The Senate Health Care bill is now up for debate, and I must say that my general stance is that this bill is just as horrible as the House version.
“C’mon now Scholar, you’re just being a right-wing kook. We need health care reform!”
No, I’m not being kooky here, and I’ll agree that we need reform. But I stand by that assessment.
Go ahead, ask me why. Come on, do it! Do it now!
Fine, I’ll just tell you. I did what most Congressmen refuse to do: I read the bill. And no matter which way you slice it, this bill in no way fits the actual definition of reform. It’s more akin to the definition of coup d’etat.
No, I’m not fluffing up my essay here by saying that. I could probably spend 50 pages pointing out specific parts in this bill that prove my point, but then nobody would read it. So instead, I took out 11 of the most egregious parts, listed them below, and showed where you can find them. So pull up the bill and let us dive in, shall we?
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Abortions are still being covered by your tax dollars.
And this is despite that amendment tacked on to the end of the House bill at the last minute.
Section 2245, starting on pages 140, has basically the same language as the House bill regarding abortion:
“(B) ABORTIONS FOR WHICH PUBLIC FUNDING IS ALLOWED. — The services described in this subparagraph are abortions for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.”
Moving down to Section 1202 on page 144, it gets a bit more specific:
“(a) NO PREEMPTION OF STATE LAWS REGARDING ABORTION. – Nothing in this Act shall be construed to preempt or otherwise have any effect on State laws regarding the prohibition of (or requirement of) coverage, funding, or procedural requirements on abortions, including parental notification or consent for the performance of an abortion on a minor.”
What they’re doing here is protecting Federalism by destroying Federalism. State laws will still be in effect…but if you live in a state that prohibits abortion coverage or mandates parental notification, you’re going to be funding abortions in states that do not have such limitations. That’s the problem with a federally funded program. Much like your gasoline tax dollars from Gatortown, FL being spent to subsidize light rail in Portland, OR, if you live in a state that prohibits tax dollars spent on abortion, your tax dollars will still go to fund some 14 y/o in San Fransisco who wants an abortion.
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They’re still trying to kill Federalism.
If we turn to page 165-166, we see that it doesn’t matter if a State opts into the system or not. The federal government WILL come into your state and put their system in place by 2013.
You know, I seem to remember quite a few supporters of this bill claiming States could opt out if they wanted to. This means that those people are liars, or they are clueless. Which ever it is, neither of those adjectives are really good.
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Congress can still opt out.
Again, as with the House bill, the Senate has given Congress the ability to opt out if they see fit. Page 156 covers Congress in the government run exchange and at first glance it appears the Senate has corrected this problem that was so blatant in the House bill by stating:
“(i) REQUIREMENT. — Notwithstanding any other provision of law, after the effective date of this subtitle, the only health plans that the Federal government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress of congressional staff shall be health plans that are –
(I) created under this Act (or an amendment made by this Act); or
(II) offered through an Exchange established under this Act (or an amendment made by this Act).”
However, look at the text I underlined and bolded. What the Senate is doing here is saying “Don’t worry, we’ll be in the same boat as you common folk” while still retaining the power to opt out at any time simply by passing an amendment. Now, anybody with just a cursory interest in politics knows that the best way to do this would be to just attach it to a defense spending bill or any other legislation that they know will pass.
If you’re reading this and it hasn’t clicked yet as to whether this is ok or not under the Constitution, see here to run this bit of the bill against Federalist No. 64.
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Yeah, it really is a coup d’etat.
Starting on page 269, titled “Subpart B–Eligibility Determinations”, is the section that will literally shoot the private insurance market in the head. The specific part of this section that is really telling is down on page 284 in part (2) (A):
“The Secretary shall establish a separate appeals process for employers…[sic]…the employer may be liable for a tax imposed by section 4980 of the Internal Revenue Code of 1986 with respect to an employee because of a determination that the employer does not provide minimum essential coverage through an employer sponsored plan or that the employer does provide that coverage but it is not affordable coverage with respect to an employee.”
“C’mon now Scholar. What does all of that mumbo-jumbo mean anyway?”
Well, it means that employers, including small businesses, will be audited for the health care insurance they provide to their employees. If said insurance doesn’t match up to the arbitrary guidelines the government imposes, those businesses will be fined. It also means that if an employer can’t afford a gold-plated plan that covers port wine stain removal, they’ll just stop offering health insurance to their employees, who will then be forced to go on the government plan.
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They’re going to make it an election issue.
Throughout the bill there are numerous references to the year 2013. That’s when these programs go into effect. The taxes, however, start immediately. It’s the only way the CBO was able to score the bill at under $1 Trillion. Interestingly enough, if you actually read that CBO report, you’ll notice that the whole “deficit reduction” or “deficit neutral” talk being promoted by certain politicians is true………but only because in addition to jumpstarting the taxes 3 years before paying out benefits, they’re going to cut Medicaid reimbursements. Now, I normally don’t get on a partisan kick with all of this, but since the irony is so great I feel the need to point something out: This is a Democrat owned and operated bill….but it’s Democrats who consistently run negative campaign ads in Florida saying that Republicans will be the ones that want to steal senior’s Medicaid/Medicare.
But never mind that. Turn to page 1979 and read the title about half-way down: “REVENUE PROVISIONS.” If that doesn’t make your bowels want to empty right here and now, then you’re smoking something and need to share. Let’s now look at some of those provisions…
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They are taxing hospitals…and you.
It sounds extremely absurd, using legislation that’s purported to help the health care industry to tax the very places that industry operates in, but then again this is the government. Starting on page 2001 and extending 5 pages, the bill lists a bunch of arbitrary guidelines for which hospitals will be exempted from this tax. Then on page 2006, they’re imposing a $50,000 tax which will start immediately.
What this means: Hospitals have to cover this new cost, and the only way they can do that is for us to pay more. Medicare/aid payments being what they are, our private coverage premiums will be going up, as well as any out-of-pocket costs for those of us that handle business that way.
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They are taxing drug makers…and you.
You know, those evil companies that produce life-saving drugs. If they sell enough of their drugs to the point of making $400 Million, they can expect to be taxed at 100%. You can find the taxable scale on page 2011, and be expected to pay more for your prescriptions if this bill passes.
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They are showing their ignorance as to how the free-market works…so they’re going to try kill it even deader and tax you more.
I’ve gotten the argument about the need for more competition in the health care field and it’s true. There does need to be more competition, but it needs to be market-based, which means the walls protecting the government-sponsored state monopolies need to be broken down. If you live in New York, you can’t buy a better/cheaper policy from Utah.
What this bill is doing is sending in the referee to play the game, and all of the other insurance carriers have to play against that person that makes all of the rules and decides on the penalties. To start with, the federal government is going to tax your insurance plan (p. 2026). An analogy with that would be that the your team is being forced to run 50 wind sprints before the game starts. Sure the bill makes a distinction on taxing only “high-cost employer sponsored health coverage”, but what constitutes “high-cost?” With all of the mandates in place, how can one get a cheap plan that falls outside those boundaries?
Oh, wait, they explain it further down: $8,500 for a single person plan and $23,000 of a family plan.
Now, what this means is that you will be taxed. Well, your employer is going to be taxed for sponsoring your plan, but shit tends to roll downhill, which means your next raise or any subsequent benefits will be used to pay this new tax. That is, if your employer will even be able to afford to stay in business.
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The neediest will be taxed…and so will you.
On page 2020, we find the insidious title “IMPOSITION OF ANNUAL FEE ON MEDICAL DEVICE MANUFACTURERS AND IMPORTERS.”
The next 5 pages covers all of the definitions interspersed with legalese. Now, I have heard that tampons qualify as medical devices (they do), but according to this section they’re not being taxed. Instead, only those falling into the [FDA guidline] Class III category will be taxed. Those include heart monitors, heart pumps, pacemakers, defibrillators, artificial hips/knees, diagnostic x-ray machines, etc.
So let me get this straight: We have all of these amazing medical breakthroughs; devices that will not only keep you from dying, but bring you back to life if you do. They’re expensive already, as many politicians have told us…and their fix is to add another tax to them?
Incidentally, condoms are also listed as Class III. I’d make a joke about that being fine because we’re all getting free abortions, but I don’t have anyone here to give me a rimshot.
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The “rich” will be taxed…and so will you.
On page 2040, we’re taxing the “rich”, who are defined as anyone making $200k on their own, or $250k if they file jointly. With that threshold, it means that small business owners and LLC’s that file on their individual returns will be taxed.
The numbers? Well, to start out with the government is going to tax 1.45% of their income next year. If you jump down to page 2043, you’ll notice that the amount automatically jumps another .5% in 2013.
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You will be taxed for making choices about your own body.
There is one area of the health care field that resembles the free market. It’s been growing steadily for a couple of decades now, the costs have come down dramatically (opening up to even the lower-middle classes), and all because the simple supply/demand economics rule has been allowed to operate on its own: Cosmetic surgery.
You’d think that this glaring example of the merits of laissez-faire capitalism would be picked up and used as an example of what we should do. Right?
That’s a negative, Ghost Rider. In true government fashion the Senate bill seeks to impose an additional tax on people seeking cosmetic surgery. Page 2045 covers this new 5% tax hike, which means that if you opt to spend your hard-earned money to fix your nose, get rid of a persistent double-chin, get that six-pack that you’ve never been able to achieve despite decades of crunches, get that mole removed, take out that scar, or to even get your breasts reduced, you now have to pay a specific tax for what people in DC apparently view as a taxable privilege.
In terms of numbers, let’s say your procedure costs $2,000. The government is arbitrarily going to tack on a $100 tax. This starts on January 1st, 2010.
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So there you go. Like I mentioned in the beginning, I could go on with 50 pages or so pointing this stuff out, but I’ll leave it be at this point (as if even these points weren’t enough) and pass the torch along to you.
As Paul Harvey used to ask: Good day?