Posted by
David Bollinger on Monday, September 07, 2009 10:11:29 PM
Below is a response from Congressman Gonzalez in his e-news letter he sends to his constituents. I've come to believe that it's time to begin calling these "facts" what they are. Bald-faced lies.
One thing the Democrats are trying to claim is that this bill is still in flux, i.e. that changes are still underway. While it is true that HR 3200 hasn't been reported out of committee and the Senate version is held up in the Finance committee, it is certain that what Congress will be voting on will closely resemble HR 3200 in nearly all respects. You can wager good money that any changes the Democrats permit will be cosmetic at the very best. Trying to argue that the bill is still plastic is simply a subterfuge to deflect arguments about the substance of the bill.
I'm not expert and I don't have the advantage of people to work the research for me, but my responses are in italics.
“Myths vs. Facts”
QUESTION: Many people have concerns that we can’t afford to reform our healthcare system at this time.
He can't even get the myth straight. Most people's concerns are that the Obama administration has already spent multi-trillions of dollars on other initiatives and now they want to take control of a huge chunk of our economy and spend another nine trillion dollars. "Concern" isn't the word. "Bankruptcy" is more like it.
RESPONSE:
The reality is that we can’t afford not to. Texas has the highest rates of uninsured adults and children in the U.S. I represent 1 in 4 people who are uninsured in my district.
Today, 18% of our GDP is consumed by healthcare costs. Health Insurance premiums have doubled over the last 9 years, three times faster than wages.
Sadly, due to cost small businesses are forced to choose between coverage and layoffs.
It may be the case that small businesses are sometimes forced to choose between coverage or layoffs. This is nothing new. I've never worked for a "small" business that offered health care coverage. Most don't. And haven't for decades. Until one is employed by the larger companies, health care isn't one of the benefits. Furthermore, according to D. Mark Wilson reporting on the Heritage Foundation's web site, the employer mandates in both versions of the bill will require virtually all small businesses to either carry an insurance benefit approved by the government, or pay a punitive tax. These requirements will cost small business up to $49 billion per year and put 5.2 million low-wage employees at risk for their jobs. Not because we did nothing, but because Congressman Gonzalez's bill will do the wrong thiing.
QUESTION: Some fear that this health reform plan is going to create a socialized healthcare system.
RESPONSE:
This proposal builds on the public/private system we already have. No healthcare providers will be employed by the government.
This is simply nonsense on the face of it. The government already employs thousands, if not millions of health care providers. Discounting military doctors and other health care providers (to whom we are all deeply grateful that they place service to their country above the wages they could earn in civilian life) every doctor who accepts a Medicare or Medicaid check is de facto employed by the government. With a public option, ever more will become employees of the government. When you take their money, you follow their rules. When you take their money, you are their employee. The President has said several times that his goal is a single-payer system. Democrats, to their credit, or damnation, depending on your point of view, never give up. If they want a single-payer system, they will work toward it single mindedly. Too bad Congressman Gonzalez doesn't have his own mind.
QUESTION: Will this bill raise taxes for all Americans?
RESPONSE:
No one earning less than $280,000 a year individually or $350,000 as a couple will pay more taxes.
Only 1.2% of earners will be affected, and even those will contribute less than 1% of their annual income. Only 600 families in the 20th Congressional District would be impacted by this.
More nonsense. According to Nina Owcharenko reporting at Heritage.com, the employee mandate in both bills would require all Americans to purchase government approved health insurance, regardless of their personal choices regarding their needs. If the government is requiring me to write a check, that is a tax. So, those fifty million or so Americans the Democrats are so concerned about will acquire a new tax to go with their bright, shiny new health insurance. Back to D. Mark Wilson, the mandates in these bills will affect between 95 to 105 million workers and an additional half to 1.4 million employers (who are also American citizens). Split the difference and call it 100 million Americans, making it 33%, one third of all Americans. Any lower figure is simply a lie.
QUESTION: There are lots of concerns that healthcare reform will mean fewer choices for Americans?
RESPONSE:
The House proposal will actually increase choice among an array of high-quality private and public health insurance options.
Most importantly, if you like what you have, you can keep it.
While, reform will create access to more Americans by providing a greater choices in doctors and plans by taking away the insurance industry’s ability to deny coverage and care.
Has it dawned on these people yet that "if you like...keep it" isn't being believed? I don't need to see what the Heritage Foundation thinks. It's simple logic. Private insurance companies cannot possibly compete in any way with a public option insurance plan, no matter what words they use to describe it, and will quickly disappear. How can you compete with a business that can under-cut your prices at will, indefinitely, and, better yet, controls the rules under which you will operate? Oh, yeah, did I mention that the public option mandates roughly fifty million customers for the public option who will have no reasonable choice—take someone's coverage or be fined. By the way, Uncle Sam's Health Care plan is much cheaper...
QUESTION: Seniors are concerned that Medicare benefits will be decreased and out-of-pocket costs will be increased as a result of health care reform. How will Health Care Reform impact Medicare?
RESPONSE:
NOTHING in this bill calls for a reduction in Medicare benefits for seniors or an increase in their out-of-pocket costs. In fact, quite the opposite is true.
Health care reform will lowers costs for seniors by lowering prescription drug costs for people in the Medicare Part D coverage gap.
Medicare beneficiaries will not have to pay co-pays for preventative care and seniors will also have more doctors to choose from because the bill includes provisions that will expand the work force so that it will be easier to get appointments with your doctors.
While it may be true that NOTHING in this bill calls for reductions in Medicare benefits... Wait, I thought this bill is in flux, with nothing decided for certain? ...the Democrats are pushing for huge, $500 to 200 billion cuts in upcoming Medicare increases. They will do this by reducing payments made to doctors and hospitals, the villain of the moment. What this means is that more and more people become eligible for Medicare benefits, less and less money will be paid out for those benefits. You can't have it both ways, Congressman Gonzalez. You can't add one third of the population to what amounts to Medicare and pay for all of it without raising taxes or reducing benefits. I suspect we will end up with both. HR 3200 and its Senate comrade will have to be followed up with legislation to fund the public option.
QUESTION: Our community continues to health that a Health Benefits Advisory Committee will determine which treatments & services are covered, which will ration care. Is this true?
RESPONSE:
Nothing in the role of the Health Benefits Advisory Committee infringes on the ability of an individual and the individual’s doctor to make medical decisions. IT DOESN’T HAVE BINDING/MANDATING AUTHORITY
This is not a “government” committee. It will be made up of providers, consumer representatives, employers, labor, health insurance issuers, and independent experts who will recommend the minimum benefits that insurance plans should cover.
Once again, logic rears its ugly head. If this Health Benefits Advisory Committee has no binding authority, why have it? Our experience with government is that if an advisory council recommends it, it may as well have been graven on a granite tablet brought down from a mountain. When you get down to page 33, sec 4 and 5, we find that this committee will recommend cost sharing levels, which means, in essence, they will determine what will be covered and to what amount. The "Secretary" will be the sole authority to determine the adoption of the recommendations. Page 36, section 3 makes it possible for the Secretary to adopt any standards he likes if he can't adopt the ones offered by the HBAC. So, for all practical purposes, this committee, or the Secretary, neither of whom were elected, most of whom have been appointed by President Barack Obama, will determine who will get treated for what, by price or definition.
QUESTION: Will the House healthcare proposal ban private health insurance for individuals?
RESPONSE:
H.R. 3200 does NOT ban individual health insurance. It will expand options for people who currently have health insurance on the individual market and Existing policies to be grandfathered in, so people will not lose coverage.
Insurance companies will be required to accept people even if they have previously existing conditions and to provide a minimum level benefits.
John David Lewis, a professor at Duke University published an analysis of HR 3200, including the provisions that explicitly state that nothing in the bill shall be construed to eliminate private insurance...and then sets about slanting the playing field in such a way that private insurance companies cannot hope to compete with the public option and will, in due time, be forced out of business. It is the equivalent of declaring that any fast food company can continue in operation, but McDonalds will have their menu prices subsidized by the government so they can charge .35 for a Big Mac and still make a profit. Sorry, Jack.
QUESTION: Some say that a public plan option will destroy the private insurance industry, what do you say to that?
RESPONSE:
This proposal will build upon the public/private system that already exists by increasing competition among insurers with the introduction of a public insurance plan. This benefits consumers by providing them with lower rates.
See the above. This is the same question. Either Congressman Gonzalez hasn't read the bill, he's too stupid to reason out the consequences, or he's lying. You pick.
QUESTION: Will all people be forced into the public plan?
RESPONSE:
I voted in favor of an amendment which explicitly states that “Nothing in this division shall be construed as requiring anyone to enroll in the public health insurance option. Enrollment in such option is voluntary.”
The proposal merely adds a public plan to the choices of individual insurance plans from which people can choose.
If you purchase a plan through the Health Insurance Exchange, you can choose from all of those plans, public or private.
Page 102, section 205, translated, says that if you do nothing, you are automatically enrolled. You cannot decline the honor. The evil villain employer is responsible for enrolling those employees still working after the massive layoffs this bill will cause. When all that is left is the public option, you'll have no choice, since everyone is required to have health insurance. Oh, on the same page, anyone who becomes eligible for Medicare will be automatically enrolled. No choice.
QUESTION: Will this reform hurt small businesses by saddled them with fees, forcing them out of business because of health care costs?
RESPONSE:
This proposal aims to help small businesses provide this coverage to their employees.
We have included a tax credit for small businesses to help them provide health insurance for their workers.
We also exempt some small businesses from the employer requirement to provide coverage to employees, recognizing that even with a tax credit, providing healthcare for employees would be burdensome for some small employers.
Many small businesses, single owner operations with few employees, or part-time employees, do not currently offer health care insurance. We've grown to accept this. In point of fact, the person most often employed by these businesses is a part-time teenager who is already covered by their parent's insurance. In any case, this is how it's done. If you want insurance, apply for a job at the local big corporation, or in the professional world. Under HR 3200, every employer, right down to the guy who runs that independent paint store in the nearby shopping center, employing two or three college students and eking out an existence, must either carry insurance coverage that is acceptable to the government, or pay an 8% payroll tax. From nothing to 8% can't be imagined to be a help to small business.
QUESTION: Rumors have it that Veterans will lose their health coverage with passage of health care reform?
RESPONSE:
Veterans’ health care will NOT be impacted by H.R. 3200. Section 202 (d)2(E) and (F) of the bill states that members of the armed forces and dependents (including TRICARE) and those who receive VA care will be considered as having acceptable minimum coverage. This means that veterans’ coverage will not be affected by this legislation.
In no way would we pass a healthcare reform bill that will negatively impact the care that veterans receive. The Democratically-led Congress has demonstrated its support for veterans by providing the largest increase in funding for veterans healthcare in the VA’s 77-year history. This is more of an increase in less than three years, than the GOP-controlled Congress provided in 12 years.
Couldn't resist that dig at President Bush, could you? Briefly, President Bush remade the American military into the world's first unbeatable force on the battlefield. President Barack Obama is in the process of dismantling that. But, that is the past. Our problem is the bleak future.
Since our military are already on what amounts to Medicare, i.e. government controlled health care and the majority of military or retired military people I know go to private doctors anyway because waiting times and the level of care is so poor, I fail to see how this is an improvement for our veterans. Furthermore, if you read para F as he includes it above, veterans are only permitted to stay on VA benefits if the commissioner decides they are good enough. In other words, there's no guarantee here.
QUESTION: When it come to federal funding for health care reform, will it be used to pay for abortions?
RESPONSE:
NO, I voted in favour of an amendment that explicitly prohibits public funds from being used for abortions.
Apart from an inability to spell "favor," what he isn't mentioning is that no matter how he voted, all those amendments failed. The bill doesn't expressly exclude abortion and since the government's "Secretary" will determine what is covered, abortions will likely be paid for by your taxes. I note that on page 769 and onward there is a great deal of attention given to who will be eligible for family planning. In the past, a major complaint of pro-life adherents has been that government family planning is a one-joke act—abortion.
QUESTION: As you know, there has been a lot talked about regarding death panels and the role that government will have in our “end-of-life” care, is there death panel or anything related to “end-of-life” care?
RESPONSE:
There is NO such thing as death panels in any of these bills proposed.
The bill does NOT include any mandate that people take part in this sort of counseling.
YOU choose whether or not YOU wish to develop an advance directive. Doing so will allow you to make choices regarding your “end-of-life” care before you get to a point where you are unable to do so and others are forced to make these choices for you.
Page 424, Sec 1233 Advance Planning Consultation reads to me as adding the definition of Advance Planning and other end of life stuff to the Social Security Act. Reading on, it appears to set standards for that end of life care, including a requirement that a committee of "stakeholders" be consulted. That committee does not include the patient or the family. The next section makes physicians responsible for reporting on the quality of that end of life care. Mandatory? It's hard to tell. But I do have to wonder at the need to include it here.
QUESTION: Will the federal government provide healthcare coverage to undocumented immigrants?
RESPONSE:
Section 246 of H.R. 3200 explicitly states that no federal affordability credits will be made to “individuals who are not lawfully present in the United States.”
This continues current law which prohibits undocumented immigrants from receiving coverage through federal health programs such as Medicare and Medicaid.
Sorry, Charley. Page 50, sec 152 says it pretty clearly. The provisions of the act shall be provided without regard to personal characteristics that don't appertain to providing health care. The part Congressman Gonzalez cites above refers only to health insurance credits as covered under the proposed "exchange" system. So, if they go with something else instead, sec 152 appears to apply first.
QUESTION: Will H.R. 3200 end the Medicare Advantage program?
RESPONSE:
The bill actually increases payments to Medicare Advantage plans that provide high quality care to their customers and to plans that demonstrate improvement in healthcare outcomes for enrollees.
It also equalizes payments between Medicare Advantage plans and those for traditional Medicare.
With private insurance strangled, this becomes a moot point. No such insurers will remain.
Since Congressman Gonzalez didn't bother to bring it up, despite having been asked about it, let me address rationing, following my own reasoning here and aside from the provisions of the bill that permit it.
Roughly one million doctors service three hundred million Americans. One doctor handles three hundred people. Add the fifty million new potential patients that President Barack Obama wants and you add about a seventeen percent increase in covered persons. To maintain the same ratio, we'll need about 167,000 new doctors. Where is the funding for that increase? Interestingly, the increase in doctors is also about 16%. Non-doctor health care professionals run about 25 million, about 8% of the population. To maintain the levels, we need to add 2,000,000 new health care professionals. That's a staggering number to produce virtually over-night. It takes eight to twelve years to cook a new doctor and four to six years to produce a new health care professional. Where's the funding for that in the stimulus package?
At an absolute minimum, we are six years from having enough health care professionals and ten years before we can add enough new doctors just to reach current ratios. We won't stop making babies, so those ratios will get even larger. Furthermore, the distribution of patients to doctors isn't even. GPs carry a heavier patient load than plastic surgeons. So, with the increase in covered people, it seems reasonable to conclude that the greatest weight of the increased work load will fall on our general practitioners, a medical specialty that is losing numbers in droves.
All that and built in limits on what a doctor can make since the public option will control costs by controlling payments to doctors. What other incentive will be used to attract new students? Long, long waits to see a doctor are inevitable. This amounts to rationing.
Even if all medications remain available at current levels, you have to see a doctor to get the prescription. Rationing again.