Do You Really Want A Unique Patient ID?

The House just passed a bill that eliminates the prohibition on the use of federal funding to assign all Americans a unique medical identifier. Former Congressman Ron Paul, M.D., got that prohibition enacted in 1998.

            The identifier is supposed to improve “efficiency”—of what? Government surveillance of all Americans? The agenda of government-favored special interests, who might want to silence persons with political views they don’t like? Persons who might see you as a threat to their success in business, academia, or other ventures?

            What might be in your record? A prescription for Valium or other drug prescribed during a distressing life crisis? This could be a psychiatric “red flag” causing denial of your gun rights. A diagnosis of a sexually transmitted disease? An admission that you had a temper tantrum or used an illegal drug at a party? Could this derail a job application or cause you to lose child custody or foreclose a political career?

            Can you be honest with your doctor if anything in the record might someday be used against you?

            “Make no mistake. The [patient identifier] would be the end of privacy and the foundation of a national health data system,” warns Twila Brase, president of the Citizens’ Council for Health Freedom and author of Big Brother in the Exam Room.

            The damaging information in the record might not even be yours. A hurried data-entry person might have clicked the wrong item on a drop-down menu or even cut-and-pasted something from another patient’s electronic health record.

            The prohibition on funding for the unique identifier needs to be restored, states the Association of American Physicians and Surgeons (AAPS).

Further information:

       

Dear Senators Dr, Rand Paul, Ted Cruz and Mike Lee,

March 1, 2017

Dear Senators Dr, Rand Paul, Ted Cruz and Mike Lee,

Thank you for having the courage and taking action to hold your GOP congressional colleagues accountable to the citizens of the United States in demanding the full repeal of ACA/Obamacare.  It is highly complex, burdensome, unaffordably expensive and failing miserably to the detriment of our nation and its citizens. Bad law is bad law and must be fully repealed. Personal responsibility, free markets and true charity are the solutions to the nation’s healthcare ills.  Please see the IP4PI 14 point solution for healthcare freedom.

Please contact me anytime at the address and phone number above during office hours and at my mobile phone 000-000-0000 anytime. Thank you again for continuing to support the great citizens of our country as responsible individuals with freedom and liberty.

Best wishes for good health,

Craig M. Wax, DO

Family Physician, Media Host and Healthcare Policy Expert
National Physicians Council on Healthcare Policy member
Founder of IP4PI, Independent Physicians for Patient Independence
Practicing Physicians of America, VP for Healthcare Policy
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax

CC:    Donald Trump, President, US
Mike Pence, Vice President, US
Mitch McConnell, Senate Majority Leader
Paul Ryan, Speaker of the House

The Latest Repeal, Partial Repeal, and Replace Plans

3/6/2017 update: The first official look at the GOP repeal and replace plan is out.

The Hill has links to the two portions of the legislation in their story here:
http://thehill.com/policy/healthcare/322609-gop-releases-bill-to-repeal-and-replace-obamacare

CLICK HERE for a two-page summary and CLICK HERE to read a section-by-section summary.

Many of the mandates are killed by the bill, for example the individual and employer mandates.  However the pre-existing coverage mandate remains. The taxes are mostly repealed. The infamous “Cadillac Tax” is kicked further down the road until 2025.

Medicaid expansion would be rolled back over several years and a per-enrollee capped allotment will be paid to states.

Subsidies are rearranged to be mostly age-based instead of income based and will be in the form of refundable tax credits.

Michael Hurd, PhD has a review of the plan: Obamacare Repeal: A Good Thing, But Still Not a Free Market https://drhurd.com/2017/03/06/63226/

2/27/2017 update: The alleged GOP repeal and replace plan under consideration has been leaked.  Highlights/Lowlights: it would repeal various mandates including the individual mandate; states would receive a capped per-enrollee federal contribution for Medicaid; current ACA income-based tax credits would transition to credits allocated by age of enrollee; and tax breaks would be limited for high-dollar employer-based coverage.

For more details and a link to the draft bill see: http://www.politico.com/story/2017/02/house-republicans-obamacare-repeal-package-235343

There are a few notable newcomers since our previous post on replacement plans:

  1. Ted Cruz has introduced a full repeal bill:S. 106, a bill to repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 in its entirety was introduced by Sen. Ted Cruz (R-TX) and referred to the Senate Finance Committee.”
  2. S. 222 the ObamaCare Replacement Act by Dr. Rand Paul which repeals parts of ACA and replaces with more flexible HSAs (no HDHP requirement) and $5000 tax credits to fund the HSA. Read more at Reason.com: http://reason.com/blog/2017/01/25/sen-rand-paul-introduces-replacement-for
  3. Rep. Darrell Issa’s “Access to Insurance for All American’s Act” would offer federal employee health plans to all Americans  http://www.nbcsandiego.com/news/local/Congressman-Darrell-Issa-Proposes-Plan-to-Replace-Affordable-Care-Act-412059253.html.
  4. Cassidy/Collins contains portions of Cassidy/Sessions and would be a partial repeal tied to provisions that allow states to keep ObamaCare on a state by state basis or fund state-based market-oriented reforms: https://www.collins.senate.gov/newsroom/cassidy-collins-introduce-comprehensive-obamacare-replacement-plan
  5. AEI’s “Improving Health and Healthcare Plan” utilizes tax credits and expands HSAs to some extent. It also has an “auto enroll” feature that places non-enrollees in an HDHP.  http://www.forbes.com/sites/theapothecary/2016/12/30/how-aeis-improving-health-and-health-care-plan-would-repeal-and-replace-obamacare/#68d118953be6

And, of course, President Trump has started the ball rolling with his Executive Order on ObamaCare: http://www.cnn.com/2017/01/20/politics/trump-obamacare-executive-order/

Previously announced plans:

Congressman Tom Price’s plan

http://www.washingtonexaminer.com/prices-obamacare-replacement-would-shift-power-to-patients-which-is-why-special-interests-will-hate-it/article/2609165?custom_click=rss

Speaker Paul Ryan: A better way

http://abetterway.speaker.gov/

Congressman Sessions/Cassidy plan

http://www.goodmaninstitute.org/topics/health-reform-bill/

(Former Congressman) Dr. Paul Broun plan (needs new sponsor)

http://www.paulbroun.com/issues/health-care

Brat/Flake “HSA Expansion Act” would eliminate the “mandate” that HSA holders purchase a government-designed high-deductible health plan. “As a replacement for ObamaCare, Large HSAs would encourage innovative products like pre-existing conditions insurance that make coverage more affordable and secure.”

http://www.forbes.com/sites/michaelcannon/2016/06/02/five-things-you-need-to-know-about-the-bicameral-legislation-creating-large-hsas

The 2015 Burr, Hatch, Upton Patient Care Act could make a return:

http://www.forbes.com/sites/theapothecary/2016/12/28/how-the-patient-care-act-would-repeal-and-replace-obamacare/#7152a38a1805

Ideals and principles

National physicians’ coalition for freedom in medicine 2015

https://drive.google.com/file/d/0B6mnHrSAs12lUHhzS0ctMHFVRG1pMXZhZFVkbnFwWDVhNzNV/view

D4PC Rx for Healthcare Reform https://d4pcfoundation.org/about-us/the-physicians-prescription-for-health-care-reform/