The house ways and means committee has released a copy of the one thousand plus page “America`s Affordable Health Choices Act: Complete Bill Text (H.R. 3200)“. No I have not had the opportunity to read it yet, but from the information I have read and heard both through online media, television and the newspaper this is something I’m definitely not interested in having shoved down my throat. I will take the time to read it over this weekend and if it lives up to the reputation its getting from the press I for one will be calling my Senators and Representatives and voicing my opinion. I highly encourage everyone that visits this site to read the bill and make their own judgement. If even a portion of the things I’ve been hearing about the bill are true this will ruin the economy, heath care and the United States as we know it today. I sure hope I have to make a post retracting my current feelings on this after I read the whole bill. If you want to keep up with the H.R.3200 – America’s Affordable Health Choices Act of 2009 that is currently in congress you can find out about the daily activities here
Here is a copy of my thoughts and the letter I’ll be sending to my representatives
Senator Bayh
As a citizen of Indiana who works in healthcare I have major concerns with the healthcare
bill before Congress. I actually have read the bill that was released by the house ways and means committee and I am shocked by the brazenness of the government’s proposed involvement in the patient physician relationship. The very idea that the government will dictate and ration patient care is dangerous and certainly not helpful in designing a healthcare system that works for all. I agree that we need to fix our healthcare system, but the proposed bills currently making their way through congress will be a disaster if passed.
I ask you respectfully and as a patriotic American to fully read the bill and look at the following troubling lines that I have read in the bill (I have added my concerns to some of the provisions under their respective lines in italics). You cannot possibly believe that these proposals are in the best interests of the country and our fellow citizens. As you read this bill and make your choice of how to vote, take into consideration that as servants to the citizens of this country, all members of government should be required to carry the government healthcare plan that they enact as their own healthcare plan for themselves and their families. If you would not desire this plan for yourself or your family DO NOT VOTE FOR IT!!!
Page 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits you get. The Health Choices Commissioner will choose your HC Benefits for you.
Page 58 HC Bill: Govt will have real-time access to individuals’ finances & a National ID Health card will be issued!
Page 59 HC Bill lines 21-24: Govt will have direct access to you banks accounts for elective funds transfer.
Page 65 Sec 164: is a payoff subsidized plan for retirees and their families in Unions & community organizations
Page 84 Sec 203 HC bill: Govt mandates ALL benefit packages for private HC plans in the Exchange.
Page 85 Line 7 HC Bill: Specifications for of Benefit Levels for Plans
Page 95 HC Bill Lines 8-18: The Govt will use groups to sign up individuals for Govt HC plan.
Who regulates these companies? And why the heck is Acorn being discussed as a possibility to do this? If there are groups to be used then they should be highly regulated as to their methods unlike Acorn in the last voter registration drive.
Page 102 Lines 12-18 HC Bill: Medicaid Eligible Individuals will be automatically enrolled in Medicaid. No choice.
What happens if the individual is not interested in Government based Healthcare?
Page 124 lines 24-25 HC: No company can sue GOVT on price fixing. No “judicial review” against Govt Monopoly.
How is this American? Our country has always utilized its ability to grow and adapt by questioning itself through “judicial review” of practices and ideologies that are outdated. Does this mean that the government wants the medical and science communities to stop learning new and improved methods of treating and curing illnesses? We can’t afford to allow one government body to dictate our medical and scientific growth and development!! I realize that this bill has “the Center” for research, but a lot of valid research occurs in the physician’s office with individual patients.
Page 127 Lines 1-16 HC Bill: Doctors/ American Medical Association – The Govt will tell YOU what you can make.
I understand the desired outcome of this provision. However, by allowing this line to stay in the bill, the government is stifling physicians ability to specialize and develop better treatment options for patients. It may allow all patients to be able to afford the same care, but sometimes the “best care” from more expensive, more specialized physicians allows for this growth, which then becomes common practice by all physicians after it has been proven to be effective. History has proven that the ‘wealthy’ are willing to pay more for their healthcare and this willingness has required physicians to “think outside the box” and develop these new treatments to accommodate this particular population. These physicians take on more risks and as a result deserve to be compensated at a higher rate for that risk.
Page 145 Line 15-17: An Employer MUST auto enroll employees into public
option plan.
Page 146 Lines 22-25: Employers MUST pay for HC for part time employees
AND their families.
Page 149 Lines 16-24: ANY Employer with payroll 401k & above who
does not provide public option pays 8% tax on all payrolls.
Page 150 Lines 9-13: Business’s with payroll btw 251k & 401k who
doesn’t provide public option pays 2-6% tax on all payroll.
Page 167 Lines 18-23: ANY individual who doesn’t have acceptable HC
according to Govt will be taxed 2.5% of income.
Where does the money come from for these employers to pay for this insurance? This could bankrupt many small companies leaving even more people unemployed and uninsured! The government is already spending my unborn grandchildren’s money, so they can’t provide these funds to the employers without continuing to spend money that doesn’t exist. Government spending must be halted not increased.
Page 170 Lines 1-3 HC Bill: Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay)
Page 195 HC Bill: Officers & employees of HC Admin (GOVT) will have access to ALL Americans finances /personal records.
Page 203 Line 14-15 HC: “The tax imposed under this section shall not be treated as tax”
Page 239 Line 14-24 HC Bill: Govt will reduce physician services for Medicaid Seniors, low income and poor are affected.
Page 253 Line 10-18: Govt sets value of Doctor’s time, profession, judgment etc.
Page 265 Sec 1131: Govt mandates & controls productivity for private HC industries.
Page 268 Sec 1141: Federal Govt regulates rental & purchase of power driven wheelchairs.
Page 272 SEC. 1145: TREATMENT OF CERTAIN CANCER HOSPITALS Cancer patients – welcome to rationing!
Page 280 Sec 1151: The Govt will penalize hospitals for whatever Govt deems preventable re-admissions.
Page 298 Lines 9-11: Doctors, treat a patient during initial admission that results in a re-admission -Govt will penalize you.
This provision makes absolutely no sense to me! Some conditions and diseases have recurring sub-conditions that require hospital treatment and monitoring as a normal part of their disease process. So with this provision the government will be forcing hospitals to refuse to treat these sub-conditions of their patients to avoid fines. This is NOT improved healthcare for United States Citizens!!! If individual hospitals are abusing the system by discharging and readmitting patients on the same day or the next day in order to continue to receive government funds then and only then should the hospital be fined. This is not an area where across the board rules will be beneficial to patients or the hospitals that treat them.
Page 317 L 13-20: PROHIBITION on ownership/investment. Govt tells Doctors what/how much they can own!
Since when did the government of the United States have the right to dictate what it’s citizens owned? The Equal Rights (for women) and Civil Rights (for those of ‘minority’ status) allow for every United States citizen the right to own property and pursue financial independence through equal employment opportunities and other legal financial opportunities. Good Healthcare providers do not practice medicine based on how much money they can make, instead they make money by being tireless in their pursuits to give their patients the best care, medicine and treatments available.
Page 317-318 lines 21-25, 1-3: PROHIBITION on expansion- Govt is mandating hospitals cannot expand.
Page 321 2-13: Hospitals have opportunity to apply for exception BUT community input is required.
This means that if a community experiences a population growth, its ability to meet the healthcare needs of its citizens is jeopardized as a result of the government deciding that it can or can’t expand. Healthcare representatives should be allowed to be proactive in caring for the community. Delays by having to apply for an exception and going to the community for input delays the care the community expects from their local healthcare representatives. This could result in people going untreated due to an ineffective healthcare system and could also result in a loss of revenue for that community as citizens are forced to look outside of their community for healthcare.
Page 335 L 16-25 Pg 336-339: Govt mandates establishment of outcome-based measures. HC the way they want.
Page 341 Lines 3-9: Govt has authority to disqualify Medicare Advance Plans, HMOs, etc. Forcing people into Govt plan.
Page 354 Sec 1177: Govt will RESTRICT enrollment of Special needs people!
Page 425 Lines 4-12: Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life patients.
Page 425 Lines 17-19: Govt will instruct & consult regarding living wills, durable powers of attorney. Mandatory!
Page 425 Lines 22-25, 426 Lines 1-3: Govt provides approved list of end of life resources, guiding you in death.
Page 427 Lines 15-24: Govt mandates program for orders for end of life. The Govt has a say in how your life ends?
Page 429 Lines 1-9: An “advanced care planning consultant” will be used frequently as patients’ health deteriorates.
Page 429 Lines 10-12: “advanced care consultation” may include an ORDER for end of life plans. AN ORDER from GOVT!
Page 429 Lines 13-25: The govt will specify which Doctors can write an end of life order.
Page 430 Lines 11-15: The Govt will decide what level of treatment you will have at end of life!
Physicians, nurses and social workers in healthcare are already addressing end of Life care. This is an area of healthcare that is very personal to the patients and family members involved and should not be interfered with by the government! We are all going to die, that is a fact of life, but how we die (if not by a sudden illness or accident) is as individual as the lives we live. The government has no right to indicate how a patient should address that part of their life: family and religious beliefs, as well as the patients’ condition are the only things that should be considered. A politician in Washington will have no personal investment in those areas of the patients care and would not want someone interfering if the patient were themselves or a loved one and as such should leave that part of healthcare to the patient and the physician and healthcare workers involved with that individual patient.
Page 494-498: Govt will cover Mental Health Services including defining, creating, rationing those services.
This bill appears to me to be another way for government to control the lives of its citizens. The United States that I have been led to believe in is Represented by its government officials and not controlled by them. I believe in the United States where we have the freedom to lead our lives the way we choose and where those ideals are protected by the government, this is what I believe our founding fathers and the writers of our constitution wanted for the United States at the birth of our country.
This bill comes from a true need to fix our current healthcare system, please use your vote to reflect the voices of those you represent and protect us from decisions made too quickly with little or no thought given to what the American People truly want. Please be aware as you vote that we need healthcare reform for the people of this country and their individual healthcare needs, and NOT for the government to dictate across the board treatments for illnesses. Illnesses are as individual as the patients that they effect and the treatment of those patients should be allowed to reflect that individuality.
Thank you for your thought and consideration,
May God bless and guide you as you continue to represent the state of Indiana.
Julie B.
What has happened to our Representatives and Senators? If they thought for just a moment about this proposed HC policy any who they are there to represent, wouldn’t they maybe just maybe say “this is not right!” What is happening to our way of life and why is the Obama Administration trying to not just “CHANGE” but, destroy our America?
Is everyone in Congress and our President going to be MADE to participate in this Communistic plan???????????
Here we go again, Democratics hitting the middle class, tax us until we are in the poor catagory!!!!!!!!!!!
5 Comments
Here is a copy of my thoughts and the letter I’ll be sending to my representatives
Senator Bayh
As a citizen of Indiana who works in healthcare I have major concerns with the healthcare
bill before Congress. I actually have read the bill that was released by the house ways and means committee and I am shocked by the brazenness of the government’s proposed involvement in the patient physician relationship. The very idea that the government will dictate and ration patient care is dangerous and certainly not helpful in designing a healthcare system that works for all. I agree that we need to fix our healthcare system, but the proposed bills currently making their way through congress will be a disaster if passed.
I ask you respectfully and as a patriotic American to fully read the bill and look at the following troubling lines that I have read in the bill (I have added my concerns to some of the provisions under their respective lines in italics). You cannot possibly believe that these proposals are in the best interests of the country and our fellow citizens. As you read this bill and make your choice of how to vote, take into consideration that as servants to the citizens of this country, all members of government should be required to carry the government healthcare plan that they enact as their own healthcare plan for themselves and their families. If you would not desire this plan for yourself or your family DO NOT VOTE FOR IT!!!
Page 30 Sec 123 of HC bill – THERE WILL BE A GOVT COMMITTEE that decides what treatments/benefits you get. The Health Choices Commissioner will choose your HC Benefits for you.
Page 58 HC Bill: Govt will have real-time access to individuals’ finances & a National ID Health card will be issued!
Page 59 HC Bill lines 21-24: Govt will have direct access to you banks accounts for elective funds transfer.
Page 65 Sec 164: is a payoff subsidized plan for retirees and their families in Unions & community organizations
Page 84 Sec 203 HC bill: Govt mandates ALL benefit packages for private HC plans in the Exchange.
Page 85 Line 7 HC Bill: Specifications for of Benefit Levels for Plans
Page 95 HC Bill Lines 8-18: The Govt will use groups to sign up individuals for Govt HC plan.
Who regulates these companies? And why the heck is Acorn being discussed as a possibility to do this? If there are groups to be used then they should be highly regulated as to their methods unlike Acorn in the last voter registration drive.
Page 102 Lines 12-18 HC Bill: Medicaid Eligible Individuals will be automatically enrolled in Medicaid. No choice.
What happens if the individual is not interested in Government based Healthcare?
Page 124 lines 24-25 HC: No company can sue GOVT on price fixing. No “judicial review” against Govt Monopoly.
How is this American? Our country has always utilized its ability to grow and adapt by questioning itself through “judicial review” of practices and ideologies that are outdated. Does this mean that the government wants the medical and science communities to stop learning new and improved methods of treating and curing illnesses? We can’t afford to allow one government body to dictate our medical and scientific growth and development!! I realize that this bill has “the Center” for research, but a lot of valid research occurs in the physician’s office with individual patients.
Page 127 Lines 1-16 HC Bill: Doctors/ American Medical Association – The Govt will tell YOU what you can make.
I understand the desired outcome of this provision. However, by allowing this line to stay in the bill, the government is stifling physicians ability to specialize and develop better treatment options for patients. It may allow all patients to be able to afford the same care, but sometimes the “best care” from more expensive, more specialized physicians allows for this growth, which then becomes common practice by all physicians after it has been proven to be effective. History has proven that the ‘wealthy’ are willing to pay more for their healthcare and this willingness has required physicians to “think outside the box” and develop these new treatments to accommodate this particular population. These physicians take on more risks and as a result deserve to be compensated at a higher rate for that risk.
Page 145 Line 15-17: An Employer MUST auto enroll employees into public
option plan.
Page 146 Lines 22-25: Employers MUST pay for HC for part time employees
AND their families.
Page 149 Lines 16-24: ANY Employer with payroll 401k & above who
does not provide public option pays 8% tax on all payrolls.
Page 150 Lines 9-13: Business’s with payroll btw 251k & 401k who
doesn’t provide public option pays 2-6% tax on all payroll.
Page 167 Lines 18-23: ANY individual who doesn’t have acceptable HC
according to Govt will be taxed 2.5% of income.
Where does the money come from for these employers to pay for this insurance? This could bankrupt many small companies leaving even more people unemployed and uninsured! The government is already spending my unborn grandchildren’s money, so they can’t provide these funds to the employers without continuing to spend money that doesn’t exist. Government spending must be halted not increased.
Page 170 Lines 1-3 HC Bill: Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay)
Page 195 HC Bill: Officers & employees of HC Admin (GOVT) will have access to ALL Americans finances /personal records.
Page 203 Line 14-15 HC: “The tax imposed under this section shall not be treated as tax”
Page 239 Line 14-24 HC Bill: Govt will reduce physician services for Medicaid Seniors, low income and poor are affected.
Page 253 Line 10-18: Govt sets value of Doctor’s time, profession, judgment etc.
Page 265 Sec 1131: Govt mandates & controls productivity for private HC industries.
Page 268 Sec 1141: Federal Govt regulates rental & purchase of power driven wheelchairs.
Page 272 SEC. 1145: TREATMENT OF CERTAIN CANCER HOSPITALS Cancer patients – welcome to rationing!
Page 280 Sec 1151: The Govt will penalize hospitals for whatever Govt deems preventable re-admissions.
Page 298 Lines 9-11: Doctors, treat a patient during initial admission that results in a re-admission -Govt will penalize you.
This provision makes absolutely no sense to me! Some conditions and diseases have recurring sub-conditions that require hospital treatment and monitoring as a normal part of their disease process. So with this provision the government will be forcing hospitals to refuse to treat these sub-conditions of their patients to avoid fines. This is NOT improved healthcare for United States Citizens!!! If individual hospitals are abusing the system by discharging and readmitting patients on the same day or the next day in order to continue to receive government funds then and only then should the hospital be fined. This is not an area where across the board rules will be beneficial to patients or the hospitals that treat them.
Page 317 L 13-20: PROHIBITION on ownership/investment. Govt tells Doctors what/how much they can own!
Since when did the government of the United States have the right to dictate what it’s citizens owned? The Equal Rights (for women) and Civil Rights (for those of ‘minority’ status) allow for every United States citizen the right to own property and pursue financial independence through equal employment opportunities and other legal financial opportunities. Good Healthcare providers do not practice medicine based on how much money they can make, instead they make money by being tireless in their pursuits to give their patients the best care, medicine and treatments available.
Page 317-318 lines 21-25, 1-3: PROHIBITION on expansion- Govt is mandating hospitals cannot expand.
Page 321 2-13: Hospitals have opportunity to apply for exception BUT community input is required.
This means that if a community experiences a population growth, its ability to meet the healthcare needs of its citizens is jeopardized as a result of the government deciding that it can or can’t expand. Healthcare representatives should be allowed to be proactive in caring for the community. Delays by having to apply for an exception and going to the community for input delays the care the community expects from their local healthcare representatives. This could result in people going untreated due to an ineffective healthcare system and could also result in a loss of revenue for that community as citizens are forced to look outside of their community for healthcare.
Page 335 L 16-25 Pg 336-339: Govt mandates establishment of outcome-based measures. HC the way they want.
Page 341 Lines 3-9: Govt has authority to disqualify Medicare Advance Plans, HMOs, etc. Forcing people into Govt plan.
Page 354 Sec 1177: Govt will RESTRICT enrollment of Special needs people!
Page 379 Sec 1191: Govt creates more bureaucracy – Tele-health Advisory Committee.
Page 425 Lines 4-12: Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life patients.
Page 425 Lines 17-19: Govt will instruct & consult regarding living wills, durable powers of attorney. Mandatory!
Page 425 Lines 22-25, 426 Lines 1-3: Govt provides approved list of end of life resources, guiding you in death.
Page 427 Lines 15-24: Govt mandates program for orders for end of life. The Govt has a say in how your life ends?
Page 429 Lines 1-9: An “advanced care planning consultant” will be used frequently as patients’ health deteriorates.
Page 429 Lines 10-12: “advanced care consultation” may include an ORDER for end of life plans. AN ORDER from GOVT!
Page 429 Lines 13-25: The govt will specify which Doctors can write an end of life order.
Page 430 Lines 11-15: The Govt will decide what level of treatment you will have at end of life!
Physicians, nurses and social workers in healthcare are already addressing end of Life care. This is an area of healthcare that is very personal to the patients and family members involved and should not be interfered with by the government! We are all going to die, that is a fact of life, but how we die (if not by a sudden illness or accident) is as individual as the lives we live. The government has no right to indicate how a patient should address that part of their life: family and religious beliefs, as well as the patients’ condition are the only things that should be considered. A politician in Washington will have no personal investment in those areas of the patients care and would not want someone interfering if the patient were themselves or a loved one and as such should leave that part of healthcare to the patient and the physician and healthcare workers involved with that individual patient.
Page 494-498: Govt will cover Mental Health Services including defining, creating, rationing those services.
This bill appears to me to be another way for government to control the lives of its citizens. The United States that I have been led to believe in is Represented by its government officials and not controlled by them. I believe in the United States where we have the freedom to lead our lives the way we choose and where those ideals are protected by the government, this is what I believe our founding fathers and the writers of our constitution wanted for the United States at the birth of our country.
This bill comes from a true need to fix our current healthcare system, please use your vote to reflect the voices of those you represent and protect us from decisions made too quickly with little or no thought given to what the American People truly want. Please be aware as you vote that we need healthcare reform for the people of this country and their individual healthcare needs, and NOT for the government to dictate across the board treatments for illnesses. Illnesses are as individual as the patients that they effect and the treatment of those patients should be allowed to reflect that individuality.
Thank you for your thought and consideration,
May God bless and guide you as you continue to represent the state of Indiana.
Julie B.
What has happened to our Representatives and Senators? If they thought for just a moment about this proposed HC policy any who they are there to represent, wouldn’t they maybe just maybe say “this is not right!” What is happening to our way of life and why is the Obama Administration trying to not just “CHANGE” but, destroy our America?
Is everyone in Congress and our President going to be MADE to participate in this Communistic plan???????????
Here we go again, Democratics hitting the middle class, tax us until we are in the poor catagory!!!!!!!!!!!
You guys are silly–must be watching Fox news. I think the un-informed like these comments indicate don’t know what they are talking about!
maybe if they hypnotize the voters into thinking this is a good deal then we’ll accept everything they throw our way from now on