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1,968 Reasons to Repeal
by Newt Gingrich

If you had any doubt about the importance of repealing the health reform law, a new chart from the Center for Health Transformation will give you 1,968 reasons to repeal the bill.

The chart, titled “The New and Expanded Secretarial Powers in the Health Reform Law” reveals the ways in which the 2,700-page health reform law grants 1,968 powers to the Secretary of Health and Human Services.

Control over the largest single sector of the American economy (about 18% of GDP, or one out of every five dollars in the entire economy) and a matter of life and death for every American, will be handed over to one appointed bureaucrat.

Why Republicans Should Be Worried
Stansberry & Associates

Here are five outrageous examples the Center for Health Transformation found in the 1,968 grants of power:

1. The Secretary determines “clinical concern”of drugs -- Section 3307 -- (ii) IDENTIFICATION OF DRUGS IN CERTAIN CATEGORIES AND CLASSES. (I) … the Secretary shall identify, as appropriate, categories and classes of drugs for which the Secretary determines are of clinical concern. (II) CRITERIA. The Secretary shall use criteria established by the Secretary in making any determination under subclause (I). (iii) IMPLEMENTATION. The Secretary shall establish the criteria … and any exceptions … through the promulgation of a regulation which includes a public notice and comment period.

Meaning: The Secretary will decide what clinical drugs seniors can access.

2. Secretary decides how drugs are dispensed in long-term care facilities -- Section 3310 -- (3) REDUCING WASTEFUL DISPENSING OF OUTPATIENT PRESCRIPTION DRUGS IN LONG-TERM CARE FACILITIES. The Secretary shall require PDP sponsors of prescription drug plans to utilize specific, uniform dispensing techniques, as determined by the Secretary, in consultation with … any other stakeholders the Secretary determines appropriate ... when dispensing covered part D drugs to enrollees who reside in a long-term care facility in order to reduce waste associated with 30-day fills.

Meaning: The Secretary will instruct physicians and nurses exactly how to give a drug to their patients in long-term care facilities.

3. “Tooth-level surveillance” -- Section 4102-- (2) NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY. The Secretary shall develop oral healthcare components that shall include tooth-level surveillance for inclusion in the National Health and Nutrition Examination Survey … the term ‘tooth-level surveillance’ means a clinical examination where an examiner looks at each dental surface, on each tooth in the mouth and as defined by the Division of Oral Health of the Centers for Disease Control and Prevention.

Meaning: The Secretary will determine how dentists and dental hygienists should examine your teeth.

4. The Secretary may establish insurance premium ratings for states – Section 1201 -- FAIR HEALTH INSURANCE PREMIUMS … SECRETARIAL REVIEW … With respect to the premium rate charged by a health insurance issuer for health insurance coverage offered in the individual or small group market … Each State shall establish 1 or more rating areas within that State for purposes of applying the requirements of this title. The Secretary shall review the rating areas established by each State under subparagraph (A) to ensure the adequacy of such areas for purposes of carrying out the requirements of this title. If the Secretary determines a State’s rating areas are not adequate, or that a State does not establish such areas, the Secretary may establish rating areas for that State.

Meaning: The Secretary can overrule states on what insurance rates can be whether they like it or not.

5. The Secretary may use comparative effectiveness research -- Section 6301(c) -- LIMITATIONS ON CERTAIN USES OF COMPARITIVE EFFECTIVENESS RESEARCH… (2) Paragraph (1) shall not be construed as preventing the Secretary from using evidence or findings from such comparative clinical effectiveness research in determining coverage, reimbursement, or incentive programs under title XVIII based upon a comparison of the difference in the effectiveness of alternative treatments in extending an individual’s life due to the individual’s age, disability, or terminal illness.

Meaning: The Secretary can use comparative effectiveness research to determine access to care for seniors, like they do for patients in the British National Health Service.

To read complete story with reference links:
http://www.newt.org/newt-direct/1968-reasons-repeal


 
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