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CCHF Health Freedom eNews

December 11, 2013


OBAMA’S PLAN: Single-Seller to Single-Payer

Last week I talked about entrapment - the various methods President Obama is using to entice people into the Obamacare exchange. Help us derail Obama's entrapment schemes in the critical year of 2014 by donating $15, $45, or $95 today!


This week I'll predict how the Obamacare exchanges, if allowed to survive despite all their missteps, shutdowns, intrusions, and fraud-enticing tendencies, could lead to a single-payer system where government pays for all health care services -- and people suffer and die from perfectly treatable diseases while waiting in line.  As has a waiting line to enroll, so will ""


To get to single-payer, Obama needed a state-based apparatus. America is a large country. A federal takeover apparatus with computerized monitoring and control capabilities would have to be installed in every state.


Enter the Obamacare exchanges.


The Exchanges are a Trojan horse. You see them, but you can't readily see the dangers deep inside: the federal data collection, national surveillance of insurance status, IRS enforcement of the mandates, the single-seller plan, and the federal government in control. Euphemisms abound. Exchanges have been called "marketplaces" when they are government bureaucracies. The administration claims they sell "private insurance." They do not. Every exchange application form is a federal form issued by and sent to the federal government and through the IRS.


I predict Obama's plan for single-payer may be as follows:


  1. Government exchanges with rich federal taxpayer-funded premium subsidies draw in many Americans and drive private insurers out of business, turning the government exchange into a single-seller system -- the only place for Americans to secure coverage.


  1. Physicians, no longer independent due to costs and controls imposed by Obamacare, become employed by hospitals in Obamacare-established Accountable Care Organizations, sometimes called "HMOs on steroids."


  1. Congress and/or state legislatures increase taxes to provide annual capitated (limited) payments to the Exchange to cover the cost of health care services given to citizens of each state.


  1. Government agencies in charge of exchanges take a cut of the payments for "administrative expenses" and divide remaining capitated funds between exchange "insurers" participating in each state.


  1. After taking a cut for "administrative expenses," exchange "insurers" divide capitated funds between Obamacare Accountable Care Organizations (ACOs).


  1. As ACOs begin to bear the financial risk of their enrolled patient populations, exchange "insurers" no longer bear risk for cost of patient care and become simply administrators in the government exchange as well as patient-tracking centers for the ACOs (which must protect their annual government payments by corralling their entire patient population into ACO-controlled clinics and hospitals).


  1. To protect themselves from financial risk, the ACO's administrative arm (hospital) uses health surveillance systems (and Obamacare's "comparative effectiveness research" studies of patient medical records) to seize control of the physician's practice of medicine through computerized tracking of treatments and pay-for-performance initiatives that constrain physician autonomy and ration patient access to medical care.


Here's the good news. Obamacare is not yet a fully functioning single-payer system -- and 34 states have created significant resistance by refusing to fund or install a state-based exchange -- but President Obama doing all he can through the federal law and the power of his office to "prepare the soil" for single-payer.


They face a hard deadline. By law, Obama's exchanges must be financially self-sustaining on January 1, 2015. All federal funding disappears and operating funds must be secured from enrollee premium payments or state taxpayers. This is why we at CCHFreedom are focused on limiting exchange enrollment in 2014.


According to The Washington Post, it is less important for the Obama administration to get the seven million enrollees they want during 2014 than it is to make sure sufficient enrollees are young and healthy. Otherwise the exchanges could enter a "death spiral" resulting from enrolling less healthy, older people with high-costs.


Help CCHFreedom keep the young and healthy out of Obama's exchanges!


We are planning a pre-Christmas "Refuse to Enroll" radio ad campaign targeted at the young and healthy (and their influential mothers) in the next few days. Your tax-deductible support of $50, $100, $500 or more today will determine how big our campaign will be. Please donate generously today.


Planning to stop Obamacare in 2014,


Twila Brase, RN, PHN

President and Co-founder



News to Know:

Obamacare's Hidden Voter Registration Agenda?

What if Obamacare was never about health? What if Obamacare is instead, one of the largest voter registration fraud schemes in history? According to conservative activists Gregg Phillips and Catherine Engelbrecht, left-wing groups have been discussing Obamacare as a platform for voter registration. Coupled with the target market for Obamacare, it could be seen as a plan to register millions of new Democrats wrapped in a facade of health care reform.

70% of Calif. Doctors Won't Participate in Obamacare

Seven out of 10 California doctors say they will not participate in California's Obamacare exchange, likely due to its lower-than-average reimbursement rates. "It doesn't surprise me that there's a high rate of non-participation," says Dr. Richard Thorp, president of the California Medical Association. "[W]e're doing a service to the community. But we can't do it for free. And we can't do it at a loss. No other business would do that."

IRS Disputes Need for Data Security

In a Dec. 3 report, the IRS is warned to improve its controls on Obamacare's tax credits to limit fraud. The treasury inspector general for tax administration (TIGTA) made seven recommendations and said the IRS "needs to strengthen systems development controls" for tax credits (premium subsidies) available starting in 2014. The IRS agreed with six of the seven recommendations, but disagreed that the IRS should bolster security to protect the privacy of millions of Americans.

Surprise! Surprise! No Coverage!

On Dec. 6, the Obama administration said enrollment records for approximately 25% of Americans who signed up for coverage through in Oct. and Nov. could contain errors. The administration admits that incomplete or incorrect applications may have been sent to insurers for one in every ten people that have enrolled in exchange coverage. If not remedied soon, thousands of Americans could, to their surprise, be without Obamacare coverage on January 1, 2014.

Teens Still Want Privacy

Young people prefer Twitter to Facebook because it feels more "real" and "private." Despite few teens actually keeping their tweets private, teens feel Twitter is more "private" because fewer parents and relatives use it. "On Twitter, you don't worry as much about what you're posting," says 18-year-old Brendan DeVoue. "It's more personal." As government surveillance advances, it may be up to these generations to protect privacy into the future. (Privacy Journal, Nov. 2013, pp.1-2).

Doctors: 'Fat Good for Heart Health'

Some doctors claim that a high-fat diet is good for heart health, contrary to popular belief. Professor David Haslam, of the National Obesity Forum, says refined carbohydrates and sugar are the culprits behind clogged arteries and heart disease, not saturated fat. As a result of this new interpretation, some doctors in western countries like Sweden now encourage diets high in fat, but low in carbs.

White House Blows $1 Billion

On Fox News, Rep. Darrell Issa (R-CA) said the Obama administration turned down an offer from IBM to build the Obamacare exchange website for free. According to Issa the statement was confirmed in testimony given under oath before a Congressional committee. IBM made these claims as early as 2010, with their CEO saying, "I said [IBM] would do it for free to prove that it works. [The White House] turned us down."

Obama and Sebelius Met Once in 3.5 Years

A startling new study reveals that President Obama has had one face-to-face meeting with HHS Secretary Kathleen Sebelius since Obamacare's official signing in 2010. While Obama met with secretaries from Defense, State, and Treasury 263 times out of 277 face-to-face meetings, the president has only met once with the secretary in charge of constructing and implementing his signature act. Perhaps this is why Obama seems clueless when Obamacare failed spectacularly at launch.

Tracking Anti-Obamacare Ads

An infographic shows where anti-Obamacare ad money is being spent. The map charts money spent on Obamacare attack ads as well as the number of uninsured people in each media market. Unsurprisingly, the majority of funds have been spent in regions where Senate Democrats are up for re-election in 2014. By focusing on regions where potentially high-impact elections are occurring next year, conservative groups appear to be eyeing long-term change through short-term advertising.

Doctors Ditch Insurance

Physicians are dropping insurance contracts, dealing directly with patients, and cutting the cost of health care. Dr. Juliette Madrigal-Dersch in Texas began a cash-based practice 11 years ago. Dr. Lee Beecher in Minnesota dropped all insurance and Medicare 8 years ago. Dr. Brian Forrest began Access Healthcare, which lists all prices. He estimates that by not billing insurance, a clinic can decrease its overhead costs by $225,000 - $250,000 per physician per year.

VA's Paperless System Experiencing "Spontaneous Shutdowns"

The Veterans Affairs Department's $491 million paperless claims processing system is experiencing "spontaneous system shutdowns." VA examiners have experienced total system failures as well as delays in loading and viewing medical documents. Without a human element, the program, which is also used to process and file medical claims, makes it difficult to appropriately assess injury and claims. And the reason government thinks mandatory computerized medical records is a good idea is because.......??

MNsure Applicants Get Double-Checked

After it was discovered that several eligible individuals were denied coverage or subsidies through the MNsure Obamacare exchange, MNsure officials are double-checking 30,000 to 40,000 applications filed this file. MNsure says that the underlying errors have been fixed, but now every received application will be reviewed to verify correct processing. So apparently even when MNsure works and people get through, it still doesn't really work.


Quote of the Week:

"The problem is, who's going to care for you when you have Medicaid? For an hour-and-15-minute evaluation of a cancer patient, I get $6.50. That won't even pay for the electricity. What kind of physician will you get ... what kind of specialist will you get?" -- Dr. Bill Grace, MD, The Kudlow Report, CNBC, December 3, 2013.

Stats of the Week:

450,000 - the number who may be able to sign up for coverage by December 31 on the now speedier version of, which is no where near the four million to 5 million whose plans have been cancelled as of December 31, 2013.


News Release of the Week:

Dec. 23: Another False Obamacare Deadline

ST. PAUL, Minn. - As shoppers race around to retailers crossing gifts off their Christmas lists, Obamacare is trying to impose another false deadline to rush Americans into signing up for health care coverage before Christmas. Continue reading

Featured Health Freedom Minute:

HHS Action Speak Louder Than Words

Federal health officials say exchange coverage is not government health care but the flexing of their regulatory muscles says otherwise. Last week, The Wall Street Journal said itʼs not clear if people with Obamacare coverage will have access to drug discount coupons or cards to pay for high-cost medications. Continue reading

Twila Brase broadcasts a daily, 60-second radio feature, Health Freedom Minute, which brings health care issues to light for the American public. Health Freedom Minute airs on the entire American Family Radio Network, with more than 150 stations nationwide in addition to Bott Radio Network with over 80 stations nationwide.

Click here to listen to this week's features.

Citizens' Council for Health Freedom
161 St. Anthony Avenue, Ste 923
St. Paul, MN 55103
Phone: 651.646.8935 • Fax: 651.646.0100

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