Tag Archives: Kathleen Sebelius

ObamaCare provision empowers Bureaucrats to decide who lives and who dies

In 2015, yet another unheralded and draconian provision of the Affordable Care Act will provide bureaucrats the power of life and death over the American people.

Allow me to introduce TITLE I, Subtitle D, PART II, Section 1311, (h) QUALITY IMPROVEMENT, (1) ENHANCING PATIENT SAFETY, (B). This portion states that: “Beginning on January 1, 2015, a qualified health plan may contract with—a health care provider only if such provider implements such mechanisms to improve health care quality as the Secretary may by regulation require.”

As per the Federal Register of December 2, 2013, applicable rules are now being created. Inasmuch as “quality” can encompass virtually anything, the Feds will be able to dictate, down to the most minute detail, how health care is to be delivered in the US. And, who better to work this out than abortion fanatic and soulless bureaucrat Kathleen Sebleius, aided and abetted by the ghoulish Dr. Ezekiel Emanuel and powered by ideas from Dr. Donald Berwick, former Administrator of the Centers for Medicare and Medicaid Services.

It is only a bit of an exaggeration to say that these two physicians exhibit the bedside manner of Josef Mengele, but I’ll let you decide.

Betsy McCaughey offers up some sound bites in a recent New York Post article…

On Emanuel: Early on, he suggested that doctors take the Hippocratic Oath too seriously “as an imperative to do everything for the patient regardless of the cost or effects on others.”

His point was that so long as doctors are in charge, cost control would not be possible. “Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality of care are merely lipstick cost control,” he said, “more for show and public relations than true change.”

On Berwick: [He] insisted the federal government must step in between doctors and their patients to curb and redistribute the use of medical resources. Berwick said resources should be allocated based on “important subgroups.” These groups, rather than the individual patient in the doctor’s office, he said, should be the “unit of concern.”

Ah, yes. The typical liberal mindset, whereby they care deeply about humanity, but not so much about individual humans. Berwick has re-written that passage from Matthew, “Amen, I say to you, whatever you did for one of these important subgroups of mine, you did for me.”

Or as McCaughey puts it: “In other words, these considerations are more important than what your doctor decides for you. So if you want to get the treatment your doctor suggests, you’d better hope you’re in the right demographic.”

McCaughey also reminds us that Obama said, “You’re not going to have anybody getting in between you and your doctor in your decision making.”

So much for the mendacity, consider the ironies. We should trust the Feds, who are so incompetent that they can’t even create a functional website with more than $600 million, with the very details of our health care. But here’s what is even more pathetic: In the name of “savings” on health care, they will waste countless lives and spend hundreds of billions of dollars. Talk about your brood of vipers.

As I have stated before, there is simply not enough money in the world to finance a system based on a disease care rather than a health care model. And, contrary to the good Dr. Emanuel, all attempts at cost-cutting in this paradigm are merely “lipstick cost control” when one looks at the big picture. The only question is how many will die needlessly before Sebelius and company figure that out.

Bureaucrats To The Rescue

It has been pointed out–by individuals who are hardly socialists–that a for-profit health care system will be fraught with untold conflicts of interest, most of which can only be resolved after the fact, rather than be prevented.  A recent example is the unconscionable overuse of cardiac stents.

As reported last September by Bloomberg, half of elective surgeries to implant cardiac stents may be unnecessary and are inadvertently causing patient deaths.  Replete with bona fide horror stories, the Bloomberg piece quotes Nortin Hadler, a professor of medicine at the University of North Carolina at Chapel Hill:

“Stenting belongs to one of the bleakest chapters in the history of Western medicine.  Cardiologists are marching on because the interventional cardiology industry has a cash flow comparable to the GDP of many countries and doesn’t want to lose it.”

And now comes a study just published in the New England Journal of Medicine entitled “Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear.”  Here’s the astonishing conclusion:  “In this trial involving patients without knee osteoarthritis but with symptoms of a degenerative medial meniscus tear, the outcomes after arthroscopic partial meniscectomy were no better than those after a sham surgical procedure.”

As noted by our friends at the American Council on Science and Health…

This type of knee surgery is the most common orthopedic procedure performed in the U.S., done about 700,000 times at a cost of about $4 billion.  One year after the surgery or sham, objectively recorded patient perceptions revealed no significant difference between the two groups: each on average felt quite well and would choose the “same procedure” again, even if they were told they had had the “pretend” one.

Surely, there are many other examples of such abuse that could be counted up.  So, what is the remedy?  As established more than 100 years ago by Teddy Roosevelt, the answer is government regulation, of course.  Which brings us to yet another unheralded and wide-open, nay, draconian provision of Obamacare.  Possibly, you missed it among the more than 374,000 words of the bill.

Allow me to introduce TITLE I, Subtitle D, PART II, Section 1311, (h) QUALITY IMPROVEMENT, (1) ENHANCING PATIENT SAFETY, (B).  This portion states that:

“Beginning on January 1, 2015, a qualified health plan may contract with-a health care provider only if such provider implements such mechanisms to improve health care quality as the Secretary may by regulation require.”

As per the Federal Register of December 2, 2013, applicable rules are now being created.  Inasmuch as “quality” can encompass virtually anything, the Feds will be able to dictate, down to the most minute detail, how health care is to be delivered in the US.  And, who better to decide than abortion fanatic and soulless bureaucrat Kathleen Sebelius, aided and abetted by the ghoulish Dr. Ezekiel Emanuel and powered by ideas from Dr. Donald Berwick, former Administrator of the Centers for Medicare and Medicaid Services.

It is only a bit of an exaggeration to say that these two physicians exhibit the bedside manner of Josef Mengele, but I’ll let you decide.

Betsy McCaughey offers up some sound bites in a recent New York Post article…

On Emanuel:  Early on, he suggested that doctors take the Hippocratic Oath too seriously “as an imperative to do everything for the patient regardless of the cost or effects on others.”

His point was that so long as doctors are in charge, cost control would not be possible.  “Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality of care are merely lipstick cost control,” he said, “more for show and public relations than true change.”

On Berwick:  [He] insisted the federal government must step in between doctors and their patients to curb and redistribute the use of medical resources.  Berwick said resources should be allocated based on “important subgroups.”  These groups, rather than the individual patient in the doctor’s office, he said, should be the “unit of concern.”

Ah, yes.  The typical liberal mindset, whereby they care deeply about humanity, but not so much about individual humans.  How appropriate for the Christmas season.  Berwick has re-written that passage from Matthew, “Amen, I say to you, whatever you did for one of these important subgroups of mine, you did for me.”

Or as McCaughey puts it:  “In other words, these considerations are more important than what your doctor decides for you.  So if you want to get the treatment your doctor suggests, you’d better hope you’re in the right demographic.”

McCaughey also reminds us that Obama said, “You’re not going to have anybody getting in between you and your doctor in your decision making.”

So much for the mendacity, consider the ironies.  We should trust the Feds, who are so incompetent that they can’t even create a functional website with more than $600 million, with the very details of our health care.  But here’s what is even more pathetic:  In the name of “savings” on health care, they will waste countless lives and spend hundreds of billions of dollars.  Talk about your brood of vipers.

As I have stated before, there is simply not enough money in the world to finance a system based on a disease care rather than a health care model.  And, contrary to the good Dr. Emanuel, all attempts at cost-cutting in this paradigm are merely “lipstick cost control” when one looks at the big picture.  The only question is how many will die needlessly before Sebelius and company figure that out.

Accomplished liar Kathleen Sebelius breaks pledge to Issa Committee, changes ObamaCare rules

by Doug Book,  editor

On December 11th, HHS head Kathleen Sebelius told Darrell Issa’s House Government Oversight Committee that 365,000 had enrolled in ObamaCare. Later on during the hearing, this conversation took place between Sebelius and Representative Michael Burgess (R) of Texas concerning the definition of “enrolled”: 

Burgess: What if that patient doesn’t make the premium payment? You said they’re covered Dec. 23, but they never write the check. They never make the payment.

Sebelius: Then they’re not covered. They are not enrolled, and at every point along the way, on the website they are told until they make the payment—   (1)

Sebelius repeated this claim to the Committee often and without hesitation–if a “customer” has not paid, they are not covered.

Oh, what a difference a day makes! Twenty four hours after giving this assurance to Rep. Burgess, Sebelius once again changed the Affordable Care Act and moved the goal posts, ALL in the name of politics. December 23rd is no longer the date by which payment must be made by ObamaCare enrollees to their insurance provider. Instead, the HHS boss stated that “…insurance companies MUST accept payments through December 31…for health care coverage that begins the next day, Jan. 1.” (2)

And by the way, she is also “urging” insurance providers to “…give consumers additional time to pay their first month’s premium and still have coverage beginning Jan. 1, 2014.” (2) Urging. That’s like the IRS “urges” Americans to pay their taxes by April 15. Just sort of a pointed suggestion, but of course you’re welcome to do otherwise if the spirit moves you.

So the Regime ignores the written provisions of its own Affordable Care Act and places more and more pressure on insurance companies to foot the bill for any changes, all for the purpose of placating voters. Healthcare insurance coverage must be provided on January 1st for a policy enrollee who claims he mailed in the check for his payment one day earlier. And even if he hasn’t paid by the middle of January, insurers are “urged” to provide coverage anyhow! What are the odds these insurance providers will actually be reimbursed by the Regime for losses incurred thanks to Kathleen’s “urging?”

The Regime takeover of America’s insurance industry is designed to destroy private insurers as it paves the way to single payer and complete federal control. The question is whether participating companies–and there really aren’t that many nationwide–will behave like Republicans by going along in order to get along, HOPING all the while that they will receive fair treatment at the hands of the radical left. We’ve seen how well that has worked out for the GOP so far.

Here’s hoping insurers aren’t stupid enough to believe that anything written on paper or promised by Barack Obama will save them from the most corrupt Administration in history.

We’ll find out very soon.

And as always, thanks a heap Chief Justice Roberts.

Sources:

(1) http://cnsnews.com/news/article/melanie-hunter/sebelius-you-re-not-covered-under-obamacare-until-you-pay

(2) http://cnsnews.com/news/article/susan-jones/sebelius-urging-insurers-cover-people-who-havent-paid#sthash.66KT5Eyt.dpuf

Nation’s best hospitals likely to refuse treatment to ObamaCare patients

by Doug Book,  editor

In July, Coach is Right reported that the Affordable Care Act saw to it that the nation’s best, doctor-owned hospitals would be forced to close. And now it appears that the favor is being returned as most of the nation’s top commercial hospitals will either refuse to accept ObamaCare patients, or “…accept insurance from just one or two companies operating under Obamacare.”  (1)

It seems Kathleen Sebelius’ Health and Human Services Department went too strong in demanding insurance companies participating in ObamaCare cap their premiums. After all, prospective insureds must be able to afford premiums on the policies Obamacare is forcing them to buy.

Well that has not come to pass, as the many stories of “sticker shock” have made clear. And in its attempts to intimidate insurance providers into quoting lower prices, the HHS has succeeded only in causing them to create policies which will pay “…top-tier doctors and hospitals far less cash for services rendered.” In short, something has to give if the Aetnas and Cignas are to remain profitable while cutting premiums on the many cadillac policies demanded by ObamaCare. And that something will be the fee for services paid to doctors and hospitals. (1)

But not to worry. For should Democrats have their way, hospitals may be forced into treating ALL patients, regardless of their insurance coverage.

Kathleen Murray, a Democrat running for the Virginia House of Delegates, believes doctors should be FORCED to treat Medicare and Medicaid patients. “Forced by Government Decree” that is, even if the pittance paid by the federal government does not cover the cost of the doctor’s time and services. And if doctors are to be made slaves to the State, will hospitals or clinics be far behind?  (2)

Thank you Mr. Obama, for a Marxist plan which is guaranteed to force doctors into retirement (if it is permitted) as the demands of an ever increasing number of patients are ignored.

Could it be that this was the principle purpose of the ObamaCare scheme all along? That is, cause such panic on the part of Americans that they will accept ANY “cure” offered by Big Brother! Single payer, for instance!

Sources:

(1) http://health.usnews.com/health-news/hospital-of-tomorrow/articles/2013/10/30/top-hospitals-opt-out-of-obamacare

(2) http://masonconservative.typepad.com/the_mason_conservative/2013/11/virginia-democrat-calls-for-forcing-doctors-to-accept-medicare-and-medicaid-patients.html

http://www.coachisright.com/obamacare-deliberately-shuts-down-the-nations-best-hospitals/

 

 

 

Sure we can fix healthcare.gov…No problem

If I were a masochist, I would detail here all the insider corruption involved with the Obamacare rollout. To preserve my sanity, I offer only a taste…

CGI, the largest contractor, has ties to Michelle Obama, and that must make up for their often abysmal performance in other jobs. Due diligence, what’s that?

The company now charged with fixing the unholy mess that is healthcare.gov—QSSI—was already part of the project, and by most accounts has done a good job. Nonetheless, the fact that it was purchased by United Health Group in September 2012, months after it was picked by the Department of Health and Human Services to help set up the Affordable Care Act Web site, does strike one as being a massive conflict of interest.

But, give QSSI its due. Here’s the problem: To fix this shambles will require almost supernatural cooperation among the vendors, to say nothing of the Centers for Medicare & Medicaid Services (CMS), which formerly was acting as its own systems integrator. BTW–no one seemed to care that financial disclosure forms for the current head of CMS, Marilyn Tavenner, showed that she is getting a $163,000 annual pension for life from her former company, Hospital Corp. of America, a firm whose profits have gone through the roof under Obamacare.

Back to that supernatural cooperation. CMS, still at the very center of any fix, is no longer the systems integrator, and former top dog CGI will now be taking orders from a smaller vendor. In other words, it’s all the same people, now acting in completely different roles. What could possibly go wrong?