OT Re: Gee what a health care? plan...

Stuart Wheaton wrote:
Steve W. wrote:
FINALLY someone is reading it!!

Peter Fleckstein (aka Fleckman) is reading it and has been posting on
Twitter his findings.
This is from his postings (Note: All comments are Fleckman's)


Guy has a pretty limited ability to read.




Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL
EMPLOYERS that self insure!!

It mandates a STUDY to verify that those who choose to self-insure are
financially solvent and able to actually meet claims of their employees.
this study reports 18 months after the start of the program.

And your point is?
Mandates a study of those who self insure to verify they can cover the
costs = AUDIT the books of those who self insure to see if they can
cover the costs. You said the same thing your claiming is wrong.




Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVT COMMITTEE that
decides what treatments and benefits you get

This is also done in every private plan, all insurance has somebody who
decides what to cover...

In the private plan the folks who decide are not appointed by the
president and his appointees.

9 - members who are not Federal employees or officers and who are
appointed by the President.

9 - members who are not Federal employees or officers and who are
appointed by the Comptroller General of the United States in a manner
similar to the manner in which the Comptroller General appoints members
to the Medicare Payment Advisory Commission under section 1805(c) of the
Social Security Act.

Such even number of members (not to exceed 8) who are Federal employees
and officers, as the President may appoint.



Pg 29 lines 4-16 in the HC bill - YOUR HEALTHCARE IS RATIONED!!!

Health care is already rationed by denying applications for insurance or
denying claims of the insured.

NOT having insurance is NOT the same as rationing. I know a lot of folks
who do not have insurance (for religious reasons). They can go in to any
hospital get treated and pay for the services. Not a problem. OH and
they generally pay LESS than the folks with insurance!!!!




Pg 42 of HC Bill - The Health Choices Commissioner will choose your
HC benefits for you. You have no choice!

First, you would need to choose to participate in the PUBLIC plan, then
you have three classes of public plans to choose, ranging from basic to
premium.

You did notice that your employer can decide to switch directly over to
the public plan without your input? Or that the government can decide
that the plan you have is not competitive and switch you as well?



PG 50 Section 152 in HC bill - HC will be provided to ALL non US
citizens, illegal or otherwise

So, a tourist can be covered. Seems like a nice idea, shame to let
visitors die when they come to visit. Our guys have been covered in
Finland for free when we had a problem over there.

Were they in the country LEGALLY?
Tourists are NOT the problem, they are already covered if they are here
LEGALLY.
From your response it appears you condone providing benefits to those
who break the law and enter the country ILLEGALLY.



Pg 58HC Bill - Govt will have real-time access to individuals'
finances and a National ID Healthcard will be issued!

Misreading of the text. The insurance card will be designed to permit
instant verifiacation of whether the procedure is covered for that
person, in that place, with those doctors. No more finding out 3 weeks
after surgery that "your anesthesiologist wasn't in your plan, here's
your $15,000 Bill."

So you don't dispute that there WILL BE a national ID card?
Or that the persons finaces will be checked prior to service?

From the text of the bill:
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;




Pg 59 HC Bill lines 21-24 Govt will have direct access to your
banks' accounts for election funds transfer

Erroneous reading, First "election", not part of Bill, second, this is
in the part of the Bill relating to plan dealings with providers, this
means your doctors get paid faster, by electronic transfer, rather than
waiting for "lost" checks to be sent.


PG 65 Sec 164 is a payoff subsidized plan for retirees and their
families in unions & community orgs (ACORN).

Actually, it would let major companies and unions who have taken on the
health care for retirees, to buy into the federal plan. If you hate the
federal plan, this can hardly be called a payoff. Community orgs. are
not mentioned, unless they are already providing insurance coverage for
their members.

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.

Actually it says that the unions and large employers will be paid back
for money they have spent on coverage. Payback in other words.



Pg 72 Lines 8-14 Govt is creating a HC Exchange to bring private HC
plans under Govt control.

That is a bizzare reading of the actual text.

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.


The text boils down to the Commission looking at ALL insurance (private
and public plans included) to determine if they are considered a
qualified health plan. How is that NOT under Govt. control?




PG 84 Sec 203 HC bill - Govt mandates ALL benefit pkgs for private
HC plans in the Exchange

That is plain wrong. Read the page, note the IF's and MAY's

Text is below, NO if's or may's in it other than to say that in order to
be in the system you MUST have the levels and types of coverage that the
Commissioner determines.

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.
(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.

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’’).

(2) BASIC PLAN.— (A) IN GENERAL.— A basic plan shall offer the essential
benefits package required under title I for a qualified health benefits
plan.
(B) TIERED COST-SHARING FOR AFFORDABLE CREDIT ELIGIBLE INDIVIDUALS.—In
the case of an affordable credit eligible individual (as defined in
section 242(a)(1)) enrolled in an Exchange-participating health benefits
plan, the benefits under a basic plan are modified to provide for the
reduced cost-sharing for the income tier applicable to the individual
under section
244(c).

(3) ENHANCED PLAN.—A enhanced plan shall offer, in addition to the level
of benefits under the basic plan, a lower level of cost-sharing as
provided under title I consistent with section 123(b)(5)(A).

(4) PREMIUM PLAN.—A premium plan shall offer, in addition to the level
of benefits under the basic plan, a lower level of cost-sharing as
provided under title I consistent with section 123(b)(5)(B).

(5) PREMIUM-PLUS PLAN.—A premium-plus plan is a premium plan that also
provides additional benefits, such as adult oral health and vision care,
approved by the Commissioner. The portion of the premium that is
attributable to such additional benefits shall be separately specified.

(6) RANGE OF PERMISSIBLE VARIATION IN COST-SHARING.—The Commissioner
shall establish a permissible range of variation of cost-sharing for
each basic, enhanced, and premium plan, except with respect to any
benefit for which there is no cost sharing permitted under the essential
benefits package. Such variation shall permit a variation of not
more than plus (or minus) 10 percent in cost-sharing with respect to
each benefit category specified under section 122.

(d) TREATMENT OF STATE BENEFIT MANDATES.—
Insofar as a State requires a health insurance issuer offering health
insurance coverage to include benefits beyond the essential benefits
package, such requirement shall continue to apply to an
Exchange-participating health benefits plan, if the State has entered
into an arrangement satisfactory to the Commissioner to reimburse the
Commissioner for the amount of any net increase in affordability premium
credits under subtitle C as a result of an increase in premium in basic
plans as a result of application of such requirement.




PG 85 Line 7 HC Bill - Specs for Benefit Levels for Plans = The Govt
will ration your Healthcare!

Again with the rationing... Geez...

And again YOU ado not understand rationing.


Actually it says that the commissioner will set standards for the
participating suppliers in the PUBLIC plan, that will make all the
premium plans offer the same stuff, so the buyers can compare apples to
apples.

Actually this also is included with the above text. Note how YOU stated
that the government isn't going to control the insurance in the above
statement, BUT here you are stating they will. Impossible to have both,
Want to flip again?



PG 91 Lines 4-7 HC Bill - Govt mandates linguistic-appropriate
services. Example: Translation for illegal aliens

Illegal aliens are the only people in the US who are not literate in
english? This also suggests that materials should be available in
Braille and signing for the deaf should be accommodated, Hmmm, seems
fair to me.

And it is already done if you need it. BTDT, we carry translation books
and picture tags on our rigs just for these instances. This has been
around 10 years or so.




I'm bored, the twitterer is a twit at best...


Read the actual Bill, the guy has it more wrong than right.

I HAVE and included a link to the latest revision above. Other than some
items that are already commonplace and seem to be unknown to the dimwits
writing this bill (not a surprise since NONE of them use insurance plans
that are available to the general public) he has it correct.


The easy health care solution to the supposed problem is simple.
Eliminate ALL health insurance programs and return to a cash only system.

--
Steve W.
.

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