Why Rural America Needs a Public Health Insurance Plan Option

The inclusion of a public health insurance plan in health care reform legislation as an option for individuals, families, and businesses promises to be one of the most controversial and crucial decisions made by Congress. With the myriad health care challenges facing rural people and rural communities, the decision on whether to include a public health insurance plan option has significant consequences for rural America. In fact, rural America has much to gain or lose from the public health insurance plan decision.

Why Rural America Needs a Public Health Insurance Option is the latest installment of our series of papers examining rural issues in health care reform. It examines why a public health insurance plan option is needed for rural America.

Some of the key points and findings in the report are:

  • The cost of health insurance is crushing the self-employed and microbusinesses that form the bulk of the rural economy. Nearly three-quarters of the rural uninsured own or work in small businesses, and cost/affordability is by far the most cited reason for being uninsured.
  • The availability of affordable and quality health insurance is the primary barrier to entrepreneurship – the most effective rural development strategy – reaching its potential for rural people and rural communities.
  • Most drafts of proposed health care reform bills in Congress contain individual and business mandates to carry or provide health insurance; such mandates – if they depend on the current health insurance system that does not work well for many rural people as the only health insurance option – are unlikely to address unique rural challenges.
  • Rural people and rural areas suffer from economic concentration, consolidation, and a lack of choice in many economic areas, including health insurance. Research has shown that 94 percent of statewide health insurance markets meet the U.S. Department of Justice standard of “highly concentrated” for antitrust purpose. Concentrated health insurance markets affect smaller, predominately rural states more than larger states.
  • Workplace characteristics more common in rural areas such as self-employment, small business ownership and employment, and low-wage work are risk factors for higher rates of being without insurance, being without adequate insurance, and greater dependence on the individual insurance market, conditions all subject to issues of cost, choice, and level of coverage that a public health insurance plan could address.
  • Unique rural factors make health insurance coverage less stable for rural individuals and families, ultimately negatively affecting their health. The high cost of insurance in the individual market; generally higher insurance premiums in rural areas; less employer-provided insurance; and lower incomes and higher rates of poverty all act together to leave rural residents with a greater risk of being without insurance, without adequate insurance, or uninsured for longer periods of time, all factors that negatively affect health.
  • A public health insurance plan could lead to significantly lower costs to businesses and households. Models show public health insurance plan premiums would be 16 to 30 percent lower than private plans, and health care cost savings would be up to 41 percent greater with a public health insurance plan.

A public health insurance plan available as an option for individuals, families, and businesses helps address the rural risk factors leading to rural insurance instability and would act as a backup for all of the rural factors leading to greater insurance instability. Further, it would act as a check on private insurance plans, keeping private coverage honest in ways that benefit individuals, families and businesses.

To be truly beneficial to rural people and businesses, any public health insurance plan option must contain several provisions. Those are outlined in more detail in Why Rural America Needs a Public Health Insurance Option. Among the most important is equity to rural areas by providing rural provider reimbursement rates that have less disparity than exist under current public programs such as Medicare.

The enhanced coverage and lower costs a public health insurance plan could bring to rural people are of little consolation if rural providers are unable to provide services to public plan consumers because reimbursement rates are too low. A public health insurance plan – for all the benefits it could bring to rural areas – should not aggravate the problem of access. Health care reform should not seek to contain costs on the backs of rural people and rural providers.

You can read Why Rural America Needs a Public Health Insurance Optionat the Center’s health care reform web page, http://www.cfra.org/policy/health-care.

Contact: Jon Bailey, jonb@cfra.org or 402.687.2103 x 1013 for more information on the Center for Rural Affairs’ health care reports.

Comments

Why Rural America Needs Healthcare???

I do not know who authored this article, but it could not be any more WRONG!!! The LAST thing America and, especially rural America needs is Public Health Insurance and/or Public Health care. Give me ONE example of what our government does efficiently and at less cost than privately? (Please do not tell me Medicare, Social Security, or Amtrak. I know better) Just go with me to Europe and see what a mess Socialized Medicine really is. And, it is VERY expensive. You don't even need to go that fr. Go to Canada and ask somebody over the age of 50 (somebody who has actually had to use it) about how wonderful it is. You are doing a huge disservice to your readers by spewing our this garbage!!!

public insurance option

You have obviously been wounded or believe you will be wounded in some way by the public option; you feel very strongly, and I appreciate your sentiment. No one really knows for sure what way this will pan out. Comparisons with Canada and Europe are fairly unrealistic, because they have no private options, or they are very limited. My aunt in Canada has Parkinsons and she waited far less time for treatment, medicines, etc than did my dad who had Parkinsons in Illinois. He often waited 2 months before getting in to see his doctors--they were so crowded. You might want to see "Sicko"; it opened my eyes about the nature of socialized medicine. Anyway, if you don't want the government version, you still have the choice of continuing with your private insurance. I, for one, feel the public option is a step in the right direction, and I sure like that Obama is doing away with the "no insurance for pre-existing conditions". That has been so unfair to those who happen to get sick with one of the diseases on the insurance list (too long a list to mention). That has never seemed right to me.

Healthcare

Claims that everyone can keep their privare health plans are distorted. Under the House bill, if anyone leaves their current private plan they must go to the government program. So there is no longer a competitive marketplace to obtain healthcare. How long will the private insurers even offer plans when they are outlawed from soliciting new policies? Also, the report addresses access to rural healthcare. You may want to consider what negitive effect a national program may have in rural areas. Many older doctors are claoming they will retire rather than adjust to the new system. The House bill will also regulate the income of doctors, which could also reduce the number of new doctors entering the field. And short of a Federal mandate assigning doctors to rural areas, these communities would likely be impacted most severely. The system we have has its problems and needs improving, but the current legistlation literally throws the baby out with the bathwater. Please stop to consider the negative consequences of this proposal. We could end up worse off than we are now.

Amen to that! The people we

Amen to that! The people we have in government now can't even run anything right and out of debt. They just put us further and further in debt. So, we want them to control us???? They say Bush put us in debt but what are they doing now? They put us further in debt than anyone ever, ever, ever thought about. You can take me off of your subscription list for siding with govt control. I will do that myself, thank you!

rural America needs health care reform

I've known Jon Bailey for about 10 or 12 years. If he told me the sky wasn't blue I'd make sure I knew for sure before I said he was wrong. I'd suggest that respectful comments might be given more credence. But if you want to get in an argument with someone, based on the points you made in your post, you should pick someone less informed that Jon. It's funny that you ask a question but tell me what I can and cannot use in response. So, I won't answer your question. I'll let the insurance industry answer it. They, their advocates and their allies have said repeatedly that they cannot compete with a public health insurance plan, that they cannot provide the same benefits as efficiently as a public health insurance plan. They get that from looking at Medicare. If you don't believe me, you can take it from them. I have spent some time in Canada. People there don't talk about their health care system the way you say they do. But I don't understand why I should go there, they have a single-payer health care system and that's not what's being talked about here. Which brings me to my main question, if you don't like the idea of a public health insurance plan, why not just choose to keep your private insurance? Why is it necessary to deny a public health insurance OPTION to those who would prefer to choose it? I want a public health insurance option, I want to make that choice. I want to be able to choose to spend my money that way instead of giving my hard earned money to health insurance companies.

I am from Germany and never

I am from Germany and never lacked in 'health care' from the time I was conceived until the time I was 33 and moved to America. I could pick and choose the Dr I thought I needed. I was taken care of i.e. with my back pain through preventive measures like massages or chirop. I could ask for natural medicine if I wasn't happy with taking chemicals and most of it was paid for. I pretty much had it as good as your american government (who makes health care decisions for you), your army.., people on medicaid and -care, people that work for the country! However you (and me) 'small' people that don't belong to that important group that I listed above just don't deserve that kind of care. I would be happy to pay a little extra and get standardized health care, that all these people are getting.But instead I am not getting any care at all because I am not able to afford $800/ month to pay to feed corporate welfare. Remember: standardized health care is cheaper then corporate welfare! Susi

Susi- I am from Germany...

Susi- I am from Germany... was replying to Merle L.Anderson who doesn't think we need public health care!!! As a matter of fact we need health care for everyone not only the 'ELITE', but everybody IN-nobody OUT!!!

rural Healthcare

I have never in my 50 years seen politicians so out of touch with their constituents. These people , all of them, need to go, and it appears that is what is going to take place in November because their actions lately remind me of patients from a drug rehab facility. But the waste of resources and valuable time will never be recovered. Government has proven time and time again they cannot run anything even 5 % of the size of health care.

Healthcare for Rural America

I live in an agricultural state (Oklahoma) and the need for good healthcare coverage is not getting past the political rhetoric. This is a Republican state and all we hear is how bad it will be. My own daughter, who was uninsured for many months, has nothing good to say about "ObamaCare." I have read our senator's proposal (Dr. Tom Coburn) and it is laughable. Dr. Coburn and every other member of the medical profession I have worked with has no idea what medical and insurance costs really are. He offers a tax credit that would credit me only 38% of my current medical insurance cost. His argument that shared pools will bring the costs down is naive. My pool includes every public employee in the state (including teachers). As a financial educator I hear the impact of medical costs on families - it's the #2 reason for bankruptcy (after job loss) and my counselors tell me that half of those filing had medical insurance! They thought they were covered! I am sick of my party playing the "national debit" card when a Republican president got us into this debt in the first place. While I, personally, do not need public healthcare there is no doubt in my mind that others do. Democracy is government by the people, for the people and that means I am responsible for others. Please shout above the partisan rhetoric and continue doing what you can to get your message out.

Tricia, thanks! Trust me,

Tricia, thanks! Trust me, we'll keep talking (or shouting, if that's what it takes), you do the same. John Crabtree

Tricia

Tricia are you not willing to pay anything for healthcare? A reduction of 38% sounds like a good deal to me and you still get to choose your plan. Please read this bill, do not just assume the government is going to make everything better. Also that study that found health cost were the #2 case of bankruptcy was very flawed, they considered anyone that had $1000 or more in medical bills in the preceding 12 months before filing had filed bankruptcy due to healthcare reasons. This was a study conducted to backup an agenda, the truth was never a consideration.

Healthcare and Rural America

Absolutely NO WAY to the proposed government run healthcare/health insurance legislation. Yes to reasonable and responsible healthcare reform, but that's not at all what the Obama Administration is proposing. How can this organization support this proposed legislative atrocity? If the author of this article truly feels "responsible for others", how do they justify the provisions in this proposed legislation that takes $500 billion out of Medicare to fund this, use tax payers' money to pay for insurance for people who are in this country illegally, or the fact that it actually incentivizes business owners to stop providing insurance coverage to their employees while at the same time stops independent insurance companies from writing any new policies? Our government should be looking at how to reduce the massive fraud that financially cripples healthcare, not seize this as an opportunity to establish social medicine upon FREE AMERICANS. The fact is rural Americans will suffer right along with the rest of their fellow Americans if this legislation passes.

Rural Health Care

I dont' like the idea that any business can make money off my illnesses by not paying up when they feel like they need a profit. We need insurance for life, mortage, car, and health, and many times we pay and they don't. I have been denied coverage for things my own doctor has prescribed. If these insurance companies have no competition they will do what all the corporations who want profit do. For higher profits our jobs along with our insurance have gone over seas. Maybe that is one of the reasons we have no jobs here, because American's can't manufacture anymore. We used to have health insurance through many of the companies that left us to make more profit over seas. No competition no real insurance. They don't even want to compete with each other, so you can't shop around for a good insurance company. Here in my community we have benfits for those without insurance, it would be nice if the government could help those in need instead of their neighbors who have so little themseleves. Those who like the statis quo, have money and don't want to trickel it down. We need both private and government insurance so everyone gets a piece of the action.

Healthcare, your kidding?

I attended Pete Sessions Townhall meeting last night (thousands came, only 800 would fit), and the diverse group was vehemently opposed to the socialization of our healthcare system. It's ridiculous to assert that is a public option exists, consumers will even consider any other option. Certainly, America's young adults won't look any farther than the "public option", because the availability and even the "sign up" procedure will be available anywhere at taxpayer expense. Don't you get it? Much like welfare, the public healthcare option won't need to be "sold" or marketed. Unlike the government, private insurance providers can't "tax" the healthy as well as the sick to "subsidize" their costs. A government plan will grow and expand exponentially based on availability and usage rather than real need. Like any taxpayer funded services, people will take every opportunity to exploit government healthcare, bacause for a great many, it's free. Sooner rather than later it will dawn on someone in Washington that as more and more workers become "government workers", fewer and fewer jobs are being created in the private sector. Fewer private corporations mean's less tax dollars (except for the income taxes that will skyrocket) to fund an increasingly socialist infrastructure. I like in rural Texas, and I've paid for my own health insurance for better than 2 decades. Recently, I required extensive surgery and a prolonged hospital stay, and the costs for those 5 days in the hospital far outstripped all the premiums I've paid in these past 20 years. The treatment I received, the expedited treatment, was exemplary. I still had to pony up my $2000.00 deductible, with an additional out of pocket of $3000.00, but compared to the $100,000 plus for my hospital stay, a total of $5000.00 to save my life (and I can pay it out over time) seems like a bargain. Sure people, even rural people, want free stuff so long as "taxpayers" are buying, but it's dangerously misguided to even suggest that government can do a better job than we, the healthcare users and providers can. Unfortunately, some people can't afford insurance, but that doesn't deny them healthcare. Our emergency rooms are filled with these individuals. The solution isn't to drag everyone else down to the same levels of service, standing in line, and service rationing as these folks. Nor does it make sense for our healthcare policies to create perverse incentives that encourage even more illegal immigration. Like it or not folks, too many people competing for the same limited resources is not sane, sustainable, social, economic, or environmental policy. The Obamacare agenda is so filled with expensive, unworkable, dangerous ideas, that it's hard to decide which one to reject first. 10 years out, the true costs of Obamacare will destroy our economy!

Healthcare

A public plan does not mean a government run plan. I just means that the government pays directly instead of through insurance companies that take a big cut and control your services. My neighbor down the road has a son with pretty bad asthma. Because of the asthma and because there is only one insurance company that covers people here they have to pay a huge premium which only covers 50% of the cost for his medication. His meds cost $168 here at the local pharmacy, in Canada they cost $42 so they take a trip to Canada every six months to buy the pills. Doesn’t sound so bad to me. I asked some friends from BC what they thought of the Canadian healthcare and they said it was no accident that the country voted for the guy who started the Canadian healthcare system as the most admired man in Canada.

Hypocritical Scare Tactics of the SPECIAL INTERSTS

I just want to know how many of you ANTI-GOV'T responders are: a) affiliated with the healthcare industry? b) are gainfully employed - receive company sponsored health insurance WITHOUT BEING TAXED ON THIS COMPENSATION...that is further SUBSIDIZED by the Taxpayers as an EXPENSE to the Employer? c) are NOT willing to give up that Medicare benefit sponsored by that EVIL, INEPT Government? d) would rather see the SPECIAL INTERESTS continue to run this country rather than elected government?...WOW...look at all the hands!!! This county needs to decide if AFFORDABLE ACCESS TO Healthcare is a PRIVILEGE of the wealthy and gainfully employed or a RIGHT..like life liberty ? Why do we continue to subsidize the wealthy and gainfully employed? For these SPECIAL INTEREST GROUPS it's easier to SCARE than EDUCATE the American public.

Back to reality Honna

A - No B - No, unemployed C - I'd give it up in a second, mostly cause I'm not on Medicare and have no expectation it will still be around when I'm older D - What special interest? You don't think there's special interest on both sides? Come on! I've also got some ocean front property in Arizona. Maybe, just maybe, there are people out there who think this is a bad idea. What if it is a bad idea? Now we've got to pay for your bad idea? No thanks.

Scare Tactics

Lost my job and healthcare 11 months ago. I am now buying my own. It isn't easy, but I have a plan I selected and I will deal with it. I prefer this over an inefficent government program. Now what about you? What is your Story? Have you read this proposal or are you blindly accepting this program and the lies used by our leadership to sell this bill of goods? I encourage you to the long comments titled ObamaCare, the writer sites page numbers and lines for you to verify for yourself how poorly this plan will perform.

Public health Plan

My son in law (in Canada) was in Intensive Care for two weeks after being burned over 30 per cent of his body. He had to wear a bodysuit for six months because of these burns. He or his family did not pay one dime. If he had been in the US, his famly would have had a huge medical bill. The people in the United States need to look at what other countries are doing and learn from them--- instead of arguing about what " they think might happen or might not happen. It is time to stop letting BIG INSURANCE AND BIG DRUG COMPANIES run, (AND RUIN) our lives.

You make good arguments for

You make good arguments for why health care should be reformed but I see no argument for a public option. Perhaps we should approach this differently than both Republicans and Democrats. Perhaps we should see in what ways the government is over regulating and putting us into a situation where there are so few providers. Imagine if I wanted to start a hospital or other health care providing company. How many government regulations would I have to jump through to start one? It would be astronomical. No one can do it which is why we're in the situation we are. I appreciate that you are trying to help rural American and health care is a problem. But let's not continue down the same dead end path that we've been on.

Thank you to all!

We at the Center for Rural Affairs love to hear your feedback and love it even more when you comment on our newsletter pieces and blog posts. It helps us do our work better. Please keep the conversation going, and please maintain respect for those with a different opinion. Having facts from credible sources and linking to them in your comments will help you make your case. We value all of our supporters.

Obamacare

It is obvious that many who are responding here have no idea what they are asking for when they support the current health care rhetoric coming from the new Messiah. Please take time to read the following brief summary. Or go look on line and find the bill in its entirety. Be afraid people, be very afraid. Do you want a stranger on a committee who knows neither you nor your doctor deciding what care he can provide, or if he CAN provide care and medication? Do you want some stranger telling your elderly parent that his/her illness will not be treated because he is old anyway? Do you want your hard earned money which you are already required to pay in the form of taxes to be increased so illegal aliens can be given medical care equivalent to or better than your son or daughter will get? If you asked for and support this bill as it is written, you are definitely asking for these things. Read the bill and forget the promises. This will definitely be a "change" that will speed our country on its spiral into Hell. Remember the concern during the campaign about the "Anti-Christ"? Be afraid people, be very afraid. 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 201 Line 12-19 Government will ignore whatever costs they see fit to show savings. (Cooking the books) 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 – Chapter 35 o… Read More: http://www.twitlonger.com/ show/c5bcfdae ... 6be70918ac 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 D 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 basically 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 The Government will MANDATE the establishment of a National Health Service Corps. 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

ObamaCare

Thank you for taking the time and effort to compile all the references. Surely there are items in here that would concern even the most avid proponent of socialized medicine. America can dokxnc3 better than this. Americans deserve better!

ObamaCare

According to a person from PolitiFact who was interviewed on NPR, the ObamaCare e-mail is mostly lies. The purported references are spurious. He commented that a lot of lies are being spread by both sides, but more are being spread by the opponents of health care reform.

AARP members be aware:

AARP members be aware: Ezekiel Emanuel and Cass Sunstien who are both health care advisors "Czars" to President Obama, have both made documented statements that health care sould be reserved for young adults who are "determined to be of more use to the community than senior citizens". Do we really trust these people with our Health care (with our lives)? In a 1996 Hastings Center article Dr. Emanuel wrote this: "services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia. A less obvious example Is guaranteeing neuropsychological services to ensure children with learning disabilities can read and learn to reason". Are you really ready to further bankrupt the country for a bill that the majority of your congress representatives have not taken the time to read? Has the Government ever done anything that didn't cost many times what was estimated? Has anyone noticed that proponets of the health care plan have changed their language from "universal health care" "Univeral Health insurance coverage"? This is a very subtle and telling message.

Health Care Concerns

I continue to be amazed at the histrionics surrounding the health care debate. There is an incredible amount of misinformation that is circulating from both sides. It seems to me that much of the anti-national health care responses are about people's sense that much in their lives is out of their control, and that this particular subject is the lightening rod for that much bigger fear. After all, we have all been recently impacted by a pervasive failure of our public institutions and our private corporate citizens to behave responsibly and ethically. I am a health care provider who happens to think Medicare is a pretty good, efficient system (despite the incidences of fraud that are part and parcel of every big system,e.g. think Enron, the Iraq war expenditures that were not accounted for, credit default swaps that were underwritten by nothing but greed, various insurance products that were found to be misrepresented, etc.) Despite the horror stories of "one of my friends from x country had a terrible experience with his health care", I find my colleagues from other countries are very satisfied with their system. Perfect? Of course not. The reality (just my opinion, of course!): We cannot sustain the cost of our current system. We do have national health care, but the insured among us are subsidizing it (along with the government) in a totally inefficient, patchwork manner. There is rationing now, and we will have to address and accept that we cannot offer everything to everyone. We just have to have the courage to have that discussion in the health policy arena and among ourselves and our families. The delivery of health care is horribly inefficient and "regulated" by corporate interests, whose interests are first and foremost to their shareholders. That's not a bad thing for a corporation, but not the best for our nation's health care problems. Can we work together to design a uniquely American plan that addresses every constituency's concerns, but doesn't ignore the other? We won't get everything we want, but we'll all profit.

Health Care

I think its about time that people have gotten upset and voiced their opinions. I also believe that people should be thoroughly educated on the facts before they voice those opinions. Listening to the news is not always that educational, news stations can be very one sided. Being informed involves doing your own research. I know that finding the facts is not always easy, but it's important that we(meaning every American citizen) know exactly what it is our government is trying to pass into law. I believe that the reason people are so upset about the Health Care issue, is because of everything the government has gotten involved in as of late. This issue has become the straw that broke the camels back. I'm not saying there does or does not need to be a public/gov't run option. I think we need to fix what is wrong with our health care system, before anything else regarding health care is rushed through Congress. Specifically, before we just go throwing money(that we don't have) into a new plan, government run or not. Nothing comes for free, nothing the government does is free. If it is free, it's because the money has come for somewhere or from someone else. The world will not end if this bill is not passed through by a certain date. No plan is going to be perfect for everyone, but we need to educate ourselves and know what we are arguing about, before we begin a discussion on it.

Healthcare bill

I will be watching the Obama administration. My lovely Mother-in-law died just recently. She got excellent care. Now I'm hearing that, according to this healthcare bill, costs for heart and cancer treatment will be cut in rural America. Cut so much, it may cause many rural doctors to leave or prevent necessary tests for heart disease or cancer, conditions more likely to strike the elderly. These two diseases are where these particluar set of cuts are concentrated. With my insurance, I pay approximately $1,000 for uninsured to get coverage, so there is an umbrella giving us time to just slow down and think this whole thing through. Has anyone been in an inner city emergency ward? How can preventative care stop stabbings, shootings and drug related ills. That will be regarded as racist and it is not meant to be. Yet to those for the bill it will remain a racist comment no matter what I say. Since I can't win anyway, I will say another "racist" thing. America has no money. We cannot afford to treat illegal aliens anymore. We just can't. I, for one, would be glad to just cruise along and pay for the care of illegals, but, sadly, America can't afford it anymore. What about Tort reform? Mr. Howard Dean was so refreshingly honest when he said that the trial lawyers own the Democrats. They simply will not touch Tort reform which would save tons of money. How many of us have been sent for two identical tests "just to be sure." That's another thing. The President has an obligation to get the word out that people must keep their own medical costs down. For instance. I had one thyroid scan in an office. Then, when I went to the hospital for treatment, the doctor was going to run another scan. I said unless it's to check for any signs of cancer again, I did not need another test. I refused that retesting which was fine with everyone. Patients must watch their doctors and if they seems to be practicing "defensive" medicine, we must step in and ask why another test or whatever the doctor is doing. We must question the costs of our own care. Is the testing really necessary, or ask the doctors why they feel they must run that test or why they do what they do. Americans. Stop calling one another names and unite around this cause. I do not trust my government. Especially when it comes to the retired elderly.

re:

The need of life insurance in life now are more than ever. Despite the facts that most people of their overall financial security has been invested in life insurance. I've also read this site www.docsbay.com gives facts and tips about insurance ownership.

Music

Well this is very interesting indeed.Would love to read a little more of this. Great post. Thanks for the heads-up…This blog was very informative and knowledgeable Welcome to Gurjeet Blog

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.

More information about formatting options

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.