Link to the original bill – HR 1384.

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?

Anyone? Anyone?


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 – – and share it on social media, work, public places, etc. – really, anywhere you might reach someone who will listen before it’s too late.

Here’s a link to an online document, already formatted to make it easy to print.


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