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sinkingfeeling's Journal
Posted by sinkingfeeling in General Discussion (1/22-2007 thru 12/14/2010)
Fri Jul 31st 2009, 03:43 PM

Page 59: The federal government will have direct, real-time access to all individual bank accounts for20electronic funds transfer.

This again, is in regards to reducing costs within the private health insurance industry and says exactly this, "enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;" This refers to the standardization of financial and administrative functions between health care providers and insurance companies!


Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and ACORN)

Wrong again. This section talks about the Secretary of Health and Human Services shall establish a temporary reinsurance program (in this section referred to as the ‘‘reinsurance program’’) to provide reimbursement to assist participating employment-based plans with the cost of providing health benefits to retirees and to eligible spouses, surviving spouses and dependents of such retirees. The amount paid for this policies is capped : the Secretary shall reimburse such plan for 80 percent of that portion of the costs attributable to such claim that exceeds $15,000, but is less than $90,000. Goal is to lower the costs borne directly by employer for providing retiree insurance. (pages 68 & 69).

Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange.

Doesn't say that. It says that "the Commissioner shall— (1) under section 204 establish standards for, accept bids from, and negotiate and enter into contracts with, QHBP offering entities for the offering of health benefits plans through the Health Insurance Exchange, with different levels of benefits required under section 203" If the insurance companies want to play, they have to meet the government standards.

Page 84: All private healthcare plans must participate in the Healthcare Exchange (i.e., total government control of private plans)

Again, does not say that all plans must participate in the Healthcare Exchange, just that those entities that do, must offer at least a basic plan within a service area. They can, then optionally, offer an enhanced and a premium plan.

Page 91: Government mandates linguistic infrastructure for services; translation: illegal aliens

Again, there is absolutely nothing about resident status in this. The section reads, in it's entireity, "(7) CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES AND COMMUNICATIONS.—The entity shall provide for culturally and linguistically appropriate communication and health services."

Page 95: The Government will pay ACORN and Americorps to sign up individuals for Government-run Health Care plan.

Says, "USE OF OTHER ENTITIES.—In carrying out this subsection, the Commissioner may work with
other appropriate entities to facilitate the dissemination of information under this subsection and to provide assistance as described in paragraph (2)." Then defines CHIP, Medicare, and States assistance. Also, this section is dealing with the Healthcare Exchange (participating for-profit insurance companies).

Page 102: Those eligible for Medicaid will be automatically enrolled: you have no choice in the matter.

Another blatant lie. "(3) AUTOMATIC ENROLLMENT OF MEDICAID ELIGIBLE INDIVIDUALS INTO MEDICAID.—The Commissioner shall provide for a process under which an individual who is described in section 202(d)(3) and has not elected to enroll in an Exchange-participating health benefits plan is automatically enrolled under Medicaid." Plenty of choice!

Page 124: No company can sue the government for price-fixing. No "judicial review" is permitted against the government monopoly. Put simply, private insurers will be crushed.

This entire Subtitle B is about the Public Option. What this section says is that the Secretary can establish the payment rates. "the Secretary to establish payment rates, including payments to provide for the more efficient delivery of services, such as the initiatives provided for under section 224.
24 (f) LIMITATIONS ON REVIEW.—There shall be no administrative or judicial review of a payment rate or methodology established under this section or under section 224.-

Page 127: The AMA sold doctors out: the government will set wages.

This is the Public Option and there are two methods for physician payments.

"(A) PREFERRED PHYSICIANS.—Those physicians who agree to accept the payment rate established under section 223 (without regard to cost-sharing) as the payment in full. (B) PARTICIPATING, NON-PREFERRED PHYSICIANS.—Those physicians who agree not to impose charges (in relation to the payment rate described in section 223 for such physicians) that exceed the ratio permitted under
section 1848(g)(2)(C) of the Social Security Act. (Same as Medicare)."

Page 145: An employer MUST auto-enroll employees into the government-run public plan. No a lternatives.

Completely untrue. On page 145, there are 3 different ways an employer can provide health insurance for employees. But this is where somebody got the 'autoenrollment' stuff. Page 147, " (1) IN GENERAL.—The requirement of this subsection with respect to an employer and an employee is that the employer automatically enroll suchs (sic) employee into the employment-based health benefits plan for individual coverage under the plan option with the lowest applicable employee premium." This is followed immediately with a section describing how an employee may opt-out.

Page 126(sic) 146: Employers MUST pay healthcare bills for part-time employees AND their families.

Again, a lie. It clearly states: "In the case of coverage for an employee who is not a full-time employee, the amount of the minimum employer contribution under this subsection shall be a proportion.." This is still for those insurers participating in the Public Option.

Page 149: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll

Really, it's stated as 'EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.' and goes into Health Insurance Exchange Trust Fund.

Page 150: Any employer with a payroll of $250K-400K or more, who does not offer the public option, pays a 2 to 6% tax on payroll

See above.

Page 167: Any individual who doesn’t' have acceptable healthcare (according to the government) will be taxed 2.5% of income.

Well, they actually got something right. It's how you get mandatory participation. With a whole slew of exemptions listed in this section.

Page 170: Any NON-RESIDENT alien is exempt from individual taxes (Americans will pay for them).

Somebody doesn't understand what a non-resident is. And no, Americans aren't going to pay for them because they're not required to have insurance in the USA because they're not citizens!

Page 195: Officers and employees of Government Healthcare Bureaucracy will have access to ALL American financial and personal records.

Wow. It clearly states that "the Secretary shall disclose to officers and employees of the Health Choices Administration or such State-based health insurance exchange, as the case may be, return information of any taxpayer.." Same stuff the IRS has on you already each year:
taxpayer identity, filing status, adjusted gross income, and number of dependents to "indicate whether the taxpayer is eligible for such affordability credits."









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