Friday, July 24, 2009

Make Informed Decisions!


I'm cross posting portions of a blog I found at Infidel Bloggers Alliance. I cannot verify the validity of the poster, but I did check into Peter Fleckenstein as I'd never heard of him. His Twitter profile lists him as a former marine, father of two and his website is "coming soon." I have cross referenced Mr. F's remarks with portions of the actual Health Care Bill I found listed at The Huffington Post.

Mr. Fleckenstein, it appears, is lashing out via twitter, asserting his unhappiness with the present administration with regard to Health Care Reform. I read his post with interest, but then went directly to portions of the bill posted on the internet to see if the comments contained in his post are truly factual OR based on what he fears may happen. I'm posting this so you can determine for yourself what you feel comfortable with or uneasy about with regard to the the language used in the Health Care Reform Bill.

As I've said before, I'm all for making improvements in our Health Care policies, but I don't believe rushing headlong into President Obama's Health Care reform bill is the answer. I believe the reason he likes to "push" bills through Congress is that it gives the members little or no time to read the voluminous legal documents and/or raise legitimate questions that need answers.

This is a very touchy topic, but I believe if people do their homework, they won't be as eager for this bills passage. I've been in the dark long enough, supposing that because I watched the evening news, I was AWARE.I urge you...watch Fox News...something other than the network broadcasts and become aware of what goes on behind your backs. You'll be appalled. If something sounds too good to be true, it usually is, and like the previous nightmare bill packed with special interest projects and needless spending, this bill may do more harm than good. Shouldn't we, "the people" as recognized in our Constitution have some say in what happens with our healthcare?

PLEASE BE ADVISED THE ITALICIZED REMARKS BELONG SOLELY TO PETER FLECKENSTEIN, WHOEVER HE IS.

Peter Fleckenstein is reading through the entire 1100+ page socialized medicine scheme of the New Deathocrats.

Littlegreenfootballs2 has a low down on the first 500 pages of this particular Obamanation:

(NOTE FROM GINGER: I only dealt with a portion of his post starting with Page 51.)

PG 50-51: SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE in HC bill – HC will be provided to ALL non US citizens, ILLEGAL or otherwise.

Actual Bill Page 51:

covered by this Act shall be provided without regard to personal characteristics extraneous to the provision of high quality health care or related services.

(b) IMPLEMENTATION.--To implement the requirement set forth in subsection (a), the Secretary of Health and Human Services shall, not later than 18 months after the date of the enactment of this Act, promulgate such regulations as are necessary or appropriate to insure that all health care and related services (including insurance coverage and public health activities) covered by this Act are provided (whether directly or through contractual, licensing, or other arrangements) without regard to personal characteristics extraneous to the provision of high quality health care or related services


Pg 58: SEC. 163. ADMINISTRATIVE SIMPLIFICATION HC Bill – Government will have real-time access to individual’s finances and a National ID Healthcard will be issued!

Actual Bill- Page 58:
(C) be comprehensive, efficient and robust, requiring minimal augmentation by paper transactions or clarification by further communications;

''(D) enable the real-time (or near real time) determination of an individual's financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;

''(E) enable, where feasible, near real-time adjudication of claims;

''(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;

''(G) describe all data elements (such as reason and remark codes) inunambiguous terms, notpermit optional fields, require that data elements be either required or conditioned upon set values in other fields, and prohibit additional conditions; and


Pg 59: SEC. 163. ADMINISTRATIVE SIMPLIFICATION HC Bill lines 21-24 Government will have DIRECT access to your BANK ACCOUNTS for electronic funds transfer. This means the government can go in and take your money right out of your bank account.

ACTUAL BILL:P. 59

''(H) harmonize all common data elements across administrative and clinical transaction standards.

''(3) TIME FOR ADOPTION.--Not later than 2 years after the date of implementation of the X12 Version 5010 transaction standards implemented under this part, the Secretary shall adopt standards under this section.

''(4) REQUIREMENTS FOR SPECIFIC STAND-ARDS.--The standards under this section shall be developed, adopted and enforced so as to--

''(A) clarify, refine, complete, and expand, as needed, the standards required under section 1173;

''(B) require paper versions of standard-ized transactions to comply with the same
standards as to data content such that a fully compliant, equivalent electronic transaction can be populated from the data from a paper
version;

''(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;


PG 65: SEC. 164. REINSURANCE PROGRAM FOR RETIREES is a payoff subsidized plan for retirees and their families in Unions and community orgs (ACORN).

ACTUAL BILL - Page 65:
(i) by striking ''or is engaged'' and inserting ''and is engaged''; and

(ii) by inserting ''(other than as a business associate for a covered entity)'' after ''for a financial institution''.

(B) EFFECTIVE DATE.--The amendments made by paragraph (1) shall apply to trans-actions occurring on or after such date (not later than 6 months after the date of the enactment of this Act) as the Secretary of Health and Human Services shall specify.

SEC. 164. REINSURANCE PROGRAM FOR RETIREES.

(a) ESTABLISHMENT.--

(1) IN GENERAL.--Not later than 90 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall establish a temporary reinsurance program (in this section referred to as the ''reinsurance program'') to provide reimbursement to assist participating employment-based plans with the cost of providing health benefits to retirees and to eligible spouses, surviving spouses and dependents of such retirees.

(2) DEFINITIONS.--For purposes of this section:


Pg 72: SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS Lines 8-14 Government is creating an HC Exchange to bring private HC plans under Government control.

ACTUAL BILL - Page 72:
TITLE II--HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS

Subtitle A--Health Insurance Exchange

SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.

(a) ESTABLISHMENT.--There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.

(b) OUTLINE OF DUTIES OF COMMISSIONER.--In accordance with this subtitle and in coordination with appropriate Federal and State officials as provided under section 143(b), the Commissioner shall--

(1) under section 204 establish standards for, accept bids from, and negotiate and enter into contracts with, QHBP offering entities for the offering
of health benefits plans through the Health Insurance Exchange, with different levels of benefits required under section 203, and including with respect to oversight and enforcement;


PG 84: SEC. 203. BENEFITS PACKAGE LEVELS HC Bill – Government mandates ALL benefit packages for private HC plans in the Exchange.

ACTUAL BILL - Page 84:

SEC. 203. BENEFITS PACKAGE LEVELS.

(a) IN GENERAL.--The Commissioner shall specify the benefits to be made available under Exchange-participating health benefits plans during each plan year, consistent with subtitle C of title I and this section.

(b) LIMITATION ON HEALTH BENEFITS PLANS OFFERED BY OFFERING ENTITIES.--The Commissioner may not enter into a contract with a QHBP offering entity under section 204(c) for the offering of an Exchange-participating health benefits plan in a service area unless the following requirements are met:

(1) REQUIRED OFFERING OF BASIC PLAN.--The entity offers only one basic plan for such service area.

(2) OPTIONAL OFFERING OF ENHANCED PLAN.--If and only if the entity offers a basic plan for such service area, the entity may offer one enhanced plan for such area.

(3) OPTIONAL OFFERING OF PREMIUM PLAN.-- If and only if the entity offers an enhanced plan for such service area, the entity may offer one premium plan for such area.


PG 85: SEC. 203. BENEFITS PACKAGE LEVELS Line 7 HC Bill – SPECIFICATION OF BENEFIT LEVELS FOR PLANS = The Government will ration your Healthcare!

ACTUAL BILL - Page 85:

(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS.--If and only if the entity offers a premium plan for such service area, the entity may offer one or more premium-plus plans for such area. All such plans may be offered under a single contract with the Commissioner.

(c) SPECIFICATION OF BENEFIT LEVELS FOR PLANS.--

(1) IN GENERAL.--The Commissioner shall establish the following standards consistent with this subsection and title I:

(A) BASIC, ENHANCED, AND PREMIUM PLANS.--Standards for 3 levels of Exchange- participating health benefits plans: basic, enhanced, and premium (in this division referred to as a ''basic plan'', ''enhanced plan'', and ''premium plan'', respectively).

(B) PREMIUM-PLUS PLAN BENEFITS.-- Standards for additional benefits that may be offered, consistent with this subsection and subtitle C of title I, under a premium plan (such a plan with additional benefits referred to in this division as a ''premium-plus plan'')


PG 91: SEC. 204. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS Lines 4-7 HC Bill – Government mandates linguistic appropriate services. Example – Translation for illegal aliens!


ACTUAL BILL - Page 91:
(7) CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES AND COMMUNICATIONS.--The entity shall provide for culturally and linguistically ap-
propriate communication and health services.

(8) ADDITIONAL REQUIREMENTS.--The entity shall comply with other applicable requirements of this title, as specified by the Commissioner, which shall include standards regarding billing and collec-tion practices for premiums and related grace periods and which may include standards to ensure that the entity does not use coercive practices to force providers not to contract with other entities offering coverage through the Health Insurance Exchange.

(c) CONTRACTS.--

(1) BID APPLICATION.--To be eligible to enter into a contract under this section, a QHBP offering entity shall submit to the Commissioner a bid at such time, in such manner, and containing such in-formation as the Commissioner may require.

(2) TERM.--Each contract with a QHBP offering entity under this section shall be for a term of not less than one year, but may be made automatically renewable from term to term in the absence of
notice of termination by either party.


Mr. Fleckenstein continues on and on, and you can read his entire post by clicking the link in the first paragraph. I've attempted to show you that if you don't do your own homework and make your own judgement, you might be swayed by someone else's interpretation. Mr. F and I tend to agree that passing this law is a mistake, but his comments contained insinuations I didn't see actually stated in the bill itself. Like the Bible and the many religions based on it, it's apparent we can read into something what WE perceive from the wording. He may be right on. I don't know, but I'm fearful enough to believe he make have made some valid points.

Even reporters who attended the President's "reform" speech stated he skirted important questions and kept returning to his push that this happen now (before Congress breaks for holiday) for the good of America. If it's such an emergency, don't you think Congress could put their holiday on hold?

President Obama indicated twice during his speech this would not increase the national debt, but a prominent member of the Way and Means Committee indicated a several TRILLION dollar increase over the next decade. Who do you believe? Our government is so divided by party lines, with finger pointing, name calling, and negative assertions...is this really a time for them to be making decisions that ultimately affect us and our future?

Click HERE for interesting comments on how some state Governor's fear the passage of this bill.

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WARNING: I support the office of the President, not the person currently holding it!