The devil in the details

Some guy is reading through the entire health care bill, and trying to tease out what’s in it.

Here’s the link to the bill [*1] (PDF).

Here’s the links to part one[*2] and part two[*3] of what Peter Fleckstein says the bill contains.  On everybody’s to-do list is to look at the bill and see if it’s as bad as it seems, before more voices rise and more fists fly.

Here’s what the guy says is in the bill (they were all originally Twitter tweets, so they’re pretty terse):

Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
Pg 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
Pg 29 lines 4-16 in the HC bill – YOUR HEALTHCARE IS RATIONED!!!
Pg 42 of HC Bill – The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
PG 50 Section 152 in HC bill – HC will be provided 2 ALL non US citizens, illegal or otherwise
Pg 58HC Bill – Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
PG 84 Sec 203 HC bill – Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
PG 85 Line 7 HC Bill – Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
PG 91 Lines 4-7 HC Bill – Govt mandates linguistic approp svcs. Example – Translation 4 illegal aliens
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
PG 85 Line 7 HC Bill – Specs of Ben Levels 4 Plans. #AARP members – U Health care WILL b rationed
PG 102 Lines 12-18 HC Bill – Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No “judicial review” against Govt Monop
pg 127 Lines 1-16 HC Bill – Doctors/ #AMA – The Govt will tell YOU what u can make.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
PG 203 Line 14-15 HC – “The tax imposed under this section shall not be treated as tax” Yes, it says that
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
Pg 241 Line 6-8 HC Bill – Doctors, doesnt matter what specialty u have, you’ll all be paid the same
PG 253 Line 10-18 Govt sets value of Dr’s time, prof judg, etc. Literally value of humans.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Pg335 L 16-25 Pg 336-339 – Govt mandates estab. of outcome based measures. HC the way they want. Rationing
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
Pg 354 Sec 1177 – Govt will RESTRICT enrollment of Special needs ppl! WTF. My sis has down syndrome!!
Pg 379 Sec 1191 Govt creates more bureaucracy – Telehealth Advisory Cmtte. Can u say HC by phone?
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
Pg 429 Lines 1-9 An “adv. care planning consult” will b used frequently as patients health deteriorates
PG 429 Lines 10-12 “adv. care consultation” may incl an ORDER 4 end of life plans. AN ORDER from GOV
Pg 429 Lines 13-25 – The govt will specify which Doctors can write an end of life order.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
Pg 469 – Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
Pg 503 Lines 13-19 Govt will build registries and data networks from YOUR electronic med records.
PG 506 Lines 19-21 The Center will recommend policies that would allow for public access of data.
PG 518 Lines 21-25 The Commission will have input from HC consumer reps – Can u say unions & ACORN?
PG 621 Lines 20-25 Govt will define what Quality means in HC. Since when does Govt know about quality?
PG 624 “Quality” measures shall b designed to profile u including race, age, gender, place of residence, etc
Pg 630 9-24/631 1-9 Those Multi-stake holder groups incl. Unions & groups like ACORN deciding HC quality.
PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Qual Measures” 4 Physician Svcs & Dialysis Svcs.
Pg 635 to 653 Physicians Payments Sunshine Provision – Govt wants to shine sunlight on Docs but not Govt.
PG 660-671 Doctors in Residency – Govt will tell U where ur residency will b, thus where u’ll live.
Pg 676-686 Govt will regulate hospitals in EVERY aspect of residency programs, incl. teaching hospitals.
PG 711 Lines 8-14 The Secretary has broad powers to deny HC providers/suppliers admittance into HC Exchng.
Pg 719-720 Sec 1637 ANY Doctor who orders durable med equip or home med svcs MUST b enrolled in Medicare.
Pg 735 lines 16-25 For law enforce. purposes the Secretary-HHS will give Atty General access to ALL data.
Pg 757-762 Fed govt will shift burden of payments 2 Disproportionate Share Hospitals (DSH) 2 States. (Taxes)
Pg 768 Sec 1713 Govt – Nurse Home Visitation Svcs (Hello union paybacks)
Pg 769 3-5 Nurse Home Visit Svcs – “increasing birth intervals btwn pregnancies.” Govt Abortions any1?
Pg 770 SEC 1714 Fed Govt mandates eligibility 4 State Family Planning Svcs. Say abortion & State Sovereign.
Pg 789-797 Govt will set, mandate drug prices, controlling which drugs brought 2 mrkt. Bye innovation
PG 801 Sec 1751 The Govt will decide which Health care conditions will be paid. Say RATION!
Pg 810 SEC. 1759. Billing Agents, clearinghouses, etc req. 2 register. Govt takes over private payment sys.
PG 829-833 Govt will impose a fee on ALL private health ins. plans incl. self insured to pay for Trust Fund!
Pg 838-840 Govt will design & implem. Home Visitation Prog 4 families w young kids & families expect kids.
PG 844-845 OMG! This Home Visitation Prog. includes Govt coming in2 ur house & telling u how 2 parent
Pg 859 Govt will establish a Public Health Fund at a cost of $88,800,000,000. Yes thats Billion.
Pg 865 The Govt will MANDATE the establishment of a National Health Service Corps
PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HC for 2yrs for part loan repayment
PG 876-892 The govt takes over the education of our Med students and Drs
PG 898 The Govt will establish a Public Health Workforce Corps. 2 ensure supply of public health prof.
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 incl commissioned Regular & Reserve Officers. HC Draft? WTF!
PG 910 The Govt will develop, build & run Public Health Training Centers.
PG 913-914 Govt starts a HC affirmative action program thru guise of diversity scholarships.
PG 915 SEC. 2251. Govt MANDATES Cultural & linguistic competency trng 4 HC professionals.
Pg 932 The Govt will estab Preventative & Wellness Trust fund- intial cost of $30,800,000,000-Billion
PG 936 Govt will develop “Healthy People & National Public Health Perform. Standards” Tell me what 2 eat?
PG 942 Lines 22-25 More Govt? Offices of Surg. Gen. -Public Health Svc, MinorityHealth, Women’s Health
PG 993 Govt 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 GOVT Brainwash!
PG 1001 The Govt will establish a National Medical Device Registry. Will u be tracked?
PG 1003 9-11 National Med Dev Reg ‘‘(iii) other postmarket device surveillance activities” U WILL b tracked.

Apologies for the wall of text, but this whole thing is kinda important, don’t cha think?