This is some quality stuff. Again, rambling incoherently about Obama and flavored chewing tobacco.
Seems awfully quiet. Apparently this guy has no friends, drinks himself into a stupor, videotape himself and posts himself on YouTube.
Good stuff. Now we all know how Repooplicans spend their “quiet time”.
You can see everything this steaming pile of shit posts by clicking here. You’re going to love the way he spells. 
This moron, who can’t even spell “impeached” is pissed off because he thinks Obama is going to ban flavored chewing tobacco. He seems totally hammered. And what’s all that crap on the stove that he is pressed up against? Must be a pretty small room to have to sit that close to the stove to videotape your drunk self and post it on YouTube.
For this guy prostitution better be legal. He’s too fat, stupid and drunk to make any money. And no woman in her right mind would have sex with this guy without him paying her a LOT of money.
h/t Bob Cesca
From AARP:
There are special interest groups trying to block progress on health care reform by using myths and scare tactics. Like the notion that health care reform would ration your care, hurt Medicare or be a government takeover. Actually, these are false statements.
All of the health care reform plans currently being debated in Congress would ensure that you and your doctor are the ones making decisions about your health. The majority of working Americans will continue to receive their health care through their employer. In addition, health care reform will strengthen Medicare by eliminating billions of dollars in waste while lowering prescription drug prices.
Throughout the debate on how to fix what’s broken about our health care system, AARP pledges to help you cut through the noise and find the facts about what health care reform means for you and your family. When we see special interests using scare tactics, we’ll make sure you’re given the facts so you can make informed decisions about health care reform.
The following are some of the most common myths being spread about health care reform and the facts that prove them wrong – click here to watch a video by AARP on the myths and facts of reform.
Fact: Health care reform will preserve the employer-based health care system, meaning an estimated 200 million Americans will continue to get their coverage through their employers.
Fact: For people buying coverage for themselves, there would be a range of private health plans to choose from. Also, the so-called “public plan” option would seek to give American consumers another choice if they can’t find affordable, quality coverage in the private insurance market. The goal of the “public plan” is to give consumers the best value for their money and force greater competition among insurance plans for our business.
Fact: Every proposal that Congress is considering would allow people to choose their own doctors and hospitals.
Bottom Line: Health care reform isn’t about a government takeover. It’s about guaranteeing all Americans a choice of health care plans they can afford.
Fact: None of the health reform proposals being considered would stand between individuals and their doctors or prevent any American from choosing the best possible care.
Fact: Health care reform will NOT give the government the power to make life or death decisions for anyone regardless of their age. Those decisions will be made by an individual, their doctor and their family.
Fact: Health care reform will help ensure doctors are paid fairly so they will continue to treat Medicare patients.
Bottom Line: Health reform isn’t about rationing; it’s about giving people the peace of mind of knowing that they will be able to keep their doctors and that they will always have a choice of affordable health plans.
Fact: None of the health care reform proposals being considered by Congress would cut Medicare benefits or increase your out-of-pocket costs for Medicare services.
Fact: Health care reform will lower prescription drug costs for people in the Medicare Part D coverage gap or “doughnut hole” so they can get better afford the drugs they need.
Fact: Health care reform will protect seniors’ access to their doctors and reduce the cost of preventive services so patients stay healthier.
Fact: Health care reform will reduce costly, preventable hospital readmissions, saving patients and Medicare money.
Fact: Rather than weaken Medicare, health care reform will strengthen the financial status of the Medicare program.
Bottom Line: For people in Medicare, health care reform is about lowering prescription drug costs for people in the “doughnut hole”, keeping the doctor of your choice, improving the quality of care, and eliminating billions in waste that is causing poor care and medical errors.
Fact: The President and Congress have committed to producing legislation that will be paid for so it won’t saddle our children and grandchildren with debt.
Fact: If we do nothing to fix health care, families with Medicare or employer-based health coverage will likely see their premiums nearly double again in the next seven years.
Fact: If we do nothing to fix health care, the share of your income spent on health care will nearly double in the next seven years.
Bottom Line: When one in three Americans say someone in their family skipped pills, postponed or cut back on needed medical care due to the cost; when countless bankruptcies are related to medical expenses; when the number of uninsured approaches 50 million; when government spending on health programs rises so rapidly that it jeopardizes other priorities; and when employers struggle to pay for the costs of health care, the fact is, we can’t afford not to fix health care.
Fact: Health care reform will NOT give the government the power to make life-and-death decisions for anyone regardless of their age. Those decisions will be made by individuals, their doctor and their family.
Fact: No one, including the government or your insurance company, will be given power to make life-and-death decisions for you.
Bottom Line: Health care reform isn’t about putting the government in charge of difficult end of life decisions. It’s about giving individuals and families the option to talk with their doctors in advance about difficult choices every family faces when loved ones near the end of their lives.
From FactCheck.org:
A notorious analysis of the House health care bill contains 48 claims. Twenty-six of them are false and the rest mostly misleading. Only four are true.
August 28, 2009
Our inbox has been overrun with messages asking us to weigh in on a mammoth list of claims about the House health care bill. The chain e-mail purports to give “a few highlights” from the first half of the bill, but the list of 48 assertions is filled with falsehoods, exaggerations and misinterpretations. We examined each of the e-mail’s claims, finding 26 of them to be false and 18 to be misleading, only partly true or half true. Only four are accurate. A few of our “highlights”:
This chain e-mail claims to give a run-down of what’s in the House health care bill, H.R. 3200. Instead, it shows evidence of a reading comprehension problem on the part of the author. Some of our more enterprising readers have even taken it upon themselves to debunk a few of the assertions, sending us their notes and encouraging us to write about it. We applaud your fact-checking skills and your skepticism. And skepticism is warranted.
Chain e-mail: Subject: A few highlights from the first 500 pages of the Healthcare bill in congress Contact your Representatives and let them know how you feel about this. We, as a country, cannot afford another 1000 page bill to go through congress without being read. Another 500 pages to go. I have highlighted a few of the items that are down right unconstitutional. ⬐ Click to expand/collapse the full text ⬏
A few readers alerted us to the fact that a state representative in North Carolina, Rep. Curtis Blackwood, published a version of the e-mail in a newsletter to constituents, telling them that while going through e-mail, he came across “some interesting information on the Democrats’ big health care bill, H.R. 3200. … While this is federal legislation and not state, the topic is of enough significance that I thought many of you would be interested in reading it.” We’d refer Rep. Blackwood to our special report on viral messages titled, “That Chain E-mail Your Friend Sent to You Is (Likely) Bogus. Seriously.”
We can trace the origins of this collection of claims to a conservative blogger who issued his instant and mostly mistaken analyses as brief “tweets” sent via Twitter as he was paging through the 1,017-page bill. The claims have been embraced as true and posted on hundreds of Web sites, and forwarded in the form of chain e-mails countless times. But there’s hardly any truth in them. We’ll go through each of the claims in this message:
Claim: Page 22: Mandates audits of all employers that self-insure!
False: This section merely requires a study of “the large group insured and self-insured employer health care markets.” There’s no mention of auditing employers, only of studying “markets.” The purpose of the study is to produce “recommendations” to make sure the new law “does not provide incentives for small and mid-size employers to self-insure.”
Claim: Page 29: Admission: your health care will be rationed!
False: This section says nothing whatsoever about “rationing” or anything of the sort. Actually, it’s favorable to families and individuals, placing an annual cap on what they could pay out of pocket if covered by a basic, “essential benefits package.” The limits would be $5,000 for an individual, $10,000 for a family.
Claim: Page 30: A government committee will decide what treatments and benefits you get (and, unlike an insurer, there will be no appeals process)
False: Actually, the section starting on page 30 sets up a “private-public advisory committee” headed by the U.S. surgeon general and made up of mostly private sector “medical and other experts” selected by the president and the comptroller general. The advisory committee would have only the power “to recommend” what benefits are included in basic, enhanced and premium insurance plans. It would have no power to decide what treatments anybody will get. Its recommendations on benefits might or might not be adopted.
Claim: Page 42: The “Health Choices Commissioner” will decide health benefits for you. You will have no choice. None.
False: The new Health Choices Commissioner will oversee a variety of choices to be offered through new insurance exchanges. The bill itself specifies the “minimum services to be covered” in a basic plan, including prescription drugs, mental health services, maternity and well-baby care and certain vaccines and preventive services (pages 27-28). We find nothing in the bill that prevents insurance companies from offering benefits that exceed the minimums. In fact, the legislation allows (page 84) any company that offers an approved basic plan to offer also an “enhanced” plan, a “premium” plan and even a “premium plus” plan that could include vision and dental benefits.
Claim: Page 50: All non-US citizens, illegal or not, will be provided with free healthcare services.
False. That’s simply not what the bill says at all. This page includes “SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE,” which says that “[e]xcept as otherwise explicitly permitted by this Act and by subsequent regulations consistent with this Act, all health care and related services (including insurance coverage and public health activities) covered by this Act shall be provided without regard to personal characteristics extraneous to the provision of high quality health care or related services.” However, the bill does explicitly say that illegal immigrants can’t get any government money to pay for health care. Page 143 states: “Nothing in this subtitle shall allow Federal payments for affordability credits on behalf of individuals who are not lawfully present in the United States.” And as we’ve said before, current law prohibits illegal immigrants from participating in government health care programs.
Claim: Page 58: Every person will be issued a National ID Healthcard.
False. There is no mention of any “National ID Healthcard” anywhere in the bill. Page 58 says that government standards for electronic medical transactions “may include utilization of a machine-readable health plan beneficiary identification card,” to show eligibility for services. Insurance companies typically issue such cards already, but if such a standard were issued the cards would need to be in a standard form readable by computers. The word “may” is used to permit such a standard, but it does not require one.
Claim: Page 59: The federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer.
False. This section aims to simplify electronic payments for health services, the same sort of electronic payments that already are common for such things as utility bills or mortgage payments. The bill calls for the secretary of Health and Human Services to set standards for electronic administrative transactions that would “enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice.” There is no mention of “individual bank accounts” nor of any new government authority over them. Also, the section does not say that electronic payments from consumers is required.
Claim: Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and ACORN)
Misleading. Page 65 is the start of a section (SEC. 164. REINSURANCE PROGRAM FOR RETIREES) that would set up a new federal reinsurance plan to benefit retirees and spouses covered by any employer plan, not just those run by labor unions or nonprofit groups. Specifically, it covers “retirees and . . . spouses, surviving spouses and dependents of such retirees” who are covered by “employment-based plans” that provide health benefits. It’s open to any “group health benefits plan that . . . is maintained by one or more employers, former employers or employee associations,” as well as voluntary employees’ beneficiary associations (page 66). Furthermore, the aim of the fund is to cut premiums, copays and deductibles for the retirees. Payment “shall not be used to reduce the costs of an employer.”
Claim: Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange.
True. This page begins a section setting up a new, national Health Insurance Exchange through which individuals and employers may choose from a variety of private insurance plans, much like the system that now covers millions of federal workers. Any private insurance plans offered through this exchange must meet new federal standards. For example, such plans can’t deny coverage for preexisting medical conditions (page 19).
Claim: Page 84: All private healthcare plans must participate in the Health care Exchange (i.e., total government control of private plans)
Partly true. Nothing like this appears on page 84. No insurance company is required to sell plans through the exchange if it doesn’t want to. Any employer may choose to buy coverage elsewhere. In fact, the vast majority of employers will still be buying private plans through the normal marketplace, because only employers with 10 or fewer employees are even allowed to buy through the exchange in the first year. The limit rises to 20 employees in the second year. However, new plans sold directly to individuals will only be sold through the exchange. Individuals who currently buy their own coverage can keep those plans if they wish, and if the insurance company continues to offer them.
Claim: Page 91: Government mandates linguistic infrastructure for services; translation: illegal aliens
Misleading. It’s true that page 91 says that insurance companies selling plans through the new exchange “shall provide for culturally and linguistically appropriate communication and health services.” The author’s “translation,” however, assumes that anyone speaking a foreign language or from another culture is an illegal immigrant, which is false.
Claim: Page 95: The Government will pay ACORN and Americorps to sign up individuals for Government-run Health Care plan.
False: This page is the start of “SEC. 205. OUTREACH AND ENROLLMENT OF EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH BENEFITS PLAN.” It says a newly established Health Choices Commissioner “shall conduct outreach activities” to get people covered by private or government health insurance plans. The section says on page 97 that the Commissioner “may work with other appropriate entities to facilitate … provision of information.” But there is no authorization anywhere in the entire section for the Commissioner to pay money to any group to engage in outreach.
Claim: Page 102: Those eligible for Medicaid will be automatically enrolled: you have no choice in the matter.
Partly true. Page 102 says certain Medicaid-eligible persons will be “automatically enrolled” in Medicaid (which is the state-federal program to provide insurance to low-income workers and families) IF they are not already covered by private insurance. That would happen only if they had “not elected to enroll” in one of the private plans offered through the new insurance exchanges, however. So on paper at least, they would have a choice. Also, it’s estimated that one in four persons who lacks health insurance is already eligible for Medicaid or its offshoot, the state Children’s Health Insurance Program, but simply haven’t signed up or been enrolled by their parents.
Claim: 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.
Half true. It’s true that page 124 forbids any review by the courts of rates the government would pay to doctors and hospitals under the new “public option” insurance plan. But there’s no mention of “price fixing” in the bill; that’s the e-mail author’s phrase. It also remains to be seen if the “public option” plan would grow to become a “government monopoly,” as the author predicts.
Claim: Page 127: The AMA sold doctors out: the government will set wages.
Misleading. Nothing in the bill would “set wages” for doctors in general. Page 127 says the government would ask doctors to accept below-market rates set by the government for their patients who are covered by a new “public health insurance option,” just as they now are asked to do so for patients covered by Medicare. Physicians would still be free to charge what they wish for other patients, and free not to accept patients covered by the new program just as they are now free to refuse Medicare patients. That’s not a choice many doctors make, however, so as a practical matter the government would be setting rates (not “wages”) for many patients. On the other hand, the new “public” plan is aimed mainly at covering people who have no insurance now and can afford to pay doctors little if anything.
Claim: Page 145: An employer MUST auto-enroll employees into the government-run public plan. No alternatives.
False. It’s true that employers would be required to sign up their workers for coverage automatically, but it doesn’t have to be the “public plan.” It would be the employer-offered plan “with the lowest applicable employee premium” (pages 147- 148). This would only be the “public option” if the employer was eligible to buy coverage through the Health Insurance Exchange (not likely, at least during the first two years when only small businesses would have access), and the “public option” was the cheapest plan (which would be likely). Furthermore, while the employer isn’t given an alternative, the workers are. They may reject auto-enrollment under an opt-out provision (page 148).
Claim: Page 146: Employers MUST pay healthcare bills for part-time employees AND their families.
Half true. There’s nothing in this section about part-time employees’ families, but this provision does call for employers to contribute toward part-time employees’ health insurance. The bill says that “for an employee who is not a full-time employee … the amount of the minimum employer contribution” will be a proportion of the minimum contribution for full-time employees. This proportion will depend on the average weekly hours of part-time employees compared with the minimum weekly hours required to be a full-time employee, as specified by the Health Choices Commissioner. (For a point of reference: The minimum contribution for individual plans of full-time employees is not less than 72.5 percent of the premium of the cheapest plan the employer offers.)
Claim: Page 149: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll Claim: 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.
Both Partly True. The bill requires employers either to offer private health insurance coverage or pay a percentage of their payroll expenses to help finance a public plan. The 8 percent payment would indeed apply to employers with payrolls over $400,000 in the previous year, and lesser amounts would apply to smaller firms. Those with payrolls of $250,000 or less would pay nothing. But the penalty isn’t incurred if an employer “does not offer the public option,” as the e-mail claims. Rather, it’s a penalty for not offering health insurance to employees.
Claim: Page 167: Any individual who doesn’t have acceptable health care (according to the government) will be taxed 2.5% of income.
True. This is the mechanism in the bill to enforce the individual mandate requiring everyone to have insurance. A person who doesn’t have insurance that meets minimum benefit standards (or other acceptable coverage, such as a plan that was grandfathered in) would pay a penalty of 2.5 percent of modified adjusted gross income for the year. The total penalty can’t exceed a national average premium for individual coverage, or family coverage if applicable.
Claim: Page 170: Any NON-RESIDENT alien is exempt from individual taxes (Americans will pay for them).
False. “Non-resident aliens” are generally those who have spent less than 31 days in the U.S. during the year. The claim that “Americans will pay for them” assumes that such visitors would somehow be getting federal benefits that would cost taxpayers money. In any case, they are not “exempt from individual taxes” at all. Under current law, the Internal Revenue Service says: “If you are a nonresident alien, you must file Form 1040NR (PDF) or Form 1040NR-EZ (PDF) if you are engaged in a trade or business in the United States, or have any other U.S. source income on which the tax was not fully paid by the amount withheld.” All that page 170 says is that non-resident aliens who don’t obtain health coverage don’t have to pay an additional 2.5 percent federal tax that would apply to U.S. workers who fail to get coverage, or to immigrants who are working here legally under green cards and who fail to obtain coverage. The tax is spelled out in subsection (a) starting on page 167.
Claim: Page 195: Officers and employees of Government Health care Bureaucracy will have access to ALL American financial and personal records.
False. This section of the bill discusses “Disclosures To Carry Out Health Insurance Exchange Subsidies.” It says that government employees of the health insurance exchange will have access to federal tax information for purposes of determining eligibility for affordability credits available for low- and moderate-income Americans. In other words, in order to qualify for a government subsidy to purchase health insurance, the government needs to confirm your income. And, no surprise, the government already has access to your federal tax information. The bill also says nothing about “ALL … financial and personal records.” Instead it says “Such return information shall be limited to—(i) taxpayer identity information with respect to such taxpayer, (ii) the filing status of such taxpayer, (iii) the modified adjusted gross income of such taxpayer (as defined in section 59B(e)(5)), (iv) the number of dependents of the taxpayer, (v) such other information as is prescribed by the Secretary by regulation as might indicate whether the taxpayer is eligible for such affordability credits (and the amount thereof).” The bill goes on to limit use of this information “only for the purposes of, and to the extent necessary in, establishing and verifying the appropriate amount of any affordability credit … and providing for the repayment of any such credit which was in excess of such appropriate amount.”
Claim: Page 203: “The tax imposed under this section shall not be treated as tax.” Yes, it really says that.
Misleading. What this actually says is: “The tax imposed under this section shall not be treated as tax imposed by this chapter for purposes of determining the amount of any credit under this chapter or for purposes of section 55,” which deals with the Alternative Minimum Tax. It would limit the ripple effects of the new taxes the bill would impose on individuals making over $350,000 a year.
Claim: Page 239: Bill will reduce physician services for Medicaid. Seniors and the poor most affected. Claim: Page 241: Doctors: no matter what specialty you have, you’ll all be paid the same (thanks, AMA!)
Both False. Both of these claims pertain to Section 1121, which updates the physician fee schedule for 2010 for Medicare. It doesn’t “reduce physician services for Medicaid” (which wouldn’t pertain to seniors anyway); instead it modifies a section of the Social Security Act that defines physicians’ services. The section also doesn’t say that doctors will be paid the same “no matter what specialty you have.” Instead it sets up two categories of physician services with different growth rates for fees under those categories. As the Kaiser Family Foundation says of this section of the bill: “Allows the revised formula to be updated by the gross domestic product (GDP) plus 2% for evaluation and management services and GDP plus 1% for all other services.” The measure will cost $228.5 billion over 10 years, according to the Congressional Budget Office and Joint Committee on Taxation.
Claim: Page 253: Government sets value of doctors’ time, their professional judgment, etc.
Misleading. It’s true that page 253 refers to “relative value units” to be used when determining payment rates for doctor’s services, and that such RVUs would weigh factors “such as time, mental effort and professional judgment, technical skill and physical effort, and stress due to risk.” But this is nothing new; the government already uses RVUs when setting rates it will pay under Medicare. For example, the RVUs assigned to a colonoscopy are currently double the RVUs assigned to an intermediate office visit. In fact, page 253 is part of a section (Sec. 1122) that sets up a process for correcting existing but “potentially misvalued” rates.
Claim: Page 265: Government mandates and controls productivity for private healthcare industries.
Misleading. This claim doesn’t even make sense. How can anyone “mandate” that somebody else be productive, or “control” how productive they are? The author has simply misunderstood what this controversial item would do. In fact, page 265 is the start of a section (Sec. 1131) that is among several designed to slow future growth of Medicare payments to help offset the cost of the bill. It would require that “productivity improvements” be taken into account when setting annual “market basket” updates to Medicare rates for hospital-based services. The hospital industry has estimated this would translate into a 1.3 percent cut next year and a total of $150 billion in reduced payments over 10 years, and is opposed to it.
Claim: Page 268: Government regulates rental and purchase of power-driven wheelchairs.
Misleading. What page 268 does is to stop Medicare for paying for “mobility scooters,” which have been widely marketed as a Medicare-financed benefit, leading to ballooning costs to the program. They would no longer qualify as a “power-driven wheelchair.” Only a “complex rehabilitative power-driven wheel chair recognized by the Secretary” would be covered. The Congressional Budget Office estimates this will save the government $800 million over 10 years (see page 2).
Claim: Page 272: Cancer patients: welcome to the wonderful world of rationing!
False. This page merely calls for a study of whether a certain class of hospitals incur higher costs than some others for the cancer care they deliver. It also says the secretary of HHS “shall provide for an appropriate adjustment” in payments “to reflect those higher costs.” It’s hardly “rationing” to pay hospitals more to compensate for higher costs.
Claim: Page 280: Hospitals will be penalized for what the government deems preventable re-admissions.
True: This does say that “the Secretary shall reduce the payments” to hospitals with too many “potentially preventable” readmissions of patients that they previously had discharged.
Claim: Page 298: Doctors: if you treat a patient during an initial admission that results in a readmission, you will be penalized by the government.
False. That section is part of a list of potential physician-centered approaches to reducing excess hospital readmissions. The bill states that the secretary of Health and Human Services will conduct a study on the best ways to enforce readmissions policies with physicians. One of the approaches the secretary must consider is the option to reduce payments to physicians whose treatment results in a hospital readmission. Another is the option to increase payments to physicians who check up on recently released patients. Neither of these approaches is mandated in the bill – what’s mandated is that the secretary consider them, among others.
Claim: Page 317: Doctors: you are now prohibited for owning and investing in healthcare companies!
False. It’s already illegal, with certain exceptions, for doctors to refer Medicare patients to hospitals, labs, medical imaging facilities or other such medical businesses in which they hold a financial interest. Page 317 would modify an exception to that “self-referral prohibition” for rural providers, and says doctors can’t increase their stake in an exempt hospital after the bill becomes law.
Claim: Page 318: Prohibition on hospital expansion. Hospitals cannot expand without government approval.
False. Expansion is forbidden only for rural, doctor-owned hospitals that have been given a waiver from the general prohibition on self-referral. It does not apply to hospitals in general. The bill provides for exceptions to even this limited expansion ban (page 321).
Claim: Page 321: Hospital expansion hinges on “community” input: in other words, yet another payoff for ACORN.
False. Page 321 says rural, doctor-owned hospitals that are exempt from the Medicaid self-referral prohibition can ask to be allowed to expand under rules that must allow “input” from “persons or entities in the community.” Under that language, anybody in the community could offer their opinion, but nobody – not ACORN or anybody else – would be paid for it.
Claim: Page 335: Government mandates establishment of outcome-based measures: i.e., rationing.
Misleading. This section does deal with establishing quality measures for Medicare. It does not make any recommendations for treatment, or empower anyone to make treatment recommendations based on those measures. The only effect of these outcome-based measures established in the bill would be ranking and potential disqualification of underperforming Medicare Advantage plans – that’s disqualification of the plans, not of any medical procedures.
Claim: Page 341: Government has authority to disqualify Medicare Advantage Plans, HMOs, etc.
True. The bill allows for the possibility of disqualifying underperforming Medicare Advantage plans, which include Medicare HMOs. Medicare Advantage plans are private health plans that provide Medicare benefits. Under the bill, the secretary of Health and Human Services has the authority to disallow plans that are providing low-quality care under the new quality measures (which include evaluations of patient health, mortality, safety and quality of life). If a plan is disqualified, this will not leave seniors without care. The Kaiser Family Foundation reports that “virtually all” Medicare beneficiaries have access to at least two Medicare Advantage plans, and most have access to three or more. In 2008, 82 percent of beneficiaries had access to six or more private fee-for-service plans, one type of Medicare Advantage plan (along with HMOs, PPOs and medical spending accounts). Beneficiaries are also always free to return to the regular Medicare fee-for-service program.
Claim: Page 354: Government will restrict enrollment of SPECIAL NEEDS individuals.
Misleading. Insurance companies already restrict enrollment in so-called “special needs” plans, a special category of Medicare Advantage plans that were created in 2003. Page 354 merely extends the authority to do that beyond the end of next year, when it was set to expire. Furthermore, what’s being restricted isn’t the number of patients, but the type of patients. Plans can be restricted to accepting only those patients who fall into in one or more special categories. These include those who are institutionalized (think, nursing homes), those who qualify both for Medicare and Medicaid (think, both low-income and over age 65) and those with severe or disabling chronic conditions such as diabetes, emphysema, chronic heart failure or dementia. And of course, this has nothing to do with children with learning problems.
Claim: Page 379: More bureaucracy: Telehealth Advisory Committee (healthcare by phone).
Misleading. The advisory committee would not be a “bureaucracy” or have any administrative functions, but instead would bring together experts from the private sector to give advice on how Medicare and Medicaid should treat the practice of medicine via telecommunication, something used in rural hospitals and such places as cruise ships, battlefield settings and even on NASA space missions. Pages 380-381 call for the committee to consist of five “practicing physicians,” two “practicing non-physician health care workers” and two “administrators of telehealth programs.”
Claim: Page 425: More bureaucracy: Advance Care Planning Consult: Senior Citizens, assisted suicide, euthanasia? Claim: Page 425: Government will instruct and consult regarding living wills, durable powers of attorney, etc. Mandatory. Appears to lock in estate taxes ahead of time. Claim: Page 425: Government provides approved list of end-of-life resources, guiding you in death Claim: Page 427: Government mandates program that orders end-of-life treatment; government dictates how your life ends. Claim: Page 429: Advance Care Planning Consult will be used to dictate treatment as patient’s health deteriorates. This can include an ORDER for end-of-life plans. An ORDER from the GOVERNMENT. Claim: Page 430: Government will decide what level of treatments you may have at end-of-life.
All False. These six claims are a twisted interpretation of a provision in the bill that says Medicare will cover voluntary counseling sessions between seniors and their doctors to discuss end-of-life care. Medicare doesn’t pay for such sessions now; it would under the bill. End-of-life care discussions include talking about a living will, hospice care, designating a health care proxy and making decisions on what care you want to receive at the end of your life. Doctors do the consulting, not the “government” or a “bureaucracy.” The e-mail author’s assertion that the bill calls for “an ORDER from the GOVERNMENT” for end-of-life plans rests on language about a patient drawing up such an order stipulating their wishes, and having that order signed by a physician. There’s nothing about “an order from the government.” The bill defines an order for life-sustaining treatment as a document that “is signed and dated by a physician …[and] effectively communicates the individual’s preferences regarding life sustaining treatment.” See our article “False Euthanasia Claims” for more on such assertions.
Claim: Page 469: Community-based Home Medical Services: more payoffs for ACORN.
False. This section defines the term “community-based medical home” as a “nonprofit community-based or State-based organization” that “provides beneficiaries with medical home services.” ACORN does not provide medical home services. The section goes on to say such a medical service is one that “employs community health workers, including nurses or other non-physician practitioners, lay health workers, or other persons as determined appropriate by the Secretary, that assist the primary or principal care physician or nurse practitioner in chronic care management activities.” The only thing ACORN has in common with that description is the word “community.” It’s a community organization that offers services such as free tax preparation help and first-time home buyer counseling for low- and moderate-income people. It also works to register people to vote, and a few of its canvassers have been investigated for registration fraud, a point of concern during the presidential campaign.
Claim: Page 472: Payments to Community-based organizations: more payoffs for ACORN.
False. This section is referring to community-based medical homes.
Claim: Page 489: Government will cover marriage and family therapy. Government intervenes in your marriage.
Half true. It’s true that pages 489 and 490 make state-licensed “marriage and family therapist” services a covered expense “for the diagnosis and treatment of mental illnesses.” But the therapists wouldn’t be employed by the government, and there’s no requirement for anybody to receive their help. So the claim that this would mean that “government intervenes in your marriage” is false.
Claim: Page 494: Government will cover mental health services: defining, creating and rationing those services.
Misleading. The provision amends Section 1861 of the Social Security Act laying out what services Medicare will cover. It expands coverage for mental health services, stipulating that a “mental health counselor” who can perform mental health counseling is someone with a master’s or doctorate degree, a state license, and two years of practice as a counselor. Is this the government “defining” mental health services? Well, it’s certainly the government defining what government programs will cover.
– by Brooks Jackson, Lori Robertson and Jess Henig, with D’Angelo Gore
9 09 2009
The sock puppet strikes again. Twice in 24 hours someone calling themselves “Sarah Palin” has written a statement on her Facebook page.
I’m pleased that the White House is finally responding to Republican health care ideas instead of pretending they don’t exist.[1] But in doing so President Obama should follow his own sound advice and avoid making “wild misrepresentations”.[2] Medicare vouchers would give everyone on Medicare the chance to decide for themselves which health plan to use, rather than leave that decision to government bureaucrats. Such proposals are the kind of health care reform that Republicans stand for: market-oriented, patient-centered, and result-driven.
The White House talking points leave the rest of my arguments unanswered. They don’t respond to the idea that all individuals should get the same tax benefits received by those who get coverage through their employers; that we must reform our tort laws; and that we should allow Americans to buy insurance across state lines. The White House also fails to respond to the Nyce/Schieber study indicating that wages will fall if the government expands coverage without reducing health care inflation rates.
One last thing: after President Obama’s speech tonight, listen for which pundits use the words “false”, “scary”, and “risky” in describing the proposals I put forward. That’s how you’ll be able to tell who the White House counted as “allies” worthy of receiving its talking points.
-Sarah Palin
Market oriented health care. Just what we all need. People making money off of illness. In some countries, Switzerland for instance, it is ILLEGAL to have a for-profit health insurance company. There cannot be a program that is both “patient-centered” and “market driven” and it doesn’t take a health care expert, of which Palin is NOT, to know it. Remember this?
State programs intended to help disabled and elderly Alaskans with daily life — taking a bath, eating dinner, getting to the bathroom — are so poorly managed, the state cannot assure the health and well-being of the people they are supposed to serve, a new federal review found.
The situation is so bad the federal government has forbidden the state to sign up new people until the state makes necessary improvements. No other state in the nation is under such a moratorium, according to a spokeswoman for the federal Centers for Medicare & Medicaid Services. [snip]
A particularly alarming finding concerns deaths of adults in the programs. In one 2 1/2 year stretch, 227 adults already getting services died while waiting for a nurse to reassess their needs. Another 27 died waiting for their initial assessment, to see if they qualified for help.
One last thing, ex-almost-one-term-governor of a state with less than a million people. Just one more thing. Listen for which pundits and elected officials use the words “false,” “scary,” and “risky” in describing a health care option that guarantees care for all Americans, and allows people to choose their health option, and I will show you who is in the pockets of the insurance companies, and who is a mouthpiece for those to whom the almighty dollar is more important than the lives of actual people.
And show me an ex-governor who likes to throw around words like “death panels” and “downright evil” while those in her own state died by the hundreds waiting for health services, who suddenly thinks that anything she has to say about health care is even close to relevant, and I’ll show you a woman who wants to sell her book, or her soul, or whatever it takes to continue her moment in the spotlight that she never deserved in the first place.
Rant Over.
I did not write this. I shamelessly copied and pasted it from Mudflats, as no one can say it better.
Posted in Uncategorized
Tagged countdown, Death Panels, Keith Olbermann, sarah palin, Shannyn Moore
Hello everyone – how’s everybody doing today? I’m here with students at Wakefield High School in Arlington, Virginia. And we’ve got students tuning in from all across America, kindergarten through twelfth grade. I’m glad you all could join us today.
I know that for many of you, today is the first day of school. And for those of you in kindergarten, or starting middle or high school, it’s your first day in a new school, so it’s understandable if you’re a little nervous. I imagine there are some seniors out there who are feeling pretty good right now, with just one more year to go. And no matter what grade you’re in, some of you are probably wishing it were still summer, and you could’ve stayed in bed just a little longer this morning.
I know that feeling. When I was young, my family lived in Indonesia for a few years, and my mother didn’t have the money to send me where all the American kids went to school. So she decided to teach me extra lessons herself, Monday through Friday – at 4:30 in the morning.
Now I wasn’t too happy about getting up that early. A lot of times, I’d fall asleep right there at the kitchen table. But whenever I’d complain, my mother would just give me one of those looks and say, “This is no picnic for me either, buster.”
So I know some of you are still adjusting to being back at school. But I’m here today because I have something important to discuss with you. I’m here because I want to talk with you about your education and what’s expected of all of you in this new school year.
Now I’ve given a lot of speeches about education. And I’ve talked a lot about responsibility. I’ve talked about your teachers’ responsibility for inspiring you, and pushing you to learn. I’ve talked about your parents’ responsibility for making sure you stay on track, and get your homework done, and don’t spend every waking hour in front of the TV or with that Xbox. I’ve talked a lot about your government’s responsibility for setting high standards, supporting teachers and principals, and turning around schools that aren’t working where students aren’t getting the opportunities they deserve.
But at the end of the day, we can have the most dedicated teachers, the most supportive parents, and the best schools in the world – and none of it will matter unless all of you fulfill your responsibilities. Unless you show up to those schools; pay attention to those teachers; listen to your parents, grandparents and other adults; and put in the hard work it takes to succeed.
And that’s what I want to focus on today: the responsibility each of you has for your education. I want to start with the responsibility you have to yourself.
Every single one of you has something you’re good at. Every single one of you has something to offer. And you have a responsibility to yourself to discover what that is. That’s the opportunity an education can provide.
Maybe you could be a good writer – maybe even good enough to write a book or articles in a newspaper – but you might not know it until you write a paper for your English class. Maybe you could be an innovator or an inventor – maybe even good enough to come up with the next iPhone or a new medicine or vaccine – but you might not know it until you do a project for your science class. Maybe you could be a mayor or a Senator or a Supreme Court Justice, but you might not know that until you join student government or the debate team.
And no matter what you want to do with your life – I guarantee that you’ll need an education to do it. You want to be a doctor, or a teacher, or a police officer? You want to be a nurse or an architect, a lawyer or a member of our military? You’re going to need a good education for every single one of those careers. You can’t drop out of school and just drop into a good job. You’ve got to work for it and train for it and learn for it.
And this isn’t just important for your own life and your own future. What you make of your education will decide nothing less than the future of this country. What you’re learning in school today will determine whether we as a nation can meet our greatest challenges in the future.
You’ll need the knowledge and problem-solving skills you learn in science and math to cure diseases like cancer and AIDS, and to develop new energy technologies and protect our environment. You’ll need the insights and critical thinking skills you gain in history and social studies to fight poverty and homelessness, crime and discrimination, and make our nation more fair and more free. You’ll need the creativity and ingenuity you develop in all your classes to build new companies that will create new jobs and boost our economy.
We need every single one of you to develop your talents, skills and intellect so you can help solve our most difficult problems. If you don’t do that – if you quit on school – you’re not just quitting on yourself, you’re quitting on your country.
Now I know it’s not always easy to do well in school. I know a lot of you have challenges in your lives right now that can make it hard to focus on your schoolwork.
I get it. I know what that’s like. My father left my family when I was two years old, and I was raised by a single mother who struggled at times to pay the bills and wasn’t always able to give us things the other kids had. There were times when I missed having a father in my life. There were times when I was lonely and felt like I didn’t fit in.
So I wasn’t always as focused as I should have been. I did some things I’m not proud of, and got in more trouble than I should have. And my life could have easily taken a turn for the worse.
But I was fortunate. I got a lot of second chances and had the opportunity to go to college, and law school, and follow my dreams. My wife, our First Lady Michelle Obama, has a similar story. Neither of her parents had gone to college, and they didn’t have much. But they worked hard, and she worked hard, so that she could go to the best schools in this country.
Some of you might not have those advantages. Maybe you don’t have adults in your life who give you the support that you need. Maybe someone in your family has lost their job, and there’s not enough money to go around. Maybe you live in a neighborhood where you don’t feel safe, or have friends who are pressuring you to do things you know aren’t right.
But at the end of the day, the circumstances of your life – what you look like, where you come from, how much money you have, what you’ve got going on at home – that’s no excuse for neglecting your homework or having a bad attitude. That’s no excuse for talking back to your teacher, or cutting class, or dropping out of school. That’s no excuse for not trying.
Where you are right now doesn’t have to determine where you’ll end up. No one’s written your destiny for you. Here in America, you write your own destiny. You make your own future.
That’s what young people like you are doing every day, all across America.
Young people like Jazmin Perez, from Roma, Texas. Jazmin didn’t speak English when she first started school. Hardly anyone in her hometown went to college, and neither of her parents had gone either. But she worked hard, earned good grades, got a scholarship to Brown University, and is now in graduate school, studying public health, on her way to being Dr. Jazmin Perez.
I’m thinking about Andoni Schultz, from Los Altos, California, who’s fought brain cancer since he was three. He’s endured all sorts of treatments and surgeries, one of which affected his memory, so it took him much longer – hundreds of extra hours – to do his schoolwork. But he never fell behind, and he’s headed to college this fall.
And then there’s Shantell Steve, from my hometown of Chicago, Illinois. Even when bouncing from foster home to foster home in the toughest neighborhoods, she managed to get a job at a local health center; start a program to keep young people out of gangs; and she’s on track to graduate high school with honors and go on to college.
Jazmin, Andoni and Shantell aren’t any different from any of you. They faced challenges in their lives just like you do. But they refused to give up. They chose to take responsibility for their education and set goals for themselves. And I expect all of you to do the same.
That’s why today, I’m calling on each of you to set your own goals for your education – and to do everything you can to meet them. Your goal can be something as simple as doing all your homework, paying attention in class, or spending time each day reading a book. Maybe you’ll decide to get involved in an extracurricular activity, or volunteer in your community. Maybe you’ll decide to stand up for kids who are being teased or bullied because of who they are or how they look, because you believe, like I do, that all kids deserve a safe environment to study and learn. Maybe you’ll decide to take better care of yourself so you can be more ready to learn. And along those lines, I hope you’ll all wash your hands a lot, and stay home from school when you don’t feel well, so we can keep people from getting the flu this fall and winter. Whatever you resolve to do, I want you to commit to it. I want you to really work at it.
I know that sometimes, you get the sense from TV that you can be rich and successful without any hard work — that your ticket to success is through rapping or basketball or being a reality TV star, when chances are, you’re not going to be any of those things.
But the truth is, being successful is hard. You won’t love every subject you study. You won’t click with every teacher. Not every homework assignment will seem completely relevant to your life right this minute. And you won’t necessarily succeed at everything the first time you try.
That’s OK. Some of the most successful people in the world are the ones who’ve had the most failures. JK Rowling’s first Harry Potter book was rejected twelve times before it was finally published. Michael Jordan was cut from his high school basketball team, and he lost hundreds of games and missed thousands of shots during his career. But he once said, “I have failed over and over and over again in my life. And that is why I succeed.”
These people succeeded because they understand that you can’t let your failures define you – you have to let them teach you. You have to let them show you what to do differently next time. If you get in trouble, that doesn’t mean you’re a troublemaker, it means you need to try harder to behave. If you get a bad grade, that doesn’t mean you’re stupid, it just means you need to spend more time studying.
No one’s born being good at things, you become good at things through hard work. You’re not a varsity athlete the first time you play a new sport. You don’t hit every note the first time you sing a song. You’ve got to practice. It’s the same with your schoolwork. You might have to do a math problem a few times before you get it right, or read something a few times before you understand it, or do a few drafts of a paper before it’s good enough to hand in.
Don’t be afraid to ask questions. Don’t be afraid to ask for help when you need it. I do that every day. Asking for help isn’t a sign of weakness, it’s a sign of strength. It shows you have the courage to admit when you don’t know something, and to learn something new. So find an adult you trust – a parent, grandparent or teacher; a coach or counselor – and ask them to help you stay on track to meet your goals.
And even when you’re struggling, even when you’re discouraged, and you feel like other people have given up on you – don’t ever give up on yourself. Because when you give up on yourself, you give up on your country.
The story of America isn’t about people who quit when things got tough. It’s about people who kept going, who tried harder, who loved their country too much to do anything less than their best.
It’s the story of students who sat where you sit 250 years ago, and went on to wage a revolution and found this nation. Students who sat where you sit 75 years ago who overcame a Depression and won a world war; who fought for civil rights and put a man on the moon. Students who sat where you sit 20 years ago who founded Google, Twitter and Facebook and changed the way we communicate with each other.
So today, I want to ask you, what’s your contribution going to be? What problems are you going to solve? What discoveries will you make? What will a president who comes here in twenty or fifty or one hundred years say about what all of you did for this country?
Your families, your teachers, and I are doing everything we can to make sure you have the education you need to answer these questions. I’m working hard to fix up your classrooms and get you the books, equipment and computers you need to learn. But you’ve got to do your part too. So I expect you to get serious this year. I expect you to put your best effort into everything you do. I expect great things from each of you. So don’t let us down – don’t let your family or your country or yourself down. Make us all proud. I know you can do it.
Thank you, God bless you, and God bless America.
h/t Huffington Post:
