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CCHF Health Freedom eNews

May 7, 2014



 

23 Scary Words in Obamacare

Will your doctor be blacklisted? There are 23 words in Obamacare that haven't gotten much attention -- but should scare every doctor and every patient.

 

Obamacare allows the U.S. Department of Health and Human Services to blacklist any physician or other practitioner that doesn't practice health care the way the government wants health care practiced. Here is what the law says under Section 1311(h) titled "QUALITY IMPROVEMENT": "Beginning on January 1, 2015, a qualified health plan may contract with...

 

(B) a health care provider only if such provider implements such mechanisms to improve health care quality as the Secretary may by regulation require." [Emphasis added.]

 

If the Secretary of HHS decides that a provider isn't implementing "such mechanisms to improve health care quality," POOF! That doctor, that dentist, that chiropractor, or any other clinician can be shut down, kicked completely out of the health insurance system. One day they could see 30 patients. The next day, zero.

 

What kind of mechanisms might these be? Required "mechanisms to improve health care quality" could include requirements to comply with government-issued treatment protocols, use the cheapest treatments and the oldest medications, use global budgets to ration care, limit care for elderly and disabled, and weigh the individual patient's needs against the needs of government-defined "populations."

 

These mechanisms could include data reporting requirements, using a computerized medical record accessible to the government, collecting race, ethnic, gender and sexual orientation data, or implementing the intrusive ICD-10 diagnosis treatment coding system, which will document in code a detailed profile of each patient's health. The "mechanisms" will likely have nothing to do with actual quality of care.

 

Congressman Phil Gingrey (R-GA) is focused on repealing these 23 words. As a physician, he sees the danger to doctors and patients. On August 2, 2012, he introduced the SCOPE Act, H.R. 6320. The Safeguarding Care of Patients Everywhere Act repeals these 23 words. His bill has 17 co-sponsors.

 

Just last week, a Senate SCOPE Act was introduced by four physicians. U.S. Senators Tom Coburn, M.D. (R-OK), John Barrasso, M.D. (R-WY), John Boozman, O.D. (R-AR), and Rand Paul M.D. (R-KY) introduced S. 2278 to repeal these 23 scary words. Senator Tom Coburn says,

 

"A political appointee now has full discretion to determine what constitutes as 'quality' care, despite what is actually best for an individual patient. Allowing an unelected bureaucrat to have unilateral power to interfere with the physician-patient relationship is unprecedented."

 

ACTION ITEMS: Ask your member of Congress and your U.S. Senator to co-sponsor the SCOPE Act bills. And join today with CCHF to stop Obamacare -- all 425,116 words of the law. Your donation today of $25, $75, $150 or more will help us continue our work to make sure America is free from the grip of Obamacare.

 

Working with you to keep patients and doctors in control,

 

Twila Brase, RN, PHN

President and Co-founder

CCHFREEDOM.ORG



NOTE: the CCHF Health Freedom eNews will be taking a break next week. We'll be back in two weeks!


 


 




News to Know:

Breaking Free - A Workshop in Mpls.

This Friday, May 9, physicians and others are invited to come to Minneapolis for "Thrive, Not Just Survive XX - Building a Healthy, Independent Practice. The workshop is co-sponsored by the Association of American Physicians and Surgeons (AAPS) and the Minnesota Physician-Patient Alliance (MPPA). Twila Brase, president of CCH Freedom, will be speaking at the evening dinner. Come hear from physicians who have actually separated from insurance contracts and government programs, instead building a cash practice that puts the patient first.



Common Sense in the Court Room

In Manhattan a judge put a stop to a six-cent tax on taxi fares for a program that helps taxi drivers, who are independent contractors, navigate Obamacare. Among other legal implications, she wrote that it might better serve everyone "if drivers were to go for an annual health check-up rather than deduct six cents from every fare to help drivers with choosing an insurance in the hopes that they will seek medical care."



Payments Illustrate Medicaid Dilemma

Obamacare expanded Medicaid. For a basic office visit, private payers pay $119, Medicare $73, and Medicaid, $52. According to a 15-city survey, about 46% of physicians accept Medicaid, down 10% from four years ago. Who will take care of the millions of new Medicaid enrollees if doctors continue to refuse due to poor payments? Obama promised coverage. He didn't actually promise care.



War on Youth

The wealth differences between young and old Americans are the greatest on record. On top of the generational short-sightedness and inequity of Social Security, and Medicare, the "Unaffordable" Obamacare Act relies on the same redistributionist principle, which was passed by a 111th Congress that was the oldest group of elected officials since the Second World War. A project called the War on Youth seeks to reverse the trend of generational theft.  



Don't Let the Government Have Your Record!

Obamacare's Patient-Centered Outcomes Research Institute is collecting 30-million medical records for controversial "comparative effectiveness" research. John Carney, CEO of the Center for Practical Bioethics, says, "The real issue for most of us is making sure the de-identification process is rigorous enough that it disconnects my personal medical record from the collection of the big data." Actually, the real issue is how they'll use the data to control doctors and push rationing. Watch out at the doctor's office. Refuse to sign that consent form.



"No, No, No" Says Court to HHS 

In 2004, the Department of Health and Human Services adopted a policy that was the exact opposite of its proposal to hospitals. In Allina Health Services v. Sebelius, No. 13-5011, the Appeals Court said federal agencies are not allowed to promulgate a final rule that is not a "logical outgrowth" of what had been proposed. Acting on HHS's proposal, hospitals calculated disproportionate share percentages for low-income patients and took a financial hit when HHS changed its mind.   



Washington State Awash in Medicaid

The state's Healthplanfinder has released a detailed report announcing that 164,000 people enrolled in private plans (actually, Obamacare, or "Medicaid for the middle class") and 423,000 people newly enrolled in Medicaid. Add to that about 417,000 people who renewed Medicaid coverage, and more than 1 million residents enrolled in some version of government health care through the exchange during sign-up season.



So Much for Massachusetts

Remember when Massachusetts RomneyCare exchange, the Connector, was hailed as the template for the Obamacare Exchange. Clearly they are not the same thing.  Massachusetts just announced that the Obamacare version of their exchange is dysfunctional and they may merge with the federal exchange, Healthcare.gov. After spending $57 million they couldn't enroll people with subsidies from start to finish. Oregon also recently defaulted to the federal exchange.



Who Should Decide "Unnecessary Care"?

A Choosing Wisely survey found 75% of doctors think other doctors order at least one unnecessary test or procedure a week. Why they report ordering extra tests: 52% due to malpractice concerns, 36% to be extra-cautions, 30% to reassure themselves, 28% because patients insisted, 13% to leave decision to patients and 5% due to the fee-for-service system. Who should solve this problem: 58% said physicians, only 3% said patients, and no one said Medicare. More here.



Only Two-Thirds of Enrollees Paid?

At a Congressional hearing on April 30, the Energy and Commerce Committee said only 2/3 of people signing up for Obamacare on the federal exchange had paid their premiums, reports The New York Times. The Obama administration questioned the figures but did not provide contrary numbers. The federal government remains clueless because the "back end operations" is not yet built. A "fully automated financial system" for the Exchange isn't expected until later this year.



Orthopedists Refusing Exchange Patients

A new study finds 24% of orthopedic surgeons not planning to participate in Obamacare. Another 54% are unsure. Only 22% plan to treat Obamacare patients. One possible reason: Obamacare leaves doctors on the hooks for two months of care. If a person doesn't pay their premium, they aren't kicked out for three months. But the health plan is only responsible for the first month. Doctors will not be told who has and has not paid.



Routine Neglect in England Kills Patient

A British hospital was fined for a patient who died after nurses failed to give her insulin. The judge said, "This was a wholly avoidable and tragic death of a vulnerable patient who was admitted to hospital for care but died because of the lack of it." He added, "As repeated investigations have revealed, there was a systemic failure..." The health trust in charge of the hospital is running an annual operating deficit of about £11 million.



What England's NHS Promised Patients

From a 1948 pamphlet called. The New NATIONAL HEALTH SERVICE:  "Your new National Health Service begins on 5th July. What is it? How do you get it? It will provide you with all medical, dental, and nursing care. Everyone - rich or poor, man, woman or child can use it or any part of it. There are no charges, except for a few special items. There are no insurance qualifications. But it is not a "charity". You are all paying for it, mainly as taxpayer, and it will relieve your money worries in time of illness..." Sounds just like the Obamacare promises. But people are dying in England.




Quote of the Week:


"[O]ur smartphones will evolve further and do part of the job of doctors. The same type of artificial intelligence technology that IBM Watson used to defeat champions on the TV game show "Jeopardy" will monitor our health data, predict disease and advise on how to improve our health. ... They will, after all, have our full medical history from childhood, know where we have been, and keep track of our medical data on a minute-by-minute basis. - Vivek Wadhwa, Fellow at Rock Center for Corporate Governance, Stanford Law School; Director of Research, Center for Entrepreneurship and Research Commercialization, Pratt School of Engineering, Duke University, Pioneer Press, April 17, 2014.

 

 




Stat of the Week:

77,000 - exemptions filed to Obamacare's mandate and/or penalty-tax.




News Release of the Week:

Minnesota House Rejects Parental Consent and Genetic Privacy Rights for Newborn Babies

ST. PAUL, Minn. - Citizens' Council for Health Freedom released the following statement after the Minnesota State House voted 69-58 yesterday to repeal genetic privacy for newborns and allow the state to collect and store newborn DNA without parental consent. Continue reading




Featured Health Freedom Minute:

40 Veterans on Secret Wait List Die

Some American veterans are experiencing Canadian-style waiting lines and rationing. Last November, six veterans with gastric complaints died waiting for care at a South Carolina Veterans Medical Center. Now CNN has discovered 40 veterans who died waiting for treatment from a Phoenix Veterans health care system. They were on a secret waiting list meant to keep the delays hidden from view. 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
Email: info@cchfreedom.org
www.cchfreedom.org



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