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CCHF Health Freedom eNews

February 20, 2013



The "5C" Health Care Solution

Do conservative organizations all sing the same health care tune? No, writes  John Goodman at the National Center for Policy Analysis. In fact, sometimes they sing in complete dissonance, such as the great disagreement that arose among conservative groups over the passage of RomneyCare (The Washington Times, April 13, 2006).

Mr. Goodman writes that each conservative think tank has their own health care reform plan, suggesting policy makers may need to look at various organizations to get a variety of good ideas.

For instance, CCHF offers the "5C" Health Care Solution. It's quite simple. Our purpose is to bring care, coverage, compassion and patient control to as many individuals as possible while enabling charity and charitability for those without health insurance coverage. Echoing former AAPS president  Dr. Lee Hieb's three "C's," we add two more:

C1 - Cash for Care. All routine and minor care should be paid for out of pocket, reducing or eliminating the productivity-draining and costly regulatory paperwork associated with insurance claims or government entitlement programs. More physicians are converting to cash practices where patient care is maximized, paperwork is minimized, and prices come down to the patient's pocketbook. Witness the success of the cash-based  PATMOS clinic or the  Surgical Center of Oklahoma and  NoInsuranceSurgery.com. Medicare and many insurance companies today forbid cash payments for care denied. To get necessary care, patients may need to call themselves "uninsured" and see a doctor who takes cash.

Continue reading...






News to Know:

The Exchange Divide

Half of the United States are now divided. Twenty-five states have refused to set up Obamacare's state health insurance exchanges. It's not required by law, It is voluntary. Their decisions mean the Federal Government must build these vast IT systems and fund the cost of the entire IT supertructure and ongoing maintenance of the 24/7 eligibility-determining, data-sharing, and dollar-transferring system. The "Federal Exchange" is supposed to be up and running for enrollment by October 1, 2013. But HHS has been virtually silent on their plans and as POLITICO has reported, no funds were appropriated to build it. POLITICO Pro reports, "Republicans who voted against the law and are still clamoring for Obamacare's repeal believe the feds are heading for a nationwide failure." That would be a dream come true for those who want to be free. See our diagram below:



Medicaid Expansion - Who Pays?

So far, 21 states (46% of the population) have not agreed to expand Medicaid eligibility under Obamacare. Employers are worried. If a state expands Medicaid, low-wage employees can qualify for Medicaid, taxpayers would foot the bill and the companies wouldn't pay a dime. If a state refuses to expand Medicaid, companies must provide coverage or pay $2,000 per employee. Either way, Americans will pay through higher taxes or higher costs for products and services. While some say it's a de facto tax on employers, South Carolina GOP Governor  Nikki Haley said expanding Medicaid would allow employers to dump responsibility for their workers on the government. According to a new federal rule, in states that do not expand Medicaid, those who would have been eligible for expanded Medicaid are now exempt from IRS penalties. Since studies show  care is worse for Medicaid recipients than for the uninsured, if Medicaid is not expanded these individuals can't be forced into Medicaid.

Obamacare Takes Your Property

Dr. G. Keith Smith MD provides a  succinct overview of Butler Shaffer's instructive book, "Boundaries of order: Private Property as a Social System." Smith says Shaffer challenges readers to "consider the boundaries of property, and whether without control of your property you can properly claim it as yours..." Further he said, "We can also easily see that just as tragic as the taxes imposed by Obamacare, particularly the taxes imposed if one doesn't buy insurance, is the loss of control over how your property will be used. ...Once we cede the control of our property to the "state," how much the government absconds with is a calculation made entirely on their end."

Drumbeat for National Patient ID Continues

The American College of Cardiology has issued a  brief supporting a national patient ID card. Despite noting how privacy advocates quashed the Unique Patient ID card in 1998, they contend the benefits of a UPI "are primarily realized by patients." They advocate for "mandatory national participation," HHS investigation into UPI development, a prohibition on using the UPI for anything other than accessing health information, a prohibition on the UPI being tied to the Social Security Number, strict monitoring of privacy breaches, and enforcement of current laws on privacy breaches.

Mouse-Based Research Challenged

One study has rocked "evidence-based medicine." Researchers are stunned that using mice for medical studies on sepsis, burns and trauma does not work. The study found that mice genes don't have same response as in humans. And in mice different genes are activated for each condition. In humans, the same genes are activated in all three conditions. As a result, reports The Wall Street Journal, "years and billions of dollars have been wasted following false leads."  The study published on February 11 in the Proceedings of the National Academy of Sciences, "helps explain why every one of nearly 150 drugs tested at huge expense in patients with sepsis has failed." Study says it doesn't mean mice are useless for other studies.




Quotes of the Week:




What good is it if they are going to have a health insurance card but no access to doctors? -- California Senator Ed Hernandez (D), on the lack of doctors to care for all the new patients under Obamacare,  Los Angeles Times, February 9, 2013.






 

We're going to have to provide care at lower levels...I think a lot of people are trained to do work that our licenses don't allow them to." -- Diana Dooley, Secretary of California Health and Human Services Agency, on the lack of doctors to care for all the new patients under Obamacare and plans to expand the scope of practice of non-physicians,  Los Angeles Times, February 9, 2013.









What do you need for good health care? You need a patient and a doctor. Along comes the middleman to facilitate the relationship and it has become this mammoth creature that completely controls everything and isn't, really, even necessary. -- Ben Carson, M.D., Fox News (Your World with Neil Cavuto), February 12, 2013.






So, as the Titanic sinks into the frigid Atlantic, all the crew will be pointing fingers and blaming someone else for the diseaster. I hope you have your own personal lifeboat ready. -- Greg ScandlenJohn Goodman's Health Policy Blog, regarding the need to prepare for the disaster coming in health care, January 4, 2013.




Stats of the Week:

$170,260 - fine paid by a South Carolina physician group that required Medicare patients to pay a $50 administrative fee.

30% - number of California doctors nearing retirement age.

70,000 - pages of federal Obamacare guidance issued in 2012.

130 - pages issued on how each federalized exchange website should look.

18 million - number of 20- and 30-somethings that are uninsured.




Action Item With Deadline:

DEADLINE FOR COMMENT: Monday, February 25

The Census Bureau wants to add a question about the Obamacare health insurance exchange to the American Community Survey. CCHF provides a sample comment below. As noted in the Census Bureau  request for comment: "The American Community Survey (ACS) collects detailed population and housing data every month and provides tabulations of these data on a yearly basis. In the past, the long-form data were collected only at the time of each decennial census. After years of development and testing, the ACS began full implementation in households in January 2005 and in Group Quarters (GQs) in January 2006...

"In April 2012, the Department of Health and Human Services requested that OMB and Census consider the addition of a health insurance exchange or premium subsidy question to the ACS. The proposed new question would focus on individuals securing health insurance through the state exchanges, with particular attention to those receiving a premium subsidy. This question would secure information critical to the Department's, the Administration's and states' planning, implementation and evaluation of the role of the health insurance exchanges and the provision of subsidies to eligible individuals and families; as well as provisions of the Patient Protection and Accountable Care Act (ACA) slated for full implementation beginning in CY 2014" [Emphasis added.]

Document Citation: 77 FR -31002

To comment: Direct all written comments to Jennifer Jessup, Departmental Paperwork Clearance Officer, Department of Commerce, Room 6616, 14th and Constitution Avenue NW., Washington, DC 20230 (or via the Internet at jjessup@doc.gov).

Sample Comment (please add at least ONE statement of your own to personalize it and prevent their dismissal of your comment)

----------------------
Dear Ms. Jessup,

The ACS is an intrusive questionnaire collecting data on the American people. I oppose the addition of a question on the ACA health insurance exchange or federal premium subsidies issued through the exchange. I should not be required to reveal my personal decisions about using the government exchange or securing government premium  subsidies to the federal government.

Sincerely,
Your name, city and state.

----------------------




Featured Health Freedom Minute:

The Obama Troops Are Coming

The Obamacare troops are coming. Obamacare supporters are recruiting sports teams, pharmacies and political ground operations to sign up people for Obamacare. They want to convince 30 million uninsured, hard to reach, skeptical Americans to join health plans starting in October of this year. 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.




Reading Now...

Some Unions Grow Wary of Health Law They Backed, Adamy and Trottman, The Wall Street Journal, January 31, 2013 - To make insurance more affordable, unions want access to federal subsidies for company plans.

Rahm's ObamaCare Brainstorm, The Wall Street Journal, January 26, 2013 - Obama's former Chief of Staff suggests dumping city retirees on Obamacare exchange and letting taxpayers pick up the tab for federal subsidies.

What's Next? Greg Scandlen, on how bundled Medicare payments limit transparency of costs, John Goodman Health Care Blog.

Bionic Eye Becomes a Reality, The Wall Street Journal, February 14, 2013.

Those Misleading World Health Rankings, Sally Pipes, The Wall Street Journal, February 5, 2013 - statistics ignore effect of U.S. medical innovations.

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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