How can we motivate Congress to act on ACA? End their illegal exemption!

From our friends at Independent Women’s Voice:

For the Senate to pass ObamaCare repeal and replace with only 51 votes, they’ll need to take action by September 30th.

How can we motivate Congress to act? By President Donald J. Trump ending Congress’ illegal exemption from ObamaCare.

Here’s what you need to do STAT:

  1. Sign the petition at www.NoWashingtonExemption.com
  2. Write President Trump and tell him to end the illegal exemption: https://www.whitehouse.gov/contact
  3. Read this explainer from Michael Cannon of CATO to become an expert on this crucial issue: http://www.washingtonexaminer.com/congress-illegal-and-egregious-obamacare-exemption-explained/article/2633383
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ObamaCare: CBO report shows full repeal is better than partial repeal

The Hill reports:

“ObamaCare’s regulations would cause premiums to rise an additional 20-25 percent next year and to double over the next decade. … Those costs would be due to ObamaCare itself, not a partial-repeal bill. ObamaCare architect Jonathan Gruber explains ObamaCare’s mandates and subsidies exist to hide the costs of the law’s health-insurance regulations. Repealing them merely makes those staggering costs transparent. Nevertheless, the public would blame Republicans for failing to repeal those regulations when they had the chance.

The reason Republicans are entertaining a partial-repeal is because they mistakenly believe Senate rules don’t allow them to repeal the regulations with a simple majority.

With a 52-seat majority, Republicans don’t have the 60 votes necessary to overcome a Democratic filibuster of a repeal bill. But Senate rules do, in fact, allow repeal of ObamaCare’s insurance regulationsthrough the special “budget reconciliation” process that requires only 51 votes to approve legislation. Even if the Senate parliamentarian misinterprets those rules — and this would be an egregious misinterpretation — a majority of the Senate can overrule that misinterpretation.

In short, the question is not whether Republicans can repeal the regulations. It is whether they have the will.”

http://thehill.com/blogs/pundits-blog/healthcare/317269-obamacare-cbo-report-shows-full-repeal-is-better-than-partial

A Physicians’ Template for HealthCare Reform: An Eleven Point Plan

via AmericanDoctors4Truth

Revised Edition, September 1, 2015

There are those who say that ObamaCare is now the law of the land and citizens should accept it and proceed with compliance. However, the overt bribery with cloistered deliberations and the failure of Congress to read the bill before passage is an affront to every American citizen regardless of political persuasion. As we now begin to understand this takeover of one sixth of the private sector economy, we see a fundamental transformation of the relationship between the individual and the federal government. The profession of medicine has been politically commandeered to accomplish centralized power in bureaucrats who now have increasing potential to intercede in some of life’s most critical and intimate affairs. This has the potential to erode the personal dignity and worth of every individual and strip individuals of personal freedom in healthcare choices. Our healthcare system needed reform, not the further distortions to the system in the ACA.

These ideological considerations aside, many promises of ObamaCare have been shown to be false. Health insurance costs have already risen and individuals have lost their insurance, hospital access, and physicians with whom they were happy. Individuals now have an insurance card, but with the high deductibles and narrow networks they are unable to access care. Medicare, Medicaid, and the VA are existing examples of government medicine. Medicaid pays less than the cost of delivery of care for many services, and the VA scheduling delay scandal actually cost lives. The bureaucratic nightmare of compliance with Medicare mandates, not to mention the approaching ACA mandates, has prompted many physicians to restrict the number of these patients or opt out of participation completely.

Thirty-six states wisely rejected ObamaCare by not setting up state run exchanges. Of the fourteen that did, at least seven are now insolvent after over a billion dollars of federal tax dollars were spent to help set them up. ObamaCare has never been implemented. Rather, it has been changed by administrative or executive fiat at least thirty-five times. After the 2014 elections, there continues to be a window of opportunity for alternative solutions to fix our American healthcare system without destroying arguably the finest medical and surgical care in the world. Across the country physicians are joining forces to craft viable alternatives that fulfill the false promises of ObamaCare. Although the AMA has name recognition, it represents only about 12% of practicing physicians. In fact, the AMA supported ObamaCare because it has a monopoly on the coding books necessary for business with government insurers, an estimate $80 million a year revenue for them. Currently Docs4PatientCareFoundation, The American Association of Physicians and Surgeons, AmericanDoctors4Truth, The Physician’s Council for Healthcare Policy, and The National Coalition of Physicians for Healthcare Freedom, and United Physicians and Surgeons of America are leading activists in these endeavors. Most of the reform ideas share a common philosophy. Our system should be patient centered, physician guided, and free market driven leading to healthy competition, transparency, and free patient choice. Perhaps those in Congress and the presidential candidates who truly care about enduring reform will consider listening to the experts in healthcare, the boots-on-the-ground practicing physicians who take care of you and your family. The eleven points for reform are as follows:

  1. Get employers out of the health insurance business. Shift insurance purchase for the employee to defined contributions for healthcare purchases or to increased wages to place individuals in the driver’s seat selecting insurance options that fit their needs. Massive administrative costs for business would be saved and disruptions to existing physician relationships would be stopped. Insurance would be non-job specific, stable, and portable. The insurance industry would be forced to respond with a robust offering of individual policies that would form the risk pools. They would compete by virtue of their product, not contracts with third parties, i.e. employers or the federal government.
  2. Purchase of health insurance, health savings accounts, or cash payment for care should be with pre-tax dollars regardless of who makes the purchase.
  3. Once a robust individual market is established, liberate Medicare aged individuals by allowing them to opt out of Medicare without penalty. A defined contribution, like their social security check, would allow them to purchase insurance of their choosing like the rest of the population.  Retain Medicaid for the truly indigent or incapacitated of all ages.
  4. Medicaid would emerge as the only federal government health insurance program, except for the Military and the VA System. (Their reform is for a different discussion.) It could be also used as a stop-gap insurance for those between jobs who could not afford continuation of their insurance, as well as a “rider” for pre-existing disease added to conventional insurance for a specified time. States should receive block grants without mandates to decrease the perverse incentives to increase enrollment. This also promotes innovative ways to ensure access to quality care in cost effective ways.
  5. Return to indemnity insurance where there is shared risk for unanticipated medical or surgical expenses related to injury or illness. The notion that insurance is pre-paid routine healthcare cannot be fiscally sustained. Health Savings Accounts with a catastrophic insurance policy paid for with pre-tax dollars would transition to paying health care dollars, not insurance dollars. Many current insurance payments exceed the cost of routine care and a catastrophic policy. Patient controlled HSAs promote good stewardship of healthcare dollars.
  6. Encourage states to eliminate insurance coverage mandates, like acupuncture and message, to allow a cost effective catastrophic policy and HSA’s. Pre-existing could be covered with time-limited riders.
  7. Allow purchase and portability across state lines. States are the places for innovative healthcare solutions, not one size fits all central planning. Mistakes are more readily remedied as well.
  8. Total transparency across all health care entities is essential. No more third party contracts. There could be a state sponsored portal where hospitals, pharmacies, physicians, etc could post their individual fee schedules regardless of the insurance the individual carries. The insurance contract then becomes one between the patient and the insurance company. Insurance companies then could list what they will pay, not dictate what the physician can charge. This allows patients free access to whatever provider they chose. Cost shifting and horrendous administrative burdens would be eliminated. Hospitals would no longer have inflated “charge master” fees. Prices would fall as competitive markets emerge. We don’t walk into a grocery store and get charged different prices depending on what credit card we use and what deal that credit card has with the grocer.
  9. Fees and costs of all entities, like pharmaceuticals, surgery, devices, physician services, should reflect the cost of resources used and services rendered, not an inflated price upon which third party contracts base their “discounts” for individuals in their “network” nor the Medicare arbitrary price controls. This allows patients and physicians to make informed decisions regarding health care expenditures and choices, and helps to ensure adequate access to care.
  10. Encourage torte reform to save the estimated 30% cost of litigation avoidance for pain and suffering. Lost wages and disability compensation would still be recoverable.
  11. Allow charitable care delivered by the physician to be a tax deductible item with a yearly limit.

Jane Lindell Hughes, MD, FACS

Edited and Approved By:
AmericanDoctors4Truth

Co-Founders:
Kristen Story Held, MD
Jane Lindell Hughes, MD, FACS

Our duty as citizens, taxpayers and physicians

It was ultimately irresponsible of our Congress Democrats and president Obama and his entire administration to enact a flagrantly complex socialist and crony capitalist Obamacare law against the will of the American people and its physicians.

It is our duty as citizens, taxpayers and physicians to resist its implementation until it can be completely repealed en masse. Competitive free market healthcare HealthFreedom will fill the void with success.

Best wishes for good health,
Craig M. Wax, DO

Congress Reform Act of 2016

1. Congress must equally abide by all laws they impose on the American people.

2. No Tenure / No Pension.  A Congressman/woman collects a salary while in office and receives no pay or any other benefits when they’ve completed their term in office.

3.  Congress loses their current taxpayer paid health care insurance during and after tenure and must purchase their own health care insurance by the same laws and rules as the American people.

4.  Members of Congress can purchase their own retirement plan, just as all Americans do.

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Dr. Chip responds to AOA SGR “Reform” Plea

In response to your recent touchpoint request for action on the SGR; The reason the participation is so low is what you profess is important does not matter at all.

Repeal PPACA and get government out of the decision making process and the payment process for patient care.

The major cost has been a decline in access to physicians and a decline in healthcare delivery at a cost of increased bureaucracy and an insurance company windfall at the expense of the patient payers and the middle class.

Wake up and listen to what we are really saying to you. We need a voice that speaks for us not at us.

Charles J Smutny III, DO, FAAO

Congress is Not Hearing Physician Payment Reform is a Priority—We Need You to Email Today

Congress has not heard from physicians that Medicare physician payment reform is a priority. Only 2.4% of DOs emailed letters to Congress last week. Your engagement with Congress in the coming weeks is imperative to end the constant struggle to reform the physician payment system, currently hindered by the sustainable growth rate (SGR) formula, once and for all. If you have sent a letter in the past, please send another today.

The “SGR Repeal and Medicare Provider Payment Modernization Act” will only move to a vote by the full House and Senate if Congress hears from the entire osteopathic family. Don’t allow Congress to avoid physician payment reform. Send a letter to your Members of Congress today asking them to co-sponsor the legislation and help advance the bill for a vote. We need your help during this pivotal time!

Take two minutes to send your letter today.

Congressional Reform Act of 2013

Congressional Reform Act of 2013

1. No Tenure / No Pension.
A Congressman/woman collects a salary while in office and receives no pay or any other benefits when they’ve completed their term in office.

2. Congress (past, present & future) participates in Social Security.
All funds in the Congressional retirement fund move to the Social Security system immediately. All future funds flow into the Social Security system, and Congress participates with the American people. It may not be used for any other purpose.

3. Congress can purchase their own retirement plan, just as all Americans do. Continue reading