Healthcare Madness

August 17, 2009 · Filed Under Healthcare · 4 Comments 

In following the furor created by the heated debate over the House healthcare bill (H.R. 3200), I began to wonder—“who has read this bill?” So, I acquired a copy and began to read it myself. You can get your copy (with all 1,017 pages numbered) here.

Now, keep in mind that our elected representatives do not actually write bills—they are written by their staffs. That’s why politicians have staffs…to read and/or write the mountains of paperwork that pass through their office. Consequently, it is highly unlikely that any member of Congress has actually read the bill they are promoting. They work off of “papers” prepared for them by their staffs.

Likewise, it is highly unlikely that many other people have actually read the entire bill. First of all, it is written by lawyers, in the form of a legal document (like all bills), so it is difficult for a layperson to understand much of what it says. HR 3200 also contains amendments to existing laws—which also have not been thoroughly read by most lawmakers and laypersons. This opens up unlimited possibilities for interpretation…and misinterpretation.

(Just for fun, I picked a paragraph at random from the bill, and included it below):

(C) TECHNICAL AMENDMENT TO CORRECT DUPLICATE SUBSECTION DESIGNATION. —Subsection (d) of section 226A of such Act (42 U.S.C. 426–1), as added by section 201(a)(3)(D)(ii) of the Social Security Independence and Program Improvements Act of 1994 (Public Law 103–296; 108 Stat. 1497), is redesignated as subsection (d).

(This was taken from page 422, but I wonder how many people actually followed this thread to determine what the impact was?)

The legalese notwithstanding, I looked for references to the infamous “Death Panel.” Even though the bill is written so a layperson cannot understand the real meaning, I did find an area that was rather disturbing. Somewhere around page 427 (in the “Advance Care Planning” section), there is a reference to a “coalition of stakeholders,” guiding life sustaining treatment. This coalition is made up of people from government and quasi-government agencies and associations—but excludes the patient and any family members. It is easy to see where the term “Death Panel” came from. It will take a great deal of study (and maybe a great deal of explanation) of this area of the bill to figure out exactly what is meant.

In fact, no one should probably comment on HR 3200 until they have read the bill and understands what it really means. There is no question about badly needing healthcare reform, but this bill affects every person in the U.S. and it is much too important to be rushed into law within such a divisive atmosphere. So, why doesn’t everyone just take a breather and stop the madness.

Certainly, Congress needs to acknowledge the concerns voiced by many people, and address those concerns in the bill. They then need to mount an educational program to get the truth of the bill out in language that regular people can understand.

Likewise, those in opposition need to back off and allow changes to be made and education to occur. Jumping to ill-informed conclusions from a difficult-to-read document is not going to help anyone. (And I won’t even mention politics and lobbyists.)

COST?

This is very interesting, and something that every business owner and wage earner needs to pay attention to. Watch this blog for a future post containing some numbers from Congress’s “fuzzy math.”

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