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CCHF Health Freedom eNews

August 1, 2012

  • President's Commentary
  • Exchange: It's Not a "Marketplace"
  • Physician Shortage Coming
  • "Fraud" Prevention or Care Restriction?
  • MU: Mandatory Breach of Trust
  • Stats of the Week
  • $8.3 Billion Overreach
  • HFM - Word Games Saved Obamacare

President's Commentary

I have great news. Congressman Denny Rehberg (R-Montana) plans to eliminate the Agency for Healthcare Research and Quality (AHRQ). The  HHS-Labor bill would end all funding. Adios!

As I wrote in a CCHF  report, AHRQ (pronounced "ark") emerged from the near-repeal of its predecessor, the Agency for Health Care Policy and Research (AHCPR). After AHCPR pushed for government-issued treatment directives in the Clinton's Health Security Act, Republicans almost eliminated it in 1999. Instead, they reauthorized the agency and renamed it AHRQ.

Reauthorization was a big mistake. Following in AHCPR's footsteps, AHRQ issues treatment directives created by  13 federally-funded "Evidence-based Practice Centers"(EPCs). AHRQ uses these directives and patient data to push universal health care and federal control of physicians. Under the 2009 Recovery Act (ARRA, "stimulus"), the AHRQ has received $700 million to fund controversial "comparative effectiveness research" conducted by  PCORI, one of the ACA's rationing boards.

Doctors must report so-called "quality measurement" (compliance) data to AHRQ without patient consent. To drive policy toward a government-run health care system, the agency annually issues a "National Healthcare  Quality Report" and a "National Health  Disparities Report." The agency's request for  2013 funding shows how AHRQ is Command Central for the data initiatives that advance national health care.

AHRQ runs the Obamacare ship. To build the foundation for federal tracking and control -- the National Health Information Network ( NHIN) -- AHRQ is authorized to conduct health IT  research. The ARRA provides "such sums as may be necessary" to build the network ( §3011/§3018), which likely includes the oft-mentioned  $34 billion. Expect the NHIN to make citizens and doctors into involuntary  research subjects for federal analysis, control, and behavioral modification.

Through research, AHRQ is also supporting  intrusive wellness and prevention initiatives in Obamacare, as well as the reporting and tracking requirements for the law's employer wellness programs. (See CCHF  video of Capitol Hill Briefing in Washington, D.C.)

Congressman Rehberg should repeal AHRQ. Opponents of repeal are mobilizing against the planned termination, but that should not deter Rehberg from doing what is absolutely essential for the future of freedom in America. End the AHRQ.

Now on to the news. . . .

News to Know:

Exchange: It's Not a "Marketplace"

President Obama's  state portal for national registration of citizen insurance status and IRS enforcement of the individual mandate is being built first in Minnesota. The $41 million  contract to create Obama's "health insurance exchange" (HIX) displays extraordinary disregard for the privacy rights of citizens. Governor Mark Dayton (D) is moving forward without any authority from the GOP legislature hoping for a Democrat-controlled legislature in 2013. Need more info on the HIX registration system? Go to:

Meanwhile Minnesota's contract with  Maximus Inc., including attachments, provides the American public with their first look into how the HIX registration system will work. Maximus  demo videos reveal that the HIX will know when a woman is pregnant -- and when the baby is delivered and must be registered. The federal data services  "hub" is mentioned. Every government record on individuals, and any "other data" including "confidential data"  -- data held by state government which cannot even be revealed to the subject of the data -- can be shared with Maximus for the purpose of creating the state's portal for national insurance registration. Page one of the contract's              Exhibit D shows the level of intrusion:

Physician Shortage Coming

President Obama said the ACA would expand coverage. However, the Los Angeles Times  warns about the ACA's Medicaid expansion, "If you thought it was hard getting a doctor's appointment now, just wait until 30 million more Americans join the line." America faces a  shortage of 40,000 doctors in 2020, just 8 years from now. During that time, 33.5 million senior citizens will enroll in America's single-pay system. Every day.  11,478 baby boomers enter.

There will be a shortage of more than  100,000 doctors in 2025, but Medicare will be  bankrupt as of 2024. Meanwhile  83% of doctors are thinking about quitting. Why shouldn't they? After 13 to 15 years of study, they emerge with an average debt of $156,456 or much higher  (real life story) only to be told by HMO executives and federal bureaucrats how to practice medicine.

MU: Mandatory Breach of Trust 

They call it  "meaningful use" (MU) but it should be called "breach of trust." Doctors who refuse to share patient data with the federal government will be penalized in 2015. The Recovery Act ("stimulus") contains $19 billion for hospitals and physicians who demonstrate MU. The GAO reports 16% (761) of 4,855 eligible hospitals and  9.4% (56,585) of 600,172 eligible professionals have received $2.3 billion in MU incentive payments. Each doctor is eligible for up to  $44,000, but waiting lists for government-compliant systems are long.

Dr. Farzad Mostashari, the National Coordinator for Health Information Technology  reveals the real purpose behind "meaningful use": "You need information to be able to do population health management. You can serve an individual quite well; You can deliver excellent customer service if you wait for someone to walk through the door and then you go and pull their chart, or you make a new chart for them. What you can't do with paper charts is ask the question,  'Who DIDN'T walk in the door? Who's gonna walk in the door? So how do we effectively use data as an asset, as a foundation and the information tools to be able to look at the entire denominator [population]?"  Mostashari says, "information will flow at the speed of trust." What trust?

VIDEO: Dr. Farzad Mostashari interviewed by Hospitals & Health Networks.

"Fraud" Prevention or Care Restrictions?

The administration has just announced a "partnership among the federal government and several leading private and state organizations to prevent health care fraud on a national scale." They will "share information and best practices" eventually "performing sophisticated analytics on a healthcare industry-wide data set that will detect and predict fraud schemes." There is virtually  no end to dollars for fraud prevention.

How is fraud defined? Loosely. Obamacare expanded the  definition to include "unnecessary" services, "ineffective" services, or those that don't comply with Medicare requirements, according to the AAPS. The penalty for committing "fraud" even if it can't be proven to be intentional (errors), was increased by the ACA to  $50,000 per item from $11,000 per item. Federal officials are also allowed to  "extrapolate" such errors across all the years of the doctor's practice of medicine. The federal governent will also begin to police private insurance.

Stats of the Week:

Gallup Poll on whether the health care law will hurt the economy:

46% - Yes, it will hurt the economy
37% - No, it will not hurt the economy

78% - Republicans who say yes
20% - Democrats who say yes
47% - Independents who say yes

The Gallup organization  says "The fact that independents are more likely to say it will hurt than help the economy -- by a 14-percentage-point margin -- is important in the context of the current presidential election."

Meanwhile, a Rasmussen Report finds  80 percent of Likely Voters expect repeal of the health care law if former Massachusetts governor Mitt Romney becomes president.

News Release of the Week:

$8.3 Billion Medicare Advantage Bonus Program Increases Debt and Should be Cancelled

ST. PAUL, M.N. - On July 11th the U.S. Government Accountability Office released a report questioning the authority of the Department of Health and Human Services to implement a new, $8.3 billion bonus program to help improve the quality of the Medicare Advantage program. This program took the place of the less expensive, more limited program required by the Affordable Care Act (ACA).

While an incentive program to improve Medicare sounds like a good idea on the surface, the $8.3 billion cost - to be taken from taxpayer monies - only adds to the estimated $2.6 trillion that the Affordable Care Act will cost to implement over the next ten years - an addition that both the GAO and the Citizens' Council for Health Freedom do not believe HHS has the statutory authority to instigate. Continue reading


Featured Health Freedom Minute:

Word Games Saved Obamacare

How did the Supreme Court declare the individual mandate not a tax for one purpose and then a tax for another? Recall the story in The Looking Glass. Humpty Dumpty and Alice disagree about his use of the word "glory." But Humpty Dumpty says, "When I use a word, it means just what I choose it to mean - neither more nor less." "The question" asks Alice, "is whether you can make words mean so many things." Humpty replies, "The question is which is to be master - thatʼs all."  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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