Anwering A Question From A Reader

I received a question via email today and I thought I would share my response in case other people may have had the same question, or one very similar. Pat asked,

“I was on a conference call with Michelle Bachmann. She stated that under the provisions of the health care bill, the payments from people would begin in 2010, but the benefits would not be seen until four years later, or 2013, is this true?”

The first time I read the health care bill I did so at a “quick review” type pace. The second time I read it, I analyzed it to point out all of the sections which would affect people the most. While I quoted many costs and amounts, I never really double checked the years of collection versus the years of implementation.

While analyzing Division A and doing a search for the years in question, I found a couple references.

Section 100 defines Y1 (or year 1) of the health benefits plan as 2013 which seems to support Michelle Bachmann’s claim that people would not see any benefits until 2013. People cannot benefit from a health benefits plan before 2013 if it is not implemented until 2013.

Further review of Division A shows that the small business employee health coverage credit which will be implemented right away, will be phased out beginning in 2013. President Obama and House leaders are quick to state that the health care bill will not affect most small business owners, but that is just not true. You can read more about this “phase out” of the credit in Division A, Subtitle B, Section 421.

There could be more hidden in Division A, but in the interest of just answering the question presented, I moved on to Division B to perform the same search.

Reporting requirements for the quality of outcomes for people enrolled in Medicare Advantage plans are not required to be implemented until 2013, so any treatments or outcomes will not be subject to reporting until then. This is mentioned in Division B, section 1162.

Division B, Section 1703 also sets a deadline of 2013 for any benchmark benefit package. These packages must meet the minimum benefits and cost-sharing standards of a basic plan by this time.

Section 1802 of Division B sets the amount of funds to be transferred to the Trust Fund by year. $90 million in 2010, $100 million by 2011, and $110 million by 2012. These funds obiviously come from somewhere so, again, Michelle Bachmann was correct. We will be paying ($300 million in this section alone) beginning in 2010 while the health benefits plan will not go into effect until Y1, or 2013, as stated in Division A, Section 100.

Section 1802 also sets a “fair share per capita amount” beginning in 2013, which will be computed by the Secretary of Health and Human Services for each fiscal year which is projected to be $375 million for the 2013 fiscal year alone.

According to this same section we will be paying another $26 million for the Comparative Effectiveness Research Commission from 2010 through 2012.

Section 1904 defines applicable percentages of expenditures, itemized by year for 2010-2014, and appropriates another $300 million for the implementation of that section before 2013.

Things get much more interesting in Division C, where Section 2002 defines the establishment of funds for the Public Health Investment Fund.

For fiscal years 2010 – 2012 a total of $17,100,000,000 (yes, that’s billion, not million) shall be directed into the fund from “general revenues of the Treasury”.

Section 2101 allocates an addition $5 billion in funding for community health centers. Section 2202 authorizes appropriations in the amount of $798 million for the National Health Service Corps. $758 million will be allocated for primary care and dentistry. All of these appropriation amounts are for the fiscal years 2010 – 2012, prior to the establishment of the Public Health Benefit Plan in Y1, or 2013 and Division C goes on to authorize and allocate a lot more money from the general fund of the Treasury.

So, Pat, I hope this post helped answer the questions you had following the conference call with Michelle Bachmann. It does appear we will be shoveling a lot of money towards all of the programs defined in the health care bill for three years before any public health benefit is implemented.

Another Health Care Bill?

Just a short update tonight. I’ve heard a couple rumors that the House might start discussions over another health care bill, HR 676.

The bill originates back to January of 2007 but was re-introduced in January of this year. The bill was originally sponsored by Rep. Conyers (yes, the same Rep. Conyers who said you need two days and two attorneys, even though he is one, to understand HR 3200) and Rep Kucinich.

I figure it won’t hurt to read the bill, just in case. It will take me a few days to get my thoughts together on this one, and the possibility that the Democratic majority in the House may try to “compromise” by introducing tHR 676 as an alternative to HR 3200.

For tonight, I will leave you with another quote.

Always vote for principle, though you may vote alone,
and you may cherish the sweetest reflection that your vote is never lost.
John Quincy Adams
— Posted with Stuffr! —

Nowhere To Send Canadians

Many people are talking about “single-payer health care”. Many people know that “America’s Affordable Health Choices Act of 2009” is President Obama’s way of starting us down the road to a single-payer system.

Do you know what a single-payer health care system is?

Single-payer health insurance operates by arranging the payment of services to doctors, hospitals, and other health care providers from a single source established and managed by government. This source replaces private insurance companies with a single, public entity which would provide health insurance -but not health treatment- typically to all citizen,s or all legal residents.

Single-payer health care funding would operate as a public service and is a way to deliver near-universal or universal health care. The fund can be managed by the government directly or as a publicly owned and regulated agency.[2] Australia’s Medicare, Canada’s Medicare, and healthcare in Taiwan are examples of single-payer universal health care systems.

President Obama is a proponent of a single payer universal health care plan. That’s what he’d like to see. Don’t believe me? Listen to him say it in his own words.

While HR 3200, the health care bill may not mention the single-payer system by that very name, it sure references a lot of the same “options” as a single-payer system and it sure covers all the basis for Medicare doesn’t it. Remember, Australia and Canada both call their plans “Medicare”.

As much as people love to complain about our current health care system here in the United States, there are a few facts most of those people forget to mention. Did you know,

  • Americans have better survival rates than Europeans for common cancers.
    • Breast cancer mortality is 52 percent higher in Germany than in the United States, and 88 percent higher in the United Kingdom. Prostate cancer mortality is 604 percent higher in the U.K. and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.
  • Americans have lower cancer mortality rates than Canadians.
    • Breast cancer mortality is 9 percent higher, prostate cancer is 184 percent higher and colon cancer mortality among men is about 10 percent higher than in the United States.
  • Americans have better access to treatment for chronic diseases than patients in other developed countries.
    • Some 56 percent of Americans who could benefit are taking statins, which reduce cholesterol and protect against heart disease. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons and 17 percent of Italians receive them.
  • Americans have better access to preventive cancer screening than Canadians.
    • Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate and colon cancer:
      • Nine of 10 middle-aged American women (89 percent) have had a mammogram, compared to less than three-fourths of Canadians (72 percent).
      • Nearly all American women (96 percent) have had a pap smear, compared to less than 90 percent of Canadians.
      • More than half of American men (54 percent) have had a PSA test, compared to less than 1 in 6 Canadians (16 percent).
      • Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with less than 1 in 20 Canadians (5 percent).
  • Americans spend less time waiting for care than patients in Canada and the U.K.
    • Canadian and British patients wait about twice as long – sometimes more than a year – to see a specialist, to have elective surgery like hip replacements or to get radiation treatment for cancer.[6] All told, 827,429 people are waiting for some type of procedure in Canada.[7] In England, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.

Why are President Obama and Congress trying to re-design our entire system from the ground up when we could easily be providing insurance for just those who need it right now?

If HR3200 is allowed to pass, it will allow the single-payer health care system to gain a foothold in America and none of those facts listed above will be relevant within a year. Once it is adopted, things will just get worse.

Remember the other day when I mentioned our own personal medical nightmare when our son’s appendix ruptured? While I thank God every day that he survived, I honestly believe if we lived in Canada, he would be dead right now. We were lucky when we walked in the door of the emergency room that day. We were seen within minutes of arriving (even though it seemed like hours at the time). I cannot imagine what I would have done if the following had happened to us.

You tell the nurse that your son must be seen by a doctor immediately – it’s an emergency! – as his condition is worsening by the minute. The nurse tells you, stone-faced, to go and sit in the waiting room to wait for a triage nurse. Having no choice, you do what you are told and join twenty or so others in line in front of you. You are given nothing to help make your son more comfortable – no damp facecloth, no bedpan for the vomit, nothing.

When a triage nurse finally strolls in a half hour later your son is too weak to respond to her and you begin to panic. Finally, a doctor appears and says it’s just a “bug” and that you should not be playing “armchair doctor” by “diagnosing” appendicitis. He orders some time-consuming tests anyway, because you have shown him that you are very, very angry. Six hours later the test results come back positive for appendicitis.

Make sure you read Cathy LeBoeuf-Schouten’s “My Canadian Healthcare Horror Story“. If that wasn’t bad enough, watch this.

Why on Earth would our politicians be considering any plan that could lead to single-payer health care? You would have to be a moron to ignore the statistical fact that it would ruin health care in our country and people would die because of it.

Do we really want morons like this running our country? Do we really want to allow them to pass such a measure here in the United States? Contact your member of Congress today and tell them not to support this bill or any other bill that opens the door for the single-payer system in America.

A Few Words From A Juris Doctor

With people showing up at townhall meetings asking questions about “America’s Affordable Health Choices Act of 2009“, the health care bill, you would think that our representatives in Congress would have read the bill by now.

I’m sure many of them have assigned their staff to read parts of the bill, but how many of them have actually read it themselves? I sure would like to know.

While I was sitting here tonight trying to decide what I was going to write about, I was reviewing some of my previous posts and I got to thinking about the fact that this bill is nothing short of unconstitutional. It also violates the Tenth Amendment. In my analysis of the health care bill, on Day Three, I pointed out the clear violation of States rights as guaranteed by the 10th Amendment.

Section 208 removes a States right to offer their own State-based health insurance.

If—

(1) a State (or group of States, subject to the approval of the Commissioner) applies to the Commissioner for approval of a State-based Health Insurance Exchange to operate in the State (or group of States); and

(2) the Commissioner approves such State-based Health Insurance Exchange,

then, subject to subsections (c) and (d), the State-based Health Insurance Exchange shall operate, instead of the Health Insurance Exchange, with respect to such State (or group of States). The Commissioner shall approve a State-based Health Insurance Exchange if it meets the requirements for approval under subsection (b).

The “Commissioner” must approve any State-based “Exchange”, therefore denying States rights granted under the U.S Constitution.

The 10th Amendment to the U.S. Constitution states,

The powers not delegated to the United States by the Constitution, nor prohibited by it to the states, are reserved to the states respectively, or to the people.

The U.S. Constitution does not give the United States (the feds) the authority to regulate health care within the borders of the States, and it also doesn’t prohibit the States from doing so, therefore, the United States (the feds) can not legally decide what the States can and cannot do in regard to health care. There is no right side or left side of this argument, it’s written in the Tenth Amendment to the U.S. Constitution.

I then wondered whose job it is to make sure the bills which are introduced in the House do not violate current legal statutes, our civil liberties, or constitutional law. A quick search (and common sense) told me this must be handled by the Judiciary Committee of the House Of Representatives.

Sure enough, the following list shows the jurisdiction of the House Committee on the Judiciary.

1. The judiciary and judicial proceedings, civil and criminal.
2. Administrative practice and procedure.
3. Apportionment of Representatives.
4. Bankruptcy, mutiny, espionage, and counterfeiting.
5. Civil liberties.
6. Constitutional amendments.
7. Criminal law enforcement.
8. Federal courts and judges, and local courts in the Territories and possessions.
9. Immigration policy and non-border enforcement.
10. Interstate compacts generally.
11. Claims against the United States.
12. Members of Congress, attendance of members, Delegates, and the Resident Commissioner; and their acceptance of incompatible offices.
13. National penitentiaries.
14. Patents, the Patent and Trademark Office, copyrights, and trademarks.
15. Presidential succession.
16. Protection of trade and commerce against unlawful restraints and monopolies.
17. Revision and codification of the Statutes of the United States.
18. State and territorial boundary lines.
19. Subversive activities affecting the internal security of the United States.

I knew the Judiciary Committee handled the “legal” stuff, but I never knew they controlled the state boundary lines, or patents and copyrights. It’s amazing what you learn when you read.

I honestly believe there is nothing you can’t do, if you just take the time to learn how, and learning how to do something can be as simple as picking up a book and reading.

As you see above, the Judiciary Committee is responsible for reviewing any bills that involve House administrative practice and procedure, our civil liberties, constitutional amendments, and revision and codification of the Statutes of the United States. The members of this committee must be very smart.

Due to the legal nature of the committee’s work it has been customary for members of the committee to have a legal background. In a time of great change and scientific progress an expanding list of issues, including intellectual property, cloning, and the internet, require committee members to possess a wide breadth of knowledge in order to effectively address concerns from these and other new areas.

Because the health care bill will in fact impede some of our civil liberties (remember the creation of that massive database that will contain all of your financial records, venereal disease tests, vaccination records and school records) and trample the Tenth Amendment to the U.S. Constitution, the Judiciary Committee will most likely read and review this bill. Right?

The members of the Judiciary Committee should have a legal background and be fairly knowledgeable with all aspects of the law, right?

The Chairman of the House Judiciary Committee is Rep. John Conyers, Jr. from Michigan’s 14th Congressional district. Rep. Conyers is an educated man. In fact, he is quite skilled in law.

After graduating from Northwestern High School in Detroit, Conyers served in the Michigan National Guard 1948–50; US Army 1950–54; and the US Army Reserves 1954–57. Conyers served for a year in Korea as an officer in the U. S. Army Corps of Engineers and was awarded combat and merit citations.

Conyers grew up in Detroit, and received both his B.A. and his J.D. from Wayne State University. He served as an assistant to Congressman John Dingell prior to his election to Congress.

Some of you less educated folks (myself included) might be wondering what a J.D. is. The term “J.D.” stands for “Juris Doctor” which means,

a first professional graduate degree and professional doctorate in law.

Originating from the 19th century Harvard movement for the scientific study of law, it is the only law degree that has a goal of being the primary professional preparation for lawyers. It is the only professional doctorate in law and is a three year program in most jurisdictions.

As I said before, Rep. Conyers is the Chairman of the Judiciary Committee. He’s got the legal background needed to serve on the committee.

He’s sure to catch the trampling of the 10th Amendment when he reads the bill.

I bet the creation of such a massive database, a clear violation of our civil liberties, will raise a red flag for him when he reads the bill.

He’s sure to block most of the provisions of this bill before they reach the House floor. Right?

Don’t count on it. It sounds like he has no intention of reading the bill at all.

What purpose is there in having a Judiciary committee (or any other committee) if they have no intention of reading the bill in its entirety?

Why would we support any politician that had no intention of reading the very legislation they will be responsible for vetting and making sure does not violate the Constitution or any of our rights? It’s too late and serves no purpose to read the legislation after the vote.

Hindsight is 20/20 but it won’t stop you from falling off the cliff, unless you walk backwards. Do we really want a government that does things backwards? Why would we, as a people, allow this to happen?

HR3200 : Division C : Day Two

In addition to the National Health Services Corp (NHS), the government will also establish a new “Public Health Workforce Corps” to ensure they have people to fill the positions they will be “providing” under this section of the bill.

There is established, within the Service, the Public Health Workforce Corps (in this subpart referred to as the ‘Corps’), for the purpose of ensuring an adequate supply of public health professionals throughout the Nation. The Corps shall consist of—

“(1) such officers of the Regular and Reserve Corps of the Service as the Secretary may designate; and

“(2) such civilian employees of the United States as the Secretary may appoint.

This section gives even more unbridled power to the Secretary of Health and Human Services. To appoint such civilian employees as he/she sees fit. Wow. Is that insane or what? Apparently he/she will be doing it under yet another “administration.

Except as provided in subsection (c), the Secretary shall carry out this subpart acting through the Administrator of the Health Resources and Services Administration.

Exactly how many administrations, commissioners, ombudsman, and other positions will it require to manage health care in our country? Does anyone know if the Tootsie-Roll Owl is available to figure this one out for us?

The Director of the Centers for Disease Control and Prevention will help develop the methodology for placing and assigning Corps participants as public health professionals.

The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall develop a methodology for placing and assigning Corps participants as public health professionals. Such methodology may allow for placing and assigning such participants in State, local, and tribal health departments and Federally qualified health centers (as defined in section 1861(aa)(4) of the Social Security Act).

I feel kind of silly now. I thought “Public Health Care” meant, you know, providing health care for the people of the country, little did I know it mean employing everyone in the country in health care. I wonder though, what exactly will the responsibilities for the Reserve Proctologist be?

So, are you thinking of becoming a doctor, but this new bill seems like a lot of bull, so you have decided to treat bulls instead? Don’t worry, President Obama and Congress aren’t going to leave you out of the loop.

To be eligible to participate in the Program, an individual shall—

“(1)(A) be accepted for enrollment, or be enrolled, as a full-time or part-time student in a course of study or program (approved by the Secretary) at an accredited graduate school or program of public health; or

“(B) have demonstrated expertise in public health and be accepted for enrollment, or be enrolled, as a full-time or part-time student in a course of study or program (approved by the Secretary) at—

“(i) an accredited graduate school or program of nursing; health administration, management, or policy; preventive medicine; laboratory science; veterinary medicine; or dental medicine; or

“(ii) another accredited graduate school or program, as deemed appropriate by Secretary;

They were not kidding when they said this bill was going to cover health care “for all”. I wonder if it includes jackasses too?

As part of the National Health Service Corps, the Public Health Workforce Corps will help build and run the Public Health Training Centers. Let’s take a peak at what those training centers may look like.

When deciding whether or not you may like to participate in this training program you will be required to sign a contract.

Contract.—The written contract between the Secretary and an individual under subsection (b)(3) shall contain—

“(1) an agreement on the part of the Secretary that the Secretary will—

“(A) provide the individual with a scholarship for a period of years (not to exceed 4 academic years) during which the individual shall pursue an approved course of study or program to prepare the individual to serve in the public health workforce; and

“(B) accept (subject to the availability of appropriated funds) the individual into the Corps;

“(2) an agreement on the part of the individual that the individual will—

“(A) accept provision of such scholarship to the individual;

“(B) maintain full-time or part-time enrollment in the approved course of study or program described in subsection (b)(1) until the individual completes that course of study or program;

“(C) while enrolled in the approved course of study or program, maintain an acceptable level of academic standing (as determined by the educational institution offering such course of study or program);

“(D) if applicable, complete a residency or internship; and

“(E) serve full-time as a public health professional for a period of time equal to the greater of—

“(i) 1 year for each academic year for which the individual was provided a scholarship under the Program; or

“(ii) 2 years; and

“(3) an agreement by both parties as to the nature and extent of the scholarship assistance, which may include—

“(A) payment of reasonable educational expenses of the individual, including tuition, fees, books, equipment, and laboratory expenses; and

“(B) payment of a stipend of not more than $1,269 (plus, beginning with fiscal year 2011, an amount determined by the Secretary on an annual basis to reflect inflation) per month for each month of the academic year involved, with the dollar amount of such a stipend determined by the Secretary taking into consideration whether the individual is enrolled full-time or part-time.

“(d) Application of certain provisions.—The provisions of subpart III shall, except as inconsistent with this subpart, apply to the scholarship program under this section in the same manner and to the same extent as such provisions apply to the National Health Service Corps Scholarship Program established under section 338A.

As far as I can tell, you are not forced to sign this contract with blood, but that could change once it hits the House floor for debate.

The funding for the Public Health Workforce will be allocated as follows.

For the purpose of carrying out subpart XII of part D of title III and sections 765, 766, and 768, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) $51,000,000 for fiscal year 2010.

“(2) $54,000,000 for fiscal year 2011.

“(3) $57,000,000 for fiscal year 2012.

“(4) $59,000,000 for fiscal year 2013.

“(5) $62,000,000 for fiscal year 2014.

“(6) $65,000,000 for fiscal year 2015.

“(7) $68,000,000 for fiscal year 2016.

“(8) $72,000,000 for fiscal year 2017.

“(9) $75,000,000 for fiscal year 2018.

“(10) $79,000,000 for fiscal year 2019.”.

A total of $642 million. The government is going to allocate more that double the money for the training of nurses than it will for training and placement of doctors, dentists, and veterinarians under the Public Health Workforce initiative. This tells us who will be doing most of the work doesn’t it? Stop fussing. It costs a lot to supply you with that bedpan and wake you up in the middle of the night to take your meds. (Don’t be offended nurses, I know you do a heck of a lot more than any doctor will ever admit).

Section 2241 will provide scholarships for health professions training for diversity for “disadvantaged students”. Yes folks, it’s affirmative action in health care education. Al Sharpton will be very pleased with Section 2241.

The funds for “health professions training for diversity” will be allocated as follows.

For the purpose of carrying out sections 736, 737, 738, 739, and 739A, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) $90,000,000 for fiscal year 2010.

“(2) $97,000,000 for fiscal year 2011.

“(3) $100,000,000 for fiscal year 2012.

“(4) $104,000,000 for fiscal year 2013.

“(5) $110,000,000 for fiscal year 2014.

“(6) $116,000,000 for fiscal year 2015.

“(7) $121,000,000 for fiscal year 2016.

“(8) $127,000,000 for fiscal year 2017.

“(9) $133,000,000 for fiscal year 2018.

“(10) $140,000,000 for fiscal year 2019.

Diversity will cost an additional $1,138,000,000, or $1.138 billion. Along with the Workforce funding of $642 million, and “interdisciplinary training programs” which will cost $1,149,000,000 or $1.149 billion, that brings our total to $49.373 billion of the $88.7 billion allocated from the general funds of the Treasury for this “division” of the Health Care bill

Title XXXI, “Prevention and Wellness” establishes a “Prevention and Wellness Trust” which will be allocated from, you guessed it, the “Public Health Investment Fund”. The money will be allocated as follows.

There is established a Prevention and Wellness Trust. There are authorized to be appropriated to the Trust—

“(1) amounts described in section 2002(b)(2)(ii) of the America’s Affordable Health Choices Act of 2009 for each fiscal year; and

“(2) in addition, out of any monies in the Public Health Investment Fund—

“(A) for fiscal year 2010, $2,400,000,000;

“(B) for fiscal year 2011, $2,800,000,000;

“(C) for fiscal year 2012, $3,100,000,000;

“(D) for fiscal year 2013, $3,400,000,000;

“(E) for fiscal year 2014, $3,500,000,000;

“(F) for fiscal year 2015, $3,600,000,000;

“(G) for fiscal year 2016, $3,700,000,000;

“(H) for fiscal year 2017, $3,900,000,000;

“(I) for fiscal year 2018, $4,300,000,000; and

“(J) for fiscal year 2019, $4,600,000,000.

For a total of $35,300,000,000 or $35.3 billion, bringing our total money spent from the $88.7 billion Public Health Investment Fund to $84.673 billion (95.5%).

The strategy of the Prevention and Wellness Trust will be to identify the specific goals and objectives in prevention and wellness activities for “Healthy People and National Public Health Performance Standards”.

Identification of specific national goals and objectives in prevention and wellness activities that take into account appropriate public health measures and standards, including departmental measures and standards (including Healthy People and National Public Health Performance Standards).

Subtitle D, “Prevention and Wellness Research” and Subtitle E, “Delivery of Community Prevention and Wellness Services” set the stage for all of the “big government” infrastructures you might expect in government forced health care that we have not already covered.

The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall establish a program for the delivery of community preventive and wellness services consisting of awarding grants to eligible entities—

“(1) to provide evidence-based, community preventive and wellness services in priority areas identified by the Secretary in the national strategy under section 3121; or

“(2) to plan such services.

The Secretary, once again, will give preference to some entities over others.

In awarding grants under this section, the Secretary shall give preference to entities that—

“(1) will address one or more goals or objectives identified by the Secretary in the national strategy under section 3121;

“(2) will address significant health disparities, including those identified by the Secretary in the national strategy under section 3121;

“(3) will address unmet community prevention needs and avoids duplication of effort;

“(4) have been demonstrated to be effective in communities comparable to the proposed target community;

“(5) will contribute to the evidence base for community preventive and wellness services;

“(6) demonstrate that the community preventive services to be funded will be sustainable; and

“(7) demonstrate coordination or collaboration across governmental and nongovernmental partners.

Title V, Subtitle B, mandates the creation of a school-based health clinic program which basically nationalizes the school nurse programs. As we know most schools eliminated those positions years ago because of the lack of government funding, but now we’re bringing them back with a vengeance.

Not only will the school nurse be taking your temperature and calling your parents when you are sick but now they will be full-fledged clinics meeting requirements established in this bill and otherwise integrating every aspect of your child’s school records into the same database as your financial information, medical information, and criminal history.

Title V, Subtitle C provides for a new “National Medical Device Registry” because they apparently forgot (at least until page 1001) that they wanted to track that information in the database as well.

In developing the registry, the Secretary shall, in consultation with the Commissioner of Food and Drugs, the Administrator of the Centers for Medicare & Medicaid Services, the head of the Office of the National Coordinator for Health Information Technology, and the Secretary of Veterans Affairs, determine the best methods for—

“(A) including in the registry, in a manner consistent with subsection (f), appropriate information to identify each device described in paragraph (1) by type, model, and serial number or other unique identifier;

“(B) validating methods for analyzing patient safety and outcomes data from multiple sources and for linking such data with the information included in the registry as described in subparagraph (A), including, to the extent feasible, use of—

“(i) data provided to the Secretary under other provisions of this chapter; and

“(ii) information from public and private sources identified under paragraph (3);

“(C) integrating the activities described in this subsection with—

“(i) activities under paragraph (3) of section 505(k) (relating to active postmarket risk identification);

“(ii) activities under paragraph (4) of section 505(k) (relating to advanced analysis of drug safety data); and

“(iii) other postmarket device surveillance activities of the Secretary authorized by this chapter; and

“(D) providing public access to the data and analysis collected or developed through the registry in a manner and form that protects patient privacy and proprietary information and is comprehensive, useful, and not misleading to patients, physicians, and scientists.

That Secretary sure is going to be holding a lot of cards, isn’t he/she?

And finally, we come to the last page of the bill. 1017 pages down, one to go, and we learn that States will only receive funding under this provision (Division C) if they agree to fulfill each obligation under Division A and any amendments made by such division application to persons in their capacity as an employer and if they assure that all political subdivisions in the State will do the same.

States are only eligible for money to cover everything I discussed yesterday and today (Division C) if they, and every county and city government within them, agree to every condition in the first four days of posts (Division A).

In other words, the only way a State will qualify is if every city, town, parish, community, county within that State, along with the State itself, agrees to surrender some of the sovereign rights guaranteed to each State under the U.S. Constitution.

America’s Affordable Health Choices Act of 2009 starts by violating our rights as individuals as well as the Tenth Amendment to the U.S. Constitution, and it ends by demanding the voluntary surrender of States rights in order to “participate” in the soon to be required plan.

I don’t know about you, but this entire bill doesn’t sound to “affordable” nor does it seem to offer any choices.

So how many of you actually read the entire bill with me? It only took 12 days. If you read it, like I did, you can ask your Representative, “What did you do on your summer vacation?

I bet only a handful have read the bill, even now.

Make sure you tell your friends about the bill. Make sure they read the bill. Tell them not to listen to the hype and propaganda from either side of the aisle. Tell them to read the bill. The only way to dispel any “myths” in the bill is to read the bill yourself.

You cannot argue a position on the bill if you don’t even know what it says.

HR3200 : Division C : Day One

Tonight we cover Division C, the last “division” of the monstrosity known as “America’s Affordable Health Choices Act of 2009“.

Division C concentrates on Public Health and Workforce Development. The first thing we learn in this division is that each “amendment” mentioned in this division, unless otherwise specified makes reference to the Public Health Service Act.

Except as otherwise specified, whenever in this division an amendment is expressed in terms of an amendment to a section or other provision, the reference shall be considered to be made to a section or other provision of the Public Health Service Act (42 U.S.C. 201 et seq.)

Section 2002 establishes a fund to be called the “Public Health Investment Fund”. The funding for this “fund” will be set by the following schedule.

There shall be deposited into the Fund—

(i) for fiscal year 2010, $4,600,000,000;

(ii) for fiscal year 2011, $5,600,000,000;

(iii) for fiscal year 2012, $6,900,000,000;

(iv) for fiscal year 2013, $7,800,000,000;

(v) for fiscal year 2014, $9,000,000,000;

(vi) for fiscal year 2015, $9,400,000,000;

(vii) for fiscal year 2016, $10,100,000,000;

(viii) for fiscal year 2017, $10,800,000,000;

(ix) for fiscal year 2018, $11,800,000,000; and

(x) for fiscal year 2019, $12,700,000,000.

That’s a total of $88,700,000,000. That’s $88.7 billion dollars over the next 10 years. Which amounts to just $16 billion more than the cost of covering 0.9% of the population (those treated for HIV, Cancer, and Parkinson’s Disease).

Where do you think the government is going to get an additional $88.7 billion over the course of the next 10 years?

Amounts deposited into the Fund shall be derived from general revenues of the Treasury.

Where do you think general revenues come from? That’s right. Taxes. There ain’t no mincing words about that.

The funds allocated for the “Public Health Investment Fund” will not be subject to the Balanced Budget and Emergency Deficit Control Act. That means the costs for operating this fund may rise and rise with no limit on appropriations at all. Yes, that means your taxes will rise and rise with no limit (until they hit 100%) on your income.

Amounts appropriated under this section, and outlays flowing from such appropriations, shall not be taken into account for purposes of any budget enforcement procedures including allocations under section 302(a) and (b) of the Balanced Budget and Emergency Deficit Control Act and budget resolutions for fiscal years during which appropriations are made from the Fund.

Title I, section 2101 increases funding for community health centers. This actually makes sense since most of the bill up to this point deals with the Public Option, Medicare, and Medicaid. Everyone will be covered by the time the fund is funded to the levels they claim, so community health centers are going to need the money, aren’t they?

Community health centers will be appropriated money out of the Public Health Investment Fund, in the following amounts.

For the purpose of carrying out this section, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) For fiscal year 2010, $1,000,000,000.

“(2) For fiscal year 2011, $1,500,000,000.

“(3) For fiscal year 2012, $2,500,000,000.

“(4) For fiscal year 2013, $3,000,000,000.

“(5) For fiscal year 2014, $4,000,000,000.

“(6) For fiscal year 2015, $4,400,000,000.

“(7) For fiscal year 2016, $4,800,000,000.

“(8) For fiscal year 2017, $5,300,000,000.

“(9) For fiscal year 2018, $5,900,000,000.

“(10) For fiscal year 2019, $6,400,000,000.”.

The total for Community Health Center funding comes to $38,800,000,000, or $38.8 billion. That’s 43.7% of the money allocated for the Public Health Investment Fund.

Title II covers the “Workforce”. Section 2201 mandates the creation of a “National Health Service Corps.

Individuals who receive educational funding through a federal Scholarship Program or the Loan Repayment Program will be required to provide “half-time” clinical practice. No this does mean that the new up and coming doctors will be treating all their patients during the break in the local football game. It means they will be required to offer half-time service (yes, devoting half of their employment time) for two years to fulfill their obligation for the funding services they received from the government.

I wonder what the “government service” interns will be required to wear? With their coats be red in color?

Section 2202 sets the authorization of appropriations and provides for additional funding for the scholarship and loan repayment programs in the following amounts:

“For the purpose of carrying out this subpart, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) $254,000,000 for fiscal year 2010.

“(2) $266,000,000 for fiscal year 2011.

“(3) $278,000,000 for fiscal year 2012.

“(4) $292,000,000 for fiscal year 2013.

“(5) $306,000,000 for fiscal year 2014.

“(6) $321,000,000 for fiscal year 2015.

“(7) $337,000,000 for fiscal year 2016.

“(8) $354,000,000 for fiscal year 2017.

“(9) $372,000,000 for fiscal year 2018.

“(10) $391,000,000 for fiscal year 2019.”.

A total of $3,171,000,000. Thats $3.171 billion or 3.6% of the Public Health Investment Fund. So far, we’ve spent $41.971 billion of the $88.7 billion dollar fund.

Section 2212 sets the loan provisions, rate of interest for those loans, and requires the student to practice in such care for 10 years or through the date on which the load is repaid in full, whichever occurs first.

If you take a government loan to become a doctor, you will be required to work “half-time” in clinical practice, as well as practice for at least 10 years or at least as long as you are repaying the loans you received.

to practice in such care for 10 years (including residency training in primary health care) or through the date on which the loan is repaid in full, whichever occurs first.”

The powerful and mighty Secretary of Health and Human Services will be pulling more strings behind that giant green curtain too. In addition to all of the other new responsibilities he/she will hold once this bill becomes law, the Secretary will also be responsible for something else.

The Secretary shall make grants to, or enter into contracts with, eligible entities—

“(A) to plan, develop, operate, or participate in an accredited professional training program, including an accredited residency or internship program, in the field of family medicine, general internal medicine, general pediatrics, or geriatrics for medical students, interns, residents, or practicing physicians;

“(B) to provide financial assistance in the form of traineeships and fellowships to medical students, interns, residents, or practicing physicians, who are participants in any such program, and who plan to specialize or work in family medicine, general internal medicine, general pediatrics, or geriatrics;

“(C) to plan, develop, operate, or participate in an accredited program for the training of physicians who plan to teach in family medicine, general internal medicine, general pediatrics, or geriatrics training programs including in community-based settings;

“(D) to provide financial assistance in the form of traineeships and fellowships to practicing physicians who are participants in any such programs and who plan to teach in a family medicine, general internal medicine, general pediatrics, or geriatrics training program; and

“(E) to plan, develop, operate, or participate in an accredited program for physician assistant education, and for the training of individuals who plan to teach in programs to provide such training.

That’s right. The Secretary will be responsible for creating training programs for new doctors. The Secretary will decide (by entering into a contract with services or corporations of his/her choosing) what doctors will learn, how they will serve their communities, and how the inductees students, will repay their debt for the awesome opportunity to serve their country.

The Secretary will decide which hospitals qualify for these contracts, which programs will serve the best community good, and which students will be allowed to participate in these programs.

This bill isn’t just about the common good where health care is concerned, it’s not about lowering costs or making the system more efficient. It’s about the outright full control of health care, and ultimately our lives, in this country.

The allocation for funding for primary care and dentistry will amount to the following values.

For the purpose of carrying out subpart XI of part D of title III and sections 723, 747, 748, and 749, in addition to any other amounts authorized to be appropriated for such purpose, there is authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) $240,000,000 for fiscal year 2010.

“(2) $253,000,000 for fiscal year 2011.

“(3) $265,000,000 for fiscal year 2012.

“(4) $278,000,000 for fiscal year 2013.

“(5) $292,000,000 for fiscal year 2014.

“(6) $307,000,000 for fiscal year 2015.

“(7) $322,000,000 for fiscal year 2016.

“(8) $338,000,000 for fiscal year 2017.

“(9) $355,000,000 for fiscal year 2018.

“(10) $373,000,000 for fiscal year 2019.”.

This amounts to another $3,023,000,000 or $3.023 billion. This brings our total “spent” to $44.994 billion.

In case you were wondering, Section 2221 adds nurses into the same “plan” as doctors where they will be allowed to serve their government as a “repayment” for two years. The funding for this additional program is allocated (like the rest) over the next ten years.

For the purpose of carrying out this title, in addition to any other amounts authorized to be appropriated for such purpose, there are authorized to be appropriated, out of any monies in the Public Health Investment Fund, the following:

“(1) $115,000,000 for fiscal year 2010.

“(2) $122,000,000 for fiscal year 2011.

“(3) $127,000,000 for fiscal year 2012.

“(4) $134,000,000 for fiscal year 2013.

“(5) $140,000,000 for fiscal year 2014.

“(6) $147,000,000 for fiscal year 2015.

“(7) $154,000,000 for fiscal year 2016.

“(8) $162,000,000 for fiscal year 2017.

“(9) $170,000,000 for fiscal year 2018.

“(10) $179,000,000 for fiscal year 2019.”

A total of $1,450,000,000 or $1.45 billion. Our total is now $46.444 billion of the $88.7 billion total set in the fund. Yes, the government actually wants you to believe that they can fund the opening of community health centers (nationwide) and define plus fund the education of doctors as well as nurses for just $46.444 billion. Remember, it’s going to cost $72 billion to treat just 0.9% of the people in our country. When do we talk about covering the remaining 99.1 percent of the people? Is that included in the remaining 47.6% of the Public Health Investment Fund or are we talking about allocating money somewhere else?

Tomorrow we’ll begin with Subtitle C, “Public Health Workforce” on page 898.