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post #1 of 24 (permalink) Old 11-08-2009, 01:14 AM Thread Starter
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Thumbs down What the Pelosi Health-Care Bill Really Says

http://online.wsj.com/article/SB1000...html#printMode

What the Pelosi Health-Care Bill Really Says
Here are some important passages in the 2,000 page legislation.


By BETSY MCCAUGHEY

The health bill that House Speaker Nancy Pelosi is bringing to a vote (H.R. 3962) is 1,990 pages. Here are some of the details you need to know.

What the government will require you to do:

• Sec. 202 (p. 91-92) of the bill requires you to enroll in a "qualified plan." If you get your insurance at work, your employer will have a "grace period" to switch you to a "qualified plan," meaning a plan designed by the Secretary of Health and Human Services. If you buy your own insurance, there's no grace period. You'll have to enroll in a qualified plan as soon as any term in your contract changes, such as the co-pay, deductible or benefit.

• Sec. 224 (p. 118) provides that 18 months after the bill becomes law, the Secretary of Health and Human Services will decide what a "qualified plan" covers and how much you'll be legally required to pay for it. That's like a banker telling you to sign the loan agreement now, then filling in the interest rate and repayment terms 18 months later.


On Nov. 2, the Congressional Budget Office estimated what the plans will likely cost. An individual earning $44,000 before taxes who purchases his own insurance will have to pay a $5,300 premium and an estimated $2,000 in out-of-pocket expenses, for a total of $7,300 a year, which is 17% of his pre-tax income. A family earning $102,100 a year before taxes will have to pay a $15,000 premium plus an estimated $5,300 out-of-pocket, for a $20,300 total, or 20% of its pre-tax income. Individuals and families earning less than these amounts will be eligible for subsidies paid directly to their insurer.

• Sec. 303 (pp. 167-168) makes it clear that, although the "qualified plan" is not yet designed, it will be of the "one size fits all" variety. The bill claims to offer choice—basic, enhanced and premium levels—but the benefits are the same. Only the co-pays and deductibles differ. You will have to enroll in the same plan, whether the government is paying for it or you and your employer are footing the bill.

• Sec. 59b (pp. 297-299) says that when you file your taxes, you must include proof that you are in a qualified plan. If not, you will be fined thousands of dollars. Illegal immigrants are exempt from this requirement.

• Sec. 412 (p. 272) says that employers must provide a "qualified plan" for their employees and pay 72.5% of the cost, and a smaller share of family coverage, or incur an 8% payroll tax. Small businesses, with payrolls from $500,000 to $750,000, are fined less.

Eviscerating Medicare:

In addition to reducing future Medicare funding by an estimated $500 billion, the bill fundamentally changes how Medicare pays doctors and hospitals, permitting the government to dictate treatment decisions.

• Sec. 1302 (pp. 672-692) moves Medicare from a fee-for-service payment system, in which patients choose which doctors to see and doctors are paid for each service they provide, toward what's called a "medical home."

The medical home is this decade's version of HMO-restrictions on care. A primary-care provider manages access to costly specialists and diagnostic tests for a flat monthly fee. The bill specifies that patients may have to settle for a nurse practitioner rather than a physician as the primary-care provider. Medical homes begin with demonstration projects, but the HHS secretary is authorized to "disseminate this approach rapidly on a national basis."

A December 2008 Congressional Budget Office report noted that "medical homes" were likely to resemble the unpopular gatekeepers of 20 years ago if cost control was a priority.

• Sec. 1114 (pp. 391-393) replaces physicians with physician assistants in overseeing care for hospice patients.

• Secs. 1158-1160 (pp. 499-520) initiates programs to reduce payments for patient care to what it costs in the lowest cost regions of the country. This will reduce payments for care (and by implication the standard of care) for hospital patients in higher cost areas such as New York and Florida.

• Sec. 1161 (pp. 520-545) cuts payments to Medicare Advantage plans (used by 20% of seniors). Advantage plans have warned this will result in reductions in optional benefits such as vision and dental care.

• Sec. 1402 (p. 756) says that the results of comparative effectiveness research conducted by the government will be delivered to doctors electronically to guide their use of "medical items and services."

Questionable Priorities:

While the bill will slash Medicare funding, it will also direct billions of dollars to numerous inner-city social work and diversity programs with vague standards of accountability.

• Sec. 399V (p. 1422) provides for grants to community "entities" with no required qualifications except having "documented community activity and experience with community healthcare workers" to "educate, guide, and provide experiential learning opportunities" aimed at drug abuse, poor nutrition, smoking and obesity. "Each community health worker program receiving funds under the grant will provide services in the cultural context most appropriate for the individual served by the program."

These programs will "enhance the capacity of individuals to utilize health services and health related social services under Federal, State and local programs by assisting individuals in establishing eligibility . . . and in receiving services and other benefits" including transportation and translation services.

• Sec. 222 (p. 617) provides reimbursement for culturally and linguistically appropriate services. This program will train health-care workers to inform Medicare beneficiaries of their "right" to have an interpreter at all times and with no co-pays for language services.

• Secs. 2521 and 2533 (pp. 1379 and 1437) establishes racial and ethnic preferences in awarding grants for training nurses and creating secondary-school health science programs. For example, grants for nursing schools should "give preference to programs that provide for improving the diversity of new nurse graduates to reflect changes in the demographics of the patient population." And secondary-school grants should go to schools "graduating students from disadvantaged backgrounds including racial and ethnic minorities."

• Sec. 305 (p. 189) Provides for automatic Medicaid enrollment of newborns who do not otherwise have insurance.

For the text of the bill with page numbers, see www.defendyourhealthcare.us.

Ms. McCaughey is chairman of the Committee to Reduce Infection Deaths and a former Lt. Governor of New York state.

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post #2 of 24 (permalink) Old 11-08-2009, 02:06 AM
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post #3 of 24 (permalink) Old 11-08-2009, 08:32 AM
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I love it! That bill is EXACTLY what we've been needing all along!
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post #4 of 24 (permalink) Old 11-08-2009, 09:32 AM
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Some one make up a tomb stone. our freedom needs it.

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post #5 of 24 (permalink) Old 11-08-2009, 10:31 AM
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post #6 of 24 (permalink) Old 11-08-2009, 11:46 AM
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Some one make up a tomb stone. our freedom needs it.

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I hope that bitch gets cancer.

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post #7 of 24 (permalink) Old 11-08-2009, 11:50 AM
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I hope that bitch gets cancer.
The idiots in Washington are exempt from this....she get the best healthcare available.

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post #8 of 24 (permalink) Old 11-08-2009, 12:02 PM
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I don't care. I still hope she gets it and in a form that is not curable.

1/19/09, the last day of Free America.
Pericles "Freedom is the sure possession of those alone who have the courage to defend it. "

"[T]he people alone have an incontestable, unalienable, and indefeasible right to institute government and to reform, alter, or totally change the same when their protection, safety, prosperity, and happiness require it." --Samuel Adams


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post #9 of 24 (permalink) Old 11-08-2009, 02:17 PM
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I was hoping she gets AIDS. Not HIV but full blown AIDS.
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post #10 of 24 (permalink) Old 11-08-2009, 02:46 PM
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The idiots in Washington are exempt from this....she get the best PRIVATE...not Gov't healthcare available.
Added info for more effect.

Pelosi's healthcare bill specifically states that she and her cronies are exempt from this clusterfuck of a bill. Ain't it grand.

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post #11 of 24 (permalink) Old 11-08-2009, 03:18 PM
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sounds like alot more money for big pharma.

and alot more control over the people by the us goverment.


won't they all be suprised when the people stand up and will not take anymore shit from politicians.doomsday is on the horizon.

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post #12 of 24 (permalink) Old 11-08-2009, 03:58 PM
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won't they all be suprised when the people stand up and will not take anymore shit from politicians.doomsday is on the horizon.
Please put your glasses on. Dooms day is not on the horizon. It's knocking at the door.



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post #13 of 24 (permalink) Old 11-08-2009, 04:23 PM
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Please put your glasses on. Dooms day is not on the horizon. It's knocking at the door.
It's actually been knocking for some time now, it's about to just walk on in and over us.

Our government needs our help, they have an addiction. Our government is addicted to our money. Since they always have our best interest at heart it's time we return the favor. We need to have an intervention, for the governments own good of course. It's just irresponsible for us to let people with a known money addiction continue to handle our money. Lets have an intervention now so we can help these sick individuals.
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post #14 of 24 (permalink) Old 11-08-2009, 04:33 PM
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By all indications, this turd will be DOA in the Senate. I'm hoping this is nothing more than something that Pelosi and Obama can hang their hats on so they feel like they did something. We'll see...

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post #15 of 24 (permalink) Old 11-08-2009, 05:34 PM
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By all indications, this turd will be DOA in the Senate.
i can only hope so.
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post #16 of 24 (permalink) Old 11-08-2009, 05:46 PM
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By all indications, this turd will be DOA in the Senate. I'm hoping this is nothing more than something that Pelosi and Obama can hang their hats on so they feel like they did something. We'll see...
They said the same thing about it passing the house. It's going to pass I believe.

Our government needs our help, they have an addiction. Our government is addicted to our money. Since they always have our best interest at heart it's time we return the favor. We need to have an intervention, for the governments own good of course. It's just irresponsible for us to let people with a known money addiction continue to handle our money. Lets have an intervention now so we can help these sick individuals.
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post #17 of 24 (permalink) Old 11-08-2009, 05:58 PM
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They said the same thing about it passing the house. It's going to pass I believe.
The bill in the Senate is an entirely different bill. Joe Lieberman has already stated (today) that he will kill it. I still have some faith in the senate to slow this down and really dissect it before advancing. We'll see if Joe has the chutzpah I think he does.

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post #18 of 24 (permalink) Old 11-08-2009, 06:03 PM
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They said the same thing about it passing the house. It's going to pass I believe.
I strongly doubt it will pass.
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post #19 of 24 (permalink) Old 11-08-2009, 06:23 PM
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I strongly doubt it will pass.
I can only hope...

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post #20 of 24 (permalink) Old 11-08-2009, 09:32 PM
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Dems had a much larger majority in the House. I hope it's destroyed in the Senate
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post #21 of 24 (permalink) Old 11-09-2009, 01:21 AM
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Dems had a much larger majority in the House. I hope it's destroyed in the Senate
Let's keep our fingers crossed. The debate process begins in the Senate and that's going to take some time. Hopefully, the right people can be convinced that this is a fiscally irresponsible bill. And the disastrous potential of a Government option and it's impact on employers over the long term.

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it was not a problem to bring money to his house at 10pm.so why is it a problem to call and bitch.it wasnt a problem when we were all sitting around smoking pot together.yes i said it we all were smoking pot together.what now stupid.
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post #22 of 24 (permalink) Old 11-09-2009, 10:44 AM
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Here's to hope:
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WASHINGTON -- Don't look for the Senate to quickly follow the House on health care overhaul.

A government health insurance plan included in the House bill is unacceptable to a few Democratic moderates who hold the balance of power in the Senate. They're locked in a battle with liberals, with the fate of President Obama's signature issue at stake.

If a government plan is part of the deal, "as a matter of conscience, I will not allow this bill to come to a final vote," said Sen. Joe Lieberman, the Connecticut independent whose vote Democrats need to overcome GOP filibusters.

"The House bill is dead on arrival in the Senate," Sen. Lindsey Graham, R-S.C., said.

Democrats did not line up to challenge him. Senate Majority Leader Harry Reid, D-Nev., has yet to schedule floor debate and hinted last week that senators may not be able to finish health care this year.

Nonetheless, the House vote provided an important lesson in how to succeed with less-than-perfect party unity, and one that Senate Democrats may be able to adapt. House Democrats overcame their own divisions and broke an impasse that threatened the bill after liberals grudgingly accepted tougher restrictions on abortion funding, as abortion opponents demanded.

In the Senate, the stumbling block is the idea of the government competing with private insurers.

Liberals may have to swallow hard and accept a deal without a public plan to keep the legislation alive. As in the House, the compromise appears to be to the right of the political spectrum.

Republican Sen. Olympia Snowe of Maine, who voted for a version of the Senate bill in committee, has given the Democrats a possible way out. She's proposing to allow a government plan, if after a few years premiums keep escalating and local health insurance markets remain in the grip of a few big companies. This is the "trigger" option.

That approach appeals to moderates such as Sen. Mary Landrieu, D-La. "If the private market fails to reform, there would be a fallback position," Landrieu said last week. "It should be triggered by choice and affordability, not by political whim."

Lieberman said he opposes the public plan because it could become a huge and costly entitlement program.

For now, Reid is trying to find the votes for a different approach: a government plan that states could opt out of.

He will keep meeting with senators this week to see if he can work out a political formula that will give him not only the 60 votes needed to begin debate, but the 60 needed to shut off discussion and bring the bill to a final vote.

Toward the end of the week, the Congressional Budget Office may report back with a costs-and-coverage estimate on Reid's bill, which he assembled from legislation passed by the Finance Committee and the Health, Education, Labor and Pensions Committee. The Finance Committee version does not include a government plan.

Reid has pledged to Obama that he will get the bill done by the end of the year and remains committed to doing that, according to a Senate leadership aide.

Both the House and Senate bills gradually would extend coverage to nearly all Americans by providing government subsidies to help pay premiums. The measures would bar insurers' practices such as charging more to those in poor health or denying them coverage altogether.

All Americans would be required to carry health insurance, either through an employer, a government plan or by purchasing it on their own.

To keep down costs, the government subsidies and consumer protections don't take effect until 2013. During the three-year transition, both bills would provide $5 billion in federal dollars to help get coverage for people with medical problems who are turned down by private insurers.

Both House and Senate would expand significantly the federal-state Medicaid health program for low-income people.

The majority of people with employer-provided health insurance would not see changes. The main beneficiaries would be some 30 million people who have no coverage at work or have to buy it on their own. The legislation would create a federally regulated marketplace where they could shop for coverage.

The are several major differences between the bills.

• The House would require employers to provide coverage; the Senate does not.
• The House would pay for the coverage expansion by raising taxes on upper-income earners; the Senate uses a variety of taxes and fees, including a levy on high-cost insurance plans.
• The House plan costs about $1.2 trillion over 10 years; the Senate version is under $900 billion.
By defusing the abortion issue — at least for now — the House may have helped the long-term prospects for the bill. Catholic bishops also eager to expand society's safety net may yet endorse the final legislation.

Lieberman appeared on "Fox News Sunday," while Graham was CBS' "Face the Nation."
http://www.foxnews.com/politics/2009...health-senate/

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post #23 of 24 (permalink) Old 11-09-2009, 10:46 AM
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Comply With Pelosi-Care Or Go To Jail

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Americans who do not maintain “acceptable health insurance coverage” and who choose not to pay the bill’s new individual mandate tax (generally 2.5% of income), are subject to numerous civil and criminal penalties, including criminal fines of up to $250,000 and imprisonment of up to five years.

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post #24 of 24 (permalink) Old 11-09-2009, 05:41 PM
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By all indications, this turd will be DOA in the Senate. I'm hoping this is nothing more than something that Pelosi and Obama can hang their hats on so they feel like they did something. We'll see...
They'll just grand stand and say they'll never pass the bill, and when it goes from 1200 to about 2000 pages because a substancial amount of pork gets shoved in. They'll pass an even more worthless version of the bill.
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