Showing posts with label duty to die. Show all posts
Showing posts with label duty to die. Show all posts

Friday, October 9, 2009

The 'kill granny' bill

The 'kill granny' bill - By BETSY MCCAUGHEY, NY Post, 10/05/09

As the health-reform bills move through Congress, the prognosis for Medicare patients gets worse and worse.

The Senate Finance Committee bill (generally called the Baucus bill, after Chairman Max Baucus) robs the elderly to cover the uninsured -- like snatching purses from little old ladies. The House bills already cut future funding for Medicare by $500 billion over the next decade. The Baucus bill would slash a similar amount, just when 30 percent more people enter the program as baby boomers turn 65.
The Baucus bill also puts new limits on what doctors can do for patients in Medicare:

* A "race to the bottom" provision (p. 102 of the revised chairman's mark) would take effect each year for the next five years. The provision penalizes doctors who end up in the 90th percentile or above on the cost of what they use to treat their patients, compared with national averages. The intent is to force down the cost of care, year by year. Yet this blunt instrument can't determine which care is actually wasteful -- it will punish doctors for treating high cost patients with complex conditions. Inevitably, it will lower the quality of care.

* Even more devastating is the amendment Sen. Maria Cantwell (D-Wash.) got inserted into the bill (revised chairman's mark, pp. 102-

3). It gives the Secretary of Health and Human Services the power to define quality, cost-effective care for each medical condition and penalize doctors who spend more on their patients.
The law establishing Medicare in 1965 barred the federal government from interfering in doctors' treatment decisions. Slowly, Medicare regulations have begun unraveling that protection. Now the Cantwell amendment finishes the job.

This is the most extreme change to Medicare ever. Dr. David McKalip, a Florida neurosurgeon and a board member of the Florida Medical Association, predicts: "The only doctors left in Medicare will be those willing to ration care and practice cookbook medicine."
It's reasonable for Medicare administrators to strive to get value for dollars spent. In recent years, Medicare has taken a slow, tight-fisted (and sometimes arbitrary) approach to paying for new drugs or medical devices. But Cantwell aims directly at doctors' decisions.
That's not surprising. President Obama and his advisers vilify doctors for over-treating patients. Dr. Ezekiel Emanuel, brother of White House Chief of Staff Rahm Emanuel and a key Obama health-care adviser, argues that the Hippocratic Oath is largely to blame for the "overuse" of medical care.

In his view, doctors focus too much on the needs of their own patients; they should be taught to ask whether the money they're spending on a patient is worth it. To curb doctors' spending, the stimulus legislation launched a process of sending doctors protocols via computer on what the government deems "appropriate" and "cost-effective" care. Doctors who are not "meaningful users" will be punished financially.

When I warned that this meant the government would be interfering in doctors' treatment decisions, CNN and FactCheck.org said that was untrue. But Dr. David Blumenthal, appointed in March to head the new system of computer-guided medicine, settled that debate. In the New England Journal of Medicine (April 9), he confirmed that "embedded clinical-decision support" (his term for computers telling doctors what to do) would be used to reduce costs, and he predicted that some doctors might rebel against tight controls.
The Baucus bill completes the framework for tying doctors' hands when treating the elderly.

Driving all this is the misconception that doctors spend wastefully on patients who are about to die. Newsweek's recent cover story, "The Case for Killing Granny," argues that "the need to spend less money on the elderly at the end of life is the elephant in the room in the health-reform debate."

Numerous studies prove that is false. In 2006, Emory University researchers examining the records of patients in the year before they died found that doctors spend far less on patients who are expected to die than on patients expected to survive.

The Emory researchers said it's untrue that "lifesaving measures for patients visibly near death account for a disproportionate share of spending." They also found that doctors often can't predict when a patient is in the last year of life.

In any case, the health-reformers' plan to cut spending on patients 65 and older won't simply reduce end-of-life care, it will also eliminate care for patients who are perfectly capable of surviving their illness and going on with life.

The 'kill granny' bill - By BETSY MCCAUGHEY, NY Post, 10/05/09
Betsy McCaughey is chairman of the Committee to Reduce Infection Deaths and a former New York lieutenant-governor.

Posted: True Health is True Wealth

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Thursday, August 13, 2009

Senate Removes ‘End of Life’ Provision – Victory in the ‘Right’ Direction for American People and Fox News!!

First Victory… Keep Up The Good Fight America!!

The Senate Finance Committee will drop a controversial provision on consultations for end-of-life care from its proposed healthcare bill, its top Republican member said Thursday.The committee, which has worked on putting together a bipartisan healthcare reform bill, will drop the controversial provision after being derided as "death panels" to encourage euthanasia by conservatives.

Finance Committee drops end-of-life provision

The Senate Finance Committee will drop a controversial provision on consultations for end-of-life care from its proposed healthcare bill, its top Republican member said Thursday.

The committee, which has worked on putting together a bipartisan healthcare reform bill, will drop the controversial provision after being derided as "death panels" to encourage euthanasia by conservatives.

"On the Finance Committee, we are working very hard to avoid unintended consequences by methodically working through the complexities of all of these issues and policy options," Sen. Chuck Grassley (R-Iowa) said in a statement. "We dropped end-of-life provisions from consideration entirely because of the way they could be misinterpreted and implemented incorrectly."

The Finance Committee is the only congressional committee to not report out a preliminary healthcare bill before the August congressional recess, but is expected to unveil its proposal shortly after Labor Day.

Grassley said that bill would hold up better compared to proposals crafted in the House, which he asserted were "poorly cobbled together."

"The bill passed by the House committees is so poorly cobbled together that it will have all kinds of unintended consequences, including making taxpayers fund health care subsidies for illegal immigrants," Grassley said. The veteran Iowa lawmaker said the end-of-life provision in those bills would pay physicians to "advise patients about end of life care and rate physician quality of care based on the creation of and adherence to orders for end-of-life care."

"Maybe others can defend a bill like the Pelosi bill that leaves major issues open to interpretation, but I can't," Grassley added.

By: Michael O'Brien

Source: The Hill’s Blog Briefing Room

Tuesday, August 11, 2009

Woman in Oregon Told Healthcare Would Not Pay for Cancer Treatment But Would Pay for Assisted Suicide… Welcome to Government Controlled Healthcare

On Fox News’s O'Reilly Factor 8/10/09 a story was put forward about a lady that had cervical cancer and was denied the cancer drugs by the state (they have universal healthcare) and she was told they would pay for the drugs that would terminate her life.

Say you got cancer. Say your doctor found a treatment that could prolong your life for years. It wouldn’t cure the cancer, but it would slow it down, giving you precious time. Say the state refused to pay for your treatment, yet told you they would pay for doctor-assisted suicide.

Welcome to the Oregon Health Plan.

Perhaps, in order to find out what we can look forward to under a single-payer plan, we should look to one of our very own states: Oregon. The Oregon Health Plan (OHP) is a government run health care system for low-income residents. To be included in the plan, you currently have to win a lottery — literally. Sounds relatively simple, right? Basic care is included with little to no co-payments.

But things aren’t all butterflies and flowers in the Oregon Health Plan, nor is the health care system in place in Oregon going well. Patients who are treated under the OHP or Medicaid get the joys of rationed health care. And if you are unlucky enough to be stricken with cancer, or need a major operation to save your life, the state’s response is to tell you to just die already. And they mean that literally.

Consider the case of Barbara Wagner. She is a lung cancer patient whose doctor prescribed her a revolutionary new chemotherapy treatment, one that slows the growth of the cancer and could possibly prolong her life by years. To most people, this would be good news. To the OHP, it meant just another drain on the system. They denied Ms. Wagner’s claim, and instead offered to pay for doctor-assisted suicide. Wagner, of course, was understandably outraged.

“Treatment of advanced cancer that is meant to prolong life, or change the course of this disease, is not a covered benefit of the Oregon Health Plan,” read the letter notifying Wagner of the health plan’s decision.

Wagner says she was shocked by the decision. “To say to someone, we’ll pay for you to die, but not pay for you to live, it’s cruel,” she told the Register-Guard. “I get angry. Who do they think they are?” An OHP doctor tried to explain:

Dr. Walter Shaffer, medical director of the state Division of Medical Assistance Programs, which administers the Oregon Health Plan, attempted to defend the health plan’s decision. “We can’t cover everything for everyone,” he said. “We try to come up with polices that provide the most good for the most people.” Shaffer then addressed a priority list that had been developed to ration health care. “There’s some desire on the part of the framers of this list to not cover treatments that are futile,” he said, “or where the potential benefit to the patient is minimal in relation to the expense of providing the care.”

Under Obama’s government run health care plan, could the rest of the country be headed the same way? Be sure to read the whole thing.

Source: American Issues Project

Video: Oregon says no to chemotherapy, offers assisted suicide instead
HotAir.com ^ | 8/3/09 | Ed Morrissey

We knew it would come to this when Oregon insisted on passing its assisted-suicide laws. It doesn’t take much for assisted suicide to go from a humane option to a cost-saving device, especially when the state pays for the medical care. One patient in Oregon got a letter that made this all too clear, when in the same letter rejecting her request for life-extending chemotherapy, Oregon offered her “physician-aid-in-dying”. In other words, Oregon offered their customer a heapin’ helping of death:

Video: Oregon says no to chemotherapy, offers assisted suicide instead

The doctor interviewed by the news station seems offended at the suggestion that Oregon would decide to save a few bucks by denying expensive health care and offering a case of hemlock in its place. However, saving money was the raison d’etreof single-payer systems, and the incentives all drive towards that decision. Single-payer systems have to handle medical services as a shortage market, rationing them by using “comparative effectiveness” paradigms to determine who gets medical attention, and who gets “physician-aid-in-dying” instead of it.

The woman who drew the short end of the stick in this case wonders who these people think they are. They think they know better than us who needs to live and die. Has that lesson still not been made clear?

Update: I got this link yesterday and the KATU page is undated, but this story is from 2008, which I didn’t realize until I got an e-mail about it. I wrote about this last June, and I simply didn’t recall it.

Posted on Mon Aug 03 2009 07:35:40 GMT-0700 (Pacific Daylight Time) by Crazieman

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Posted: True Health Is True Wealth

Monday, August 10, 2009

HEALTHCARE DEBATE: 10 Questions Politicians Won't Answer

1. Why do we need to increase spending on health care by at least $1.6 trillion and steal prosperity from our children and grandchildren when we spend nearly twice per person what other industrialized nations spend on health care?

2. What programs will you cut and whose taxes will you raise to pay for health-care reform?

3. What earmarks or pet projects that you have sponsored will you sacrifice to help finance the cost of health-care reform?

4. Will you vote for a public option that requires taxpayer-funded abortion?

5. If the public option is so wonderful, will you lead by example and vote for a plan to enroll you and your family in the public option?

6. Will you vote for a plan that will allow a board of politicians and bureaucrats to override decisions made by you and your doctor?

7. If you support a “comparative effectiveness” board, what qualifies you, as a politician, to practice medicine? Have you delivered health care to a single person, much less entire classes of people you claim to represent, such as the poor, the uninsured, or children?

8. How will a government-run public option perform better than other failing government programs, such as Medicare, Medicaid, and Indian Health Care?

9. If increasing spending on health care was the solution, why hasn’t it worked yet?

10. Are you more committed to doing reform right or quickly? Would you consider backing a thoughtful alternative to the public option? If so, which one?

READ THE FULL ARTICLE BY SENATOR TOM COBURN HERE:

Go to this link and you can contact your representative directly; that way you can tell them to stop this MADNESS! Make sure they know YOU vote!

http://www.congress.org/congressorg/officials/congress/

There will be a place to enter your zip code, then a place to click to write your representatives directly; it is all free..

Dick Morris, the author of Catastrophe, who spends several chapters on Obamacare in his book, says to keep up the pressure. Call them, email them, and write them a snail mail letter and then both fax it and put a stamp on it and mail it. Do it all and do it more than once… and then to go a Town Hall or ObamaCare Tea Party and both speak out and be seen. Talk to and email your friends. Organize a local meeting. And remind your Congressman, Senator, and the White House that you vote and will remember how they vote and listen to the American people on Obamacare, stimulus, uncontrolled spending, Cap and Tax, illegal immigration, and the list goes on!!

Call the United States Capitol switchboard today... everyday at

1-(202) 224-3121

or

1-(202_-225-3121

(202) 225-0100 - Speaker of the House Pelosi

Speaker Nancy Pelosi
http://speaker.house.gov/contact or http://www.speaker.gov/contact

and visit: www.house.gov/writerep

Senators from your State.

Call the White House at 202-456-1111 and tell President Obama you have had enough!


Enlarge Chart: Republicans unveil chart depicting bureaucratic nightmare of Dem government-run health care... Developing...

HR-3200 - full report

Breakdown Articles of HR-3200

Click Here To Find A Town Hall Near You!

Posted: True Health and True Wealth

Nancy Pelosi and Steny Hoyer Say Citizens Exercising Their First Amendment Rights Are “Un-American”… The Desperation is Showing!

This morning’s column in USAToday quotes Speaker of the House Nancy Pelosi and House Majority Leader Steny Hoyer as saying, “Un-American’ attacks detail health care debate” and go on to say, “Now — with Americans strongly supporting health insurance reform, with Congress reaching consensus on a plan, and with a president who ran and won on this specific promise of change — America is closer than ever to this century-deferred goal.” This comes after Speaker Pelosi’s comments last week, that people are bringing Swastikas and the like to Town Halls, another fabricated Pelosism like saying she was lied to by the CIA under Bush, that she has no proof for. (You can bet if there were Swastikas at meetings, there would be photos!!).

Both these statements just highlight how far out of touch the House leadership is. There are Americans who are rightfully afraid exercising their First Amendment Right that the Speaker and Hoyer are calling “Un-American” for doing so and both the Healthcare Bill itself and President Obama’s along with Nancy Pelosi’s personal and job performance polls on this issue are at an all-time low and still dropping. The drop in the polls and the continues desperate comments by Speaker Pelosi prove that Obamacare is a bust and

Boehner Statement on Speaker Pelosi & Majority Leader Hoyer’s “Un-American” Comments

Washington, Aug 10 - House Republican Leader John Boehner (R-OH) issued the following statement on comments by House Speaker Nancy Pelosi (D-CA) and Majority Leader Steny Hoyer (D-MD) in this morning’s USA Today calling Americans who express vocal opposition to the Democrats’ health care plan “un-American”:

“For months, House Democratic leaders have worked to silence any opposing views in this health care debate, both here in Washington and around the country where millions of Americans are struggling in this economy. Every poll taken in the last month shows that a majority of Americans are concerned about, if not outright opposed to, the Democrats’ plan because of the cost and consequences it would mean for their own health care. Each public forum should give every participant the opportunity to express their views, but to label Americans who are expressing vocal opposition to the Democrats’ plan “un-American” is outrageous and reprehensible.

“The American people deserve answers to basic questions about whether the Democrats’ plan will increase health care costs, add to the deficit, increase taxes on middle-class families and small businesses, put government between doctors and patients, force anyone to lose their current health coverage, kill jobs, promote taxpayer-funded abortion, or cut Medicare. The fact is Democrats have not been able to address the very real concerns the American people have.

“It’s time for Democrats to start listening. When we return to Washington in September, Democrats should scrap their costly plan and finally work on bipartisan reforms that give Americans what they are seeking: better access to affordable care.”

Former Alaska Governor Sarah Palin says President Obama's plan to overhaul healthcare is evil

The former Republican vice presidential candidate posted her thoughts Friday on Facebook.

Palin says in the America she knows, people won't have to "stand in front of Obama's 'death panel" so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society,' whether they are worthy of healthcare."

She says such a system is "downright evil."

An e-mail sent to Palin's spokeswoman confirming authorship was not immediately returned.

Palin resigned as Alaska governor July 26. She promised to speak out on issues but has largely been silent on both Facebook and Twitter since resigning.

© 2009 Associated Press

There are plenty of Republicans and others who have alternative and better ideas than HR3200 and/or experience in improving healthcare. And almost everyone that falls into that group says… Obamacare and the Dem’s proposals will bankrupt the Country unless taxes go up and rationing for grandma and grandpa (which will eventually be all of us), people with special needs and even babies with problems are enacted. And it is a proven fact that socialized medicine (which this is) takes away choice, creates a shortage of medical personnel, creates waiting to receive care and even a primary care physician, and involves Government in personal decisions. So even if government having real time access to your bank accounts, government paying for abortions, and government breaking the law by forcing ‘legal ‘aliens and people with permanent resident status here in the U.S. into Nationalized Healthcare, while covering all the illegals in this Country doesn’t bother you, maybe thought of a bureaucrat telling you that your 69 year old parent or your handicapped baby can’t have a life and death procedure because they aren’t worth it, will?!?

Please read the bill… or at least some analyzes of it!

There are articles and breakdowns of this bill available (below are a few) to anyone who is looking for the truth and the full bill - HR-3200 - full report I would advise everyone to read it for themselves and unless you are in favor of Big Brother running your life… speak up! And not just once!!

Click Here To Find A Town Hall Near You!

Senators from your State.

Phone Numbers for both houses of Congress & Speaker Pelosi:

1-202-224-3121

1-202-225-3121

(202) 225-0100 - Speaker of the House Pelosi

Speaker Nancy Pelosi
http://speaker.house.gov/contact orhttp://www.speaker.gov/contact

and visit: www.house.gov/writerep

Sunday, August 9, 2009

Seniors Left Behind?

Ken Connor :: Townhall.com Columnist by Ken Connor

One of the most controversial issues of the current health care reform debate is the concept of health care rationing—allocating medical care according to predetermined criteria that dictate how much and what kind of care a given patient will receive under a government-run system. Setting aside the comparative merits of various reform proposals on the table in Congress, Americans—particularly the elderly—should be wary of any plan that would limit access to health care based on the arbitrary and discriminatory criteria of age.

As many have pointed out in the course of the ongoing national discussion on health care, America's population is aging rapidly, placing a growing strain on entitlement programs like Medicare and Social Security. Health care costs continue to rise, and America's younger population cannot long foot the bill for elderly retirees and their significant health care requirements. This conundrum (caused not by taxpayers but by decades of gross government mismanagement of taxpayer dollars) seems to have bred an underlying antipathy towards seniors, the undisputed "resource hogs" of public health care. This feeling of resentment is exacerbated by an increasingly utilitarian view of human life that sees no value in prolonging one's twilight years, especially on the public dime.

This situation makes proposals for "comparative effectiveness" research seem like a pretty good idea. Who, after all, wants to waste their taxpayer dollars on treatment for old folks who are going to die soon anyway? Wouldn’t it be better to allocate the bulk of our health care resources towards more productive members of society while reducing the spectrum of costly options available to seniors and the terminally ill among us?

But do Americans really want government bureaucrats dictating access to care based on their perception of one’s worth to society? This question goes to the heart of the problem with rationing: a stranger far from the scene decides who gets care and who doesn't. The person making these decisions knows neither the patient nor the healthcare provider, yet he or she is charged with the responsibility of allocating scarce resources among a demanding population rather than providing the best possible care.

Instead of allowing the market to dictate cost and availability, the buck will stop with the government. Instead of allowing doctors to work dynamically with their patients to tailor a health care approach best suited to the individual in question, the government will use its regulatory power to force physicians into applying narrow "quality of life" criteria when evaluating treatment options for society's elderly citizens. This utilitarian approach to life and death is already affecting seniors in North America, in places like Canada (no surprise there),Texas, and Wisconsin.

A health care system that bases its fiscal solvency on rationing undermines the fundamental American values of self-determination and choice. This nation has always been known as a land of opportunity and innovation. For hundreds of years, people have traveled from all over the globe at risk to life and limb just for a chance to build their own dreams here in America. This includes the opportunity to live a full and free life, even into one's golden years of retirement and senior citizenship. But what criteria will America's elderly citizens have to meet in order to retain access to the best health care if our leaders institute a Brave New World of "comparative effectiveness" in health care? Age? Productivity? Societal "usefulness?" Level of sentience?

The elderly often don't score well along these lines, and once American society becomes comfortable with the idea that certain members may be deemed less worthy than others in the eyes of the government, we have rendered the heart and soul of our Constitution meaningless. Once we decide that the elderly are expendable, not worth their share of society's resources and attention, we are setting a dangerous precedent that opens the door for government bureaucrats to assign other vulnerable members of the human community to the same second-class status.

The idea that senior citizens are less deserving of the best medical care our system has to offer smacks of gross ignorance and ingratitude. Among the ranks of America's elderly are countless American heroes—veterans of numerous wars, entrepreneurs, farmers, businessmen, teachers, scientists... men and women who have worked hard and paid taxes their whole lives. Our society wouldn't be what it is today without their contributions, and they deserve just and equitable treatment as they live out their final years.

As the August recess commences and our leaders head home for some straight talk with their constituents at Rotary Clubs, community centers, and town halls, hopefully they will recognize that America's seniors are vital members of our nation's communities and integral to our democratic way of life. If Uncle Sam is determined to assume the mantle of responsibility for health care in America, the elderly should not automatically be relegated to the back of the bus.

Medicare Fraud Arrests… Finally - APHouston TX USA

Federal agents escort suspects out of the FBI offices Wednesday, July 29, 2009 in Houston. Federal authorities arrested more than 30 suspects, including doctors, and were seeking others in a major Medicare fraud bust Wednesday in New York, Louisiana, Boston and Houston. (No doubt ACORN related) (AP Photo/Pat Sullivan)

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Posted: True Health Is True Wealth

Monday, August 3, 2009

Obama in 2007 Said He Wanted to Eliminate Private Health Insurance

As President Obama repeatedly tells America that his plan for healthcare reform will not lead to the elimination of private health insurance, statements he made in 2007 and 2003 tell a different story altogether.

In shocking video uncovered by our good friends at Naked Emperor News, Obama, speaking at SEIU's New Leadership Health Care Forum on March 24, 2007, said, "My commitment is to make sure that we have universal healthcare for all Americans by the end of my first term as President."

Later in the discussion, he elaborated (video embedded below the fold):

I would hope that we could set up a system that allows those who can go through their employer to access a federal system or a state pool of some sort. But I don't think we're going to be able to eliminate employer coverage immediately. There's going to be potentially some transition process.

In 2003, Obama stated at an AFL-CIO Civil, Human and Women's Rights Conference:

I happen to be a proponent of a single payer universal healthcare plan...That's what I'd like to see.

Later in the video, viewers are treated to Rep. Barney Frank (D-Mass.) saying on July 27 of this year:

I think that if we get a good public option, it could lead to single payer, and that's the best way to reach single payer.

Yet, the way media are reporting this issue, those who want to stay with private insurance -- which is the vast majority of Americans -- will be able to do so.

Will these new revelations about what Obama really wants make it to a news outlet near you?

Stay tuned.

*****Update: Here's a more complete transcript of Obama's relevant statement at SEIU's New Leadership Health Care Forum on March 24, 2007 --

As I indicated before, I think that we're going to have to have some system where people can buy into a larger pool. Right now their pool typically is the employer, but there are other ways of doing it. I would like to -- I would hope that we could set up a system that allows those who can go through their employer to access a federal system or a state pool of some sort. But I don't think we're going to be able to eliminate employer coverage immediately. There's going to be potentially some transition process. I can envision a decade out or 15 years out or 20 years out where we've got a much more portable system. Employers still have the option of providing coverage, but many people may find that they get better coverage, or at least coverage that gives them more for health care dollars than they spend outside of their employer. And I think we've got to facilitate that and let individuals make that choice to transition out of employer coverage. 

Those interested can find a complete transcript of Obama at this event here and a video here.

For more videos like this, please visit Naked Emperor News.

Photo of Noel Sheppard.

—Noel Sheppard is the Associate Editor of NewsBusters.

By Noel Sheppard
August 2, 2009 - 19:48 ET





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Posted:  True Health Is True Wealth

The Ultimate Resting Place of Socialized Medicine?

My wife and I disagree about some of the key end-of-life issues. When such morbid subjects arise, as they must and as they have with increasing frequency as the debate over medical care rages on, she remains adamant that she does not want to linger in pain, holding on to those final months, weeks, days or moments through any extraordinary medical intervention.

On the other hand, I want to live for every additional second modern medicine or Providence might permit. Dylan Thomas summed up my feelings in his most famous poem:

Do not go gentle into that good night.
Rage, rage against the dying of the light.

As President Barack Obama and Congress discuss health care legislation, and we citizens worry over the ramifications of possible policy outcomes, there arises the haunting specter of euthanasia. My wife and I may disagree on what end-of-life decision to make, but we agree that it should be our decision, not the government's.

A proposal to cover millions more Americans with medical insurance predicated on spending less on medical care in the process perplexes enough. But for those who care about freedom -- not having government tell you how to live -- and those who wish to live as long as they can -- by definition, not having the government tell you to hang it up and die -- there is even more to fear.

It's not that Obamacare is a one-step federal government takeover of medicine. But it does qualify as another giant step in that same frightening direction.

We've known for years that the more the government picks up the tab for our doctors, nurses, and drugs, the more the government will tell us how to live our lives. What to eat. What not to eat. What not to smoke or drink. What recreations not to engage in (too dangerous), and that we need to do more leg-lifts and jumping jacks with more gusto -- like a scene I recall from 1984.

Already cities have banned trans fat. The poor, who happen to smoke or drink alcohol in larger percentages than those more well off, are increasingly crushed under sin taxes. There's talk of hiking taxes on Dr. Pepper -- and candy.

We can hope that the power of police unions can keep donuts on the market at relatively low expense.

But expect much worse. And though the excuse for ever greater nannying will always be to protect the taxpayers (forced by politicians to pay the medical bills of everyone else), it will be government experts, not taxpayers, dictating dietary and exercise mandates to the population.

Still, the issue of euthanasia is even more frightening. Older people, as their bodies deteriorate, cost more money. Putting hospitals under increased government budgetary oversight and command will not miraculously increase government budgets for hospitals. Cutting costs will become a draconian theme, never ending . . . until death.

Even now, "death by waiting" is a common rationing procedure in Britain and Canada. If you are young and living under socialized medicine, getting dialysis from government-run hospitals is fairly easy; if you are old, wait. The system's limited medical facilities, doctors and nurses practice a kind of triage. The aged are the hopeless, in this common scenario, and give up their lives for the good of the hospital budget.

This is hardly an "easy death" or "good killing" ("euthanasia" comes from euthanos or “good death”). It is death by bureaucracy. Bureaucrats love their queues,need their queues. And the impetus is clear: Saving "the taxpayers" -- not the patients.

Former Colorado Governor Dick Lamm addressed this issue decades ago when he philosophized, "We've got a duty to die and get out of the way with all of our machines and artificial hearts and everything else like that and let the other society, our kids, build a reasonable life."

Mr. Obama and the congressional architects of their new medical regime are promising to cut the overall cost of care. Are we really to believe there will be no pressure to deny expensive treatments in order to save money?

Many opponents of Obamacare are jumping on a provision in one version of this legislative work-in-progress, a directive to pay doctors to counsel the elderly -- and terminally ill patients -- on various end-of-life issues. In the New York Post, Betsy McCaughey said this mandate "invites abuse" and that "seniors could easily be pushed to refuse care."

A front-page Washington Post article, headlined "Talk Radio Campaign Frightening Seniors," reported that this controversy "undercuts what many say is the fundamental challenge of discussing sensitive costly societal questions about how to align patient wishes at the end of life with financial realities, for both the family and taxpayers."

Not getting a pacemaker at 75 years old may mean a person dies at 77 or 78, instead of at 83. What are five years of life worth? Who should decide? (And for many it means 10 ,15 or 20 additional years, and often productive years or years valued by their families.)

With the federal government in the medical care business through the so-called Public Plan, folks in Washington will have the power to decide.

If you don't like your health insurance company, you ain't seen nothing yet!

Paul Jacob :: Townhall.com Columnist by Paul Jacob – Townhall -  The ultimate resting place of socialized medicine?

Related Resources: 

Additional related information in Dick Morris’s Catastrophe

Posted:  True Health Is True Wealth

Friday, July 31, 2009

Who Will Tell Michael J. Fox He Needs to Die?

"If they would rather die they had better do it, and decrease the surplus population." -- Ebenezer Scrooge in A Christmas Carol

Should Michael J. Fox be put to death?

Celebrities and death. Now there's a potent cocktail.

Several parts fame, a few jiggers of Hollywood and a splash each for sports, business and journalism. Did I mention politics and government bureaucracy? Sorry. Without that essential element the mixture has no wallop. And a wallop this concoction surely will have, particularly if you believe actor Michael J. Fox has overstayed his welcome on the planet.

Let's pour the dry ingredients of politics and government bureaucracy into the pitcher first, beginning with the politics of death and dying.

Laws in America come into being because someone somewhere saw a problem, devised a would-be answer and then persuaded politicians to pass the law based on the philosophy and politics one group or another saw as underlying that answer. Need revenue? Raise taxes. Global warming? Shut down the coal plants. Dopey kids? Pay more to teachers. Everyone knows how this works.

So what is the driving philosophy underpinning the Obama health care plans for all of us? Let's begin with a few short quotes and one definition that outlines the idea succinctly.

President Obama; "There is a whole bunch of care that's being provided that every study, every bit of evidence that we have indicates may not be making us healthier."

• Peter Singer, Professor of Bioethics at Princeton University: "Life as a whole has no meaning. Life began, as the best available theories tell us, in a chance combination of gasses; it then evolved through random mutation and natural selection. All this just happened; it did not happen to any overall purpose."

• America's Affordable Health Choices Act of 2009 as introduced in the U.S. House of Representatives (H.R.3200) by Congressmen Dingell, Waxman, Rangel, Stark and others: "The Secretary shall establish within the Agency for Healthcare Research and Quality a Center for Comparative Effectiveness Research…with respect to the outcomes, effectiveness, and appropriateness of health care services and procedures."

QALY: Quality-Adjusted Life Year. A formula devised by left-wing policy wonks that purports, as David Catron has so ably illuminated on these pages, to measure the worth of your life by assigning a numerical value to each year of your existence. In Catron's words: "A year of perfect health, for example, is given a value of 1.0 while a year of sub-optimum health is rated between 0 and 1. If you are confined to a wheelchair, a year of your life might be valued at half that of your ambulatory neighbor. If you are blind or deaf, you also score low. All that remains is to assign a specific dollar value to the QALY and, voilà, your life has a price tag."

This is all a bit dry to the taste, isn't it? QALY, Center for Comparative Effectiveness Research, HR 3200. Blah blah blah. Let's add the fizz to this baby.

So. Who will tell Michael J. Fox he needs to die?

Which health care mouse out there will have the guts to bell the cat who is one of the most famous Parkinson's Disease sufferers in America? Who is going to tell him that the treatments that are associated with Parkinson's -- drugs like Sinemet, Symmetrel, Eldepryl, Parlodel, Permax, Mirapex, Requip, and surgery with the quaint name "deep brain stimulation" -- are just no longer possible for Fox because, well, Mike, your QALY just isn't up to snuff, babe. You have Parkinson's. You boozed (according to you). As a result, the government has decided treatment for you, Mike, lacks "appropriateness." The "outcome and effectiveness" of treating you -- which is to say the worth of your 47-year old life -- just isn't worth it for the rest of us.

Sorry Mike. Say Goodbye to Hollywood. Close your Parkinson's Foundation (waste of scarce resources, to wax Singeresque). Just go home to the wife and kids, cut off these expensive meds and please die. Quietly. And for heaven's sake, get yourself buried in private. We don't want any of this Michael Jackson type-hoopla disrupting our favorite programs. We have lives to get on with.

A bit harsh?

Heck, we haven't begun to shake this cocktail. There's more to mix.

You see, the philosophy behind ObamaCare, as promoted just a week ago in the New York Times Sunday Magazine by Professor Singer, is the hard cold necessity Obama sees for government to ration health care for people like, well, Michael J. Fox. As Mr. Singer says: "Health care is a scarce resource, and all scarce resources are rationed in one way or another." And quite obviously, with Mike Fox's QALY being what it is (and Singer is a big proponent of using QALY to judge the worth of a life), the time to cut his treatment off was... yesterday. Actually, a lot of yesterdays ago.

This is what President Obama believes when he says "there's a whole bunch of care" that someone -- this would be the government -- will have to decide not to employ in treating someone like Mike Fox. What about the idea that Michael J. Fox -- not to mention his wife and children, extended family and friends who might actually love the little lug -- think Mike's spirit should count for something here? After all, he did an entire documentary on The Adventures of an Incurable Optimist. In the President's words: "I don't think that we can make judgments based on peoples' spirit. That would be a pretty subjective decision to be making. I think we have to have rules...."

Right. Rules. Got it. Government rules. Which is another way of saying decisions on Mike Fox's life will, if Obama and company get their way, be resting in the hands of this whiz bang group of policy wonks and bureaucrats called the Center for Comparative Effectiveness Research. Located, but of course, within the Agency for Healthcare Research and Quality. Where the Rule of QALY will reign. Did I leave out that this will all be established by The Secretary?

Let's get rid of the bureaucratese here and just call this agency what it really is: The U.S. Bureau of Death (or "BOD" in the acronym form loved by bureaucrats everywhere).

Now let's toss in all the rest of this cocktail's ingredients and give it a shake. Take a real, deep drink.

So. Whose bod in Hollywood will BOD be coming for? Who in celebrity land -- and here we can add in journalism, sports and business -- will be on the BOD Squad's hit list when the information is received that well, sadly, like poor old Michael J. Fox, their QALY just doesn't make the grade? Let's take a look into this perilously close future for all of us as the BOD Squad makes its rounds.

Elizabeth Taylor. La Liz. Born in 1932, her age alone raises the appropriateness question She's had more health problems than husbands, as one BOD Squad staffer apparently scribbled on a report. Are you kidding? The Secretary of the Department (known internally as the SOD BOD) was furious to see what the American people had been putting up with from this woman: Congestive heart failure, a benign brain tumor, skin cancer, a back five-times broken, both hips replaced, bouts with pneumonia, osteoporosis and scoliosis. In the succinct observation on her leaked file: "Toast." Say hello to Jacko.

David Letterman: A quintuple bypass was given to Dave. That was under the old pre-Obama system and it won't be allowed again. Dave's QALY is nowhere near that of a healthy teenager who might have a case of pneumonia that is cheaper to treat and not likely to recur. Former Governor Palin's last official act as Governor of Alaska was to file an addendum to Dave's file at BOD Squad HQ. To be officially classified a "dirty old man" takes 10 points off anyone's QALY.

Patrick Swayze: As this is written, the National Enquirer is on the stands proclaiming this famous cancer victim has had a heart attack. According to news accounts, Swayze has been undergoing "pioneering Cyberknife radiotherapy at California's Stanford University Medical Centre." Cool. But alas this kind of thing doesn't meet the BOD Squad standards for appropriate or effective treatment. Loved you, Patrick, but the government says you have to go. Worse, you wasted a lot of people's resources with all this dancing around that you were going to fight on. Shameful.

Magic Johnson: Eighteen years ago, the legendary Los Angeles Lakers star had to quit because he contracted the AIDS virus. He is still here, healthy and active at 50. The problem: every day Magic has to swill a "multidrug cocktail" of GlaxoSmithKline's Trizivir and Abbott's Kaletra to keep himself healthy. Let's face it, if you're a BOD Squad staffer eighteen years ago looking at the paperwork from Mr. Johnson, you will believe that if his primary activity in life was professional basketball -- and he has had to quit because he has AIDS -- well, no more magic for Magic. The Glaxo cocktail will go elsewhere.

Larry King: CNN's talk star suffered a heart attack in 1987 and had quintuple bypass surgery. In signs of just what a racket this Hollywood-Big Surgery connection is, Larry and Dave Letterman had the same surgeon. I guess that's one Doc who can retire, huh? Sounds like one of those thieving tonsil doctors the President gripes about. Larry's father had died at 44 of a heart attack, and Larry was a smoker. Gee, you think this QALY is gonna be wearing brassy suspenders? Ole Lar was supposedly so shocked by his experience that he has written not one but two books on the subject. Mr. King, You're Having a Heart Attack: How a Heart Attack and Bypass Surgery Changed My Life and Taking On Heart Disease: Famous Personalities Recall How They Triumphed over the Nation's #1 Killer and How You Can, Too. As with Michael J. Fox, King too set up a foundation based on his illness, the Larry King Cardiac Foundation. Alas, this kind of thing can now easily be deemed irrelevant if not a stealer-of-resources by the BOD Squad. Who cares if Larry has a Foundation? Do we really need more heart attack books? Sorry Larry, if the BOD Squad had been here in 1987, you wouldn't be. Memo to Mrs. King: Stop sending Larry's daily QALY updates to the SODBOD.

Regis Philbin: Regis had a triple-bypass at 75 years of age, after having an angioplasty fourteen years earlier. Seventy-five? Whoa! There's no QALY statistic in the world that will say these resources were better used on Regis than on some 21-year-old. Regis, buddy. What were you trying to pull? The BOD Squad almost had a coronary when they saw this. Sorry. But if ObamaCare were here, you'd be chatting with your friends Dave and Larry somewhere not on the planet. Or maybe nowhere at all, as Professor Singer says life is meaningless anyway.

David Hasselhoff: News reports out there say the ex-Baywatch star and current judge on America's Got Talent was rushed to the Cedars-Sinai Medical Center back in May, yet again undone by a battle with the bottle. The Hoff's alcohol level registered at .39, more than four times the legal limit in California. Alcohol poisoning, yet again, came close to doing him in, say the stories, this one in Radar Online.com. This, says the always juicy quote from a Hollywood source, "is about the 7th time he's been taken to a hospital over the last few years with alcohol poisoning. How many visits will it take before he dies?" Well, considering the BOD Squad has that video of a while back taken by the Hoff's daughter, which displayed the star's agonizing battle in disturbing detail, the answer is: not long. Sadly, the Hoff just drank himself into a seriously bad QALY. Sorry to say, the bottom of the bottle has at last been reached. America will be one talent less.

Joan Rivers: Can we talk? A dozen plastic surgeries? A dozen…meaning twelve? Joan, sweetheart, America can't grow plastic fast enough to do this. You're surely in violation of a good dozen environmental laws before we even get to the health care issues. Multiple facelifts? OMG! That's before or after the "brow lift, botox, soft tissue fillers, jaw implants, multiple nose jobs, veneers, blepharoplasty (eye work), liposuction, cheek implants, breast implants" catalogued on FamousPlastic? Honey, the BOD Squad has a memorandum from the EPA and determined that you can't be buried, burned or dumped with all this stuff inside you. Please have your lawyer file an "Extinction and Burial Application Form 1A." Immediately.

And now, one last report. Perhaps the most interesting in the celebrity death struggle with ObamaCare.

Steve Jobs: A liver transplant for the creator of Apple? Well, well, well. Now this celebrity death struggle is particularly interesting. Why? Because Mr. Jobs had his transplant only three months ago, just as the ObamaCare toxin was seeping into the political atmosphere. This has already resulted in news stories speculating that the secrecy of the operation, the fact that Jobs traveled unannounced and unknown to Tennessee to have it, means that Jobs was, in the words of an actual news report, "gaming the system." How? The wait-time for a liver in Tennessee is about 48 days, on average. The United Network for Organ Sharing says the national wait time is 306 days. In other words, before the BOD Squad legislation has even passed Congress, one prominent American celebrity is under fire for "gaming the system" when it comes to transplants. Another couple of months and Mr. Jobs would have been either dead because of instructions on his QALY or brought up on charges for getting around "the rules." There will be penalties for trying to save your life, right?

Gaming the system. An interesting concept. You mean government rules can be manipulated? Nooooooo! Really?

Perhaps you've heard of a federal agency called the IRS? Like the soon-to-be bureaucrats at the BOD Squad, the Internal Revenue Service is in theory designed to be a "just-the-facts" kind of agency. And yet….hmmm.

In 1952, a controversial Senator from California named Richard Nixon found his tax returns leaked from the Truman-run IRS to a virulently anti-Nixon columnist named Drew Pearson. (In those days, candidates did not release their tax returns as they frequently do today.) In 1963, a few months after Nixon lost a humiliating race for governor of California, his political life was presumed by all seers of the day as dead. Yet low and behold, private citizen Nixon found himself subject to a lengthy and exhaustive audit by the IRS. Years later, the IRS supervisor of the case admitted that, well, his Washington superiors in the Kennedy administration had ordered him three times to re-open the original audit and try and get Nixon for tax evasion.

Thus, when Nixon became president at last, he tells us he was so furious at his treatment by the IRS when in the hands of Democrats that he personally and repeatedly "urged Haldeman and Ehrlichman [the Rahm Emanuel and David Axelrod of the day] to have IRS checks made on [1972 Democratic nominee] McGovern's key staff and contributors."

In other words, power can be abused. In a blink. You think David Letterman is sorry now for the things he said about Sarah Palin's daughter? Wait 'til ole Dave discovers he has a recurrence of heart problems down the road and appeals for a little Obama-esque empathy from the BOD Squad -- and the response he receives telling him to go pound sand and die is coming from an appointed bureaucrat of President Palin's. FYI to the Reverend Jeremiah Wright: Watch your QALY, brother.

Or imagine the current kerfuffle with Harvard's Professor Henry Gates and Cambridge police Sergeant James Crowley. Let's change the story a bit. Instead of Crowley being a policeman, let's make him Dr. James Crowley, a member of the BOD Squad. He and his fellow bureaucrats have told the sick Professor Gates that, gee, sorry. Your QALY just isn't that good. Please file an Extinction Application. To which Professor Gates snaps off from his hospital bed exactly the same reply he gave to Sergeant Crowley in his house: "Why…because I'm a black man in America?"

What's the racial composition of the BOD Squad? How many Wise Latinas are there to decide on the worth of a brown-skinned life over the worth of a white-skinned life? Have Al Sharpton and Jesse Jackson gotten wind of this yet? If civil rights activists believe there are too many blacks in American prisons, what will they say if the number of blacks being sent off by the BOD Squad is, percentage wise, higher than the number of whites? Whose life has more -- or less -- value? A white? Or a black, brown, yellow or red life? Does the black guy live or the Latina? The American Vietnamese or the Native American? Just what Washington, D.C. needs -- more lobbyists. Not to mention the QALY law practices that will quadruple the size of the trial bar.

You think the gay community is upset over same-sex marriage prohibitions? This is as nothing compared to the fuse that will be lit when gays come to believe the BOD Squad is filled with homophobics intent on claiming AIDS is such a disqualifying QALY feature that simply being gay means a death sentence ASAP.

We haven't even gotten to Senator Kennedy's brain surgery, the latest hospitalization for West Virginia's 91-year old Senator Robert Byrd, Lance Armstrong's testicular cancer or Tiger Woods's knee operation. Needless to say, the agonized Farrah Fawcett would never have been allowed to struggle on as she did from the moment of her cancer diagnosis, Ed McMahon's QALY, with a broken neck and two neck surgeries in his eighties on file, would have had him announcing himself to God long before the other week. And Michael Jackson? Maybe the Bod Squad already made their first call.

Which returns us to Michael J. Fox. Remember the dust-up a while back when Mr. Fox was appearing in political ads supporting stem-cell research? One can agree with Mr. Fox, or not. But without doubt his opponents on the issue believed the importance underlying the issue was the larger point of respect for human life. The issue was at play in Missouri, where state funding was under discussion, and it elicited this fairly standard response from a Missouri State Senator: "I believe that a human embryo is worthy of legal protection," said state Sen. Matt Bartle (R), who vows to press the fight. "Western medicine has been founded on a principle: First, do no harm."

For Fox, this issue now falls precariously close to the old caution about being careful what you wish for. Once upon a time in America the issue of "life" was about the death penalty for murderers. Then it was abortion. Next it was about stem cell research. Now, it's about whether Michael J. Fox's life has sufficient QALY points to justify letting him live.

Does Michael J. Fox's life deserve respect? Of course.

But if they can come for Michael J. Fox, they can come for you.

And they will.

By Jeffrey Lord on 7.28.09 @ 6:08AM - Jeffrey Lord worked on five Supreme Court nominations as a Reagan White House political director, including that of Robert Bork. He is the author of a book on the Senate's judicial confirmation process and writes from Pennsylvania at jlpa1@aol.com

Source:  American Spectator

 

First They Came

When the Nazis came for the communists,
I remained silent;
I was not a communist.

Then they locked up the social democrats,
I remained silent;
I was not a social democrat.

Then they came for the trade unionists,
I did not protest;
I was not a trade unionist.

Then they came for the Catholics,
I did not protest;
I was a Protestant.

Then they came for the Jews,
I did not speak out;
I was not a Jew.

When they came for me, there was no one left to speak out for me.

 

If you think this article is way out there… you aren’t paying attention!!

Our country has always valued life and individual rights above all else.  And there are more Centurions in good health alive and contributing than ever before.  Wasn’t that the goal… living longer healthy lives.  We’ve spent millions and millions on the research.  And in most cultures, the elderly are revered for their knowledge and connections with the past, a source of living history.  But now all of a sudden people in their 70’s+ are taking up too much room… not worth the investment of surgeries, life extending procedures or newly developed medicines?  What happened to living to 110 or 120?

As far as costs go… the government has been borrowing from social security and Medicare for years instead of investing and building up the coffers in the anticipation of the baby-boomers, who paid into the system all their lives, retiring. 

Also, it has been pointed out by the experts that if we initiated serious tort reform; stopped insurance, social security and Medicare fraud; stopped paying for “un-needed” elective plastic surgeries and other unnecessary elective procedures; focused on prevention; included holistic and natural remedies, procedures and supplements in the system; did away with pre-existing condition exclusion for insurance, stopped gauging by big Pharma; allowed competition of insurance companies across state lines; allowed test sharing instead of duplication of tests, set-up co-ops for small business owners and the self-employed, excluded illegal aliens from any type of free medical coverage, and made medical coverage portable (that you can take from job to job) etc, we would be well on our way to paying for covering everybody. Additional options could be to reduce coverage for the wealthy and minimal tax increases.

There is no country in the world where nationalized, government-run or socialized medicine has worked well!!!!!!!!!!!!!!  America has the best medical system and coverage in the world and just needs common sense overhauls including cutting fraud and waste.  The government needs to regulate the insurance industry, the AMA and Big Phama… but not run or pay for any additional programs.  Just look at Social Security, Medicare, Veterans Healthcare and Indian Reservation Healthcare and any doubt that you might have that government is the answer will melt away instantly.

Read HR-3200 - full report for yourself or checkout the *overviews below, if you haven’t.  The nightmare speaks for itself!

The experts are saying: 

  • Scrap all 5-bills that are being debated in both Houses of Congress
  • No public option – it will eventually lead to single payer totally government controlled healthcare program
  • No central government electronic medical record system – the possibilities for its us are too scary!
  • Overall our private system and existing government programs using the above means, etc.
  • No rationing

Be Sure to Watch 20/20 Segment on Nationalized Healthcare tomorrow night with Jon Stossell – 7-31-09

Posted:  True Health Is True Wealth

Related Resources:

Wednesday, July 29, 2009

ObamaCare for Seniors: Sorry, You're Just Not Worth It

The debate over Barack Obama's health care plan continues. Senators are trying to cut deals and members of the House of Representatives are doing the same. Democrats are trying to push through a massive government plan that will cost Americans billions and billions of dollars all because Obama wants to take power away from the people and put it in the hands of government.

Throughout this debate, the voices of seniors have been strangely and disturbingly silent. Do they not know the details of ObamaCare? Are they so enamored with this "nice, young man" that they don't even look at what the plan has to offer? ObamaCare has a strong message for seniors, and it is one they shouldn't ignore: If you are old in America, then don't get sick... you're not worth the cost.

In a recent update by The Heritage Foundation, seniors can read for themselves some of the results of ObamaCare on their daily lives.

First, seniors would face an increasing risk of losing their doctor. With cuts to Medicare reimbursements, more and more physicians are no longer taking Medicare patients. ObamaCare makes it worse: "Obama plans to pay for up to a third of his plan by cutting $313 billion in Medicare reimbursements to health care providers over the next 10 years. This will only force more doctors to stop seeing Medicare patients."

Obama's plan also places a disincentive on people to become physicians as his "public" option "could decrease the annual net income of hospitals by $36 billion, while the annual net income of physicians could drop by $33.1 billion."

Then there is the worry that seniors will lose their coverage. As noted in The Heritage Foundation's report, "22% of all Medicare patients, which translates to 10.5 million seniors, are currently enrolled in Medicare Advantage plans. These health plans cover all of the traditional Medicare benefits and much more, including coor dinated care and care-management programs for enrollees with chronic conditions as well as additional hospitalization and skilled nursing facility stays. President Obama has proposed killing this program entirely."

And, of course, there is the issue that Obama and the liberal Democrats want seniors and all Americans to ignore: the rationing of health care. Under Obama's plan, there will be a new government bureaucracy known as a "federal health board." The purpose of this board is to determine whether various procedures and tests are deemed necessary in the eyes of the federal government. That notion is truly scary.

Obama supporter and infanticide advocate Peter Singer made the case for rationing health care recently in the New York Times, writing: "The task of health care bureaucrats is then to get the best value for the resources they have been allocated." Conservatives in Congress have given Obamacare supporters every opportunity to disavow government-rationed health care, but Obamacare supporters have voted down every anti-rationing amendment proposed. Make no mistake, Obama plans to pay for expanded coverage for the young and healthy by denying treatments to the old and sick.

As noted in a story by the Associated Press, a group of senators is actually working to squeeze more money out of Medicare. "Under the plan, an independent commission would be empowered to recommend changes in Medicare annually, to take effect automatically unless Congress enacted an alternative."

Cantor on Obama’s Healhcare Reform 

As noted in a new Rasmussen Reports poll, only 23% of Americans believe that health care costs will go down under ObamaCare.

Most Americans are happy with their coverage. Most have coverage. Yet in order to cover the ten percent or so of Americans who don't have it and are having trouble getting it, he wants to impose a new government plan on the other 90% of the country. This is just crazy. ObamaCare is bad news for seniors and bad news for the entire population.

Source/Posted by Bobby Eberle – The Loft - July 29, 2009 at 7:32 am

-----------

++ Contact Congress Today! Hands Off My Health Care Decisions!

Posted:  True Health Is True Wealth

Related Resources:

Letter To Your Congress Person on Healthcare (Obamacare) HR 3200

As always… in the end the Blue Dogs caved to Team Obama pressure.  The House is now moving something through… just to meet President Obama’s deadline, at least partially, without reading the bill or addressing the bulk of the problems.  Copy, paste and send the letter below to you Congress Person “Now” and to as many others who are pro this horrible legislation “ASAP”!!! (Contact Info Below). And remember the people who voted for this bill, who didn’t read the bill, and who swing back and forth just to please “the powers that be” and vote them out in 2010 and 2012. Stand-up America!!

CONGRESSMAN ____________________________________

If you aren’t going to read the entire HealthCare bill, here is a summary:

PG 22 MANDATES the Government will audit books of ALL EMPLOYERS that self insure!!

PG 24 Line 116 Government effectively sets prices for ALL private health plans.

PG 30 Line 123 THERE WILL BE A Government COMMITTEE that decides what treatments/benefits you get.

PG 37 Line 132 The Government will be reviewing grievances about themselves and will decide on appeals for rejected claims.

PG 29 Line 4-16 YOUR HEALTHCARE IS RATIONED!!! Additionally you can reference PG 15 Line 19-25.

PG 42 The Health Choices Commissioner will choose your HealthCare Benefits for you. You have no choice!

PG 50 Line 152 HealthCare will be provided to ALL non US citizens, illegal or otherwise. (‘Legal’ residents are granted the same rights as American Citizens… like all our forefathers. Now they are being lumped into a category with illegals and forced into inferior healthcare. Is that the American Dream they and are forefathers were promised?)

PG 58 Government will have real-time access to individuals’ finances & a National ID HealthCare Card will be issued!

PG 59 Line 21-24 Government will have direct access to your banks accounts for electronic funds transfer!

PG 61 Line 22-24 Congress has no clue what Electronic Medical Records will cost. Asks for estimate. (And then the question is what else will government use these records for?)

PG 62 Protection of Data, Government shows they will have database of your personal & financial info.

PG 64 L 21-25, pg65 L 1-5 which refers to processing payment transactions by financial institutions

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

PG 72 Line 8-14 Government is creating an HealthCare Exchange to bring private HealthCare plans under Government control.

PG 84 Line 203 Government mandates ALL benefit packages for private. HealthCare plans in the Exchange.

PG 85 Line 7 Specs for of Benefit Levels for Plans = The Government will ration your HealthCare! #AARP members your Health care Will be rationed.

PG 89 Line 6-10 The FAR is not applicable. Government can write contracts any way they want.

PG 95 Line 8-18 The Gov. will use groups i.e., ACORN & Americorps to sign up individuals for Government HealthCare plan.

PG 98 Line 8 Americans - You will be paying for others HealthCare while paying for your own.

PG 100 Line 15-19 The Government Will be using ACORN and other community groups to promote & enroll.

PG 102 Line 12-18 Medicaid Eligible Individual will be automatically enrolled in Medicaid. No choice.

PG 109 Line 207 Health Trust Fund. The Government will raise taxes on EVERYONE to fund HealthCare as they see fit.

PG 110 Line 7-12 Employment taxes on ALL employers NOT offering Government HealthCare. No choice.

PG 110 Line 13-18 An excise tax on ALL goods from companies not offering Government HealthCare. ALL Americans pay.

PG 110 Line 19-24 the Treasury can take $$ from Soc Line to pay HealthCare.

PG 111 Line 208 The Federal Government will usurp all State powers in State Based HealthCare Exchange. Violation of 10th Amendment.

PG 119 Line 1-3 establish geographically-adjusted premium rates for public option Can you say ACORN census?

PG 121 Line 223 PAYMENT RATES FOR ITEMS AND SERVICES. Can you say Government price fixing & monopoly?

PG 124 Line 24-25 No company can sue Government on price fixing. No “judicial review” against Government Monopoly.

PG 126 Line 10-15 The Government can make up prices for anything at anytime for any reason.

PG 126 Line 22-25 Employers MUST pay for HealthCare for part time employees AND their families.

PG 127 Line 1-16 Doctors: The Government will tell YOU what you can make.

PG 129 The public option will be subsidized. Credits = your tax dollars. Redistribution of wealth.

PG 130 Line 10-23 Federal Government will subsidize State Medicaid = Even Higher State & Federal taxes for ALL.

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

PG 149 Line 16-24 ANY Employer with payroll 400k & above who does not provide public option pays 8% tax on all payroll.

PG 150 Line 9-13 Biz with payroll btw 251k & 400k who doesn’t provide public option pays 2-6% tax on all payroll.

PG 151 Line 1-3 Aggregate Rules-tax on employers’ payroll not on public option include payroll of other biz.

PG 167 Line 18-23 ANY individual who doesn’t have acceptable HealthCare according to Government will be taxed 2.5% of inc.

G 170 Line 1-3 Any NONRESIDENT Alien is exempt from individual taxes. (Americans will pay)

PG 195 officers & employees of HealthCare Administration (Government) will have access to ALL Americans financial/personal records.

PG 198 Line 1-3 1.5% ADDITIONAL TAX on peeps who have income of 500k to 1mil. Redistribution of Wealth.

PG 198 Line 4-6 5.4% ADDITIONAL TAX on peeps who have income of 1mil+. Redistribution of Wealth

PG 199 Line 1-4 Surtax rates on raised AGAIN on Americans in 2012; they see fit to show savings. (Cooking the books)

PG 203 Line 14-15 “The tax imposed under this section shall not be treated as tax” Yes, it says that.

PG 202-215 is a Government rewrite of the tax code ensuring more taxes for EVERYONE, Everywhere.

PG 239 Line 14-24 Government will reduce physician services for Medicaid. Seniors, low income, poor affected.

PG 241 Line 6-8 Doctors, doesn’t matter what specialty you have, you’ll all be paid the same.

PG 236 L22-25, 237 L1-3 National rate of uninsured defined by Census. Can you say ACORN corruption?

PG 239 Line 10-12 Medicare DSH payments will be increased. Can you say even higher taxes for all?

PG 238-249 Line 1121 Doctors-Government mandates your growth, costs, value, services, & income. Welcome to rationing

PG 253 Line 10-18 Government sets value of Doctor’s time, professional judgment, etc. Literally value of humans. We’re next!!!

PG 260 Line 1125 Fed Government will adjust Medicare Payment Localities for California based on Census. ACORN? = Corrupt Data

PG 265 Line 1131 Government mandates & controls productivity for private HealthCare industries.

PG 268 Line 1141 Fed Government regulates rental & purchase of power driven wheelchairs.

PG 270 Line 1144 Government Mandates that all private ambulatory surgical centers submit cost data & other data

PG 272 Line 1145 TREATMENT OF CERTAIN CANCER HOSPITALS – Cancer patients – welcome to rationing!

PG 276 Line 3-20 Oxygen Equipment & Supply Companies - Government MANDATES you will provide supplies NO MATTER where individual is.

PG 287 Line 14-25 PROOF that Government will ration HealthCare by mandating waiting periods for readmission.

PG 298 Line 9-11 Drs, treat a patient during initial admission that results in a readmission - Government will penalize you.

PG 303 Line 12-25 Post Acute Care Services Data – Government will collect data including personal information as they see fit.

PG 304 Line 17-19 BIG ONE HERE: Expedited Data Collection –

PG 304 Line 17-19 Government does NOT have to protect your private information, share with anyone, & is not resp Expedited Data Collection - Chapter 35 of Title 44 of USC SHALL NOT APPLY. Folks this gives the govt the right to access ur data any way the see fit. Here is link to the chapter: http://www.law.cornell.edu/uscode/html/uscode44/usc_sec_44_00003501---- 000-.html Look at number 8 THE GOVT IS SAYING THAT THEY DONT HAVE TO DO THIS!!! (8) ensure that the creation, collection, maintenance, use, dissemination, and disposition of information by or for the Federal Government is consistent with applicable laws, including laws relating to— (A) privacy and confidentiality, including section 552a of title 5; (B) security of information, including section 11332 of title 40 [1] ; and (C) access to information, including section 552 of title 5;

PG 306 Line 3-6 The Government can expand the scope & size of Post Acute Program Services anytime & as they see fit.

PG 313 Line 9-14 Government MANDATES Health Services providers will state ownership, invest, & compensation arrangements.

PG 317 Line 13-20 PROHIBITION on ownership/investment. Government tells Drs. what/how much they can own.

PG 317-318 L 21-25,1-3 PROHIBITION on expansion- Government is mandating hospitals cannot expand. PG 318-319 Government is mandating how hospitals & physicians conduct business & investments. We’re next! PG 321 2-13 Hospitals have opportunity to apply for exception BUT community input required. Can you say ACORN?!!

PG 328 Line 1157 Government study disguised. Its a HealthCare workforce study mandated by law for unionization.

Pg335 L16-25,PG 336-339 Government mandates estab. of outcome based measures. HealthCare the way they want. Rationing.

PG 341 Line 3-9 Government has authority to disqualify Medicare Adv Plans, HMOs, etc. Forcing into Government plan.

PG 354 Line 1177 Government will RESTRICT enrollment of Special needs people!

PG 355-369 Line 1181 Government disguises tax on Drug Companies as rebate to Government to subsidize Drugs. We pay in the end.

PG 379 Line 1191 Government creates more bureaucracy – Telehealth Advisory Committee. Can you say HealthCare by phone?

PG 399 If your a subsidy eligible individual under Medicare part D and you don’t enroll, the Government will auto enroll you.

PG 401 Section 1221 Americans will fund Medicare Language & Translation Services Program. Can you say MORE taxes?

PG 404 Lines 12-16 Government exempts itself again from - Chap 35 of title 44, USC including privacy of Americans. PG 404 Lines 17-19 Government doesn’t know the cost of Language services but states that money is there. PG 425 Lines 4-12 Government mandates Advance Care Planning Consult. Think Senior Citizens end of life. PG 425 Lines 17-19 Government will instruct & consult regarding living wills, durable powers of atty. Mandatory!

PG425 L22-25, 426 L1-3 Government provides approved list of end of life resources, guiding you in death.

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

PG 429 Lines 1-9 An “advance care planning consultant” will be used frequently as patients health deteriorates.

PG 429 Lines 10-12 “advance care consultation” may include an ORDER for end of life plans. AN ORDER from Government.

PG 429 Lines 13-25 The Government will specify which Doctors can write an end of life order. Logan’s Run anyone?

PG 430 Lines 11-15 The Government will decide what level of treatment you will have at end of life.

PG 432 Lines 18-21 The Government will publish “quality measures” for individual’s end of life in Federal Register.

PG 434 Section 1234 Military Active, Reservists, Families - If you’re not enrolled in Tricare it is mandated.

PG 434 Section 1234 Military Active, Reservists, Families - Once HealthCare bill is passed your premiums will go up.

PG 438 Section 1236 The Government will develop a patient decision making aid program that you & Dr. WILL use.

PG 443 Lines 7-24 Government at taxpayers expense test out an “Accountable Care Org” program (Government doesn’t have plan.)

PG 444 Lines 1-6 Government’s Accountable Care Program will mandate services & infrastructure thru reward/penalty system.

PG 448 Lines 4-17 Government will set performance targets for ALL Accountable Care Organizations including private.

PG 455 Lines 3-4 Government exempts itself from Chapter 35, Title 44 Paperwork Reduction & Citizens Privacy Protection Act

PG 460 Section 1302 Knock Knock - It’s the Government and I’m here with the Medical Home Program - YOUR home.

PG 460 Section 1302 The Government WILL provide medical services in your home. Paging Nurse Pelosi!!

PG 464 Lines 17-22 Independent Patient Center Home Medical Services - Drs. don’t have to be at your home just some directed by D

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

PG 472 Lines 14-17 PAYMENT TO COMMUNITY-BASED Organization - 1 monthly payment to a community-based organization Like ACORN?

PG 476 19-20 Chapter 35/ title 44, (Privacy of personal records) shall not apply Home Medical Services. ACORN ACCESS

PG 489 Section 1308 Government will cover Marriage & Family therapy. Which means they will insert Govt into your marriage.

PG 494-498 Government will cover Mental Health Services including defining, creating, rationing those services.

PG 502 Section 1181 Center for Comparative Effectiveness Research Established. - Hello Big Brother - Literally.

PG 502 Line 5-18 Government builds the “Center” to conduct, support, & synthesize research to define our HealthCare Services.

PG 503 Line 13-19 Government will build registries and data networks from YOUR electronic medical records.

PG 503 Line 21-25 Government may secure data directly from any department or agency of the US including your data.

PG 504 Line 6-10 The “Center” will collect data both published & unpublished (that means public & your private info)

PG 506 Line 19-21 The Center will recommend policies that would allow for public access of data

PG 518 Line 21-25 The Commission will have input from HealthCare consumer reps - Can you say unions & ACORN?

PG 524 18-22 Comparative Effectiveness Research Trust Fund set up. More taxes for ALL.

PG 525-620 deals with the Government basically taking over nursing homes, PGs 525-620 deals with the Gov’t basically taking over nursing homes, long-term care facilities (think assisted living) through regulations of the facilities, the owners of said facilities, the employees of said facilities and even the land owners of that said facilities reside on. Additionally as you read these 90+ pages you can come to the conclusion that any Health related services will be determined and rationed by the Gov’t for our senior citizens and others in nursing homes. This one post should do enough to raise awareness of the control the Gov’t is exerting over the older population of American citizens.

PG 620 Line 1-9 The Government will define, prioritize, and nationalize your Health Care Services.

PG 621 Lines 20-25 Government will define what Quality means in HealthCare. Since when does Government know about quality?

PG 622 Lines 2-9 To pay for the quality Standards Government will transfer $$ from to other Government Trust Funds. More Taxes.

PG 624 “Quality” measures shall be designed to assess outcomes & functional status of patients.

PG 628 Section 1443 Government will give “Multi-Stake Holders” Pre-Rule Making input into Selection of “Quality” Measures.

PG 630 9-24/631 1-9 Those Multi-stake holder groups including Unions & groups like ACORN deciding HealthCare quality.

PG 632 Lines 14-25 The Government may implement any “Quality measure” of HealthCare Services as they see fit.

PG 633 14-25/ 634 1-9 The Secretary may issue non-endorsed “Quality Measures” for Physician Services & Dialysis Services.

PG 635 - 653 Physicians Payments Sunshine Provision - Government wants to shine sunlight on Docs but not Government.

PG 654-659 Public Reporting on Health Care-Associated Infections - Looks okay.

PG 660-671 Doctors in Residency - Government will tell you where your residency will be, thus where you’ll live.

PG 676-686 Government will regulate hospitals in EVERY aspect of residency programs, including teaching hospitals.

PG 686-700 Increased Funding to Fight Waste, Fraud, and Abuse. You mean the Government with an $18 mil website?

PGs 701-704 Section 1619 If your part of HealthCare plan that isn’t in Government HealthCare Exchange but you qualify for Federal aid, no payment.

PG 705-709 SEC. 1128 If Secretary gets complaints (ACORN) on HealthCare provider or supplier, Government can do background check.

PG 711 Lines 8-14 The Secretary has broad powers to deny HealthCare providers/suppliers admittance into HealthCare Exchange.

PG 719-720 Section 1637 ANY Doctor who orders durable medical equipment or home medical services MUST be enrolled in Medicare.

PG 722 Section 1639 Government Mandates Doctors must have face-to-face with patient to certify patient for Home Health Services.

PG 724 Lines 16-22 Government reserves right to apply face-to-face certification for patient to ANY other HealthCare service.

PG 724 23-25 PG 725 1-5 The same Government certifications will apply to medicaid & CHIP (your kids) Pg 735 lines 16-25 For law enforcement purposes, the Secretary of Health & Human Services will give Attorney General access to ALL data.

PG 740-757 Government sets guidelines for subsidizing the uninsured (That’s your tax dollars peeps) Pg 757-762 Fed Government will shift burden of payments to Disproportionate Share Hospitals (DSH) to States. (Taxes)

PG 763 1-8 No DS/EA hospitals will be paid unless they provide services without regard to national origin Pg 765 Section 1711 Government will require Preventative Services including vaccines. (Choice?)

PG 768 Section 1713 Government - Nurse Home Visitation Services (Hello union paybacks)

PG 769 3-5 Nurse Home Visit Services - “increasing birth intervals between pregnancies.” Government Abortions anyone?

PG 769 11-14 Nurse Home Visit Services include-economic self-sufficiency, employment advancement, school-readiness.

PG 769 3-5 Nurse Home Visit Services - “increasing birth intervals between pregnancies.” Government ABORTIONS anyone?

PG 770 SEC 1714 Federal Government mandates eligibility for State Family Planning Services. Say abortion & State Sovereign.

PG 789-797 Government will set & mandate drug prices, controlling which drugs will brought to market. Bye innovation

PGs 797-800 SEC. 1744 PAYMENTS for grad medical education. The government will now control Doctors’ education.

PG 801 Sec 1751 The Government will decide which Health care conditions will be paid. Say RATION!

PG 810 SEC. 1759. Billing Agents, clearinghouses, etc. required to register. Government takes over private payment system.

PG 820-824 Sec 1801 Government will identify individuals ineligible for subsidies. Will access all personal finances.

PG 824-829 SEC. 1802. Government Sets up Comparative Effectiveness Research Trust Fund. Another tax black hole.

PG 829-833 Government will impose a fee on ALL private health insurance plans including self insured to pay for Trust Fund!

PG 835 11-13 fees imposed by Government for Trust Fund shall be treated as if they were taxes.

PG 838-840 Government will design & implement Home Visitation Program for families with young kids & families expecting kids.

PG 844-845 This Home Visitation Program includes Government coming into your house & telling you how to parent!!!

PG 859 Government will establish a Public Health Fund at a cost of $88,800,000,000. Yes thats Billion.

PG 865 to 876 The NHS Corps is a program where Drs. perform mandatory HealthCare for 2 years for part loan repayment.

PG 876-892 The Government takes over the education of our Medical students and Drs.

PG 898 The Government will establish a Public Health Workforce Corps. to ensure supply of public health professionals.

PG 898 The Public health workforce corps shall consist of officers of Regular & Reserve Corps of Service.

PG 898 The Public health workforce corps shall consist of civilian employees of the U.S. as Secretary deems.

PG 900 The Public Health Workforce Corps includes veterinarians.

PG 901 The Public Health Workforce Corps WILL include commissioned Regular & Reserve Officers. HealthCare Draft?

PG 910 The Government will develop, build & run Public Health Training Centers.

PG 913-914 Government starts a HealthCare affirmative action program thru guise of diversity scholarships.

PG 915 SEC. 2251. Government MANDATES Cultural & linguistic competency training for HealthCare professionals.

PG 932 The Government will establish Preventative & Wellness Trust fund - initial cost of $30,800,000,000-Billion.

PG 935 21-22 Government will identify specific goals & objectives for prevention & wellness activities. Control You!!

PG 936 Government will develop “Healthy People & National Public Health Performance Standards” Tell me what to eat?

PG 942 Lines 22-25 More Government? Offices of Surgeon General -Public Health Services, Minority Health, Women’s Health

PG 950- 980 BIG Government core public health infrastructure includes workforce capacity, lab systems; health information systems, etc

PG 993 Government will establish school based health clinics. Your kids won’t have a chance.

PG 994 School Based Health Clinic will be integrated into the school environment. Say Government Brainwash!

PG 1001 The Government will establish a National Medical Device Registry. Will you be tracked?

PG 1003 9-11 National Medical Dev Reg ‘‘(iii) other postmarket device surveillance activities” you WILL be tracked.

PG 1018 States give up some of their State Sovereignty.

Should you choose to the read the whole bill here it is online: full report My understanding is that there is a grassroots movement of people who are keeping track of which Congress people (and Senators) have read the bill and any other version will and will take that as well as their voting record into account in the 2010 and 2012 elections.

Most of the people I know feel that this entire bill and all the others that are being considered and massaged in both Houses should be scraped and if not then defeated.

We have the greatest health care in the world. 91% of all Americans and legal residents (or legal aliens) have health insurance or are covered by Medicare, Medicaid or Veterans Benefits. 85% of all Americans and ‘legal residents” are happy with their health care. The uninsured are primarily illegal aliens, people who qualify for programs but have chosen not to sign up (young people and wealthy people). If you subtract those from the 50 million uninsured, the number the Dems and Team Obama keep throwing around, the uninsured number about 27 million and many are temporarily uninsured because of job losses under the present economy. All these people could be covered for about $27 to $48 Billion Dollars instead of 1 to 1.6 Trillion, without rationing, without giving up our freedoms, without giving up our choice and probably bettering our healthcare instead of diminishing it with increasing costs!

The government’s job is to regulate not run or pay for healthcare beyond what they do now… and that needs to be cleaned up!!

These bills and nationalization of healthcare is a power grab!

What needs to be done is:

· Junk everyone of the present bills – all 5

· Overhaul Medicare, Medicaid, Veteran’s Health Benefits

1. Tort Reform

2. Investigate and clean-up fraud in all 3 programs

3. Stop the duplication of tests

4. Focus on Prevention

5. Allow and cover alternative medicine and holistic programs and supplements

· Better regulation of insurance companies

1. Control Price Gauging

2. Allow Insurance Companies to Sell Insurance across State lines

3. Create Co-ops for Small Businesses to increase their buying power and control prices

4. All small businesses to pool

5. Do away with exclusions for pre-existing conditions

6. Regulate insurance fraud

7. Portable insurance – allowing you to take your insurance from job to job

8. Consortiums and co-ops for the self-employed and agricultural workers to increase their buying power

· Better Regulation of Big Pharma and the AMA

1. Initiate same cost structure now agreed to by Obama Team and Big Pharma

· Extend coverage under a subsidiary of the overhauled Medicare and Medicaid to the truly indigent and temporarily to the people who have lost their jobs due to the economy.

· Read the Bills – People understand that Congress-people and Senators cannot read every single bill, word for word… but bills that will change our lives and life in the United States, as we know it, like the Stimulus Bills, Cap and Tax, Food Safety and Healthcare Reform need to be read (word for word by everyone who votes)… and then vote “NO” on all the aforementioned!

· Work with Republicans in both houses as well as outside ideas. Just to name a few:

1. Senator John Kyl of Arizona

2. Governor Tim Pawlenty

3. Bill Kristal of the Daily Standard

4. Former Lt Governor and Patient Advocate Betsy McCaughy

5. And the list goes on…

· Absolutely:

1. “No” rationing

2. *** ”No” public option - (Government should regulate, but not run or pay for care) – immediate or as a later byproduct***

3. Absolutely “NO” single-payer program!!!!!!

4. “No” forced mandate for doctors to perform abortions

5. “No” eugenic programs or reduction in elder care and services… including ‘Duty to Die’ Lectures

6. “No” central electronic medical database – the possible negative uses of a central government managed database of everyone’s medical history are far too dangerous, especially with this administration! (What should happen is centralized databases with medical history and shared tests within systems like Kaiser, Blue Cross, etc… which is now not the case in many systems, that could be sent to another group in or all, but only with the patients permission).

7. “Yes” coverage for legal residents/aliens, “No” to coverage for illegal aliens

8. “No” affirmative action in the operating room! Medical students need to be accepted and train in accordance with ability, not affirmative action quotas.

9. “Yes” to inclusion of alternative and holistic options and supplements

10. “No” to anymore votes on any bills that have not been read

11. Every Congress person and Senator needs to read the ‘Let Freedom Ring Pledge’… agreeing to read the medical bills.

Contact Info for Your Elected Officials

Call, email, fax, or write your congressperson, your Senator and Nancy Pelosi “daily” and say “no” to Nationalized Healthcare!

1-202-224-3121- Congress Switchboard

1-202-225-3121- Congress Switchboard

(202) 225-0100 - Speaker of the House Pelosi

Speaker Nancy Pelosi
http://speaker.house.gov/contact
or http://www.speaker.gov/contact

Senators from your State.

Source: Free Republic/Knowledge Creates Power