(Last Updated August 21, 2009)

(Click on the image for a high-res version suitable for posters)

Use the following link to view or download the entire House Democrat Health Care Plan in PDF format:


In Section 1233 E & F pp 426-433 you will find the language and portion that establishes mandatory end-of-life counseling for senior citizens over age 65 every five years, or sooner if beneficiary becomes ill. See many other provisions as I document them HERE, at the end of this page.

Please make all of your family and friends aware of these provision (and so many others) in this socialized medicine, government run health care plan. A plan that is sure to decrease the amount and quality of health care service available to the American people, as plans like this have done in every other country that have attempted it.

Contact all of your representatives (both in the House and Senate) and make clear to them that their political career depends on voting against and defeating this monstrosity.

In addition, here is a link to the chart produced by the GOP illustrating just how complex this bill is...meaning less efficiency and worse health care for the American people. This is the chart that the House Democrats do not want the public to see, the same one they have censured in the House.


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MORE PROVISIONS (Added as I go through them):

Section 113 b-1 Page 22: Mandates a study and report on the self insurer segment of health care to repoduce recommendations that "ensure that the law does not provide incentives for small and mid-size employers to self-insure".

Section 123 Page 30: A government Health Benefits Advisory Committee will recommend what treatments and benefits are available. Once accepted and adopted by the Secretary of Health and Human Services, there is no appeal.

Section 141 & 142 Page 42: Establish a "Health Choices Commissioner" appointed by the President who will establish qualified plan standards for the insured, establish a "Health Insurance Exchange", will administer "Health Insurance Credits" and determine who is eligible, will ensure compliance, conduct audits, administer penalites and remedies.

Section 152 Page 50: All healthcare services will be provided without regard to "personal characteristcs" which is not defined within the document and is understood to include immigration status.

Section 1173A a-2-D Page 58: Calls for a National Health Plan Beneficiary Identification Card for every person and the ability to determine a persons indivual financial responsibility and eligibility prior to, or at the time of service.

Section 1173A a-4-C Page 59: Requires the ability to have electronic funds tranfer from insured account to the federal government to automate reconcilliation of health care payment.

Section 164 Page 65: Taxpayers will subsidize a retiree reinsurance health fund up to 10 billion dollars to assist participating employment-based plans (unions, community organizers, etc.) with the cost of providing health benefits to retirees and to eligible spouses, surviving spouses and dependents of such retirees

Section 294 b-7 Page 91: Government mandates culturally and linguistically appropriate communication and health services for all.

Section 205 a-1 Page 95-96: The Government will establish an outreach program to inform, educate, and enroll participants, directed at "vulnerable" populations and to be accomplished in person at "community locations", by mail, telephone, or electronically. Tailor made for ACORN and Americorps.

Section 205 C-3-3 Page 102: If you do not enroll in a "National Health Exchange Plan" and are eligible for Medicaid, you will automatically be enrolled in Medicaid. You have no choice in the matter.

Section 223 f Page 124: There will be no administrative or "judicial review" permitted for payment rates established under the National Health Care Plans.

Section 224 b Page 125: The Secretary shall design and implement the payment mechanisms and policies under this section in a manner that (1) seeks to (B) reduce health disparities (including racial, ethnic and other disparities).

Section 312 a-4, c-2 Page 145-148: An employer MUST auto-enroll employees into a government approved plan, either the public plan or another plan, unless an employee makes an affirmative decision to opt out.

Seaction 312 b-3 Page 146-147: Employers MUST pay pro-rated healthcare contribution for part-time employees AND their families.

Section 313 b-1 Page 150: Any employer with a payroll of $400K or more, who does not offer the public option, pays an 8% tax on payroll, $350+-400K it is 6%, for over $300+-350K it is 4%, for $250+-300K it is 2%.

Title IV Amendment to IRS Code Page 167-170 Imposes a 2.5% income tax penalty to those individuals opting out, not to exceed what would be the National Average Premium, determined by the Secretary of Health and Welfare.

Section 1233 E & F Page 426-433 Establishes mandatory end-of-life counseling for senior citizens over age 65 every five years, or sooner if beneficiary becomes ill.

Section 1302 a Page 460-482: Establishes a "Medical Home Pilot Program" for the elderly or "targeted high need beneficiaries" in urban, rural, and served areas. No physician need be on duty, run by nurse paractitioners and physician assistants. Care for beneficiaries coordinated by a team of individuals at the practice level using "evidence based guidelines" which advocate only the use of medical treatments that are supported by effectiveness research.

Most extensive list of issues: LIBERTY COUNCIL - OBAMA CARE OVERVIEW

I have had many questions and comments regarding the PDF file of the House Democrat Health Care plan I made available above for for download.

Most are, as am I, appalled at the plan and the wording of it...particularly when taken in context with the cited quote and views of the chief architect of the plan, and chief advisor to Obama on Health Care and Policy and policy advisor to the Democratic Congress on Health Care, Dr. Ezekiel Emanuel, HERE.

Some however attempt to rationalize, or even make statements regarding the plan that just are not true, are not supported (at least IMHO) by fact, and certainly are at odds with the views openly stated by the chief advisor who has helped craft the plan.

This is particularly true when it comes to the end-of-life counseling portion of the plan identified pn page 425 of the plan where it amends the Medicare laws and thus applies to seniors over the age of 65.

So, I thought I would post the wording of that section, directly from the plan, but formatted so you can follow it. People need to make up their own minds.

The way I read it, the section makes the sessions required, it brings government administrators into life planning where the individual, the Dr. and family should make the sole decisions, and it opens up the possibility for government health orders regarding the end-of-lie treatment of the elderly.

Far, far too much government involvement and power, particularly given the clear eugenics and infanticide reasoning of the auther.

Here it is. You decide.

‘‘Advance Care Planning Consultation

‘‘(hhh)(1) Subject to paragraphs (3) and (4), the term ‘advance care planning consultation’ means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:

-----‘‘(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested peo1ple to talk to.

-----‘‘(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.

-----‘‘(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.

-----‘‘(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).

-----‘‘(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.

-----‘‘(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include—

----------‘‘(I) the reasons why the development of such an order is beneficial to the individual and the individual’s family and the reasons why such an order should be updated periodically as the health of the individual changes;

----------‘‘(II) the information needed for an individual or legal surrogate to make informed deci-sions regarding the completion of such an order; and

----------‘‘(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).

--------‘‘(ii) The Secretary shall limit the requirement for explanations under clause (i) to consultations furnished in a State—

----------‘‘(I) in which all legal barriers have been addressed for enabling orders for life sustaining treatment to constitute a set of medical orders respected across all care settings; and

----------‘‘(II) that has in effect a program for orders for life sustaining treatment described in clause (iii).

--------‘‘(iii) A program for orders for life sustaining treatment for a States described in this clause is a program that—

----------‘‘(I) ensures such orders are standardized and uniquely identifiable throughout the State;

----------‘‘(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional’s authority under State law) may sign orders for life sustaining treatment;

----------‘‘(III) provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining treatment; and

----------‘‘(IV) is guided by a coalition of stakeholders includes representatives from emergenc medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association.

‘‘(2) A practitioner described in this paragraph is—

‘‘(A) a physician (as defined in subsection (r)(1)); and ‘‘(B) a nurse practitioner or physician’s assist1ant who has the authority under State law to sign orders for life sustaining treatments.

‘‘(3)(A) An initial preventive physical examination under subsection (WW), including any related discussion during such examination, shall not be considered an advance care planning consultation for purposes of applying the 5-year limitation under paragraph (1).

‘‘(B) An advance care planning consultation with respect to an individual may be conducted more frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including diagnosis of a chronic, progressive, life-limiting disease, life-threatening or terminal diagnosis or life-threatening injury, or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.

‘‘(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.

‘‘(5)(A) For purposes of this section, the term ‘order regarding life sustaining treatment’ means, with respect to an individual, an actionable medical order relating to the treatment of that individual

I see nothing in this wording that makes these "sessions" elective and voluntary. To the contrary, their use of the term "shall" is a direct indication that it will be mandatory.

Seniors have every right to be worried, and mad.




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