OBAMACARE AND YOU

1. OBAMACARE AND YOU What Health Care Reform means to you, your family, and America

2. BANKRUPT FROM THE START • $72 billion in “savings” come from CLASS Act • What is the CLASS Act? • Why does private LTC survive? Why won’t CLASS? • Individual input: $123/month for 5 years • Total input: $7,380 • What would a claimant take from the system?.....

3. BANKRUPT FROM THE START • $75 per day • $27,375 per year • 10 years in care: $273,750 • 20 years in care: $547,500 • Oct. 14th: Katherine Sebelius conference • Is it dead or not??

4. OBAMACARE: NO CLASSIN MORE WAYS THAN ONE • Where is/was media accountability? • Sold a knowingly-bad bill of goods by the Obama Administration • How did Congress not know that CLASS was determined to fail? • What else did they not know? • What did WE not know?

5. BIGGER GOVERNMENT IS COMING • Sections 3011 through 3015. • “Establish a national strategy to improve the delivery of health care services, patient health outcomes, and population health.” • Requires “a comprehensive strategic plan to achieve the priorities” • The strategic plan includes “agency-specific strategic plans to achieve national priorities,” “annual benchmarks for each relevant agency,” and “strategies to align public and private payers with regard to quality and patient safety efforts.” ….all conducted by the Executive Branch • Creates the National Prevention, Health Promotion and Public Health Council (Section 4001)

6. WHAT DOES THE COUNCIL DO? • Coordinate prevention, wellness and health promotion practices • Develop a national health care strategy • Provide recommendations to the President and Congress concerning changes in Federal policy to achieve national wellness, health promotion, and public health goals….including the reduction of tobacco use, sedentary behavior, and poor nutrition • Propose policies “for…public health on individual and community levels across the United States.”

7. MICROMANAGING YOUR LIFE • Dictate fitness and measurable criteria (blood sugar, blood pressure, BMI) • Mandate vaccines • Tell you what you and your kids can eat • Regulate what can be served in restaurants and schools • Manage mental health • Manage behavioral health • Domestic violence “screenings” • Smoking cessation

8. SCHOOL BASED HEALTH CARE CENTERS • Section 4101 • Will offer comprehensive health assessments • Diagnosis, and treatment of ALL medical conditions • Mental health and substance use disorder assessments • Crisis intervention • Counseling • Referral to psychiatric care, community support programs, inpatient care, and outpatient programs • What about parental responsibility? • What about parents’ rights?

9. SCHOOL-BASED CARE & YOUR CHILD • Sexualization of child behavior (early sex-ed, condom giveaways) • Secret abortions • Dietary mandates • BMI/fitness requirments • Mandated medication of youth • Child abuse?

10. PARENTS’ RIGHTS UNDER FIRE • Section 2951 creates Maternal, Infant, and Early Childhood Home Visiting Programs • Requires all states to identify at-risk communities and apply for grants to establish early childhood home visitation programs • Demands visits to high risk homes…with or without reason • What constitutes high risk?

11. WHAT’S A HIGH RISK HOME? • Families with low incomes • Pregnant women or mothers under 21 years • Any home with interactions with child welfare services • Parents with a history of substance abuse • Users of tobacco products • Children with low student achievement • Children with developmental delays or disabilities • Individuals who are serving or formerly served in the Armed Forces

12. WHAT IS A VISITED HOME TO DO? • Improve mothers’ and babies’ health • Heighten children’s development • Improve parenting skills • Make kids “school ready” • Lessen crime and domestic violence rates • Create family economic self-sufficiency • Succumb to forced inoculations AT-HOME: Section 4204

13. LOCAL GOVERNMENT & YOUR HEALTH • Section 4101 • Creates a grant program for state and local governments “to reduce chronic disease rates, prevent the development of secondary conditions, address health disparities, and develop a stronger evidence-base of effective prevention programming.” • Each grantee must develop and enforce a “community transformation plan”

14. COMMUNITY TRANSFORMATION PLAN: WHAT’S IN IT? 1. Creation of healthier school environments, including increasing healthy food options, physical activity opportunities, promotion of healthy lifestyle, emotional wellness, and prevention curricula, and activities to prevent chronic diseases2. Creating the infrastructure to support active living and access to nutritious foods in a safe environment3. Developing programs targeting a variety of age levels to increase access to nutrition, physical activity and smoking cessation, improve social and emotional wellness, enhance safety in a community, or address any other chronic disease priority area identified by the grantee;4. Assessing and implementing worksite wellness programming and incentives;5. Prioritizing strategies to reduce racial and ethnic disparities, including social, economic, and geographic determinants of health; and 6. Addressing special populations needs, including all age groups and individuals with disabilities, and individuals in both urban and rural areas.

15. PRIVACY A THING OF THE PAST • HHS docket #HHS-OS-2011-0022 • Require insurance companies to share your health records w/ federal government • What is the supposed reason? • Who will collect the data? • Breaks patient-doctor, insurer-insured confidentiality (let alone HIPPA) • Will it become a laughing matter? • Will they track BMI? Mental illnesses (“threat”)? STDs?

16. MISC. NUANCES OF OBAMACARE • Changes supply & demand by cutting Medicare/Medicaid reimbursements by $455 billion over 10 years • If you have 50 or more employees: $2,000/employee fine if health insurance is not offered by 2014 (Section 1513) • Fine can be higher ($3,000 per employee) if your employees earn up to 400% of the poverty level (Section 1513) • Menu and vending machine nutritional labeling (Section 4205) • Federal government can tell states what insurers can participate in state exchanges (Section 2794) • Insurers must submit rate increases to Feds (Section 1003)

17. MISC. NUANCES OF OBAMACARE • Sets executive salaries for health insurers at $500,000 in 2012 (Section 9014) • Individuals who don’t buy insurance pay $750 more in federal taxes (Section 5000A) • $60 billion surcharge on insurance in 2014 = 10% increase in premiums • Starting in 2013, the Medicare tax (2.9%) is applied to investment income…NOT JUST THE RICH! • Starting in 2013, 2.3% excise tax on medical device manufacturers = $20 billion

18. MISC. NUANCES OF OBAMACARE • Now: annual fee on brand name drug producers ($27 billion) • Abortion IS covered (especially with community grants) • Developments at fast food places, department and grocery store: Cost for minimum wage/low wage worker rises $1 per hour if employer chooses fine, or, if insurance is the answer, $1.79/hour (single) or $5.51/hour (family) • Lack of entry-level or part-time jobs (see above) • Look at Romney care model: $13,788/family in 2008 will be twice that in 2020…plus an extra $1,116/year in taxes

19. CLOSING COMMENTS • Repeal • Revise: Use 1099 rule and CLASS Act as examples • Communicate with your elected officials • Educate friends, family, community