Obama Promises Based On Lies

 Read the ACA Bill

"No matter how we reform health care, we will keep this promise to the American people. If you like your doctor, you will be able to keep your doctor, period. If you like your health care plan, you'll be able to keep your health care plan, period. No one will take it away, no matter what." - President Barack Obama

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Obama Family Feud Show

Richard Dawson says, "100 people surveyed - there's six top answers on the board - you have to try get the top answer!"...."Here's the question!.... What did Obama say after he heard people hate his Obamacare?" -- "And Survey sez?..."

Two Cover-Up Experts look alike.The President of the United States lied, lied, lied. The Obamacare sign-up period will prove out the "death spiral" theory. Since there's not more young, well and healthy individuals who will sign up to pay for the older, sicker population it will implode, collapse and die as a nonviable health care system. In addition, many of these young people are signing up for medicaid insurance coverage offered free to them and these costs add to the deficits further. 

This is a U.S. government takeover of 1/6 of the American economy. It is reported most middle-class income earners between $30K to $60K will automatically lose their health insurance coverage and replaced with higher deductibles, out-of-pocket co-pays and unneeded coverage options. Furthermore, they can lose their present hospitals and doctors too.

Dr. Ezekiel Emanuel, is the principal architect of the Affordable Care Act. The very highly touted 'grandfather clause' is so narrow that if an insurance company changes a co-pay by more than $5 over the course of the three years since 2010, it’s no longer 'grandfathered' in. On the Mike Wallace Sunday Show, Dr. Emanuel said, "[$5], That’s usually a 25% change," adding, “That’s a big change…You have to ask the question: how many planks do you change in a boat before it’s a different boat? That’s the same thing here: we had a plan, we argued about it.” “You didn’t tell the American people,” Wallace said. “You said, if this plan is in effect until March of 2010, you can keep it.” “That’s what it said!” Emanuel said. “That’s how we fulfilled that pledge.”  It sure sounds like another 'ommission'.

Like so many people on the internet I receive a lot of well intended messages from friends that contain totally erroneous facts and claims and empty baseless rumours. Below, I have cut and paste one with its "wild claims" about Obamacare, the ACA, just as it was sent to me.

>>

>>This is only the

>>tip of the iceberg for Obama Care. Just wait to see what happen in this
>> year and
>> 2014!
>>
>> YOU ARE NOT GOING TO LIKE THIS... At age 76 when you most need it most,
>> you are not eligible for cancer treatment * see page 272.

     

As you will readily see, my email friend was not really that far off at all. This bill is indeed not only screwed up at the website, but the bill is a mess, to be polite, without throwing out the "F" bomb to really describe it and how I feel about it.

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I researched the official U.S. Government site of the "2010 Affordable Care Act - H.R. 3590" on page 272 and 273. The actual text is below, with key passages "Italicised and underlined" for emphasis on core points.  The "Bold print lines" show my analysis of those points so as to clarify 'odd' wording and 'ambigious' phrases, all designed to completely confound and confuse the 'ordinary folk' who attempt to make sense of its premeditated deception. Obama and his partisan lawmakers wrote it up this way because they assumed, correctly, that the people would be extremely upset once the actual facts came into the light of day. The fact is that the real truth is the ultimate standard to test this new tax law.

Patient Protection and Affordable Care Act

H.R. 3590

H. R. 3590—Pg. 272

‘‘(b) TESTING OF MODELS(PHASE I)

‘‘(1) IN GENERAL.—The CMI, Center for Medicare/Medicaid Innovation, shall test payment and service delivery models, look at doctor fee against service provided, in accordance with selection criteria, allowable procedures menu, under paragraph (2) to determine the effect of applying such models under the applicable title (as defined in subsection (a)(4)(B)), not doctor but board - determines whether necessary or not to save medical costs or worth it on patients due to age or outcome prognosis projection, on program expenditures under such titles and the quality of care received by individuals receiving benefits under such title.

‘‘(2) SELECTION OF MODELS TO BE TESTED.—‘‘(A) IN GENERAL.—The Secretary shall select models to be tested from models where the Secretary determines that there is evidence that the model addresses a "defined population for which there are deficits in care leading to poor clinical outcomes" or potentially avoidable expenditures. Death panels reject medical care for elderly to avoid costs. The models selected under the preceding sentence may include the models described in subparagraph (B).

‘‘(B) OPPORTUNITIES.—The models described in this subparagraph are the following models:

‘‘(i) Promoting broad payment and practice reform in primary care, including patient-centered medical home models for high-need applicable individuals, medical homes that address women’s unique health care needs, and models that transition primary care practices away from fee-for-service based reimbursement and toward comprehensive payment or salary-based payment. Push out high need patients, women as a whole category with "female problems" and take away personal one-on-one physician care  (fee for service) towards a salary-based (flat rate overall group care fee) with nurse assistants and medical technicians. 

‘‘(ii) Contracting directly with groups of providers of services and suppliers to promote innovative care delivery models, such as through risk-based comprehensive payment or salary-based payment.‘‘ Doing away with physicians and replace contracting directly with groups of technicians and assistances to conduct tests and assessments as needed. (iii) Utilizing geriatric assessments and comprehensive care plans to coordinate the care (including through interdisciplinary teams) of applicable individuals with multiple chronic conditions and at least one of the following:‘‘(I) An inability to perform 2 or more activities of daily living.‘‘(II) Cognitive impairment, including dementia.

‘‘(iv) Promote care coordination between providers of services and suppliers that transition health care providers away from fee-for-service based reimbursement and toward salary-based payment.‘‘ Move care from Doctors to group assistances and technicians. (v) Supporting care coordination for chronically-ill applicable individuals at high risk of hospitalization through a health information technology-enabled provider network that includes care coordinators, a chronic disease registry, and home tele-health technology.‘‘(vi) Varying payment to physicians who order advanced diagnostic imaging services (as defined in section 1834(e)(1)(B)) according to the physician’s adherence to appropriateness criteria for the ordering of such services, as determined in consultation with physician specialty groups and other relevant stakeholder. Death panels determine which procedure a doctors will be paid for and control the doctor by "varying payment" - a hidden meaning: "Pay little" for your necessary test.

H. R. 3590—Pg. 273

‘‘(vii) Utilizing medication therapy management services, such as those described in section 935 of the Public Health Service Act. ‘‘(viii) Establishing community-based health teams to support small-practice medical homes by assisting the primary care practitioner in chronic care management, including patient self-management, activities. ‘‘(ix) Assisting applicable individuals in making informed health care choices by paying providers of services and suppliers for using patient decision-support tools, including tools that meet the standards developed and identified under section 936(c)(2)(A) of the Public Health Service Act, that improve applicable individual and caregiver understanding of medical treatment options. Since you have no doctors, management service personnel tell what patients get with their limited choice of services to keep costs down that were developed and decided by the death panels.‘‘(x) Allowing States to test and evaluate fully integrating care for dual eligible individuals in the State, including the management and oversight of all funds under the applicable titles with respect to such individuals. ‘‘(xi) Allowing States to test and evaluate systems of all-payer payment reform for the medical care of residents of the State, including dual eligible individuals. ‘‘(xii) Aligning nationally recognized, evidence based guidelines of cancer care with payment incentives under title XVIII in the areas of treatment planning and follow-up care planning for applicable individuals described in clause (i) or (iii) of subsection (a)(4)(A) with cancer, including the identification of gaps in applicable quality measures.‘‘ Telling Cancer patients what they get and not get if it costs too much or if you don't have any "real good" chance anyway according to the death panels they won't waste treatment on you. (xiii) Improving post-acute care through continuing care hospitals that offer inpatient rehabilitation, long-term care hospitals, and home health or skilled nursing care during an inpatient stay and the 30 days immediately following discharge. The post-acute hospital long-care quality and staff are limited by time and quality care guidelines. ‘‘(xiv) Funding home health providers who offer chronic care management services to applicable individuals in cooperation with interdisciplinary teams. ‘‘(xv) Promoting improved quality and reduced cost by developing a collaborative of high-quality, low-cost health care institutions that is responsible for—‘‘(I) developing, documenting, and disseminating best practices and proven care methods; ‘‘(II) implementing such best practices and proven care methods within such institutions to demonstrate further improvements in quality and efficiency; and ‘‘(III) providing assistance to other health care institutions on how best to employ such best practices and proven care methods to improve health care quality and lower costs. ‘‘ Further limit patient health care. (xvi) Facilitate inpatient care, including intensive care, of hospitalized applicable individuals at their local hospital through the use of electronic monitoring by specialists, including intensivists and critical care specialists, based at integrated health systems. Eliminate entirely the doctor-patient relationship for video monitoring and remote equipment telemetry.