Lets look at these line by line... 1. You are young and don't want health insurance? You are starting up a small business and need to minimize expenses, and one way to do that is to forego health insurance? Tough. You have to pay $750 annually for the "privilege." (Section 1501)
**If you have a small business that is less that 50 people, you are exempt from this. 2. You are young and healthy and want to pay for insurance that reflects that status? Tough. You'll have to pay for premiums that cover not only you, but also the guy who smokes three packs a day, drink a gallon of whiskey and eats chicken fat off the floor. That's because insurance companies will no longer be able to underwrite on the basis of a person's health status. (Section 2701). **Your current insurance also does this. What you pay in premiums is raised to pay for the people that are in poor health and use the insurance often. 3. You would like to pay less in premiums by buying insurance with lifetime or annual limits on coverage? Tough. Health insurers will no longer be able to offer such policies, even if that is what customers prefer. (Section 2711). 4. Think you'd like a policy that is cheaper because it doesn't cover preventive care or requires cost-sharing for such care? Tough. Health insurers will no longer be able to offer policies that do not cover preventive services or offer them with cost-sharing, even if that's what the customer wants. (Section 2712). 5. You are an employer and you would like to offer coverage that doesn't allow your employees' slacker children to stay on the policy until age 26? Tough. (Section 2714). 6. You must buy a policy that covers ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services; chronic disease management; and pediatric services, including oral and vision care. You're a single guy without children? Tough, your policy must cover pediatric services. You're a woman who can't have children? Tough, your policy must cover maternity services. You're a teetotaler? Tough, your policy must cover substance abuse treatment. (Add your own violation of personal freedom here.) (Section 1302). **I'll address these as a group since they are all pretty much repeating the same line of BS. There are already regulations at the state level that say what an insurer has to offer, so this is nothing new. # 6 in particular...your current policy probably already covers all of this by default. Like most of the arguments used against health care, these are logical fallicies. 7. Do you want a plan with lots of cost-sharing and low premiums? Well, the best you can do is a "Bronze plan," which has benefits that provide benefits that are actuarially equivalent to 60% of the full actuarial value of the benefits provided under the plan. Anything lower than that, tough. (Section 1302 (d)(1)(A)) **good luck finding anything better than that now... 8. You are an employer in the small-group insurance market and you'd like to offer policies with deductibles higher than $2,000 for individuals and $4,000 for families? Tough. (Section 1302 (c) (2) (A). **with the risk spread out over a wider pool of people, you will also have the same purchasing power as big corporations that pay a lot less per person than small businesses do. 9. If you are a large employer (defined as at least 50 employees) and you do not want to provide health insurance to your employee, then you will pay a $750 fine per employee (It could be $2,000 to $3,000 under the reconciliation changes). Think you know how to better spend that money? Tough. (Section 1513). **as it should be. If you are that big then you should be providing benefits to your employees. 10. You are an employer who offers health flexible spending arrangements and your employees want to deduct more than $2,500 from their salaries for it? Sorry, can't do that. (Section 9005 (i)). **Despite republican claims, HSA were never very effective and if you didn't spend all the money you put into it, you lost it at the end of the year. 11. If you are a physician and you don't want the government looking over your shoulder? Tough. The Secretary of Health and Human Services is authorized to use your claims data to issue you reports that measure the resources you use, provide information on the quality of care you provide, and compare the resources you use to those used by other physicians. Of course, this will all be just for informational purposes. It's not like the government will ever use it to intervene in your practice and patients' care. Of course not. (Section 3003 (i)) **Like they are not looking over the shoulder of Physicians already? Medical procedures and practices are regulated to ensure safety and quality of care as they should be. How is this any different? 12. If you are a physician and you want to own your own hospital, you must be an owner and have a "Medicare provider agreement" by Feb. 1, 2010. (Dec. 31, 2010 in the reconciliation changes.) If you didn't have those by then, you are out of luck. (Section 6001 (i) (1) (A)). **If you own a hospital and you don't then you shouldn't own a hospital. You should be starting a hospital to help people, not just to make a buck. 13. If you are a physician owner and you want to expand your hospital? Well, you can't (Section 6001 (i) (1) (B). Unless, it is located in a country where, over the last five years, population growth has been 150% of what it has been in the state (Section 6601 (i) (3) ( E)). And then you cannot increase your capacity by more than 200% (Section 6001 (i) (3) (C)). **Sounds to me like a measure to control unnecessary costs... 14. You are a health insurer and you want to raise premiums to meet costs? Well, if that increase is deemed "unreasonable" by the Secretary of Health and Human Services it will be subject to review and can be denied. (Section 1003) **It'sa kinda odd that when they are increasing premiums to "match increaded costs", these very same companies are also recording recoird profits. Hmmm 15. The government will extract a fee of $2.3 billion annually from the pharmaceutical industry. If you are a pharmaceutical company what you will pay depends on the ratio of the number of brand-name drugs you sell to the total number of brand-name drugs sold in the U.S. So, if you sell 10% of the brand-name drugs in the U.S., what you pay will be 10% multiplied by $2.3 billion, or $230,000,000. (Under reconciliation, it starts at $2.55 billion, jumps to $3 billion in 2012, then to $3.5 billion in 2017 and $4.2 billion in 2018, before settling at $2.8 billion in 2019 (Section 1404)). Think you, as a pharmaceutical executive, know how to better use that money, say for research and development? Tough. (Section 9008 (b)). **Maybe the pharmaceutical industry should stop fucking over the citizens of the US and measure like this wouldn't be necessary. But then again, this was coordinated by the pharma industry in talks with the White House. 16. The government will extract a fee of $2 billion annually from medical device makers. If you are a medical device maker what you will pay depends on your share of medical device sales in the U.S. So, if you sell 10% of the medical devices in the U.S., what you pay will be 10% multiplied by $2 billion, or $200,000,000. Think you, as a medical device maker, know how to better use that money, say for R&D? Tough. (Section 9009 (b)). The reconciliation package turns that into a 2.9% excise tax for medical device makers. Think you, as a medical device maker, know how to better use that money, say for research and development? Tough. (Section 1405). **This was also agreed upon by this industry. They didn't seem to have an issue with it. 17. The government will extract a fee of $6.7 billion annually from insurance companies. If you are an insurer, what you will pay depends on your share of net premiums plus 200% of your administrative costs. So, if your net premiums and administrative costs are equal to 10% of the total, you will pay 10% of $6.7 billion, or $670,000,000. In the reconciliation bill, the fee will start at $8 billion in 2014, $11.3 billion in 2015, $1.9 billion in 2017, and $14.3 billion in 2018 (Section 1406).Think you, as an insurance executive, know how to better spend that money? Tough.(Section 9010 (b) (1) (A and B).) **Apparently not since they can only seem to funnel into their bank accounts as outrageous bonuses. 18. If an insurance company board or its stockholders think the CEO is worth more than $500,000 in deferred compensation? Tough.(Section 9014). ***waaah 19. You will have to pay an additional 0.5% payroll tax on any dollar you make over $250,000 if you file a joint return and $200,000 if you file an individual return. What? You think you know how to spend the money you earned better than the government? Tough. (Section 9015). That amount will rise to a 3.8% tax if reconciliation passes. It will also apply to investment income, estates, and trusts. You think you know how to spend the money you earned better than the government? Like you need to ask. (Section 1402). ***boo hoo...you make more you should pay a little more to help your fellow citizens. Since many people are just selfish inconsiderate aswipes who think of nothing beyond them selves, this has become and unfortunately necessary measure 20. If you go for cosmetic surgery, you will pay an additional 5% tax on the cost of the procedure. Think you know how to spend that money you earned better than the government? Tough. (Section 9017). **boo fucking hoo One of the commenters said it best: Basically, what I see you say is that Americans have now lost their freedom to deprive other Americans of vital health care. Yea, I'd say you are right. Then again, who cares about those Americans unwilling to help out their fellow Americans? -----Original Message----- From: Sam [mailto:[email protected]] Sent: Thursday, March 25, 2010 10:53 AM To: cf-community Subject: Re: Health Care reform, questions and predictions Same as when Larry uses it, it just doesn't make sense. Anyway back to the discussion: 20 Ways ObamaCare Will Take Away Our Freedoms http://www.investors.com/NewsAndAnalysis/Article.aspx?id=528137 I mean why should we just sit back and trust Obama to do the right thing. What has he ever done in his life that would earn that trust? Why can't I question this bill with out being ridiculed? On Thu, Mar 25, 2010 at 11:08 AM, Eric Roberts <[email protected]> wrote: > > Don't forget your tinfoil hat Sam... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Want to reach the ColdFusion community with something they want? Let them know on the House of Fusion mailing lists Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:314016 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/groups/cf-community/unsubscribe.cfm
