Вот он, красавЕц наш, проект реформы здравоохранения, в настоящее время находящийся на рассмотрении в конгрессе: http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.pdf
Понятно, что скорее всего в таком виде он не пройдет, а может и вообще получит полный отлуп от конгрессменов, но сам проект стоит того, чтобы обратить на него самое серьезное внимание. Пока не поздно.
В законопроекте свыше тысячи страниц и написан он очень обтекаемым языком, поэтому я процитирую выдержки из него, переведенные с бюрократического языка на простой английский:
Peter Fleckstein (aka Fleckman) is reading it and has been posting on Twitter his findings. This is from his postings (Note: All comments are Fleckman's)
Pg 22 of the HC Bill MANDATES the Govt will audit books of ALL EMPLOYERS that self insure!!
Pg 30 Sec 123 of HC bill - THERE WILL BE A GOVT COMMITTEE that decides what treatments/benes u get
Pg 29 lines 4-16 in the HC bill - YOUR HEALTHCARE IS RATIONED!!!
Pg 42 of HC Bill - The Health Choices Commissioner will choose UR HC Benefits 4 you. U have no choice!
PG 50 Section 152 in HC bill - HC will be provided 2 ALL non US citizens, illegal or otherwise
Pg 58HC Bill - Govt will have real-time access 2 individs finances & a National ID Healthcard will b issued!
Pg 59 HC Bill lines 21-24 Govt will have direct access 2 ur banks accts 4 elect. funds transfer
PG 65 Sec 164 is a payoff subsidized plan 4 retirees and their families in Unions & community orgs (ACORN).
Pg 72 Lines 8-14 Govt is creating an HC Exchange 2 bring priv HC plans under Govt control.
PG 84 Sec 203 HC bill - Govt mandates ALL benefit pkgs 4 priv. HC plans in the Exchange
PG 85 Line 7 HC Bill - Specs for of Benefit Levels for Plans = The Govt will ration ur Healthcare!
PG 91 Lines 4-7 HC Bill - Govt mandates linguistic approp svcs. Example - Translation 4 illegal aliens
Pg 95 HC Bill Lines 8-18 The Govt will use groups i.e., ACORN & Americorps 2 sign up indiv. for Govt HC plan
PG 85 Line 7 HC Bill - Specs of Ben Levels 4 Plans. #AARP members - U Health care WILL b rationed
-PG 102 Lines 12-18 HC Bill - Medicaid Eligible Indiv. will b automat.enrolled in Medicaid. No choice
pg 124 lines 24-25 HC No company can sue GOVT on price fixing. No "judicial review" against Govt Monop
pg 127 Lines 1-16 HC Bill - Doctors/ #AMA - The Govt will tell YOU what u can make.
Pg 145 Line 15-17 An Employer MUST auto enroll employees into pub opt plan. NO CHOICE
Pg 126 Lines 22-25 Employers MUST pay 4 HC 4 part time employees AND their families.
Pg 149 Lines 16-24 ANY Emplyr w payroll 400k & above who does not prov. pub opt. pays 8% tax on all payroll
pg 150 Lines 9-13 Biz w payroll btw 251k & 400k who doesnt prov. pub. opt pays 2-6% tax on all payroll
Pg 167 Lines 18-23 ANY individual who doesnt have acceptable HC accrdng 2 Govt will be taxed 2.5% of inc
Pg 170 Lines 1-3 HC Bill Any NONRESIDENT Alien is exempt from indiv. taxes. (Americans will pay)
Pg 195 HC Bill -officers & employees of HC Admin (GOVT) will have access 2 ALL Americans finan/pers recs
PG 203 Line 14-15 HC - "The tax imposed under this section shall not be treated as tax" Yes, it says that
Pg 239 Line 14-24 HC Bill Govt will reduce physician svcs 4 Medicaid. Seniors, low income, poor affected
Pg 241 Line 6-8 HC Bill - Doctors, doesnt matter what specialty u have, you'll all be paid the same
PG 253 Line 10-18 Govt sets value of Dr's time, prof judg, etc. Literally value of humans.
PG 265 Sec 1131Govt mandates & controls productivity for private HC industries
PG 268 Sec 1141 Fed Govt regulates rental & purchase of power driven wheelchairs
PG 272 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS - Cancer patients - welcome to rationing!
Page 280 Sec 1151 The Govt will penalize hospitals 4 what Govt deems preventable readmissions.
Pg 298 Lines 9-11 Drs, treat a patient during initial admiss that results in a readmiss-Govt will penalize u.
Pg 317 L 13-20 OMG!! PROHIBITION on ownership/investment. Govt tells Drs. what/how much they can own.
Pg 317-318 lines 21-25,1-3 PROHIBITION on expansion- Govt is mandating hospitals cannot expand
pg 321 2-13 Hospitals have oppt to apply for exception BUT community input required. Can u say ACORN?!!
Pg335 L 16-25 Pg 336-339 - Govt mandates estab. of outcome based measures. HC the way they want. Rationing
Pg 341 Lines 3-9 Govt has authority 2 disqual Medicare Adv Plans, HMOs, etc. Forcing peeps in2 Govt plan
Pg 354 Sec 1177 - Govt will RESTRICT enrollment of Special needs ppl! WTF. My sis has down syndrome!!
Pg 379 Sec 1191 Govt creates more bureaucracy - Telehealth Advisory Cmtte. Can u say HC by phone?
PG 425 Lines 4-12 Govt mandates Advance Care Planning Consult. Think Senior Citizens end of life
Pg 425 Lines 17-19 Govt will instruct & consult regarding living wills, durable powers of atty. Mandatory!
PG 425 Lines 22-25, 426 Lines 1-3 Govt provides apprvd list of end of life resources, guiding u in death
PG 427 Lines 15-24 Govt mandates program 4 orders 4 end of life. The Govt has a say in how ur life ends
Pg 429 Lines 1-9 An "adv. care planning consult" will b used frequently as patients health deteriorates
PG 429 Lines 10-12 "adv. care consultation" may incl an ORDER 4 end of life plans. AN ORDER from GOV
Pg 429 Lines 13-25 - The govt will specify which Doctors can write an end of life order.
PG 430 Lines 11-15 The Govt will decide what level of treatment u will have at end of life
Pg 469 - Community Based Home Medical Services=Non profit orgs. Hello, ACORN Medical Svcs here!!?
Page 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED ORG. 1 monthly payment 2 a community-based org. Like ACORN?
PG 489 Sec 1308 The Govt will cover Marriage & Family therapy. Which means they will insert Govt in2 ur marriage
Pg 494-498 Govt will cover Mental Health Svcs including defining, creating, rationing those svcs
http://www.economicpolicyjournal.com/2009/07/whats-in-healthacre-bill.html
Основные положения:
1) Правительственный комитет будет решать кому какие бенефиты положены.
2) Чиновники из правительственного комитета будут решать исходя из принципа экономической целесообразности, какое лечение вам полагается, а какое нет.
3) Соответствующие госорганы будут иметь прямой доступ к банковским счетам пациентов для прямого снятия денег в качечстве оплаты за лечение.
4) Правительство будет устанавливать цены на медуслуги. Несогласные не смогут оспаривать это в суде.
Ну и много еще всякого "интересного", включая например постановление, что налог, устанавливаемый этим законом, не может рассматриваться как налог, с точки зрения tax credit, или запрет на увеличение койкомест в госпиталях (pp.317 row 21).
