What does the bill, HR 3200, short-titled ‘‘America’s Affordable Health Choices Act of 2009,” actually say about major health care issues? This bill is 1017 pages long. It is knee-deep in legalese and references to other federal regulations and laws.
WILL THE PLAN RATION MEDICAL CARE? (Source.)
This is what the bill says, pages 284-288, SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS:
(ii) EXCLUSION OF CERTAIN READMISSIONS.—For purposes of clause (i), with respect to a hospital, excess readmissions shall not include readmissions for an applicable condition for which there are fewer than a minimum number (as determined by the Secretary) of discharges for such applicable condition for the applicable period and such hospital.
and, under “Definitions”:
(A) APPLICABLE CONDITION.—The term ‘applicable condition’ means, subject to subparagraph (B), a condition or procedure selected by the Secretary . . .
(E) READMISSION.—The term ‘readmission’ means, in the case of an individual who is discharged from an applicable hospital, the admission of the individual to the same or another applicable hospital within a time period specified by the Secretary from the date of such discharge.
(6) LIMITATIONS ON REVIEW.—There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of— . . .
(C) the measures of readmissions . . .
EVALUATION OF THE PASSAGES:
- This section amends the Social Security Act
- The government has the power to determine what constitutes an “applicable [medical] condition.”
- The government has the power to determine who is allowed readmission into a hospital.
- This determination will be made by statistics: when enough people have been discharged for the same condition, an individual may be readmitted.
- This is government rationing, pure, simple, and straight up.
- There can be no judicial review of decisions made here. The Secretary is above the courts.
- The plan also allows the government to prohibit hospitals from expanding without federal permission: page 317-318.
Health care is a game-changer. The permanent game-changer. The bailouts and cap-&-trade and Government Motors and much of the rest can be reversed. But the government annexation of health care will prove impossible to roll back. It alters the relationship between the citizen and the state and, once that transformation is effected, you can click your ruby slippers all you want but you’ll never get back to Kansas. (Source.)