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New Pelosi Bill Provision Would Allow Federal Bureaucrats to Ration Health Care |
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Does “High-Value Care” Mean No Care for You? |
NOVEMBER 5, 2009
"The chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health care bill out here....There is going to have to be a very difficult democratic conversation that takes place."
- President Obama, interview with The New York Times
Buried within the 1,990 pages of Speaker Pelosi's health care bill are new provisions that would allow federal bureaucrats to completely re-write existing regulations in a way that could deny patients access to effective but costly health treatments:
· Sections 1159 and 1160 of the bill direct the Institute of Medicine to study ways to promote "high-value health care." The bill directs the Institute to complete a series of recommendations on changes that should be made to Medicare's reimbursement system to accomplish such ends, and further directs the Secretary to draft a plan to implement these proposed changes.
· Language on page 510 of the bill authorizes the Secretary to waive any requirements in the existing Medicare statute "in order to implement such changes." In other words, bureaucrats at the Centers for Medicare and Medicaid Services (CMS) would have blanket waiver authority to re-write existing statute and regulations unilaterally.
· While the bill does provide for a process of review by Congress of CMS' proposed changes, the federal bureaucrats' recommendations would automatically take effect unless both Houses of Congress pass a joint resolution of disapproval by May 2012. Given that President Obama will still be in office at that time and will have authority to veto such a joint resolution, the language effectively requires 2/3rds of each body of Congress to agree to override CMS' recommendations-or otherwise federal bureaucrats will have virtual carte blanche to re-write the existing statute books.
· Most disturbingly, the language does not prohibit federal bureaucrats from denying patients access to costly but effective treatments and services. Because these sections contain no anti-rationing language, many may be concerned that federal bureaucrats could decide to create a "high-value" health care system by denying access to all treatments that, while effective, are too costly in the bureaucrats' minds to warrant federal payment.
· Many may believe that the study proposals resemble a concept advocated by former Senator Tom Daschle-a board of unelected bureaucrats making health care decisions, including decisions about which therapies and treatments the federal government will cover. In his book Critical, Daschle wrote that, "We won't be able to make a significant dent in health-care spending without getting into the nitty-gritty of which treatments are the most clinically valuable and cost-effective."
· Many of President Obama's key advisers have echoed his comments above questioning the need for the federal government to finance costly but effective health treatments. In addition to Sen. Daschle's long-time advocacy of a federal health board to regulate treatments' cost-effectiveness, a report released by the liberal Commonwealth Fund earlier this year argued that up to $634 billion could be saved by denying individuals access to treatments that are not "cost-effective."
"In health care, waiting lines...can reduce the average cost of health capital, even while raising patient costs in terms of time and inconvenience. Health care waiting lines represent a trade-off between patient costs and capital costs."
- Senior Obama Administration Official Sherry Glied, writing in Critical Condition: Why Health Reform Fails
Given comments by many key liberal groups-as well as the President himself-many may be concerned that the Pelosi bill's $1.3 trillion in spending on a government takeover of health care will increase federal bureaucrats' role in making patients' personal health decisions-and lead to unacceptable delays in life-saving treatments for many Americans.
Related Media
| 3/20/10 Weekly Republican Address: Leader John Boehner (R-OH) Mar. 19, 2010 | Weekly Republican Address"Republicans can't beat this bill, but the American people can. It's not too late to make your voice heard."  |
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| 2/20/10 Weekly Republican Address: Rep. Dave Camp (R-MI) Feb. 19, 2010 | Weekly Republican AddressRep. Camp: "So in order to have a productive bipartisan conversation on health care, Democrats must first listen to the American people and scrap their massive government takeover of health care. We must go into the summit with a clean slate focused on making health care affordable. That is what Americans are asking for, and that is what Republicans will continue to work for." |
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| Democrat Rep. Sestak: Health Care Negotiations Not Transparent Jan. 07, 2010 | What They're Saying"They said it would be transparent. Why isn't it? At times, I find the caucus is a real disappointment. We aren't transparent, not just to the public but at times to the members." - Democrat Rep. Joe Sestak |
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| UPDATED: Behind Closed Doors Jan. 06, 2010 | FeaturesWhat are the Democrats trying to hide? Speaker Pelosi adds her thoughts. |
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| 11/26/09 Weekly Republican Address: Rep. Mike Pence (R-IN) Nov. 26, 2009 | Weekly Republican AddressRep. Pence: "The American people know we can't borrow and spend and bail our way back to a growing economy. ... Republicans have proposals to get our economy moving again, to achieve energy independence and lower the cost of health care." |
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| Republican Leadership Stakeout on Health Care and Jobs Nov. 17, 2009 | Press Conferences |
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| 11/14/09 Weekly Republican Address Mark Kirk Nov. 14, 2009 | Weekly Republican AddressRep. Mark Kirk (R-IL) delivers the Weekly Republican Address. |
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| 10/31/09 Weekly Republican Address: Republican Leader John Boehner (R-OH) Oct. 30, 2009 | Weekly Republican Address |
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| 10/17/09 Weekly Republican Address: Rep. Kevin Brady (R-TX) Oct. 16, 2009 | Weekly Republican AddressRep. Brady: Real economic growth starts when the people who have taken the hardest hit in this recession -- our small businesses -- get back to creating jobs." |
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| 10/14/09 Republican Leadership Stakeout Oct. 14, 2009 | Press ConferencesHouse Republicans discuss the economy and health care after their weekly conference meeting. |
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| 10/7/09 Republican Leadership Stakeout Oct. 07, 2009 | Press ConferencesHouse Republicans discuss Afghanistan, the economy, and health care after their weekly conference meeting. |
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| Weekly Republican Address: Rep. Candice Miller (R-MI) Oct. 03, 2009 | Weekly Republican AddressRep. Miller: "Republicans hope that the President and Speaker Pelosi will put aside their job-killing agenda and help promote policies to get Americans working again." |
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| 9/30/09 Republican Leadership Stakeout Sep. 30, 2009 | Press ConferencesHouse Republican leaders discuss the jobs, the economy, and health care after their weekly conference meeting. |
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| 9/23/09 Republican Leadership Stakeout Sep. 23, 2009 | Press ConferencesHouse Republican leaders discuss health care after their weekly conference meeting. |
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| Weekly Republican Address: Rep. Sue Myrick (R-NC) Sep. 18, 2009 | Weekly Republican AddressRep. Sue Myrick (R-NC) delivers the Weekly Republican Address on health care. "These so-called health care reform bills have different names: a public option, a co-op, a trigger. Make no mistake, these are all gateways to government-run health care." |
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| 7/14/09 Republican Leadership Stakeout Jul. 14, 2009 | Press ConferencesHouse Republican leaders discuss the economy and health care. |
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| 6/24/09 Republican Leadership Stakeout Jun. 24, 2009 | Press ConferencesHouse Republican Leaders are joined by Gov. Jim Douglas (R-VT) and Gov. Mike Rounds (R-SD) as they discuss health care and energy. |
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| Weekly Republican Address: Rep. Charles Boustany (R-LA) May. 16, 2009 | Weekly Republican AddressRep. Charles Boustany (R-LA), a member of the Republican Health Care Solutions Group, discusses working with President Obama to ensure that every American has access to affordable, high-quality health coverage. |
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| Weekly Republican Address: Rep. Roy Blunt (R-MO) Mar. 06, 2009 | Weekly Republican AddressRep. Roy Blunt (R-MO) delivers the Weekly Republican Address on Republican's commitment to developing new and innovative solutions to fix our nation's health care system, while making sure we keep what works. |
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October 14, 2009 Republican Leadership Press Conference
Republican Leadership Press Conference October 14, 2009 Participants: - Republican Leader John Boehner (R-OH) - Republican Whip Eric...
October 13, 2009
Speaker Pelosi Advocates Higher, European-Style Taxes
"I can make a firm pledge. Under my plan, no family making less than $250,000 a year will see...
October 09, 2009
Another "Rock Solid Deal" That Harms Seniors
"But what we will do is, we'll have the [health care] negotiations televised on C-SPAN, so that people can...
October 08, 2009
Baucus "Tax on Jobs" Is Anti-Family
While the bill produced by Finance Committee Chairman Baucus is being portrayed by some media outlets as a "moderate...
October 08, 2009
House Democrat Bill Nearly Double Obama's $900 Billion Spending Cap
"I will not sign [health care legislation] if it adds one dime to the deficit-now or in the future. ...
October 01, 2009
Democrat "Compromises" Would Expand Federal Funding for Abortions
"And one more misunderstanding I want to clear up-under our plan, no federal dollars will be used to...
September 30, 2009
False Analogies to a Government-Run Health Plan
"I mean, if you think about-if you think about it, UPS and FedEx are doing just fine, right? No,...
September 29, 2009
Replacing One Ignored "Trigger" With Another
"I will not sign [health care legislation] if it adds one dime to the deficit-now or in the future. ...
September 28, 2009
House Democrats' Health "Reform" Will Harm American Economy
Even as unemployment approaches 10 percent nationwide, a recent Heritage Foundation analysis found that House Democrats' government takeover of...
September 24, 2009
House Democrats' "Tort Reform:" More Giveaways to Trial Lawyers
Even as President Obama promised to address tort claims as part of his health "reform" proposals, House' Democrats' government...
September 23, 2009
If You Like Your Current Plan...don't Tell Max Baucus
While the bill produced by Finance Committee Chairman Baucus is being portrayed by some media outlets as a "moderate...
September 22, 2009
AARP: Helping Seniors Or Helping Itself?
"There's an inherent conflict of interest....They're ending up becoming very dependent on sources of income." - Former AARP Executive...
September 22, 2009
Baucus Bill Full of Budgetary Gimmicks
While the bill produced by Finance Committee Chairman Baucus is being portrayed by some media outlets as a "moderate...
September 21, 2009
GOP Talking Points on Health Care
House Republicans will oppose any effort to pass a sweeping government takeover of health care and are committed to working...
September 21, 2009
Do Seniors Need a Social Security COLA?
In light of proposals being discussed to increase seniors' Social Security cost-of-living adjustment (COLA), the Republican Conference has prepared...
September 21, 2009
Democrat Health “Reform” IS a Massive Middle-Class Tax Increase
"I can make a firm pledge. Under my plan, no family making less than $250,000 a year will see...
September 18, 2009
Study Admits: Government Takeover Will Raise Private Insurance Premiums
A study recently published in the journal Health Affairs has confirmed what many have feared-that enrollment in a government-run...
September 17, 2009
Pence: The Democrat Compromise for Government-run Insurance is More Government-run Insurance
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following statement today about...
September 14, 2009
Wall Street Journal Editorial: The Quietest Trillion
Congratulations. You're about to own $100 billion a year in student loans. The furor over President Obama's trillion-dollar...
September 11, 2009
House Democrats Break President Obama’s Promise
President Obama promised in his address to Congress that, "There are also those who claim that our reform effort...
September 10, 2009
Congressman Pence Discusses Health Care and Free Markets on CNBC Power Lunch
Transcript below: HOST: Here's what he had to say to his critics this morning. President Obama...
September 10, 2009
Common-Sense Questions That Follow the President’s Speech
President Barack Obama: "Our collective failure to meet this challenge - year after year, decade after decade - has...
September 09, 2009
Myth Vs. Fact: President’s Address to Congress
The Republican Conference has prepared analysis of President Obama's address to...
September 08, 2009
Pence: “The American people don’t want another speech on health care, they want another plan on health care”
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following remarks today on...
September 08, 2009
GOP Talking Points on Health Care
· It is clear from town hall meetings held across the country that the American people are rejecting the...
September 08, 2009
House Democrat Health "Reform" Legislation: Short Summary of the Government Takeover of Health Care
BACKGROUND On July 14, 2009, the Chairmen of the three House Committees with jurisdiction over health care...
September 08, 2009
Democrats’ Government Takeover Will Raise Medicare Premiums By 20%
"I'm appalled by the deal the White House has made with the pharmaceutical industry's lobbying arm to buy...
September 08, 2009
Barack Obama and “Big Pharma:” Hypocrisy You Can Believe in
“I’m appalled by the deal the White House has made with the pharmaceutical industry’s lobbying arm to buy...
September 08, 2009
A “Trigger” for Destroying Americans’ Health Coverage
Even as the Administration continues to search for a “compromise” regarding its government takeover of health care, an examination...
September 08, 2009
Congressman Pence Discusses Health Care on ABC’s This Week With George Stephanopoulos
To view this clip, click here. Excerpts below: "Republicans are ready to work for comprehensive health...
September 02, 2009
Congressman Pence Discusses Health Care and Republican Alternatives on MSNBC’s Morning Joe
Excerpts below: JOE SCARBOROUGH: Do you think health care reform is dead? REP. PENCE: Well, I...
September 01, 2009
Barack Obama and "Big Pharma:" Hypocrisy You Can Believe In
"I'm appalled by the deal the White House has made with the pharmaceutical industry's lobbying arm to buy their...
August 31, 2009
Pence Calls on President Obama to Start Over on Health Care
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following remarks on the...
August 18, 2009
“Big Pharma” and David Axelrod: $2 Million of Change You Can Believe In?
Even as President Obama campaigned on a platform of change and transparency, recent dealings between the pharmaceutical industry and...
August 17, 2009
Pence on Six Month Anniversary of Stimulus Signing: “the Results Are In: the Stimulus Isn’t Working”
WASHINGTON, DC-U.S. Congressman Mike Pence, Chairman of the House Republican Conference, issued the following statement today regarding the six...
August 10, 2009
Anti-war Protest? "Democracy in Action"
If you are an anti-war protestor... According to the San Francisco Chronicle, after meeting with a group of anti-war protestors,...
August 10, 2009
Pence Calls Pelosi "Un-American" Comment Offensive
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, responded today, on Fox News' America's...
August 06, 2009
New Video: "DISINFORMATION"
The House Republican Conference released a new web video today in response to a recent White House video on...
August 06, 2009
Reading Guide - Democrat Health "Reform"
In order to assist Members, staff, and interested parties seeking to read and review the health "reform" legislation (H.R....
July 31, 2009
Pence Denounces Procedural Gimmick to Include Taxpayer-Funded Abortions in Democrats’ Health Care Plan
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following statement today after...
July 28, 2009
July 28, 2009 Republican Leadership Stakeout
Participants: - Republican Leader John Boehner (R-OH) - Republican Whip Eric Cantor (R-VA) - Republican Conference Chairman Mike Pence...
July 23, 2009
Pence Responds to Democrat Leadership Claims of Not Being Afraid to Postpone August Recess
"I'm always in favor of Congress sticking around long enough to get the right thing done but if the...
July 22, 2009
Pence Statement on the President’s Partisan Pitch for Health Care Reform
"The President of the United States may 'mean it' when he says a government takeover of health care won't...
July 22, 2009
Congressman Pence Discusses Jobs and Democrat Health Care Bill on MSNBC’s Morning Joe
To view this clip, click here. Transcript below: [Clip of Hoyer on the House floor] ...
July 21, 2009
Pence Challenges Government Takeover of Health Care During Economic Recession
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following statement on the...
July 17, 2009
GOP Talkers on Democrats’ Government Takeover of Health Care
During the worst recession in a generation Democrats propose a government takeover of health care that will lead to fewer...
July 14, 2009
Pence: "The American People Have No Stomach for A Government Takeover of Health Care That Will Lead to Fewer Jobs, Higher Taxes and Less Health Coverage"
Washington, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference, made the following statement today after...
July 09, 2009
Beware Democrats Bearing Gifts: The Direct Loan Program and the So-Called "Public Option"
"It is truly an entrepreneurial kind of system, where there is no coercion in the system. And it is...
July 08, 2009
Pence Responds to White House Health Care Announcement
WASHINGTON, DC - U.S. Congressman Mike Pence, Chairman of the House Republican Conference appeared on FOXNEWS this...
June 23, 2009
Democrat Health “Reform” by the Numbers - UPDATED
The Republican Conference has compiled a list of important numbers relevant to the House Democrats’ 1,018-page “America’s Affordable Health...
June 22, 2009
House Democrat Draft Health “Reform” Legislation
Background On June 19, 2009, the Chairmen of the three House Committees with jurisdiction over health care legislation—Education and Labor...
May 21, 2009
U.S. News & World Report: Rep. Phil Gingrey: Government-run Healthcare Would Backfire, Making 'Public Option' the Only One
Former DNC chair's government-run insurance program is sure to backfire. Just ask his wife the doctor By Phil...
May 15, 2009
Health Care Leaders Say Obama Overstated Their Promise to Control Costs
by Robert Pear, The New York Times WASHINGTON - Hospitals and insurance companies said Thursday that President Obama...
May 11, 2009
GOP Health Care Talking Points
As the American people struggle to make ends meet, too many also live with the challenge of affording basic health...
May 06, 2009
Ready for Rationing?
*This post originally appeared on Net Right Nation. by Rep. John Shadegg (AZ)Are you ready for health care rationing? ...
May 01, 2009
Leading House Democrat Admits That Government-Run Health Care Will Put Private Health Care Out of Business
http://www.breitbart.tv/html/330913.html Rep. Jan Schakowsky (D-IL): "And next to me was a guy from the insurance company,...
April 03, 2009
Question and Answer: Medicare and the Republican Budget
"The real problem with our long-term deficit actually has to do with our entitlement obligations...The big problem is Medicare, which...
March 23, 2009
Jeff Flake: Uncensored
Rep. Jeff Flake (AZ) gets a few words in at the American Spectator this morning, offering insight from the...
March 09, 2009
Investor's Business Daily: More Money Won't Assure Quality Care
"What it's supposed to do for people doesn't get done in reality." The speaker criticizing this government program...
March 05, 2009
Obama vs. Obama - Health Care
President Obama said government-run health care was “extreme” and “wrong” but… Then-Candidate Obama said government- run health care was...
March 04, 2009
Ten Facts About President Obama’s Health Care Proposals
President Obama's budget proposal includes nearly $1 trillion in new health care spending-a $634 billion reserve fund as a...
February 26, 2009
Information On President Obama’s Health Care Budget
President Obama's budget includes nearly $1 trillion in new health spending-a $634 billion reserve fund as a "down payment"...
February 23, 2009
Redstate: Medicaid For Millionaires By Rep. Cliff Stearns
"We shouldn't have to do that, because they should know better." So said President Obama in explaining why...
February 10, 2009
Question and Answer: Government-rationed Health Care
In light of the inclusion of $1.1 billion in the Democrat "stimulus" legislation for the Agency for Healthcare Research...
February 04, 2009
SCHIP Principles
In anticipation of a potential vote to reauthorize and expand the State Children’s Health Insurance Program (SCHIP), the Republican...
January 14, 2009
Pence Supports Healthcare for Needy Children
Congressman Mike Pence (R-IN), Chairman of the House Republican Conference, issued the following statement today regarding House consideration of...
