health infrastructure includes workforce capacity, lab systems; health information systems, etc
   PG 993 Government will establish school based health clinics. Your kids wont have a chance.
   PG 994 School Based Health Clinic will be integrated into the school environment. Say Government Brainwash!
   PG 1001 The Government will establish a National Medical Device Registry. Will you be tracked?
   PG 1003 9-11 National Medical Dev Reg ‘‘(iii) other postmarket device surveillance activities” you WILL be tracked.
   PG 1018 States give up some of their State Sovereignty.