There is a distinction that is often lost on the less-analytical among us:
A person could be a legal immigrant – someone who applied for immigration in their OWN country, or in the nearest safe country to their own. Who waited until he/she/xer was given permission to enter the USA, and get what used to be called a Green Card – a card showing that the holder is LEGALLY resident in the USA. Such a care does NOT automatically give that holder the privilege of working, nor does it allow them the rights of citizens, including the right to vote.
A person might have originally had the legal right to enter – usually for a very limited period. That category can include:
Those given permission to enter to take a temporary job – includes the H1-B visa holders, artists, musicians, actors, etc. They do NOT have the right to stay beyond the term indicated in their visa.
Those who are students – occasionally in high school (for example, exchange students), more usually college or graduate school. They may NOT work while here, nor collect government benefits.
Those who overstay their visa – a VERY large category. Often, the temporary permission is abused by those who never intended to leave in the first place. MANY of those in this category work without having had a permit to do so.
A person may have, while underage, been brought into this country. These would be the DACA kids (although many are NOT kids, and lied about the age they came in). They have been given Deferred Action (that’s the DA part of the phrase), but they are STILL illegally present. That distinction is lost on the many women who reason with their female parts. For them, these “kids” are already legal, and only the Meanies in the Foreign-People-Hating Party are keeping them from the American Dream!
A person may have reached these shores fleeing for their life – some of them from Muslim countries, or Cuba, or China. These are the ones that asylum was designed to assist, not those who bypassed other countries to get higher-paying jobs in the USA. VERY few of the people pressing against the southern border fall into this category.
Let’s start with the first problem, right on the 4th page:
Every individual who is a resident of the United States is entitled to benefits for health care services under this Act. The Secretary shall promulgate a rule that provides criteria for determining residency for eligibility purposes under this Act.
That’s the Secretary of HHS, who will be saying who is – and is not – a resident. Now, I’m PRETTY sure that, under Trump, that qualification would be quite narrow.
But, should a Democrat – I mean, Leftist (but, I repeat myself) – get elected, or another RINO, is there anyone who believes that the rule will become considerably more elastic?
The very next Freakin’ page says it all.
—No person shall, on the basis of race, color, national origin, age, disability, marital status, citizenship status, primary language use, genetic conditions, previous or existing medical conditions, religion, or sex, including sex stereotyping, gender identity, sexual orientation, and pregnancy and related medical conditions (including termination of pregnancy), be excluded from participation in or be denied the benefits of the program established under this Act
OK, straight upfront, the bill SAYS that noncitizens, those seeking “gender reassignment”, and those wanting abortions WILL be able to get services. Without charge – excuse me, I mean – Taxpayer-Provided Services, not free.
The one facet of the Original Medicare, and its various alternatives, such as Medicare Advantage, that kept it affordable, was the various ways that users picked up part of the cost. They did this through co-pays and deductibles, primarily.
That’s out now.
The Secretary shall ensure that no cost-sharing, including deductibles, coinsurance, copayments, or similar charges, is imposed on an individual for any benefits provided under this Act.
Well, that’s it. Without those means of ensuring that people don’t abuse the system by running to doctors for every little thing, the system cannot function.
The House is prepared to co-opt nurses and doctors by throwing them a chip:
mandatory minimum safe registered nurse-to-patient staffing ratios and optimal staffing levels for physicians and other health care practitioners;
Although the staffing requirements SOUND rigorous, the bill ASSUMES that it’s just fine to grandfather acceptance of two services that are notorious for having sub-standard care.
Any provider qualified to provide health care items and services through the Department of Veterans Affairs or Indian Health Service is a qualifying provider under this section with respect to any individual who qualifies for such items and services under applicable Federal law.
So, YAY! We’re gonna get care JUST AS GOOD as the VA and Indian Affairs recipients do!
Now, where will the unions fit into this? And, they WILL fit in, or ELSE.
The Secretary shall consult with Federal agencies, Indian tribes and urban Indian health organizations, and private entities, such as labor organizations representing health care workers, professional societies, national associations, nationally recognized associations of health care experts, medical schools and academic health centers, consumer groups, and business organizations in the formulation of guidelines, regulations, policy initiatives, and information gathering to ensure the broadest and most informed input in the administration of this Act. Nothing in this Act shall prevent the Secretary from adopting guidelines, consistent with the provisions of section 203(c), developed by such a private entity if, in the Secretary’s judgment, such guidelines are generally accepted as reasonable and prudent and consistent with this Act.
In other words, the labor unions, women’s ‘health’ centers (abortion advocates), and a whole host of NGOs will be giving “input”. That last part means that these partisan groups have carte blanche to write guidelines that favor them and dis-favor taxpayers, churches, and others opposing this wholesale takeover of our economy.
This next section is priceless.
It is the sense of Congress that tens of millions of people in the United States do not receive healthcare services while billions of dollars that could be spent on providing health care are diverted to profit. There is a moral imperative to correct the massive deficiencies in our current health system and to eliminate profit from the provision of health care.
Karl Marx would be SO proud!
But, wait! There’s more – oooh, the drug manufacturers are gonna get it – HARD.
with respect to a drug, in the case that the Secretary is unable to successfully negotiate an appropriate price for a covered drug for a negotiated price period, the Secretary shall authorize the use of any patent, clinical trial data, or other exclusivity granted by the Federal Government with respect to such drug as the Secretary determines appropriate for purposes of manufacturing such drug for sale under Medicare for All Program. Any entity making use of a competitive license to use patent, clinical trial data, or other exclusivity under this section shall provide to the manufacturer holding such exclusivity reasonable compensation, as determined by the Secretary
Eh, what the heck, at least the pharmaceutical companies will still be able to operate, as long as they bend on the price. And, don’t worry about the price they’ll likely get from the Secretary. Everyone KNOWS that negotiations that limit walking away from the deal are MUCH better than those in which both sides have to compromise!
Eh, not quite. They will have to give up information – whatever the Secretary of HHS requires (including processing/manufacturing secrets?).
—The Secretary may require pharmaceutical manufacturers to disclose to the Secretary such information that the Secretary determines necessary for purposes of carrying out this subsection.
Oh, don’t be such a Gloomy Gus! I KNOW that we can trust the dedicated civil servants not to blab that information to competitors or other countries!
But, don’t worry! The money appropriated is SAFE – it will be in the TITLE VII—UNIVERSAL MEDICARE TRUST FUND! And we all know just how well the government has managed Trust Funds in the past, don’t we?
Even MORE takeovers than the Original Obamacare!
Each workers compensation carrier that is liable for payment for workers compensation services furnished in a State shall reimburse the Medicare for All Program for the cost of such services.
In other words, the money that WC charges employers for coverage will be ADDED to the mix. Rather than just assume that the MFAA will cover workers, this section allows a ‘claw-back’ of money paid to the WC fund. In other words, MFAA has figured out how to TAX the INDIVIDUAL STATES! A true innovation!
States use the freedom they have to set their own priorities on Medicaid expenditures; children are often covered under the SCHIP provisions, that allows states to set the rules for what coverage their poorer citizens might receive.
no individual is entitled to medical assistance under a State child health plan under title XXI of such Act for any item or service furnished on or after such date;
School programs will also be subsumed under MFAA.
Guys, this bill is such an abomination that it SHOULD be obvious even to the Brain-Dead – another word for Leftists. But, after seeing how well our elected officials managed the Steamroller AKA Obamacare, I think it’s clear that we need to raise awareness of the contents of this Hot Mess.
Call, fax, email all the usual suspects/politicians, and register your displeasure with this crap. Feel free to make a copy of this – don’t forget to credit The Declination – http://thedeclination.com/mfaa-medicare-for-all-act-updated/ – and share it on social media, work, public places, etc. – really, anywhere you might reach someone who will listen before it’s too late.
He was the king of what is now called Corinth, He was both deceitful and cruel, but his big mistake was to piss off Zeus. For that, he was condemned to roll a boulder uphill. As it neared the top, the boulder would roll again to the bottom.
Well, America is like that about abortion. Just as we start making headway on changing public opinion (thanks lately to Unplanned and Gosnell, the movie), the Leftists work to roll the progress we’ve made back to square one.
I think she’s not even thinking about it. I’ll make a bet on what she is aiming for – she wants to be the next Oprah, only bigger. Only, I don’t see her working as hard as the Queen of the Talk Shows did. Maybe a few specials a year, but not daily, or even weekly appearances.
The Left is deliberately using such terminology to obscure the truth. They shout out about anti-Muslim “hate” – even though a significant percentage of those “abuses” are, in fact, hoaxes, designed to twist public opinion in their favor. Are SOME true? The odds say that ALL the reports could not be false, but – MOST of those that get investigated have zero evidence that an actual crime – as opposed to a pathetic attempt to gain headlines – had occurred. Many of those that are exposed have the supposed victim being the perp.
Immigrants with the following statuses qualify to use the Marketplace:
Lawful Permanent Resident (LPR/Green Card holder)
Paroled into the U.S. I have NO idea what this is.
Conditional Entrant Granted before 1980
Battered Spouse, Child and Parent – can’t get health care? Claim you husband hits you.
Victim of Trafficking and his/her Spouse, Child, Sibling or Parent
Granted Withholding of Deportation or Withholding of Removal, under the immigration laws or under the Convention against Torture (CAT)
Individual with Non-immigrant Status, includes worker visas (such as H1, H-2A, H-2B), student visas, U-visa, T-visa, and other visas, and citizens of Micronesia, the Marshall Islands, and Palau
Temporary Protected Status (TPS)
Deferred Enforced Departure (DED)
Deferred Action Status (Exception: Deferred Action for Childhood Arrivals (DACA) is not an eligible immigration status for applying for health insurance)
Lawful Temporary Resident
Administrative order staying removal issued by the Department of Homeland Security
Member of a federally-recognized Indian tribe or American Indian Born in Canada – so, why can’t they use the WONDERFUL Single-Payer system of Canada?
Resident of American Samoa
Applicants for any of these statuses qualify to use the Marketplace:
Temporary Protected Status with Employment Authorization
Special Immigrant Juvenile Status – sounds like many of the latest invaders would qualify
Victim of Trafficking Visa
Adjustment to LPR Status
Asylum (see note below)
Withholding of Deportation, or Withholding of Removal, under the immigration laws or under the Convention against Torture (CAT) (see note below)
Applicants for asylum are eligible for Marketplace coverage only if they’ve been granted employment authorization or are under the age of 14 and have had an application pending for at least 180 days.
People with the following statuses and who have employment authorization qualify for the Marketplace:
Order of Supervision
Applicant for Cancellation of Removal or Suspension of Deportation
Applicant for Legalization under Immigration Reform and Control Act (IRCA)
Legalization under the LIFE Act
Did you see that part about DACA recipients NOT being eligible for Obamacare?
Well, that’s technically correct. What that page DOESN’T tell you is that some of the states allow DACA recipients to get Medicaid – which is a program funded by the Federal Government to assist states in paying for poor citizens.
Other access to care available to undocumented immigrants and to DACA grantees include limited emergency services paid for by Medicaid, including labor and delivery for childbirth. Safety net programs that are available to all regardless of immigration status include immunizations, treatment at Community Health Centers and other Federally Qualified Health Centers (FQHCs), Migrant Health Centers, financial assistance or charity care at hospitals, insurance at full cost offered outside the Marketplaces, and employer-sponsored health insurance, if offered. Over 50 percent of DACA grantees became employed at a job that provided health insurance or other benefits; despite DACA termination, their health insurance should remain in effect as long as the employment lasts, after which they can continue insurance through COBRA. Finally, a number of local jurisdictions provide health services for their residents regardless of immigration status, including some places where many DACA grantees live, e.g.: Los Angeles County, CA; Cook County, IL (includes Chicago); New York City, NY; and Washington, DC.
So, the next time you are self-righteously informed that DACA “kids” are ineligible or ACA (Obamacare), you’ll know the FACTS – that, thanks to OTHER programs, this is more of a pebble in the road. Of course, the Left will worm around the system to find some way to qualify their precious Undocumented Voters for the full scope of freebies that the taxpayers will be forced to provide.