And another gagger bites the dust!
This pile of steaming bullshit was posted in the comments by the illustrious Wes earlier today. I shall dismantle it piece, by bullshitty piece.
Cylenschmuck…Cold hard facts: Page 29. The bill admits on page 29 that your health care will be rationed.
Cy took care of this one.
Page 30: A government committee will decide what treatments and benefits you get.
Yes! A "public/private" committee will be formed to determine the range of services offered. Without a central planning committee, I guess we'd be covering... what, exactly? If you are going to offer coverage, you kinda have to define what you are covering. Otherwise, I could set up my "Ellipses' Fart Therapy Clinic" and collect gubbermint dollas.
Page 58: Every person will be issued a national ID health card.
Wow, so they are going to do EXACTLY WHAT PRIVATE INSURERS DO NOW? Fuck you, batman!
Page 59: The federal government will have direct real-time access to all individual bank accounts for electronic funds transfer.
Well, let's see what it ACTUALLY says?
"The standards under this section shall be developed, adopted and enforced so as to… (C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice"
So, I can pay for services rendered electronically? The same way I pay my water bill, my car insurance, my Amex bill, my student loans, my mortgage, my gas bill, my electric bill, my car payments, and every other fucking expense that I have? Are these people from the fucking future?
Page 239: The bill will reduce physician services for Medicaid, meaning there will be Medicaid cuts.
Medicaid will be folded into the public option. This will be done by phasing out physician services in order to compute costs from 2011 onward. Basically, the only honest thing in this statement is that it's on page 239... but it runs over to page 240, so even that is bullshit.
Page 427: Government mandates program that orders end-of-life treatment. Government dictates how your life ends. The Washington Post read the section, Section 1233 and came to the same disturbing conclusion:
“Ideally, the delicate decisions about how to manage life's end would be made in a setting that is neutral in both appearance and fact. Yes, it's good to have a doctor's perspective. But Section 1233 goes beyond facilitating doctor input to preferring it. Indeed, the measure would have an interested party -- the government -- recruit doctors to sell the elderly on living wills, hospice care and their associated providers, professions and organizations. You don't have to be a right-wing wacko to question that approach.”
The relevant part of this actually starts on page 426:
‘‘(F)(i) Subject to clause (ii), an explanation of
orders regarding life sustaining treatment or similar
orders, which shall include—
‘‘(I) the reasons why the development of
such an order is beneficial to the individual and
the individual’s family and the reasons why
such an order should be updated periodically as
the health of the individual changes;"
which goes onto say:
‘‘(II) the information needed for an indi10
vidual or legal surrogate to make informed deci11
sions regarding the completion of such an
‘‘(III) the identification of resources that
an individual may use to determine the require15
ments of the State in which such individual re16
sides so that the treatment wishes of that indi17
vidual will be carried out if the individual is un18
able to communicate those wishes, including re19
quirements regarding the designation of a sur20
rogate decisionmaker (also known as a health
‘‘(ii) The Secretary shall limit the requirement
for explanations under clause (i) to consultations
furnished in a State—
•HR 3200 IH
‘‘(I) in which all legal barriers have been
addressed for enabling orders for life sustaining
treatment to constitute a set of medical orders
respected across all care settings; and
‘‘(II) that has in effect a program for or6
ders for life sustaining treatment described in
‘‘(iii) A program for orders for life sustaining
treatment for a States described in this clause is a
‘‘(I) ensures such orders are standardized
and uniquely identifiable throughout the State;
‘‘(II) distributes or makes accessible such
orders to physicians and other health profes15
sionals that (acting within the scope of the pro16
fessional’s authority under State law) may sign
orders for life sustaining treatment;
‘‘(III) provides training for health care
professionals across the continuum of care
about the goals and use of orders for life sus21
taining treatment; and
‘‘(IV) is guided by a coalition of stake23
holders includes representatives from emergency
medical services, emergency department physi25
cians or nurses, state long-term care associa-
•HR 3200 IH
tion, state medical association, state surveyors,
agency responsible for senior services, state de3
partment of health, state hospital association,
home health association, state bar association,
and state hospice association.
So, the health care bill offers insurance for periodic revisions of living wills and end of life planning... and mandates that there are trained professionals available to explain why it's good to have a living will. And then, get this, it goes on to require that living wills are verified and honored. Holy fucking Jesus!
Page 429: Advanced care planning consult will be used to dictate treatment as patients' health deteriorates. This can include an order for end-of-life plans. The order will be from the government.
Page 429 requires that an order for "life sustaining treatment" be signed by a physician so that it can "stay with the individual and be followed by health care professionals and providers across the continuum of care..."
And then, it goes on to say that this life sustaining order must "effectively communicates the individual’s preferences regarding life sustaining treatment, including an indication of the treatment and care desired by the individual"
Sorry, Wes... you had a good run at it... you made an entertaining, if not almost kinda close to being somewhat reasonable in a really abstract kinda way-argument. But then, of course, you gagged on a giant cock made of bullshit and dryer lint.
Wow... that was good, if I do say so myself. That was like a smack-down squared... and then cubed just for good measure.
You are welcome.
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