{"id":33184,"date":"2009-08-12T01:01:01","date_gmt":"2011-05-19T02:05:10","guid":{"rendered":""},"modified":"2011-05-19T02:05:10","modified_gmt":"2011-05-19T02:05:10","slug":"a_duke_professor_explains_what_the_health_care_bill_actually_says","status":"publish","type":"post","link":"https:\/\/www.rushlimbaugh.com\/daily\/2009\/08\/12\/a_duke_professor_explains_what_the_health_care_bill_actually_says\/","title":{"rendered":"A Duke Professor Explains What the Health Care Bill Actually Says"},"content":{"rendered":"
\n

RUSH: Now, what I have here is very long. I cannot read the entire thing. But there are summaries that I can read. This is a piece entitled, ‘What the Health Care Bill Actually Says,\u2019 and it was put together by John David Lewis. It is from the website Classical Ideals. John David Lewis is a <\/a>professor of classics at Duke University, and here is how he introduces his analysis: ‘What does the bill, HR 3200, short-titled ‘America\u2019s Affordable Health Choices Act of 2009,\u2019 actually say about major health care issues? I here pose a few questions in no particular order, citing relevant passages and offering a brief evaluation after each set of passages. <\/p>\n

‘This bill is 1017 pages long. It is knee-deep in legalese and references to other federal regulations and laws. I have only touched pieces of the bill here. For instance, I have not considered the establishment of (1) ‘Health Choices Commissioner\u2019 (Section 141); (2) a ‘Health Insurance Exchange,\u2019 (Section 201), basically a government run insurance scheme to coordinate all insurance activity; (3) a Public Health Insurance Option (Section 221); and similar provisions. This is the evaluation of someone who is neither a physician nor a legal professional. I am citizen, concerned about this bill\u2019s effects on my freedom as an American. I would rather have used my time in other ways — but this is too important to ignore. We may answer one question up front: How will the government … pay for all this? <\/p>\n

‘Higher taxes, more borrowing, printing money, cutting payments, or rationing services — there are no other options. We will all pay for this, enrolled in the government ‘option\u2019 or not.\u2019 So, when we talk about how we\u2019re going to pay for it, ‘How will the government … pay for all this?\u2019 it\u2019s all of the following: ‘Higher taxes, more borrowing, printing money, cutting payments, or rationing services — there are no other options\u2019 to pay for it. ‘We will all pay for this, enrolled in the government ‘option\u2019 or not.\u2019 The first question that he wanted to discover here is: ‘Will the plan ration medical care?\u2019 Then he cites the relevant passages from the bill and then evaluates the passages in real language, not the legalese that he found. This section, rationing medical care: <\/p>\n

‘1. This section amends the Social Security Act. 2. The government has the power to determine what constitutes an ‘applicable [medical] condition.\u2019 3. The government has the power to determine who is allowed readmission into a hospital. 4. This determination will be made by statistics: when enough people have been discharged for the same condition, an individual may be readmitted.\u2019 In other words, there\u2019s nothing personal about this. That\u2019s why Obama\u2019s answer to the woman with the 100-year-old mother, ‘Are you gonna take into account the spunk and spirit, the will to live?\u2019 was, ‘I don\u2019t think we can do that.\u2019 It\u2019s going to be statistic based. ‘5. This is government rationing, pure, simple, and straight up.\u2019<\/p>\n

There is no other way to analyze this section of the bill. ‘6. There can be no judicial review of decisions made here. The Secretary is above the courts.\u2019 All this language is in this piece. The language from the bill is from the piece. I\u2019m not just going to read that to you. I\u2019m reading his evaluation, stripping away the legalese, what it all means. ‘7. The plan also allows the government to prohibit hospitals from expanding without federal permission: page 317-318.\u2019 The next question that the classics professor at Duke researched is: ‘Will the plan punish Americans who try to opt out?\u2019 and then he gives the relevant portions from the bill as it\u2019s written followed by his evaluation. Number one… Remember the question here is: ‘Will the plan punish Americans who try to opt out? … 1. This section amends the Internal Revenue Code. <\/p>\n

‘2. Anyone caught without acceptable coverage and not in the government plan will pay a special tax.\u2019 Now, this we know. We\u2019ve seen this ourselves. ‘3. The IRS will be a major enforcement mechanism for the plan,\u2019 as written in this bill. The IRS will be a major enforcer. The next section that he analyzed: ‘What constitutes ‘acceptable\u2019 coverage?\u2019 Because, in the previous passage the bill said: ‘Anyone caught without acceptable coverage and not in the government plan will pay a special tax\u2019 So, what is ”acceptable\u2019 coverage\u2019? Here are the relevant passages, sentences from the bill. ‘Evaluation of the passages. 1. The bill defines ‘acceptable coverage\u2019 and leaves no room for choice in this regard. 2. By setting a minimum 70% actuarial value of benefits, the bill makes health plans in which individuals pay for routine services, but carry insurance only for catastrophic events, (such as Health Savings Accounts) illegal.\u2019 <\/p>\n

Let me read that again: ‘1. The bill defines ‘acceptable coverage\u2019 and leaves no room for choice in this regard. 2. By setting a minimum 70% actuarial value of benefits, the bill makes health plans in which individuals pay for routine services\u2019 out of their own pockets, ‘but carry insurance only for catastrophic events … illegal.\u2019 That is one of the solutions to the problem we have now. Pay for what you want — a standard checkup, a standard visit to the doctor — and catastrophic insurance for when that could break your bank. Doing that will be illegal in the House bill. In other words, paying for your own routine day-to-day services but only having insurance for catastrophic events will be illegal. The next section that our classics professor, an average citizen, was curious about: ”Will the PLAN destroy private health insurance? Here is what it requires, for businesses with payrolls greater than $400,000 per year. (The bill uses ‘contribution\u2019 to refer to mandatory payments to the government plan.) <\/p>\n

‘Pages 149-150, SEC. 313, EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE,\u2019 and then the relevant passages from the bill. Here is the evaluation of those passages. Again, what we\u2019re talking about here is: ‘Will the PLAN destroy private health insurance?\u2019 ‘1. The bill does not prohibit a person from buying private insurance. 2. Small businesses — with say 8-10 employees — will either have to provide insurance to federal standards, or pay an 8% payroll tax. Business costs for health care are higher than this, especially considering administrative costs. Any competitive business that tries to stay with a private plan will face a payroll disadvantage against competitors who go with the government ‘option.” Now, let me explain this. Small businesses, say eight-to-ten employees, will either have to provide insurance up ‘to federal standards.\u2019 If they don\u2019t, they will pay an additional 8% payroll tax. <\/p>\n

‘Business costs for health care are higher than [what will be charged], especially considering administrative costs. Any competitive business that tries to stay with a private plan will face a payroll disadvantage against competitors who go with the government ‘option.” If they go to the government option, they\u2019re fine. If you don\u2019t and you stay private, you\u2019re going to pay a penalty. The penalty will make it ridiculous and stupid business-wise to stay with your private plan. Therefore, you will — your small business will — be forced out of private insurance onto the government option. ‘3. The pressure for business owners to terminate the private plans will be enormous,\u2019 the financial pressure, the business pressure. ‘4. With employers ending plans, millions of Americans will lose their private coverage, and fewer companies will offer it.\u2019 <\/p>\n

Now, none of this is anything new. Everybody showing up at these town halls knows this. This is nothing that has already been learned when discussing it. That\u2019s why when Obama is saying, ‘If you like your plan you can keep it, it\u2019s not true, because the meat and potatoes of the bill is going to make it impossible.\u2019 If your private plan is from an employer, your employer is going to find it very difficult to hold onto private insurance and remain competitive with businesses that opt out and go in the government option. When Barney Frank or Obama himself says, ‘We can\u2019t do this immediately. It\u2019s going to take 10 to 15 years,\u2019 this is what they\u2019re talking about: Eventually forcing small businesses and others out of private insurance because they won\u2019t be able to remain competitive with competitors who go the public option. <\/p>\n

‘5. The Commissioner (meaning, always, the bureaucrats) will determine whether a particular network of physicians, hospitals and insurance is acceptable\u2019 even if you do stay private. ‘6. With private insurance starved, many people enrolled in the government ‘option\u2019 will have no place else to go\u2019 if they don\u2019t like it. So all this talk from Obama about adding to competition is the exact opposite, which is what everybody who\u2019s read this understands and which is why they know he\u2019s lying to them when he says, ‘If you like your plan you can keep it.\u2019 Another way to look at that, ‘If you like your plan, you can keep it,\u2019 is: What if everybody decided to do that, but he says the health care plan, the system we have now is unsustainable. It\u2019s horrible. <\/p>\n

Yet if you like your plan you can keep it? How do those two go together? The next question that our classics professor at Duke wanted to figure out by reading the bill: ‘Does the plan TAX successful Americans more THAN OTHERS? Here is what the bill says, pages 197-198, SEC. 441. SURCHARGE ON HIGH INCOME INDIVIDUALS ‘SEC. 59C. SURCHARGE ON HIGH INCOME INDIVIDUALS,\u2019 and then it has the legalese. Here\u2019s the evaluation of what it says: ‘1. This bill amends the Internal Revenue Code. 2. Tax surcharges are levied on those with the highest incomes. 3. The plan manipulates the tax code to redistribute their wealth. 4. Successful business owners will bear the highest cost of this plan.\u2019 Successful small business owners, will bear the highest cost of this plan. <\/p>\n

‘Does THE PLAN ALLOW THE GOVERNMENT TO set FEES FOR SERVICES? What it says, page 124, Sec. 223, PAYMENT RATES FOR ITEMS AND SERVICES,\u2019 and then the legalese of the bill. The analysis or the evaluation: ‘1. The government\u2019s authority to set payments is basically unlimited. 2. The official\u2019 commissioner, bureaucrats ‘will decide what constitutes ‘excessive,\u2019 ‘deficient,\u2019 and ‘efficient\u2019 payments and services. Will THE PLAN increase the power of government officials to SCRUTINIZE our private affairs? What it says, pages 195-196, SEC. 431. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES,\u2019 then the legalese in the bill.<\/p>\n

The evaluation: ‘1. This section amends the Internal Revenue Code 2. The bill opens up income tax return information to federal officials. 3. Any stated ‘limits\u2019 to such information are circumvented by item (v), which allows federal officials to decide what information is needed. 4. Employers are required to report whatever information the government says it needs to enforce the plan,\u2019 meaning your medical records, your employment records, how you\u2019re living your life, what kind of risk that\u2019s posing to the health care system. Next: ‘Does the plan automatically enroll Americans in the GOVERNMENT plan? What it says, page 102, Section 205, Outreach and enrollment of Exchange-eligible individuals and employers in Exchange-participating health benefits plan,\u2019 then the legalese. Here\u2019s the evaluation: ‘1. Do nothing and you are in\u2019 the government plan. ‘2. Employers are responsible for automatically enrolling people who still work. Does THE PLAN exempt federal OFFICIALS from COURT REVIEW? <\/p>\n

‘What it says, page 124, Section 223, PAYMENT RATES FOR ITEMS AND SERVICES,\u2019 then the legalese and the evaluation. ‘1. Sec. 1123 amends the Social Security Act, to allow the Secretary to identify areas of the country that underutilize the government\u2019s plan ‘based on per capita spending.\u2019 2. Parts of the plan are set above the review of the courts.\u2019 So the question, ‘Does THE PLAN exempt federal officials from court review?\u2019 and parts of the plan do. This is Mr. Lewis again. His name is John David Lewis, professor of classics at Duke University. He\u2019s a common, average citizen. He\u2019s not a lawyer, not a doctor. What this goes to show is, just about anybody can figure out what\u2019s in this bill if they just take the time to read it. And a lot of people have, and the people showing up at these town hall meetings saying ‘no,\u2019 already know what this bill says and the elements to it, or of it, that I just shared with you. <\/p>\n","protected":false},"excerpt":{"rendered":"

RUSH: Now, what I have here is very long. I cannot read the entire thing. But there are summaries that I can read. This is a piece entitled, ‘What the Health Care Bill Actually Says,\u2019 and it was put together by John David Lewis. It is from the website Classical Ideals. John David Lewis is […]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"categories":[],"tags":[],"class_list":["post-33184","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"\nA Duke Professor Explains What the Health Care Bill Actually Says - The Rush Limbaugh Show<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rushlimbaugh.com\/daily\/2009\/08\/12\/a_duke_professor_explains_what_the_health_care_bill_actually_says\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"A Duke Professor Explains What the Health Care Bill Actually Says - The Rush Limbaugh Show\" \/>\n<meta name=\"twitter:description\" content=\"RUSH: Now, what I have here is very long. 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I cannot read the entire thing. But there are summaries that I can read. This is a piece entitled, ‘What the Health Care Bill Actually Says,\u2019 and it was put together by John David Lewis. It is from the website Classical Ideals. 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