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Hello Mr. Vice President, My name is Tony Barton, Foreston,MN

Hello Mr. Vice President, My name is Tony Barton, Foreston,MN

Dear Ms. Barton

http://www.youtube.com/watch?v=DfEd2BvBmJg&eurl=http%3A%2F%2Fwww%2Ewhitehouse%2Egov%2Fblog%2FResponses%2Dto%2DBiden%2DSmall%2DBusinesses%2Dand%2Dthe%2DMorality%2Dof%2Dit%2DAll%2F&feature=player_embedded#t=219

I would like to respond to your video. You mentioned that you believe
our elected officials should use government to solve problems. Many
people in this country do not believe that. They believe it is up to the
individual to solve problems not government. Asking government to solve
problems is saying to your neighbors -- You are required to help me, at
the point of a gun. I don't believe that and once your business gets
going I doubt you would either.

That said, many real radical conservatives believe that the government
should stay completely out of health care. Where does that leave you?

If the current round of bills in Congress is any indication you will
be better off in the short term but your working neighbors the elderly and eventually, you
will be worse off. To see for yourself, look at this document written by House
Democrats that attempts to defend HR3200:

http://energycommerce.house.gov/Press_111/20090714/hr3200_summary.pdf

It's only 4 pages long. If you read it, you will be excited about the
possibilities until you think about how it could possibly be paid for.
It can't. Almost all of the programs mentioned cost more money and drive
medical care costs up. The only recourse will be to grow the base of
premium payers or raise taxes. Either way, costs keep going up and
eventually your government and mine will be implementing price freezes
on medical care. Price controls always lead to shortages.

What neither Democrats or Republicans care about is an efficient low
cost, better medical care, universal coverage solution. They focus on the
money -- that's where your "premiums" go and that's what they want their
hands on.

I offer you an opportunity to support something superior to all plans
proposed by Democrats and Repbulicans. I offer you a plan that would
drive costs down, cover everyone and take both insurance company
executives and government officials out of the decisions made by you and
your doctor. The best thing about this plan is it could be implemented
and in service by January, 2010.

Here is what I propose.

Health Savings Account (HSA)

Each person has an HSA. Into that, he contributes 8% of his gross
salary. The contribution is just like with Social Security; there is no
minimum wage below which you escape contributing. HSA contributions are
not taxed. You HSA pays for all planned health care (annual physical
exams, scheduled dental care, chest x-rays, pap test, and
all other "maintenance" medical functions.) When you walk in
the door of the hospital or doctors office or lab, you pay them
up front from your HSA. Doctors, Hospitals and labs no longer have
dead beat customers, insurance forms or government forms to fill out to
be paid. There is no longer a 1 to 6 month delay in payments.

You would also be required to pay the premiums on a Catastrophic Health
Insurance (CHI) policy which would cover all unexpected medical needs (broken
arm, serious disease, root canals, hereditary disease, etc).

Together the HSA plus CHI policy would completely cover your medical
needs. Each of your employees has the same plan. You no longer worry
about your employees, you worry about yourself. You employees have the
same options you do.

The HSA + CHI plan solves all problems being discussed with respect to
our health care issues but one. That is universal coverage.
Universal coverage is addressed by the government allowing your HSA to
be overdrawn. The government would then make the payments. Your HSA
remains in the red, but you continue to get medical care and continue
to contribute to your HSA. Eventually, you'll be well and your
contributions will change the negative balance to a positive balance.
The concept of a negative balance covers all people just starting out in
life, those who are chronically poor and those who lose their jobs
during difficult economic times. The government supplies money only when
needed and that's all it supplies.

  [There are some details not mentioned here but
   the entire plan is workable.]

HSA money can only be spent on medical needs for the indvidual. Various
means must be put in place to avoid fraud, but fraud should be lessened
because you would be robbing from yourself.

During periods of unemployment, your HSA would be used to pay the
CHI premiums. Finally, HSA's are transferrable. You can will them to
your husband or children, thereby increasing their long term ability to
meet medical challenges without government assistance.

An HSA + CHI bill could be written in less than 100 pages, is very
likely to survive consitutional challenges, can be brought to life in a
manner of months, drives medical costs down, and gives the remainder of
the year to congress to address the other major cost growth
vector -- Tort reform.

Think of it, by January, 2010, we could have real universal health plan
without death panels, without a Secretary who is beyond judical review,
without an enormous health insurance agency within the US
Government, without a government insurance agency that can look into
your IRS returns at the request of the Secretary, without a Social
Security organization that look into your IRS returns by simply
requesting the information and without a government that forces people
to buy insurance or pay a fine at the point of a gun.

I offer you stress free health care, freedom of choice and immediate relief.

Your Congress offers you hope, less than universal coverage, a
significant small business tax if your employee payroll goes above
$250,000, a politically appointed Secretary that sets prices and content for
insurance, but does nothing about improving health care and lowering costs.

Take your pick.

Ask your representatives to look at this plan.
Ed Bradford

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Death Panels

Death Panels.
HR3200 dictates that after the fifth year, the Secretary sets prices and content of all insurance, government and private. Since he will have a strong desire to gather the premiums of the participants in private plans, it is obvious to most the private plans will simply be driven out of the market. The "public option" will become single payer. When that happens the committee that gathers to set policy on what will be paid and what won't could also be known as a death panel. There is no provision in HR3200 for a "death panel" per se, but that policy setting committee (a responsiblity specifically assigned to the Secretary in HR3200 and probably delegated to the committee) will set prices and coverage.

An 88 year old man who has paid in to the single payer system for 60 years and contracts cancer will look to his insurance policy for coverage for chemotherapy. Will he get it? Is it likely the Secretary will think it economic to pay for chemotherapy for an 88 year old man? What if all he needs is a hip replacement? Would he get that? What if he were 98?

Somewhere in all this the Secretary will be saying "We aren't going to pay for your medical needs." The reason this is a Death Panel is because

a. If the 88 year old man doesn't get chemotherapy he dies
b. Government forced him to join government plan. If he didn't join he would suffer an 8% tax penalty.
c. Secretary says he doesn't get chemotherapy and man has no appeal. Secretary is beyond judicial review (HR3200).

It is (b) and (c) that distinguishes the Governement death panels from the private death panels. The man has a choice of what to buy from private insurance companies. Also, with private insurance if he doesn't like the decision he can appeal the the state insurance commissioner.

Compulsory end-of-life counciling isn't a death panel. The Secretary is. Think about it.

There are arguments to avoid this.

If you're poor, you die. you won't have enough money to pay for the chemo. The Secretary is a "Death Panel".

If you're middle class, you will have to do what the liberals and HR3200 purport to avoid -- bankrupt yourself to pay for chemo. Alternatively, like in Canada, you can buy supplemental insurance, thus paying for your insurance twice. This is just a tax though it doesn't look like one.

If you're rich, you'll write a check and pray the chemo is successful.

HR3200 removes for all time, any possibility the poor could get expensive care at end of life.

Finally, since the Secretary is beyond judicial review, he could decide not to give heroic treatement for cancer after a person reaches 75 years of age. There's nothing you could do about it. Then, when Ted Kennedy discovers his cancer, the Secretary can make an arbitrary exception and there's nothing you could do about it. Remember, he is beyond judical review.

HR3200 is such a bad law that if everyone read it and understood it and thought for a while about how it might be implemented and operate over the next 10 years almost everyone would vote no. High costs are one of the motivations for HR3200 but costs are not addressed to any significance. To keep costs down, the Secretary will start with price controls. Price controls always lead to shortages (e.g. Canada has 2.2 doctors/1000 people - almost the bottom of US+Europe). The bill itself will be challenged in the courts and major parts of it could be wiped out [e.g. can the Federal government force me to buy insurance and if I don't tax only me because I didn't buy insurance -- where is that in the Constitution?]

Finally, the CBO estimate of cost over 10 years is $1T. However, most of the $1T is spent in the final 6 years AND the CBO said that its estimate was only for the parts of HR3200 that were complete enought to estimate. The CBO is not famous for accurate predictions of future costs, so the $1T is unlikely to be lower, but has a good chance of being higher. Medicare will be bankrupt in 2017. HR3200 is significanly larger in scope and price than Medicare and so far, there is no plan to keep Medicare from going bankrupt. I fail to see how HR3200 will produce anything better that Bankruptcy of the entire country sooner rather than later.
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