What Health Care Reform
means to
you, your family, and America
BANKRUPT FROM THE START
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$72 billion in “savings” come from CLASS Act
What is the CLASS Act?
Why does private LTC survive? Why won’t CLASS?
Individual input: $123/month for 5 years
Total input: $7,380
What would a claimant take from the system?.....
BANKRUPT FROM THE START
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$75 per day
$27,375 per year
10 years in care: $273,750
20 years in care: $547,500
Oct. 14th: Katherine Sebelius conference
Is it dead or not??
OBAMACARE: NO CLASS
IN MORE WAYS THAN ONE
• Where is/was media accountability?
• Sold a knowingly-bad bill of goods by the Obama
Administration
• How did Congress not know that CLASS was determined to
fail?
• What else did they not know?
• What did WE not know?
BIGGER GOVERNMENT IS COMING
• Sections 3011 through 3015.
• “Establish a national strategy to improve the delivery of health care
services, patient health outcomes, and population health.”
• Requires “a comprehensive strategic plan to achieve the priorities”
• The strategic plan includes “agency-specific strategic plans to achieve
national priorities,” “annual benchmarks for each relevant agency,” and
“strategies to align public and private payers with regard to quality and
patient safety efforts.” ….all conducted by the Executive Branch
• Creates the National Prevention, Health Promotion and Public Health
Council (Section 4001)
WHAT DOES THE COUNCIL DO?
• Coordinate prevention, wellness and health promotion
practices
• Develop a national health care strategy
• Provide recommendations to the President and Congress
concerning changes in Federal policy to achieve national
wellness, health promotion, and public health
goals….including the reduction of tobacco use, sedentary
behavior, and poor nutrition
• Propose policies “for…public health on individual and
community levels across the United States.”
MICROMANAGING YOUR LIFE
• Dictate fitness and measurable criteria (blood sugar, blood
pressure, BMI)
• Mandate vaccines
• Tell you what you and your kids can eat
• Regulate what can be served in restaurants and schools
• Manage mental health
• Manage behavioral health
• Domestic violence “screenings”
• Smoking cessation
SCHOOL BASED
HEALTH CARE CENTERS
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Section 4101
Will offer comprehensive health assessments
Diagnosis, and treatment of ALL medical conditions
Mental health and substance use disorder assessments
Crisis intervention
Counseling
Referral to psychiatric care, community support programs, inpatient care,
and outpatient programs
• What about parental responsibility?
• What about parents’ rights?
SCHOOL-BASED CARE &
YOUR CHILD
• Sexualization of child behavior (early sex-ed, condom
giveaways)
• Secret abortions
• Dietary mandates
• BMI/fitness requirments
• Mandated medication of youth
• Child abuse?
PARENTS’ RIGHTS UNDER FIRE
• Section 2951 creates Maternal, Infant, and Early Childhood
Home Visiting Programs
• Requires all states to identify at-risk communities and apply
for grants to establish early childhood home visitation
programs
• Demands visits to high risk homes…with or without reason
• What constitutes high risk?
WHAT’S A HIGH RISK HOME?
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Families with low incomes
Pregnant women or mothers under 21 years
Any home with interactions with child welfare services
Parents with a history of substance abuse
Users of tobacco products
Children with low student achievement
Children with developmental delays or disabilities
Individuals who are serving or formerly served in the Armed Forces
WHAT IS A VISITED HOME TO DO?
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Improve mothers’ and babies’ health
Heighten children’s development
Improve parenting skills
Make kids “school ready”
Lessen crime and domestic violence rates
Create family economic self-sufficiency
Succumb to forced inoculations AT-HOME: Section 4204
LOCAL GOVERNMENT &
YOUR HEALTH
• Section 4101
• Creates a grant program for state and local governments “to
reduce chronic disease rates, prevent the development of
secondary conditions, address health disparities, and develop
a stronger evidence-base of effective prevention
programming.”
• Each grantee must develop and enforce a “community
transformation plan”
COMMUNITY TRANSFORMATION
PLAN: WHAT’S IN IT?
1. Creation of healthier school environments, including increasing healthy food options, physical activity
opportunities, promotion of healthy lifestyle, emotional wellness, and prevention curricula, and activities
to prevent chronic diseases
2. Creating the infrastructure to support active living and access to nutritious foods in a safe environment
3. Developing programs targeting a variety of age levels to increase access to nutrition, physical activity
and smoking cessation, improve social and emotional wellness, enhance safety in a community, or address
any other chronic disease priority area identified by the grantee;
4. Assessing and implementing worksite wellness programming and incentives;
5. Prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic
determinants of health; and
6. Addressing special populations needs, including all age groups and individuals with disabilities, and
individuals in both urban and rural areas.
PRIVACY A THING OF THE PAST
• HHS docket #HHS-OS-2011-0022
• Require insurance companies to share your health records w/
federal government
• What is the supposed reason?
• Who will collect the data?
• Breaks patient-doctor, insurer-insured confidentiality (let
alone HIPPA)
• Will it become a laughing matter?
• Will they track BMI? Mental illnesses (“threat”)? STDs?
MISC. NUANCES OF OBAMACARE
• Changes supply & demand by cutting Medicare/Medicaid
reimbursements by $455 billion over 10 years
• If you have 50 or more employees: $2,000/employee fine if
health insurance is not offered by 2014 (Section 1513)
• Fine can be higher ($3,000 per employee) if your employees
earn up to 400% of the poverty level (Section 1513)
• Menu and vending machine nutritional labeling (Section
4205)
• Federal government can tell states what insurers can
participate in state exchanges (Section 2794)
• Insurers must submit rate increases to Feds (Section 1003)
MISC. NUANCES OF OBAMACARE
• Sets executive salaries for health insurers at $500,000 in 2012
(Section 9014)
• Individuals who don’t buy insurance pay $750 more in federal
taxes (Section 5000A)
• $60 billion surcharge on insurance in 2014 = 10% increase in
premiums
• Starting in 2013, the Medicare tax (2.9%) is applied to
investment income…NOT JUST THE RICH!
• Starting in 2013, 2.3% excise tax on medical device
manufacturers = $20 billion
MISC. NUANCES OF OBAMACARE
• Now: annual fee on brand name drug producers ($27 billion)
• Abortion IS covered (especially with community grants)
• Developments at fast food places, department and grocery
store: Cost for minimum wage/low wage worker rises $1 per
hour if employer chooses fine, or, if insurance is the answer,
$1.79/hour (single) or $5.51/hour (family)
• Lack of entry-level or part-time jobs (see above)
• Look at Romney care model: $13,788/family in 2008 will be
twice that in 2020…plus an extra $1,116/year in taxes
CLOSING COMMENTS
• Repeal
• Revise: Use 1099 rule and CLASS Act as
examples
• Communicate with your elected officials
• Educate friends, family, community