CNS News did some investigating, and Ed Morrissey came up with this analysis:

At least ostensibly, this is an unfunded mandate on the states, which run the exchanges. What happens when no insurer in the state offers abortion coverage? At the moment, 87% of all abortions are purchased outside of third-party payers, so this is not an academic question. Do the feds intend to shut down an exchange that doesn’t offer an abortion plan? Or do they expect the states then to cover abortions instead?

… Once Congress stops re-enabling the Hyde Amendment, the mandates in Reid’s Section 1303 will force the federal government to supply the coverage for abortion where state exchanges have none. It will give the federal government an entree into broader health-insurance offerings, and that will have one ironic effect: it will crowd out those few private insurance plans that offer elective abortion coverage. Where Stupak’s opponents insisted that his language would create a “price signal” that would encourage private insurers to abandon abortion coverage, this would all but guarantee the same result, as private insurers would get undercut by the federal plan that would come into play.

This is nothing more than a mandate for federally-funded abortions. How long would it take a court to make that same determination? I suspect that Planned Parenthood and NARAL already have their legal counsel preparing for it.

It’s not exactly a surprise that the health care bill would include funding for abortion. Feminists have been howling about the Stupak amendment, the abortion lobby has been furious. Liberals were bound to cave in to their demands, and they were bound to try to hide it from the federal public. It is typical of liberals. And it’s infuriating to anyone with any kind of morals or respect for the sanctity of life. It’s bad enough that abortion is celebrated as some kind of right in this country, like it’s glorious for a woman to be able to go and kill her baby. Feminists in particular revel in it, like it’s some kind of sacred cow. Apparently, you have to be a member of the “I <3 Abortion" club in order to be a feminist in today's world. There are currently about 1.3 million abortions performed a year, and this isn't good enough for feminists. They not only want abortion to be free and legal, they want it to be paid for by Americans whether they like it or not. It has to be taxpayer-funded.

It's important that we all understand this. It's not good enough for feminists just to have abortion be legal and freely accessible. Any woman who wants to can get an abortion. And there is already $300 million a year in taxpayer subsidies for Planned Parenthood. There's plenty of federal funding for abortion, but feminists always want more. It isn't enough for abortion to be legal, it isn't enough for it to be federally subsidized. How much do they want? Does every single abortion performed need to be taxpayer funded so that any woman who wants one never has to pay for it out of her own pocket? It's a disgusting state of affairs. Half the country is morally opposed to abortion. But liberals are a special group of people. If they believe in something, then everyone must be for it and it must be federally mandated and subsidized. If they don't believe in something, then no one should believe in it and it must be totally banned. And so, thanks to this mental outlook and the carping of the feminist/abortion lobby, we are now looking at forcing half of the people in this country to fund something to which they are virulently opposed.

Burn up that switchboard today. You can find contact information for your senators here.

Cross-posted from Cassy’s blog. Stop by for more original commentary, or follow her on Twitter!

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Women in their 40s should stop routinely having annual mammograms and older women should cut back to one scheduled exam every other year, an influential federal task force has concluded, challenging the use of one of the most common medical tests.

In its first reevaluation of breast cancer screening since 2002, the independent government-appointed panel recommended the changes, citing evidence that the potential harm to women having annual exams beginning at age 40 outweighs the benefit.

Coming amid a highly charged national debate over health-care reform and simmering suspicions about the possibility of rationing medical services, the recommendations immediately became enveloped in controversy.

“We’re not saying women shouldn’t get screened. Screening does saves lives,” said Diana B. Petitti, vice chairman of the U.S. Preventive Services Task Force, which released the recommendations Monday in a paper being published in Tuesday’s Annals of Internal Medicine. “But we are recommending against routine screening. There are important and serious negatives or harms that need to be considered carefully.”

Several patient advocacy groups and many breast cancer experts welcomed the new guidelines, saying they represent a growing recognition that more testing, exams and treatment are not always beneficial and, in fact, can harm patients. Mammograms produce false-positive results in about 10 percent of cases, causing anxiety and often prompting women to undergo unnecessary follow-up tests, sometimes-disfiguring biopsies and unneeded treatment, including surgery, radiation and chemotherapy.

But the American Cancer Society, the American College of Radiology and other experts condemned the change, saying the benefits of routine mammography have been clearly demonstrated and play a key role in reducing the number of mastectomies and the death toll from one of the most common cancers.

“Tens of thousands of lives are being saved by mammography screening, and these idiots want to do away with it,” said Daniel B. Kopans, a radiology professor at Harvard Medical School. “It’s crazy — unethical, really.”

The new guidelines also recommend against teaching women to do regular self-exams and concluded that there is insufficient evidence to recommend that doctors do the exams or to continue routine mammograms beyond age 74.

Some questioned whether the new guidelines were designed more to control spending than to improve health. In addition to prompting fewer doctors to recommend mammograms to their patients, they worried that the move would prompt insurers to deny coverage for many mammograms.

Less than a year ago, these same people were decrying the decline in mammograms among women in their 40s. And now, suddenly, with Obamacare looming, this panel just coincidentally came to this conclusion? Not shockingly, Ed Morrissey examines the doctors on this panel, and finds not a single oncologist present.

Barack Obama claimed that he would be championing increased screening and prevention. Yet now we’ve got a federal panel wanting to just cut back the number of mammograms performed, mammograms that could potentially be life-saving, because you could get a false positive and feel anxiety? I don’t know if it’s just me, but I’d rather be safe than sorry. I’d rather get the mammogram and have the doctors look into that suspicious lump, false positive or not, than just shove it off for a few years and end up having cancer in a more severe stage. Isn’t that what Obama’s panel here is basically recommending?

And they aren’t even going after just mammograms. They don’t even want women doing self-exams anymore! I guess they don’t want to take the risk of a woman who is “too young” finding a lump on her breast and getting it checked out, just to be safe. I mean, jeez, that would just be waaay too costly. The motivation here is clearly not to save lives or decrease some imagined anxiety women get over their mammograms. (After all, what person wouldn’t be anxious if they thought they had cancer? It seems perfectly natural to me.) It’s just pathetic and extremely depressing to me that Obamacare hasn’t even passed yet — and already, we have federal panels recommending rationing care.

I keep asking — are you happy you voted for change now? Is this the hope you wanted?

No more of this if Obama has his way.

Cross-posted from Cassy’s blog. Stop by for more original commentary, or follow her on Twitter!

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Doctor Jacquelline Perlman has had it. After a 12-year career as an OB-GYN doctor she his quitting her practice. One of the major reasons is the exorbitant costs of malpractice insurance.

“I’ve decided to retire from obstetrics,” said Perlman, 42. “It breaks my heart. Malpractice costs are a big part of it. It’s a very sad story.”

Last spring her insurer dropped her and several of her fellow doctors because of the high risk of covering OB-GYNs. Dr. Perlman’s new insurer was to charge $160,000 a year for coverage and that proved too much for Perlman to take.

Perlman noted that over the last five years, as her insurance costs multiplied, her actual income dropped by 20 percent.

So, another good doctor — one that has never had a malpractice case stick to her — leaves the profession. Now, before some of you out there assume the insurance companies is the villain here, let us pinpoint the real villain: trial lawyers.

It is the nuisance lawsuits, those filed merely to harass doctors in order to get a quick settlement, and lawyers that game the system with nonsense lawsuits as well as clients looking for a lottery-like payout that will make them instant millionaires that cause this problem.

One of the most important aspects of what should be a true reform to our system of medicine would be a policy that would curtail these out-of-control, greedy lawyers. Naturally, tort reform and trial lawyers are coming up as a protected class in Obamacare. And why is that? Because trial lawyers gave Obama a ton of cash for his campaign, that’s why.

This proves that Obamacare is not about “reform,” nor about improving our medical system. It is first and foremost about political payoffs. Obama is shameless in his political payoffs and this one is particularly stark.

In the meantime, as Obamacare takes its baby steps toward final passage, more great docs like Mrs. Perlman will quit the business.

Obama keeps pretending that we will be “allowed” to “keep our doctors if we like them.” But as each day passes we are finding more and more reasons why many of us will lose our favorite doctors whether we like them or not.

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The negative impact on mental health worldwide may be one of the most severe effects of climate change, with children at greatest risk, according to experts.

Of course. Think of the children.

As climate change causes extreme weather events, drought, financial strain and changes in work and migration patterns, people will be at increasing risk from mental health issues such as post traumatic stress disorder and depression, said Dr Helen Berry from the National Centre for Epidemiology and Population Health at the Australian National University (ANU).

Riiiiiiight. Because those things have never happened before.

Despite the risk, this is an area that has received little attention, she added.

You know, on second thought, I think this area should be explored and studied tremendously. Perhaps it might explain the insanity that pervaded so many folks on the Left (and some on the right,) when it came to George Bush and Sarah Palin. Maybe it could explain the moonbattery practiced on the Left. And, maybe, just maybe, we could get an answer to why so many supposed scientists and citizens have lost their ever-lovin’ minds when it comes to anthropogenic global warming.

That really would be a good stopping point, but, I made the mistake of reading the whole story, darnitall!

“It’s becoming apparent that we’re experience[sic] the IPCC’s worst case scenario of climate change – or even worse,” said Berry. “We need to address the impact that this will have on mental health, now.”

Give us money to study this.

“All of these factors interact and could result in a great increase in severe mental health problems,” she added.

Money.

“The aim is to try to see mental health as part of an overall strategy that deals with climate change impact,” he said.

Money.

Despite their warnings, it’s not all bad news – Dr Berry added that there could be a positive side effect to communities facing the risks of climate change.

“Climate change could motivate collective action, which is the number one thing to protect mental health,” she said.

Socialism.

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A transsexual refused breast enlargement surgery on the NHS is to take her [sic] case to the High Court, at a cost of tens of thousands of pounds to the hospital’s budget.

The legally aided gender dysphoria sufferer, who has been living as a woman for over 10 years, says breast augmentation is essential to her [sic] female identity and emotional well-being and the refusal to give her [sic] the op amounts to sex discrimination.

Her [sic] unique test case against the West Berkire Primary Care Trust (PCT), in which the Equality and Human Rights Commission will also be playing a part, is now set for hearing at the High Court on October 20.

The freakazoid in question hasn’t had a choppadickophomy procedure; he just wants to have breasts like a woman because that would, according to his lawyer, give him psychological benefit. The money wasted just dragging this case through court could be spent providing medical care to those who need it, but when the government controls healthcare, resources are allocated on a political basis.

Meanwhile, those with less politically correct medical needs go without treatment under Britain’s socialist system.

An 80-year-old grandmother who doctors identified as terminally ill and left to starve to death has recovered after her outraged daughter intervened.

Hazel Fenton, from East Sussex, is alive nine months after medics ruled she had only days to live, withdrew her antibiotics and denied her artificial feeding. The former school matron had been placed on a controversial care plan intended to ease the last days of dying patients.

Just don’t call it a death panel. Sarah Palin made those up.

In other socialized medicine news, a soldier died after being given cancerous lungs in a transplant operation:

Matthew Millington, 31, died at home in Brown Lees, near Stoke-on-Trent, after receiving the organs from a donor who is believed to have smoked between 30 and 50 roll-up cigarettes a day, an inquest heard.

Following the death, an investigation at Papworth Hospital, in Cambridge, pinpointed a string of problems, including issues with communication, record-keeping and patient handover. It found that a radiographer had failed to highlight the growth of a cancerous tumour.

Maybe the transsexual should think twice about whether he really wants government doctors installing his fake boobs.

On tips from mega and BURNING HOT. Hat tip: Gateway Pundit. Cross-posted at Moonbattery.

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A coalition of pro-life advocates including two scientists, two families, an adoption agency and the Christian Medical Association have banded together to file a lawsuit against the Obama administration in an effort to stop the expected taxpayer funding of embryonic stem cell research.

The suit is a response to President Barack Obama’s decision earlier this year to overturn the protections the Bush administration put in place preventing funding of research that involves the destruction of human life.

They must believe in God and be EVIL Creationists, or something like that. I’m waiting for Excitable Chucky to chime in, since everyone who believes in God is a Creationist.

World magazine indicates the pro-life advocates have sued the Department of Health and Human Services (HHS) and the National Institutes of Health (NIH) on behalf of unborn children who would be destroyed in the research funded by the departments.

They want to stop the expected $92 million that could be funneled from taxpayer funds to embryonic stem cell research, which has never helped human patients and has yielded significant problems in studies with animals.

That is the major issue. Why should the federal government use taxpayer money to fund ESC research? So far, it has been worthless. What point is there in a cure that creates massive tumors in the patient? If the research was so great, private industry would be doing tons of research, instead of concentrating on Adult, Placental, and other lines other than Embryonic. Using federal money is basically a sop to the Abortion on Demand lobby and to researchers who couldn’t get a job in the private sector.

The Alliance Defense Fund and the law firm Gibson, Dunn & Crutcher are also helping the clients involved in the lawsuits.

There are two suits and both make similar cases that the Obama order to force taxpayers to fund embryonic stem cell research violates the Dickey-Wicker Amendment, a federal law that prohibits federal funding of scientific studies that destroy human life.

Specifically, the 1995 law stops tax-funding of “(1) the creation of a human embryo or embryos for research purposes; or (2) research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death.”

Oh, please, you can’t expect Democrats to actually follow The Law, mateys! The Law is for others.

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On Monday the Obama administration featured a gaggle of white-coated doctors rallying in support of Obamacare but it appears that Obama’s team was a bit out of its depth in arranging the handpicked cadre of physicians. As it happened, the president’s advance team accidentally invited a doctor that has long been opposed to Obamacare.

Obama’s office contacted Doctor Eric Novack to appear beside him in Washington during his rally/photo op even though Novack is a vocal opponent of the president’s policy prescriptions.

“They had 16 hours to Google me, but I guess no one bothered,” Dr. Novack told Kathryn Serkes, Director of Policy and Public Affairs for the Association of American Physicians and Surgeons (AAPS) in a video interview available at TakeBackMedicine.com.

Due to his stance against the president’s policy ideas, Dr. Novack turned down this invitation to go to the White House in support of the president but he wonders what this invitation says about the other doctors that did attend.

Dr. Novack says that it was very tempting to accept the “once-in-a-lifetime” invitation, but in the end, he had to say no. But it also makes him question whether the doctors who will be there today actually support the President, or even understand all of the details of the bills.

Doctor Novack, who once co-authored a paper for the conservative Goldwater Institute, is an Orthopedic Surgeon from Arizona.

According the AAPS, Obama’s claim that Doctors overwhelmingly support his extreme policy ideas is a false one.

Serkes also rebuts the White House claims that doctors overwhelmingly support the public plan. A recent poll on the AAPS web site, TakeBackMedicine.com shows that 93% of the doctors polled are even more adamantly against the President’s plans after his national address to Congress and the country on Sept. 9.

Further, pre-publication results of an AAPS survey show that about 80% of doctors would refuse to VOLUNTARILY take part in a public plan.

It seems obvious that Obama is flying by the seat of his pants with this whole thing and that is a dangerous thing, indeed.

On a related story, Representative Tom Price (R, Ga.) told The Hill that Obama’s handpicked doctors did not accurately represent physician’s views.

“I’m kind of surprised that a hand-picked group of physicians that were brought to the White House today were applauding a government takeover of healthcare,” Price said during a conference call organized by the Republican National Committee (RNC).

“I would suggest that a real cross-section of doctors would not be applauding a government takeover of healthcare,” he added.

And, as is evident by the doctors of TakeBackMedicine.com, not all doctors are lining up behind Obamacare.

(Cross posted at HealthcareHorseRace.com.)

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Beverly Gossage, Research Fellow for Show-Me Institute and founder of HSA Benefits Consulting wondered which insurance companies rejected the most claims. She found her answer in the AMA’s own 2008 National Health Insurer Report Card. The chart below appears on page 5 of the 16-page report.

(You can see a larger size chart at Big Government or here)

So, the largest denier of claims is……hey, that awesome government run Medicare (my company has UHC, United Health Care, and I have never heard about anyone being denied, and, it obviously rarely happens.)

Imagine what will happen when even more people are on Medicare and the government is cutting their funding. Say, let’s ask a doctor who wasn’t among the hand picked Obama campaign contributers invited to the White House

Today, Medicare already reimburses doctors less than what many of their treatments cost to provide. Now the government is saying that additional Medicare cuts are coming—thus forcing doctors to try and make up the difference in volume, by seeing more patients. If you ask patients about this, they understand that more volume means less time with the doctor. That’s something that all patients and doctors should oppose. In time, it will be difficult to find a physician.

Of course, there is another part to that: more and more doctors opting out of providing Medicare services, as they have been doing already. Will government mandate by federal law that they all take Medicare, as well as the government option?

More: speaking of Obama’s cute little doctor and pony show yesterday

“When you cut through all the noise and all the distractions that are out there, I think what’s most telling is that some of the people who are most supportive of reform are the very medical professionals who know the health-care system best,” the president said.

In other words, shut your mouths, American people! Barry knows best! No mention of the massive amount of doctors who marched on Washington on October 1st in opposition to Barry’s House Democrats plan to destroy the American health care system. Yeah, Barry didn’t meet with them. Shocker.

Underlying the strictly photo-op nature of the event, The Associated Press noted that Obama broke no new ground in his remarks.

Still voting present and attempting to rely on campaign rhetoric, rather than any sort of executive leadership.

Crossed at Pirate’s Cove

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Testimony from an employee of Anatomic Gift Foundation and Opening Lines, companies involved in selling parts from aborted fetuses:

QUESTION: Do you think the doctor ever altered the procedures to get you the type of specimens you needed for that day?

ANSWER: Yes, every day. When we would go in to do procedures, the doctor would come in, along with his nurse, and they would want to see the list of what we were going to procure and what we needed. Then he would basically get us the most complete, intact specimen that he could get us. And what I mean by that is that all the limbs, the arms, the head, the chest cavity, were never invaded. They were all completely intact. Sometimes if the fetus was — appeared to be dead, but when you opened up the chest cavity you do see the heart beating, but they’ll be no arms or legs moving.

QUESTION: So they were intentionally altering their type of procedure to give you an intact specimen, even if that meant giving you a live specimen?

ANSWER: That’s correct. Just so we could sell better tissue and more tissue out. So that our company would make more money. And at the end of the year, they would actually give the clinic back more money since we got good specimens.

Check out this price list from Opening Lines:

Unprocessed Specimen (>8 weeks) $70

Unprocessed Specimen (≤ 8 weeks) $50

Livers (≤ 8 weeks) 30% discount if significantly fragmented $150

Livers (> 8 weeks) 30% discount if significantly fragmented $125

Spleens (≤ 8 weeks) $75

Spleens (> 8 weeks) $50

Pancreas (≤ 8 weeks) $100

Pancreas (> 8 weeks) $75

Thymus (≤ 8 weeks) $100

Thymus (> 8 Weeks) $75

Intestines & Mesentery $50

Mesentery (≤ 8 weeks) $125

Mesentery (> 8 weeks) $100

Kidney with/without adrenal (≤ 8 weeks) $125

Kidney with/without adrenal (> 8 weeks) $100

Limbs (at least 2) $150

Brain (≤ 8 weeks) 30% discount if significantly fragmented $999

Brain (> 8 weeks) 30% discount if significantly fragmented $150

Pituitary Gland (8 weeks) $300

Bone Marrow (≤ 8 weeks) $350

Bone Marrow (> 8 weeks) $250

Ears (≤ 8 weeks) $75

Ears (> 8 weeks) $50

Eyes (≤ 8 weeks) $75

Eyes (> 8 weeks) $50

Skin (> 12 weeks) $100

Lungs & Heart Block $150

Intact Embryonic Cadaver (≤ 8 weeks) $400

Intact Embryonic Cadaver (> 8 weeks) $600

Intact Calvarium $125

Intact Truck (with/without limbs) $500

Gonads $550

Cord Blood (Snap Frozen LN) $125 2

Spinal Column $150

Spinal Cord $325

The list is a little dated; no doubt prices are higher now. The price of a soul under liberalism remains the same: cheap.

Hat tips: The Blogprof, HotMES, Sundries Shack. Cross-posted at Moonbattery.

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Peter Fleckenstein spent a huge amount of time reading H.R. 3200 and found hundreds of provisions that do nothing less than give government complete control of our very lives. This is a stark list that should frighten any freedom loving American from any support for this anti-American president and his socialist Congressional majority. Aside from this frightening list, Fleckenstein has more at his site http://blog.flecksoflife.com.

Read on and be afraid… be very afraid of Obama’s un-American plans to control your life:

• Sec. 113, Pg. 21-22 of the Health Care (HC) Bill MANDATES a government audit of the books of ALL EMPLOYERS that self-insure in order to “ensure that the law does not provide incentives for small and mid-size employers to self-insure”!

• Sec. 122, Pg. 29, Lines 4-16 – YOUR HEALTH CARE WILL BE RATIONED! 

• Sec. 123, Pg. 30 – THERE WILL BE A GOVERNMENT COMMITTEE deciding what treatments and benefits you get

• Sec. 142, Pg. 42 – The Health Choices Commissioner will choose your benefits for you. You have no choice! 

• Sec. 152, Pg. 50-51 – HC will be provided to ALL NON-US citizens. 
• Sec. 163, Pg. 58-59 beginning at line 5 – Government will have real-time access to individual’s finances & a National ID health care card will be issued! 
• Sec. 163, Pg. 59, Lines 21-24 – Government will have direct access to your bank accounts for electronic funds transfer. 
• Sec. 164, Pg. 65 is a payoff subsidized plan for retirees and their families in unions & community organizations (ACORN). 
• Sec. 201, Pg. 72, Lines 8-14 – Government is creating an HC Exchange to bring private plans under government control. 
• Sec. 203, Pg. 84 – Government mandates ALL benefit packages for private Health Care plans in the exchange. 
• Sec. 203, Pg. 85, Line 7 – Specifications of benefit levels for plans means that the government will define your HC plan and has the ability to ration your health care! 
• Sec. 205, Pg. 95, Lines 8-18 – The government will use groups (i.e., ACORN & AmeriCorps) to “inform and educate” (sign up) individuals for government plan. 
• Sec. 205, Pg. 102, Lines 12-18 – Medicaid-eligible individuals will be automatically enrolled in Medicaid. No freedom to choose. 
• Sec. 223, Pg. 124, Lines 24-25 – No company can sue the government for price-fixing. No “administrative of judicial review” against a government monopoly. 
• Sec. 225, Pg. 127, Lines 1-16 – Doctors – the government will tell YOU what you can make. “The Secretary shall provide for the annual participation of physicians under the public health insurance option, for which payment may be made for services furnished during the year.” 
• Sec. 312, Pg. 145, Lines 15-17 – Employers MUST auto-enroll employees into public option plan. 
• Sec. 313, Pg. 149, Lines 16-23 – ANY employer with payroll $400,000 and above who does not provide public option pays 8% tax on all payroll. 
• Sec. 313, Pg. 150, Lines 9-13 – Businesses with payroll between $251,000 and $400,000 who do not provide public option pay 2-6% tax on all payroll. 
• Sec. 401.59B, Pg. 167, Lines 18-23 – ANY individual who does not have acceptable care, according to government, will be taxed 2.5% of income. 
• Sec. 59B, Pg. 170, Line 1 – Any NONRESIDENT alien is exempt from individual taxes. (Americans will pay for their health care.) 
• Sec. 431, Pg. 195, Lines 1-3 – Officers and employees of HC Administration (government) will have access to ALL Americans’ financial and personal records. 
• Sec. 441, Pg. 203, Lines 14-15 – “The tax imposed under this section shall not be treated as tax.” Yes, it says that. 
• Sec. 1121, Pg. 239, Lines 14-24 – The government will limit and reduce physician services for Medicaid. Seniors, low income and poor are the ones affected. 
• Sec. 1121, Pg. 241, Lines 6-8 – Doctors, it does not matter what specialty you have; you’ll all be paid the same. “Service categories established under this paragraph shall apply without regard to the specialty of the physician furnishing the service.” 
• Sec. 1122, Pg. 253, Lines 10-23 – The government “validates work relative value units” (sets value of doctor’s time), professional judgment, methods etc. (defining the value of humans). 
• Sec. 1131, Pg. 265 – Government mandates and controls productivity for private HC industries. “Incorporating Productivity Improvements into Market Basket Updates that Do Not Already Incorporate Such Improvements.” 
• Sec. 1141, Pg. 268 – The government regulates rental and purchase of power-driven wheelchairs. 
• Sec. 1145, Pg. 272 – Treatment of certain cancer hospitals: Cancer patients and their treatment are open to rationing! 
• Sec. 1151, Pg. 280 – The government will penalize hospitals for what government deems preventable re-admissions (incentives for hospital to not treat and release). 
• Sec. 1151, Pg. 298, Lines 9-11 – Doctors, treat a patient during initial admission that results in a readmission and the government will penalize you for that action. 
• Sec. 1156, Pg. 317, Lines 13-20 – “PROHIBITION on physician ownership or Investment.” Government tells doctors what/how much they can own. 
• Sec. 1156, Pg. 317-318, Lines 21-25, 1-3 – “PROHIBITION on Expansion of Facility Capacity.” The government will mandate that hospitals cannot expand (“number of operating rooms or beds”). 
• Sec. 1156, Pg. 321, Lines 2-13 – Hospitals have opportunity to apply for exception BUT community input required. 
• Sec. 1162, Pg. 335-339, Lines 16-25 – The government mandates establishment of outcome-based measures. Rationing. 
• Sec. 1162, Pg. 341, Lines 3-9 – The government has authority to disqualify Medicare Advantage Plans (Part B), HMOs, etc. This will force people into a government plan. “The Secretary may determine not to identify a Medicare Advantage plan if the Secretary has identified deficiencies in the plan’s compliance with rules for such plans under this part.” 
• Sec. 1177, Pg. 354 – Government will RESTRICT enrollment of special needs people! “Extension of Authority of Special Needs Plans to Restrict Enrollment.” 
• Sec. 1191, Pg. 379 – Government creates more bureaucracy – “Telehealth Advisory Committee.” HC by phone or the Internet – dial 1 for your health care advice? 
• Sec. 1233, Pg. 425, Lines 4-12 – Government mandates Advance (Death) Care Planning consultation. Think Senior Citizens and end of life. END-OF-LIFE COUNSELING. SOME IN THE ADMINISTRATION HAVE ALREADY DISCUSSED RATIONING HEALTH CARE FOR THE ELDERLY. 
• Sec. 1233, Pg. 425, Lines 17-19 – Government WILL instruct and consult regarding living wills and durable powers of attorney. Mandatory end-of-life planning! 
• Sec. 1233, Pg. 425-426, Lines 22-25, 1-3 – Government provides approved list of end-of-life resources, guiding you in death. 
• Sec. 1233, Pg. 427, Lines 15-24 – Government mandates program for orders for life-sustaining treatment (i.e. end of life). The government has a say in how your life ends. 
• Sec. 1233, Pg. 429, Lines 1-9 – An “advanced care planning consult” will be used as patient’s health deteriorates. 
• Sec. 1233, Pg. 429, Lines 10-12 – “Advanced Care Consultation” may include an ORDER for end-of-life plans – from the government. 
• Sec. 1233, Pg. 429, Lines 13-25 – The government will specify which Doctors (professional authority under state law includes Nurse Practitioners or Physician’s Assistants) can write an end-of-life order. 
• Sec. 1233, Pg. 430, Lines 11-15 – The government will decide what level of treatment you will have at end of life, according to preset methods (not individually decided). 
• Sec. 1302, Pg. 468, Lines 16-21 – “Community-Based Home Medical Services means a nonprofit community-based or state-based organization.” 
• Sec. 1302, Pg. 472, Lines 14-17 – PAYMENT TO COMMUNITY-BASED ORGANIZATION: One monthly payment to a community-based organization. Like ACORN? 
• Sec. 1308, Pg. 489 – The government will cover Marriage and Family therapy. This will involve government control of your marriage. 
• Sec. 1308, Pg. 494-498 – The government will cover Mental Health Services including defining, creating and rationing those services. 
• Sec. 1401, Pg. 502 – Center for Comparative Effectiveness Research Established. Big Brother is watching how your treatment works.
• Sec. 1401, Pg. 503, Lines 13-19 – The government will build registries and data networks from YOUR electronic medical records. “The Center may secure directly from any department or agency of the United States information necessary to enable it to carry out this section.” 
• Sec. 1401, Pg. 503, Lines 21-25 – The government may secure data directly from any department or agency of the US, including your data. 
• Sec. 1401, Pg. 503, Lines 21-25 – The “Center” will collect data both “published and unpublished” (that means public & your private information). 
• Sec. 1401, Pg. 506, Lines 19-21 – An “Appointed Clinical Perspective Advisory Panel” will advise The Center and recommend policies that would allow for public access of data. 
• Sec. 1401, Pg. 518, Lines 21-25 – The Commission will have input from HC consumer representatives. 
• Sec. 1411, Pg. 524, Lines 18-22 – Establishes the “Comparative Effectiveness Research Trust Fund.” More taxes for ALL.
• Sec. 1441, Pg. 621, Lines 20-25 – The government will define “NEW Quality” measures in HC. Since when does government know about quality? 
• Sec. 1442, Pg. 622, Lines 2-9 – To pay for the Quality Standards, government will transfer money from “qualified entities” (government Trust Funds) to other government Trust Funds. More Taxes. 
• Sec. 1442, Pg. 624, Lines 19-23 – Qualified Entities: “The Secretary shall ensure that the entity is a public, nonprofit or academic institution with technical expertise in the area of health quality measurement.” 
• Sec. 1442, Pg. 623, Lines 5-10 – “Quality” measures shall be designed to assess outcomes and functional status of patients. 
• Sec. 1442, Pg. 623, Lines 15-17 – “Quality” measures shall be designed to profile you, including race, age, gender, place of residence, etc. 
• Sec. 1443, Pg. 628 – The government will give “Multi-Stake Holders” pre-rulemaking input into selection of “quality” measures. 
• Sec. 1443, Pg. 630-31, Lines 9-24, 1-9 – Those Multi-Stake Holder groups include unions and groups like ACORN deciding what constitutes quality. 
• Sec. 1444, Pg. 632, Lines 14-25 – The government may implement any “Quality measure” of HC services that bureaucrats see fit. 
• Sec. 1444, Pg. 632-333, Lines 14-25, 1-9 – The Secretary may issue nonendorsed “Quality Measures” for physician and dialysis services. 
• Sec. 1251 (beginning), Pg. 634 to 652 – “Physician Payments Sunshine Provision” – government wants to shine sunlight on Doctors but not government. “Reports on financial relationships between manufacturers and distributors . . . and between physicians and other health care entities.” 
• Sec. 1501 (beginning), Pg. 659-670 – Doctors in Residency – government will tell you where your residency will be, thus where you’ll live. 
• Sec. 1503 (beginning), Pg. 675-685 – Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals. 
• Sec. 1601 (beginning), Pg. 685-699 – Increased funding to fight waste, fraud, and abuse. (Like the government with an $18 million website?) 
• Sec. 1619, Pg. 700-703 – If your part of HC plan isn’t in the government’s HC Exchange but you qualify for federal aid, you don’t have to pay. 
• Sec. 1128G, Pg. 704-708 – If the Secretary determines there is a “significant risk of fraudulent activity,” on HC provider or supplier, the government can do a background check. 
• Sec. 1632, Pg. 710, Lines 8-14 – The Secretary has broad powers to deny HC providers and suppliers admittance into HC Exchange. Your doctor could be thrown out of business. 
• Sec. 1637, Pg. 718-719 – ANY Doctor who orders durable medical equipment or home medical services is REQUIRED to be enrolled in, or eligible for, Medicare. 
• Sec. 1639, Pg. 721 – Government MANDATES that Doctors must have face-to-face with patient to certify patient for home health services. 
• Sec. 1639, Pg. 723-24, Lines 23-25, 1-5 – The same government certifications will apply to Medicaid and CHIP (Children’s health plan: Your kids). 
• Sec. 1640, Pg. 723, Lines 16-22 – The government reserves right to apply face-to-face certification for patient to ANY other HC service. 
• Sec. 1651, Pg. 734, Lines 16-25 – Proposes, for law enforcement sake, that the Secretary of HHS will give Attorney General access to ALL medical data. 
• Sec. 1701 (beginning), Pg. 739-756 – The government sets guidelines for subsidizing the uninsured (and you have to pay for them). 
• Sec. 1704, Pg. 756-761 – The government will shift burden of payments to Disproportionate Share Hospitals (DSH) to states (your taxes). 
• Sec. 1711, Pg. 764 – The government will require preventative services – including vaccinations (no choice). 
• Sec. 1713, Pg. 768 – Government-determined Nurse Home Visitation Services (Hello union paybacks). 
• Sec. 1713, Pg. 768, Lines 3-5 – Nurse Home Visit Services – Service #1: “Improving maternal or child health and pregnancy outcomes or increasing birth intervals between pregnancies.” Compulsory ABORTIONS? 
• Sec. 1713, Pg. 768, Lines 11-14 – Nurse Home Visit Services include determinations of economic self-sufficiency, employment advancement and school-readiness. 
• Sec. 1714, Pg. 769 – Federal government mandates eligibility for State Family Planning Services. Abortion and government control intertwined. 
• Sec. 1733, Pg. 788-798 – Government will set and mandate drug prices, therefore controlling which drugs are brought to market. (Goodbye innovation and private research.) 
• Sec. 1744, Pg. 796-799 – Establishes PAYMENTS for graduate medical education. The government will now control your doctor’s education. 
• Sec.1751, Pg. 800 – The government will decide which Health Care conditions will be paid. Say “RATION!” 
• Sec. 1759, Pg. 809 – Billing Agents, clearinghouses, or other alternate payees are required to register. The government takes over private payment systems too.
• Sec. 1801, Pg. 819-823 – The Government will identify individuals “likely to be ineligible” for subsidies. Will access all personal financial information.
• Sec. 1802, Pg. 823-828 – Government sets up Comparative Effectiveness Research Trust Fund. Another bottomless tax pit.
• Sec. 4375, Pg. 828-832, Lines 12-16 – Government will impose a fee on ALL private health insurance plans, including self-insured, to pay for Trust Fund!
• Sec. 4377, Pg. 835, Lines 11-13 – Fees imposed by government for Trust Fund shall be treated as if they were taxes.
• Sec. 440, Pg. 837-839 – The government will design and implement Home Visitation Program for families with young kids and families that are expecting children.
• Sec. 1904, Pg. 843-844 – This Home Visitation Program includes the government coming into your house and teaching/telling you how to parent!
• Sec. 2002, Pg. 858 – The government will establish a Public Health Fund at a cost of $88,800,000,000 (That’s Billions).
• Sec. 2201, Pg. 864 – The government will MANDATE the establishment of a National Health Service Corps.
o   Sec. 2201 – “Fulfillment of Obligated Service Requirement”
 
o   Sec. 2201, Pg. 864-875 – The NHS Corps is a program where Doctors perform mandatory HC for 2 years for partial loan repayment.
• Sec. 2212, Pg. 875-891 – The government takes over the education of Medical students and Doctors through education and loans.
• Sec. 340L, Pg. 897 – The government will establish a Public Health Workforce Corps to ensure an adequate supply of public health professionals. 
• Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of civilian employees of the United States as Secretary deems necessary. 
• Sec. 340L, Pg. 897 – The Public Health Workforce Corps shall consist of officers of Regular and Reserve Corps of Service. 
• Sec. 340M, Pg. 899 – The Public Health Workforce Corps includes veterinarians. Will animals have heath care too?
• Sec. 2233, Pg. 909 – The government will develop, build and run Public Health Training Centers. 
• Sec. 2241, Pg. 912-913 – Government starts a HC affirmative action program under the guise of diversity scholarships. 
• Sec. 2251, Pg. 915 – Government MANDATES cultural and linguistic competency training for HC professionals. 
• Sec. 3111, Pg. 931 – The government will establish a Preventative and Wellness Trust fund, with initial cost of $30,800,000,000 (Billions more). 
• Sec. 3121, Pg. 934, Lines 21-22 – Government will identify specific goals and objectives for prevention and wellness activities. More control of your life. 
• Sec. 3121, Pg. 935, Lines 1-2 – The government will develop “Healthy People & National Public Health Performance Standards.” They will tell us what to eat?
• Sec. 3131, Pg. 942, Lines 22-25 – “Task Force on Community Preventive Services.” More government? Under the Offices of Surgeon General, Public Health Services, Minority Health and Women’s Health. 
• Sec. 3141, Pg. 949-979 – BIG GOVERNMENT core public health infrastructure includes workforce capacity, lab systems, health information systems, etc. 
• Sec. 2511, Pg. 992 – Government will establish school-based “health” clinics. Your children will be indoctrinated and your grandchildren may be aborted! 
• Sec. 399Z-1, Pg. 993 – School-Based Health Clinics will be integrated into the school environment. More government brainwashing in school. 
• Sec. 2521, Pg. 1000 – The government will establish a National Medical Device Registry. Will you be tracked?

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