Sunday, March 28, 2010

DemCare: a tidal wave of regulations, taxes, fees, bureaucracies, waiting lines, bankruptcies and seniors denied medical care are on the way

Courtesy of the House Committee on Ways and Means comes this timeline of DemCare socialized medicine. And this is only a taste of the hell to come. One thing is absolutely certain: if you like your existing plan, you most definitely will not be able to keep it.


Medicare cuts to hospitals begin (long‐term care (7/1/09) and inpatient and rehabilitation facilities (FY10))


• Provide income exclusion for specified Indian tribe health benefits provided after 3/23/10
• Temporary high‐risk pool and high‐cost union retiree reinsurance ($5 B each for 3.5 years) (6/23/10)
• Impose 10% tax on indoor UV tanning (7/1/10)
Medicare cuts to inpatient psych hospitals (7/1/10)
• Prohibits lifetime and annual benefit for private insurers spending limits (plan years beginning 9/23/10)
• Prohibits non‐group private insurance plans from canceling coverage (rescissions) (plan years beginning 9/23/10)
• Requires private insurance plans to cover, at no charge, most preventive care (plan years beginning 9/23/10)
• Requires private insurance plans to allow dependents to stay on parents’ policies through age 26 (plan years
beginning 9/23/10)
• Hospitals in "Frontier States" (ND, MT, WY, SD, UT ) receive higher Medicare payments (FY11)


• Hospitals in “low‐cost” areas receive higher Medicare payments for 2 yrs ($400 million, FY11)
Medicare Advantage cuts begin
• No longer allowed to use FSA, HSA, HRA, Archer MSA distributions for over‐the-counter medicines
Medicare cuts to home health begin
Medicare cuts for wealthier seniors ($85k/$170k), who are forced to pay higher Part D premiums (not indexed for inflation in Parts B/D)
Medicare reimbursement cuts when seniors use diagnostic imaging like MRIs, CT scans, etc.
• Medicare cuts begin to ambulance services, ASCs, diagnostic labs, and durable
medical equipment
• Impose new annual tax on brand name pharmaceutical companies
• Americans begin paying premiums for federal long‐term care insurance (the CLASS Act, which analysis indicates is a ticking fiscal time-bomb)
Private insurance plans required to spend a minimum of 80% of premiums on medical claims (where 65% is considered the maximum "safe" amount to cover claims). Prior experience at the state level will indisputably harm private health insurance business.
• Physicians in "Frontier States" (ND, MT, WY, SD, UT ) receive higher Medicare payments
Prohibition on Medicare payments to new physician‐owned hospitals (which will dramatically reduce access to senior care)
• Penalties for non‐qualified HSA and Archer MSA distributions double (to 20%)
Seniors prohibited from purchasing power wheelchairs unless they first rent for 13 months
• New Medicare cuts to long‐term care hospitals begin (7/1/11)
• Additional Medicare cuts to hospitals and cuts to nursing homes and inpatient rehab facilities begin (FY12)
New taxes on all private health insurance policies to pay for comparative effectivness research (plan
years beginning FY12)


Medicare cuts to dialysis treatment begins
Medicare to cut spending by using an HMO‐like coordinated care model (Accountable Care Organizations)
New Medicare cuts to inpatient psych hospitals (7/1/12)
Medicare cuts to hospitals with high readmission rates begin (FY13)
Medicare cuts to hospice begin (FY13)


• Impose $2,500 annual cap on FSA contributions (indexed to CPI)
• Increase Medicare wage tax by 0.9% and impose a new 3.8% tax on unearned , nonactive
business income
for those earning over $200k/$250k (not indexed to inflation)
• Generally increases (7.5% to 10%) threshold at which medical expenses, as a % of income, can be deductible
Eliminate deduction for Part D retiree drug subsidy employers receive
Impose 2.3% excise tax on medical devices
Medicare cuts to hospitals who treat low‐income seniors begin
• $500,000 deduction cap on compensation paid to insurance company employees and officers


Unconstitutional personal mandate begins: Individuals without government‐approved coverage are subject to a tax of the greater of $695 or 2.5% of income
• Employers who fail to offer "affordable" coverage would pay a $3,000 penalty for every employee that receives a subsidy through the Exchange
• Employers who do not offer insurance must pay a tax penalty of $2,000 for every fulltime employee
• More Medicare cuts to home health begin
• All non‐grandfathered and Exchange health plans required to meet federally mandated levels of coverage
States must cover parents /childless adults up to 138% of poverty on Medicaid, receive increased FMAP
• Tax credits available for Exchange‐based coverage, amount varies by income up to 400% of poverty
Private insurers cannot impose any coverage restrictions on pre‐existing conditions (guaranteed issue/renewability, which will bankrupt insurance providers)
Private insurers must offer coverage to anyone wanting a policy and every policy has to be renewed (which will bankrupt insurance providers)
• Insurance plans must include government‐defined "essential benefits " and coverage levels
• Government board (IPAB) begins submitting proposals to cut Medicare
Impose tax on nearly all private health insurance plans
Medicare payment cuts for hospital‐acquired infections begin (FY15)


• More Medicare cuts to home health begin


Impose "Cadillac tax on “high cost” plans, 40% tax on the benefit value above a certain threshold: ($10,200 individual coverage, $27,500 family or self‐only union multiemployer coverage)

There should be little doubt that this extravaganza of central planning will be devastating for insurers, pharmaceutical companies, medical device manufacturers, doctors, nurses, hospitals, and their business partners. It will crush an economy that is already flat on its back.

Let me ask you Democrats something. When -- in all of recorded human history -- has this kind of central planning, with price controls, arbitrary dictates, wage-fixing, giveaways, bribes, payoffs, cutout deals, and social engineering experiments, ever worked?

It's a rhetorical question, you anti-American moonbats. This bill sentences our seniors to premature disease and death while assuring our children of poverty, misery and economic dislocation. Of this, there can be no doubt.

Related: "This will close our business."


Bones said...

They know damn well this law would destroy the insurance business. Now it will be "we will save you all with the one payer plan" the goal all along.

Anonymous said...

"• Employers who fail to offer "affordable" coverage would pay a $3,000 penalty for every employee that receives a subsidy through the Exchange
• Employers who do not offer insurance must pay a tax penalty of $2,000 for every fulltime employee"

That's kind of weird. An employer is incentivized to not offer a plan than to offer a plan.

Another Democrat brain fart.

- drjohn

Whitehall said...

A more general question is, why can't Leftists predict the future as well as conservatives can?

Leftists are always WRONG! An honest leftist would recognize that but they never do.

Maybe there are no honest leftists?