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What the Pelosi Health-Care Bill Really Says

senior's medicare will go to train student nurses on the US Mexico border, where they will be req'd to work, and "to be more culturally sensitive and linguistically competent". Your parent's care will go to the Dems' next big voting block for eternal power and perpetual control..illegal megzigunz.


http://online.wsj.com/article/SB20001424052748704795604574519671055918380.html


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

What the government will require you to do:

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

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

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

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

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

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

Eviscerating Medicare:

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

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

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

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

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

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

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

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

Questionable Priorities:

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

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

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

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

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

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

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

—Ms. McCaughey is chairman of the Committee to Reduce Infection Deaths and a former Lt. Governor of New York state.
Printed in The Wall Street Journal, page A17
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http://cnsnews.com/news/article/56809
voting rules changed to favor illegals


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Added: Nov-10-2009 
By: HydrogenEconomy
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  • but on the bright side members of congress ,senate and president are exempted from this law

    Posted Nov-10-2009 By 

    (3) | Report

    • Yeah, no shit. Its such a grand plan that Pelosi won't come near it and will cuff your ass and fine it if you don't sign up.

      If you asshole liberals can't read between the lines that socialism has arrived at your door step, then go back to sleep and please never, ever wake back up.

      Posted Nov-10-2009 By 

      (3) | Report

  • it's funny how pelosi and the neoRats can fool their supporters into thinking they dont work for the insurance companies and special interests.

    lol!

    Posted Nov-10-2009 By 

    (1) | Report

  • You are required to have car insurance. If you don't it is illegal. This keeps premeums down. What is wrong with that? Not the best plan in the world I will agree. I would much rather see universal health care. The politicians (both side) are too pussy for that.

    Posted Nov-10-2009 By 

    (1) | Report

  • After all the BS from Pelosi and Reid about how the Insurance Industry wants to stop Health Care Reform the Pelosi Bill is written to make the Insurance and Pharmaceutical Industries rich.
    Democrat voters need to wake up and realize that what Obama and Company are doing is the SAME thing they pointed out about Bush. You guys have been had.
    Mandatory Insurance for many and penalties if you don't. Don't be childish and ask what page check it out yourself.

    Posted Nov-10-2009 By 

    (0) | Report

  • But it's free for the leeches! Pay no taxes, and let Big Brother take care of you.

    Democrats LOVE other peoples money and will go to extraordinary lengths to liberate it from them through force of Government.

    Posted Nov-10-2009 By 

    (0) | Report

  • Great post. This is the CHANGE and HOPE you voted for. When you have total scumbag politicians (like B. Hussein Obama and Rahm Emmanuel) teaming up with limousine liberals (like Nancy Pelosi and Harry Reid), you get communist, pro-illegal shit legislation like this.

    Health care costs money. If you expect to live a long and health life, you have to pay people to take care of you and also have to pay the cost of medical supplies, medications, hospital overheads, etc. You can either accept paying More..

    Posted Nov-10-2009 By 

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  • WSJ may as well be Fox News. Pure shit.

    Posted Nov-10-2009 By 

    (-6) | Report

    • Sounds like juvenile blather to me. This post lists chapter and verse as sources. What sources do you have except very tired liberal talking points?

      Posted Nov-10-2009 By 

      (2) | Report

    • Freeloaders don't like it when people try and take their handouts away from them. The thought of having to actually work for a living and paying your own bills is a very scary reality facing Michaeljinva and other entitlement-leaching losers. They had better get used to it. Their MESSIAH, B Hussein Obama, will be run out of DC in 2012 (if not sooner).

      Posted Nov-10-2009 By 

      (1) | Report

    • You are the epitome, you are the heart, you are the soul of what ills and rips this nation apart.

      Whether its the WSJ or the Dailykos, it cites the exact bill pages and lists it right there for you.

      But who cares, right? This country is dying of thirst but won't take a drink of water because we don't like the color of the glass.

      Yor are an idiot loser of proportions unknown to mankind.

      Posted Nov-10-2009 By 

      (3) | Report

    • How poetic, is this your feminine side?

      Posted Nov-10-2009 By 

      (-2) | Report

    • You're a fuking horse's ass, pure and simple. How's that poetry for you? Car insurance??? Really? You purchase car insurance to cover your ass in case you waste someone driving a 2 ton vehichle, or heavier, or get hit by someone else driving the same.

      I don't know of anyone killing another person or maiming them for life with paralysis because they did or did not buy health insurance. This crock of shit "car insurance" analogy is a liberal talking point that is a joke. Get tha More..

      Posted Nov-10-2009 By 

      (1) | Report