What you need to know about the Patient Protection and Affordable Care Act

Unfortunately, we are seeing the practice of politics interfere with the practice of medicine …

Under progressive socialist theory, political power derives from managing real or imagined scarcity. Scarcity drives medical costs up and creates additional scarcity as people are unable to afford medical care. And, creating politicial power for those who serve as gatekeepers, exacting a toll on every person passing their artificially created gate. Upon examining the current state of medical practice and the legislation created by the progressive socialist democrats, I have come to a number of irrefutable conclusions. Conclusions that portend a very dark future for all Americans, with the exception of the wealthy and those who are politically connected and can exert “influence” over the system.

The so-called Patient Protection and Affordable Care Act is a misnomer – in fact, it is an outright lie. As the legislation introduces control mechanisms and expenses that make healthcare a scarce commodity, affordability will be a thing controlled by the government and their special interests. There will be no patient protection if you are beyond the norm, an outlier that may require individualized care and perhaps access to specialized and costly treatment.

And, if one we totally objective, what the detractors call cynical, one can plainly see that this system is designed to fail.

Why, you may ask, would anyone designed a system to fail? The answer lies in progressive politics. The progressive socialist democrats have created a system that has a number of loopholes, exceptions, and privileges granted to special interest groups and the politicians themselves. Therefore, the power grab is incomplete until the progressive socialist democrats implement a single-payer system that demands and exerts absolute control over the delivery of healthcare in America.

So with this said, let us look at some of the more troubling aspects of the Patient Protection and Affordable Care Act.

The government will create a massive database containing a dossier on every individual in the United States. Medical, financial, educational, and social data will be consolidated in an integrated database that could be used by the government for any purpose it deems necessary and proper to aid in the delivery of healthcare. Going beyond the privacy issues involving a database containing your private, personal, and non-public information, consider that no government has been able to keep those in authority – the people with the “keys to the kingdom” – from illegally accessing government information and using it for their political, personal, professional,or profit-generating advantage.

It is not unlikely that those with weapons will be required at some point to register them and the results recorded in the database. Declaring weapons to be a public health issue allows the corrupt politicians to skirt the Second Amendment of the Constitution and to force many Americans to “voluntarily” surrender their firearms or face an extreme upward “adjustment” in their healthcare insurance premiums on the speculative basis that people with firearms are likely to use those weapons in a manner that creates additional healthcare costs. 

It is not unlikely that those who engage in “inappropriate behaviors,” eating too much, drinking too much, engaging in dangerous sports, or simply being gay, might likewise see their insurance premiums “adjusted” to compensate for the risky behavior they voluntarily undertake.

And, it is not unlikely that the government’s power will stop at personal behavior. It is possible that the government may decide to “adjust” the insurance premiums for those who drive certain cars, live in certain areas, and purchase certain products. Thus, controlling the industrial output and consumer economy as if there was a mandate to reduce all risks of living to satisfy the requirements to provide healthcare at the lowest possible cost to the greatest number of insured recipients.

There will be delays and denials of care, by any other commonsense name, rationing …

Mathematics can be used to define our physical reality. And, here on Earth, time is not elastic and expandable, neither are time-based resources such as the number of patients that can be treated by a healthcare professional without compromising the patients safety and the number of patients that can be accommodated within diagnostic testing devices. Which posits a serious concern. How can a system accommodate millions of new patients using the same number of facilities, physicians, diagnostic devices and the other resources critical to the delivery of healthcare?

It is possible that some patients do not require advanced levels of care.

It is possible that some patients do not require a specialist to provide care.

It is possible that there is some “slack” in the system that can accommodate additional patients; but it is also possible that current practitioners need this “slack” to fully consider the treatment of existing patients, prepare for new patients, handle administrative chores, and engage in continuing education.

But, in the final analysis, you cannot add millions of patients to a finite and already burdened system without sacrificing something – the cost, or the availability of quality medical care for all enrolled individuals. Resulting in insurance companies denying and delaying claims – maybe until the point where you give up and die.

Here we find that the government is stepping between the physician and his patient. Inserting government bureaucrats and insurance company clerks into the process. Approving or denying care according to computerized criteria that is designed to provide adequate healthcare to the 80% masses while rejecting the specialized healthcare that may be required to save the lives or improve the quality of care in the 20% outliers. This can be easily illustrated using a standard statistical “bell curve” found in all areas of science and statistics.

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So how will appropriate healthcare be defined?

Before the Patient Protection and Affordable Healthcare Act, deep in the bowels of the progressive socialist democrat-crafted stimulus bill known as the American Recovery and Reinvestment Act of 2009 (ARRA), there were billion dollar expenditures on the beginnings of what is now colloquially known as Obamacare. Proof positive that the legislators were lying about the true costs of the Patient Protection and Affordable Healthcare Act. By breaking up portions of the program and hiding the basic control components in other measures, the legislators dishonestly represented that the costs were contain under a trillion dollars. (Not to be prominently mentioned is the $500 billion cut from Medicare’s Advantage Program to fund Obamacare; thus screwing over senior citizens.  

Comparative effectiveness research is the basis of data that will be used to determine which medical diagnostic procedures, treatment protocols, and medicines will be available to patients – all controlled by allowing or denying patient and physician claims for reimbursement from government-sanctioned insurance companies. 

On page 63/407, you will find the following …


In addition, $400,000,000 shall be available for comparative effectiveness research to be allocated at the discretion of the Secretary of Health and Human Services (“Secretary”): Provided, That the funding appropriated in this paragraph shall be used to accelerate the development and dissemination of research assessing the comparative effectiveness of health care treatments and strategies, through efforts that:

(1) conduct, support, or synthesize research that compares the clinical outcomes, effectiveness, and appropriateness of items, services, and procedures that are used to prevent, diagnose, or treat diseases, disorders, and other health conditions; and

(2) encourage the development and use of clinical registries, clinical data networks, and other forms of electronic health data that can be used to generate or obtain outcomes data:

Provided further, That the Secretary shall enter into a contract with the Institute of Medicine, for which no more than $1,500,000 shall be made available from funds provided in this paragraph,
to produce and submit a report to the Congress and the Secretary by not later than June 30, 2009, that includes recommendations on the national priorities for comparative effectiveness research to be conducted or supported with the funds provided in this paragraph and that considers input from stakeholders:

Provided further, That the Secretary shall consider any recommendations of the Federal Coordinating Council for Comparative Effectiveness Research established by section 804 of this Act and any recommendations included in the Institute of Medicine report pursuant to the preceding proviso in designating activities to receive funds provided in this paragraph and may make grants and contracts with appropriate entities, which may include agencies within the Department of Health and Human Services and other governmental agencies, as well as private sector entities, that have demonstrated experience and capacity to achieve the goals of comparative effectiveness research:

Provided further, That the Secretary shall publish information on grants and contracts awarded with the funds provided under this heading within a reasonable time of the obligation of funds for such grants and contracts and shall disseminate research findings from such grants and contracts to clinicians, patients, and the general public, as appropriate.


For an additional amount for ‘‘Office of the National Coordinator for Health Information Technology’’, $2,000,000,000, to carry out title XIII of this Act, to remain available until expended: Provided, That of such amount, the Secretary of Health and Human
Services shall transfer $20,000,000 to the Director of the National Institute of Standards and Technology in the Department of Commerce for continued work on advancing health care information enterprise integration through activities such as technical standards analysis and establishment of conformance testing infrastructure, so long as such activities are coordinated with the Office of the National Coordinator for Health Information Technology: Provided further, That $300,000,000 is to support regional or sub-national efforts toward health information exchange:

On page 73/407, you will find the following …



There is hereby established a Federal Coordinating Council for Comparative Effectiveness Research (in this section referred to as the ‘‘Council’’).


The Council shall foster optimum coordination of comparative effectiveness and related health services research conducted or supported by relevant Federal departments and agencies, with the goal of reducing duplicative efforts and encouraging coordinated and complementary use of resources.


The Council shall  (1) assist the offices and agencies of the Federal Government, including the Departments of Health and Human Services, Veterans Affairs, and Defense, and other Federal departments or agencies, to coordinate the conduct or support of comparative effectiveness and related health services research; and (2) advise the President and Congress on— (A) strategies with respect to the infrastructure needs of comparative effectiveness research within the Federal
Government; and (B) organizational expenditures for comparative effectiveness research by relevant Federal departments and agencies. 


(1) NUMBER AND APPOINTMENT.—The Council shall be composed of not more than 15 members, all of whom are senior Federal officers or employees with responsibility for health related programs, appointed by the President, acting through the Secretary of Health and Human Services (in this section referred to as the “Secretary”). Members shall first be appointed to the Council not later than 30 days after the date of the enactment of this Act.


(A) IN GENERAL. The members of the Council shall include one senior officer or employee from each of the following agencies: (i) The Agency for Healthcare Research and Quality. (ii) The Centers for Medicare and Medicaid Services. (iii) The National Institutes of Health. (iv) The Office of the National Coordinator for Health Information Technology. (v) The Food and Drug Administration. (vi) The Veterans Health Administration within the Department of Veterans Affairs. (vii) The office within the Department of Defense responsible for management of the Department of Defense Military Health Care System.

(B) QUALIFICATIONS.—At least half of the members of the Council shall be physicians or other experts with clinical expertise.

(3) CHAIRMAN; VICE CHAIRMAN.—The Secretary shall serve as Chairman of the Council and shall designate a member to serve as Vice Chairman.

  A council of progressive socialist democrats appointed by a progressive socialist democrat. Not only is the Board’s work compromised by the same type of situational ethics and conflicts of interest that led others in the Obama Administration to cover-up Fast and Furious gun running to Mexican drug cartel scandal, the Benghazi gun-running to terrorists scandal, the IRS scandal, the NSA spying scandal … and other progressive socialist democrat scandals, but it cannot by trusted with the healthcare of American citizens.

Somebody is trying to remedy the situation …

The GOP mounted a good fight in 2010 … but is wasn’t good enough. Perhaps not enough people felt the pain of Obamacare and saw their insurance premiums rise dramatically and were forced to switch doctors – contrary to what Barack Obama promised the American people. Consider this political piece by a doctor in support of the GOP nominee in Michigan. Although Steele did not win office, he held the notorious progressive John Dingell to his lowest percentage of vote in his 55-year career in Congress. Listen to Dr. David Janda for a moment …

Bottom line …

Obamacare is an Obamination that cannot be allowed to stand. It is a radical socialist attack on the American capitalist system and the American way of life. Obamacare potentially, over time, has the potential to kill or injure millions of innocent Americans. Especially senior citizens who saw their retirement evaporate under Obama’s mishandling of the economy.

After four years, it is no longer Bush’s fault. It is no longer the Republican’s fault. It is the fault of one man, Barack Hussein Obama, and his cadre of fellow progressive socialist democrats. Something that needs to be remedied in the 2014 congressional election cycle lest America be destroyed from within.

Do what you must do, vote how you must vote … but do it in an informed manner. Do not be one of the sheeple who is being promised something that will never appear – in exchange for your freedom.

-- steve

“Nullius in verba”-- take nobody's word for it!
"Acta non verba" -- actions not words

“Beware of false knowledge; it is more dangerous than ignorance.”-- George Bernard Shaw

“Progressive, liberal, Socialist, Marxist, Democratic Socialist -- they are all COMMUNISTS.”

“The key to fighting the craziness of the progressives is to hold them responsible for their actions, not their intentions.” – OCS

"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius

“A people that elect corrupt politicians, imposters, thieves, and traitors are not victims... but accomplices” -- George Orwell

“Fere libenter homines id quod volunt credunt." (The people gladly believe what they wish to.) ~Julius Caesar

“Describing the problem is quite different from knowing the solution. Except in politics." ~ OCS