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Oct 19

Healthcare For All Has Become Punishment For All

The following op-ed was written by well respected physician,  Elizabeth Lee Vliet, M.D. In it, Dr. Vliet delineates her vehement opposition to the present healthcare reform.

In the 2008 campaign, we heard healthcare in this country is “broken” and must be “reformed.” We heard “healthcare reform” would be the signature piece of an Obama Presidency. We were promised no new taxes on anyone earning less than $250,000 per year. We heard promises of transparency in government. We heard promises of a White House that would listen to all. Now that President Obama and a Democratic majority are in office, what have we gotten?

The healthcare proposals have become a massive power grab to control your money, your health options, your businesses, your liberty, and ultimately your life. It is not about insuring the poor.We already have Medicaid to cover the poor.

What the Democratic majority is doing to healthcare in this country is a crime. Punishment won’t fall on Congress and the President, who are excluded from the healthcare proposals. Punishment falls on the American people, especially the elderly.

Word of a new “stealth” strategy to ram healthcare “reform” through the Senate raises even more cause for alarm and adds to the crime of this massive power grab. The plan appears to be for Senator Majority Leader Reid to merge the two Senate bills that have passed out of committee, and attach them as an amendment to a House TARP bill, already passed by the House but curiously gathering dust in the Senate. Once the Senate votes on this “TARP” bill with the healthcare amendment tucked neatly inside, the healthcare punishment is a “done deal” without further debate. Such an abuse of power and due process would be an unforgiveable crime against the American people, perpetrated by the very people elected to represent us.

Instead of “health insurance for all,” the House and Senate healthcare bills have become punishment for all. Here is the list of Americans who face the healthcare “reform” punishment:

- Punishment for the sick. Those who have medical expenses each year will no longer beable to deduct those expenses on taxes until the expenses reach 10% of adjusted gross income (AGI). The current deduction is set at expenses above 7.5% of AGI, so the Senate plan now ADDS a 2.5% tax on those who are already paying out of pocket for medical expenses. Clearly, if someone is spending more than 7.5% on medical costs,that person is ill. The Senate bill makes the sick even sicker from the stress of having to pay more taxes!

- Punishment for the elderly. Medicare cuts of 404 BILLION is the latest figure released by the Senate; earlier the White House budget office said $500 Billion – more than a full year’s Medicare budget – would have to be cut from Medicare. How can anyone begin to think these cuts will not penalize the elderly by delaying, rationing, or denying treatment?

- Punishment for young people. Young healthy people who do not buy government mandated insurance will be punished with the form of a excise tax – reported amounts have been from $1900 to $3800 per person.

- Punishment for anyone not paying the excise tax. The IRS fine for non-payment of tax can be $25,000 and a year in jail. So those who are punished by the new tax risk being accused of a tax crime if they don’t buy government-mandated insurance and who don’t pay the penalty tax.

- Punishment for insurance companies. Companies providing “generous health insurance plans” will be hit with a 35% tax.

- Punishment for consumers who buy “generous” health insurance policies, as the tax on insurance companies is passed on to purchasers.

- Punishment for those who buy their own health insurance…a new 40% tax. Does it really make sense to punish the responsible people who take care of their own healthcare bills?

- Punishment for low income seniors, Hispanics, and Blacks who will lose their Medicare Advantage program under the new proposals.

- Punishment for those with Health Savings Accounts – HSAs will be extinct.

- Punishment for specialists who serve mainly elderly patients, such as cardiologists and oncologists. Such specialists are slated to have their reimbursements for services slashed by 44% under the Senate bill.

- Punishment for medical device makers in the form of new taxes (a tax that will be passed on to consumers).

- Punishment for all doctors, who are required to purchase expensive new computersystems and software to convert to Electronic Medical Records to meet the 2014 mandates in the Stimulus Bill.

- Punishment for those who value their medical privacy. The Stimulus Bill requires all physicians, beginning in 2014, to send patients’ medical records directly to the federal health czar without further permission from patients.

- Punishment for all 50 State governments. Already running at a deficit with the recession, State governments face catastrophic increases in costs with Medicaid costs being shifted to them by the Federal government under the new proposals.

- Punishment for everyone, due to Speaker Pelosi’s proposal for a National Sales Tax (also called a VAT) to pay for healthcare reform. This new tax would hit everyone hard in a recession, and would be on TOP of existing state and local sales taxes.

- Punishments for all. All, that is, except the exempted elite: members of Congress, the President and his family, trial lawyers, and Unions (SEIU, AFL-CIO, and others). The exempted elite retain their private care while becoming the very ones who force more taxes, penalties, higher costs as punishment on the rest of us.

This reminds me of the Soviet Union when I visited there in 1974 and 1975. The Soviet ruling elite were the only ones with cars, comfortable apartments…and access to the best healthcare.

I understand at a personal and professional level the perils of government-run healthcare. I have patients in my practice who have come many countries with government run healthcare that doesn’t address women’s unique health needs. I live in a state with a large Native American population, whose healthcare under the Indian Health Service, run by the federal government, has been abysmal. I have personally had an emergency hospitalization in England. I am walking today because I had the best spine surgery care in the world at Johns Hopkins. If I had lived in Britain, or Canada, or Europe and had to wait for MRIs and surgery, I would paralyzed from the neck down.

I will never agree that nationalized healthcare anywhere provides better quality of care than we have in the United States. I am not alone. Recent polls by different organizations have found that 80-90% of M.D.’s and D.O.’s oppose government-controlled healthcare.

Don’t be fooled by the American Medical Associations endorsement of Obamacare. Only 17% of practicing physicians actually belong to the AMA. Last week’s “white coat” photo op at the White House was a carefully selected group of 2008 campaign donors “Doctors for Obama.” They were NOT anymore representative of practicing physicians across this country than the AMA.

The American people should be even more alarmed by a recent Investors Business Daily poll: 45% of doctors who responded said they would retire or resign from medicine rather than practice medicine under government control. Who will take care of patients then?

The proposed healthcare plans are the most massive transfer of power to the executive branch of government that has ever occurred or has even been contemplated. This concentration of power in the executive branch violates the Constitutional requirement for balance of power, and for separation of powers among the Executive, Legislative, and Judicial branches of government.

This crime against the American people is far worse than the Stamp Act levied by King George.

That was the final straw that set off the first American Revolution.

©Elizabeth Lee Vliet M.D. 10-12-2009

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Oct 12

Will Americans Be Heading to Canada For Healthcare If Obamanocare Is Imposed?

Canadians are fed up with their government controlled healthcare system and are seeking a return to privately run one. They are fed up with interminable waits to be evaluated by a physician or receive treatment, restrictions on care received as well as inability to obtain the care, difficulty in extrication from waiting lists and illegality of obtaining private self-paid care. Despite this and worldwide evidence of abysmal failure of socialized on multiple levels, Obama and the Democrats in Congress are relentlessly seeking to impose such a system on the unwilling and outraged American people.

Read: The Revolt Up North

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Oct 1

Passage of Obamanocare Threatens Your Benefits, Choices of Doctors and Plans and Medical Care in General

If Obamanocare is approved by Congress, you will be in for a startling discovery as paraphrased in the parlance of Congressional Democrats:

“'If you've got health insurance, you like your doctors, you like your plan, too f..king bad - you won’t necessarily see your doctor or maybe any doctor, for that matter, for a long time. And forget about your plan, we forced it into bankruptcy by our mandates and pricing policies."

Read: A Future With Fewer Health Benefits

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Sep 17

Physicians Overwhelmingly Oppose Obamanocare Despite What Obama, Congress and the Media Would Have You Believe

Most of the news media, ideological adherents of the more liberal Democrats and staunch supporters of healthcare reform, would have you believe that a majority of physicians are in favor of Obamanocare. They use meretricious arguments with deceptive presentations of information and facts which often are knowingly false just to try to convince the public that doctor support the proposals so you should too.

A common tactic is to cite the AMA’s support of the changes while also speciously informing the public that it is “the association that represents American doctors” or that it is the “primary lobbying association for physicians”. This further “confirms” the public’s misconception of the role and importance of the AMA and adds credence to the posture these presentations are taking.

For most American doctors, the AMA is irrelevant and inconsequential. Despite the high level of importance that the media accords the AMA for purposes of their rhetoric, only 18% of American physicians are members and most belong for purposes other than lobbying. The AMA does some lobbying but that is not its primary purpose and furthermore, there is little physician support behind its positions. Many of the small minority of physicians who were members have been so outraged by the AMA’s public position that they are defecting and cancelling their memberships.

A recent IBD/TIPP Poll of 1376 randomly selected physicians revealed that two thirds opposed the present proposals. Even more significant is that 45% of physicians would consider leaving medicine or retiring early if one of these plans is passed. This extremely high percentage illustrates the immense dissatisfaction that physicians have with the present legislation and the grave consequences that the proposals would have on healthcare in general.

Read: 45% Of Doctors Would Consider Quitting If Congress Passes Health Care Overhaul

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Sep 16

Obama’s Continued Lying and Misrepresentation of the Healthcare Reform Bill

Obama’s healthcare speech delivered before Congress and to millions of Americans watching failed at its attempt to increase public support for the healthcare reform bill. It was, in our opinion, an uninspired rehashing of previous deceptions, lies and impossibilities that are not supported by reality and which contradict the provisions of the bill.

As we have fervently stated before, this legislation just boils down to the liberal ideology that the government knows best and should have complete control of the healthcare sector including unfettered access to medical, tax and financial information. It is not about lowering the total cost of healthcare or making it more affordable.

Anyone with even the most elementary knowledge of economics can tell you that as the price of a service facing an individual decreases, the demand increases. Without getting into the complexities of the differences of the price from the real cost of the service, the bottom line is that overall expenditures will increase disproportionately. To this equation add millions of more patients now desiring to use/overuse healthcare services and you end up with massively increased costs, staggering budget deficits, oppressive taxes to help pay the skyrocketing costs, rationing and poor quality healthcare (just to name a few problems).

Unfortunately, there are countless more dangerous provisions contained within the Obamanocare bill. The article below parses Obama’s address and enumerates several areas where he overtly, irrefutably and intentionally lied.

Read: Speaking Of Misinformation

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Sep 15

Articles of the Day

A Masterpiece Of Charlatanry For The Naïve
By Thomas Sowell

…the charlatan-in-chief, Barack Obama, … speech to a joint session of Congress was both a masterpiece of rhetoric and a shameless fraud.

To tell us, with a straight face, that he can insure millions more people without adding to the already skyrocketing deficit, is world-class chutzpah and an insult to anyone's intelligence.


America's Dim Bulbs
By INVESTOR'S BUSINESS DAILY

Europe's ban on the incandescent light bulb began phasing in this month, and the U.S. will soon follow. Is Thomas Edison to blame for global warming? And why are we exporting green jobs?


British Death Panel
By INVESTOR'S BUSINESS DAILY

Single Payer: In Britain, where the public option is about all most patients get, a newborn has died because national guidelines recommend that the baby not be treated. Yet again, government care produces tragedy.

The mother, Sarah Capewell, reportedly begged doctors to save the baby, who was born 21 weeks and five days into her pregnancy. But guidelines used by Britain's National Health Service say that babies born fewer than 22 weeks into a pregnancy should not be treated.

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Aug 29

Obamacare One Single Payer System – The Musical

The following is a creative and lighthearted musical video on Obamacare and the One Single Payer System.

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Aug 27

A Physician’s Assessment of the Obamanocare Legislation

We wonder how many of our Congressional Representatives and Senators have actually read the Healthcare Reform Bill personally rather than having their staff provide them with a synopsis. If consistent with their previous history of presumptuously not reading legislation that they have written and sponsored (Cap and Trade and Porkulus Spending bills, etc.), we surmise that a majority of Democrats have no clue what is contained in the Obamanocare legislation. Fortunately, many Americans have made the prodigious and heroic effort to scrutinize the bloated and arcane 1017 page bill and what they have uncovered has been shocking to say the least. What has been discovered are provisos that often have nothing to do with healthcare delivery or quality but instead with such inimical dictates as wealth redistribution, affirmative action, rationing, and unwarranted government intrusiveness and control. These are dangerous for America and Americans. We have dissected many of these issues here in previous articles.

The following is a letter to Senator Bayh written by Dr. Stephen Fraser, an Anesthesiologist practicing in Indianapolis, who pored through the entire document and enumerated several areas of concern. Many of these issues have been intentionally and dishonestly denied by Obama, Pelosi and the Congressional Democrats. You can check them out for yourself to vouch for their validity.

July 23, 2009

Senator Bayh,
As a practicing physician I have major concerns with the healthcare bill before Congress. I actually have read the bill and am shocked by the brazenness of the government's proposed involvement in the patient physician relationship. The very idea that the government will dictate and ration patient care is dangerous and certainly not helpful in designing a healthcare system that works for all. Every physician I work with agrees that we need to fix our healthcare system, but the proposed bills currently making their way through congress will be a disaster if passed.

I ask you respectfully and as a patriotic American to look at the following troubling lines that I have read in the bill. You cannot possibly believe that these proposals are in the best interests of the country and our fellow citizens.

Page 22 of the HC Bill: Mandates that the Govt will audit books of all employers that self insure!!

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

Page 29 lines 4-16 in the HC bill: YOUR HEALTH CARE IS RATIONED!!!

Page 42 of HC Bill:The Health Choices Commissioner will choose your HC Benefits for you. You have no choice!

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

Page 58 HC Bill: Govt will have real-time access to individuals finances & a National ID Healthcard will be issued!

Page 59 HC Bill lines 21-24: Govt will have direct access to you ur banks accounts for elective funds transfer.

Page 65 Sec 164: is a payoff subsidized plan for retirees and their families in Unions & community organizations: (ACORN).

Page 84 Sec 203 HC bill: Govt mandates ALL benefit packages for private HC plans in the Exchange.

Page 85 Line 7 HC Bill: Specifications for of Benefit Levels for Plans = The Govt will ration your Healthcare!

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

Page 95 HC Bill Lines 8-18: The Govt will use groups i.e., ACORN & Americorps to sign up individuals for Govt HC plan.

Page 85 Line 7 HC Bill: Specifications of Benefit Levels for Plans. AARP members - your Health care WILL be rationed.

Page 102 Lines 12-18 HC Bill: Medicaid Eligible Individuals will be automatically enrolled in Medicaid. No choice.

Page 124 lines 24-25 HC: No company can sue GOVT on price fixing. No "judicial review" against Govt Monopoly.

Page 127 Lines 1-16 HC Bill: Doctors/ American Medical Association - The Govt will tell YOU what you can make! (salary)

Page 145 Line 15-17: An Employer MUST auto enroll employees into public option plan. NO CHOICE!

Page 126 Lines 22-25: Employers MUST pay for HC for part time employees AND their families.

Page 149 Lines 16-24: ANY Employer with payroll 401k & above who does not provide public option pays 8% tax on all payroll.

Page 150 Lines 9-13: Business's with payroll btw 251k & 401k who doesn't provide public option pays 2-6% tax on all payroll.

Page 167 Lines 18-23: ANY individual who doesn't have acceptable HC according to Govt will be taxed 2.5% of income.

Page 170 Lines 1-3 HC Bill: Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay)

Page 195 HC Bill: Officers & employees of HC Admin (GOVT) will have access to ALL Americans finances /personal records.

Page 203 Line 14-15 HC: "The tax imposed under this section shall not be treated as tax" Yes, it says that!

Page 239 Line 14-24 HC Bill: Govt will reduce physician services for Medicaid Seniors, low income and poor are affected.

Page 241 Line 6-8 HC Bill: Doctors, doesn't matter what specialty you have, you'll all be paid the same!

Page 253 Line 10-18: Govt sets value of Doctor's time, proffession, judgment etc. Literally value of humans.

Page 265 Sec 1131: Govt mandates & controls productivity for private HC industries.

Page 268 Sec 1141: Federal Govt regulates rental & purchase of power driven wheelchairs.

Page 272 SEC. 1145: TREATMENT OF CERTAIN CANCER HOSPITALS - Cancer patients - welcome to rationing!

Page 280 Sec 1151: The Govt will penalize hospitals for whatever Govt deems preventable re-admissions.

Page 298 Lines 9-11: Doctors, treat a patient during initial admission that results in a re-admission -Govt will penalize you.

Page 317 L 13-20: PROHIBITION on ownership/investment. Govt tells Doctors what/how much they can own!

Page 317-318 lines 21-25, 1-3: PROHIBITION on expansion- Govt is mandating hospitals cannot expand.

Page 321 2-13: Hospitals have opportunity to apply for exception BUT community input is required. Can u say ACORN?!!

Page 335 L 16-25 Pg 336-339: Govt mandates establishment of outcome based measures. HC the way they want. Rationing.

Page 341 Lines 3-9: Govt has authority to disqualify Medicare Advance Plans, HMOs, etc. Forcing people into Govt plan.

Page 354 Sec 1177: Govt will RESTRICT enrollment of Special needs people! Unbelievable!

Page 379 Sec 1191: Govt creates more bureaucracy - Tele-health Advisory Comittee. Can you say HC by phone?

Page 425 Lines 4-12: Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life patients.

Page 425 Lines 17-19: Govt will instruct & consult regarding living wills, durable powers of attorney. Mandatory!

Page 425 Lines 22-25, 426 Lines 1-3: Govt provides approved list of end of life resources, guiding you in death. (assisted suicide)

Page 427 Lines 15-24: Govt mandates program for orders for end of life. The Govt has a say in how your life ends.

Page 429 Lines 1-9: An "advanced care planning consultant" will be used frequently as patients health deteriorates.

Page 429 Lines 10-12: "advanced care consultation" may include an ORDER for end of life plans. AN ORDER from GOVT!

Page 429 Lines 13-25: The govt will specify which Doctors can write an end of life order.

Page 430 Lines 11-15: The Govt will decide what level of treatment you will have at end of life!

Page 469: Community Based Home Medical Services = Non profit organizations. Hello, ACORN Medical Services here!!?

Page 472 Lines 14-17: PAYMENT TO COMMUNITY-BASED ORIGINATION. 1 monthly payment 2 a community-based organization. Like ACORN?

Page 489 Sec 1308: The Govt will cover Marriage & Family therapy. Which means they will insert Govt into your marriage.

Page 494-498: Govt will cover Mental Health Services including defining, creating, rationing those services.

I guarantee that I personally will do everything possible to inform patients and my fellow physicians about the dangers of the proposed bills you and your colleagues are debating.

Furthermore, if you vote for a bill that enforces socialized medicine on the country and destroys the doctor/patient relationship, I will do everything in my power to make sure you lose your job in the next election.
Respectfully,

Stephen E Fraser MD

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Aug 22

The Government Isn’t Always the Solution

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Aug 21

Obama’s Habitual Lying and Distortions Indefensible: Maliciously Attacking Doctors Part II

Once again Obama is gratuitously attacking physicians asserting that greed motivates their decision-making. In his latest intentional deception, he claimed that family care physicians collect “$30,000, $40,000, $50,000” for amputations while the reimbursement for cognitive services such as assisting patients in weight loss, dieting and monitoring their medications is “a pittance”.

In actuality, Medicare reimburses a surgeon between $541 and $708 for a foot amputation. This intentional deception designed for political points is so egregious, irresponsible, and depraved that the President should be thoroughly rebuked for it. Aside from a few medical organizations that took offense and issued statements, the mainstream news media accepted it as dogma. The effect is that many of the public who are uninformed in such matters may be swayed by such baseless screed.

This is a President who will confabulate the most outrageous statements just for political points. This is despicably immoral and must be vigorous, loudly and inexorably challenged.

Read: Surgeons Rebuke Obamas $50k Per Amputation Claim, Media Mum

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