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Healthcare Reform: What the new law really says Jill Q. Vecchio, MD Docs 4 Patient Care June 6, 2010
My Sources: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who are the Uninsured?
Facts… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Facts… ,[object Object],[object Object],[object Object],[object Object]
Doctors and Patients all believe Healthcare Reform is needed But is this the right “reform”???
Typical Process Bill to Law ,[object Object],[object Object],[object Object],[object Object]
How HR 3590 Bill Became PPACA Law ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In Other Words… ,[object Object],[object Object],[object Object]
Medicare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
States ,[object Object],[object Object],[object Object],[object Object],[object Object]
Remember… ALL new costs are either paid by taxpayers directly or passed on to them indirectly!
Cost Recognition Exercise States to businesses and taxpayers Employers to employees Businesses to customers Non-taxpayers are employees and customers too
Let’s get to the Law…
“ Immediate Improvements” Title I- Subtitle A (starts w/in 6 mos.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Immed. Actions to Preserve and Expand Coverage ” Subtitle B ,[object Object],[object Object],[object Object],[object Object],[object Object]
Healthcare Exchanges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Quality Health Insurance Coverage for All Americans” Subtitle C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Qualified Health Plan” Subtitle D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abortion ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ I’m ready for my free healthcare now”
Cost Comparison for Plans sources:  CBO, Heartland Institute, Galen Institute ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Affordable Coverage Choices for all Americans” Subtitle E ,[object Object],[object Object],[object Object],[object Object]
“ Individual Responsibility” Subtitle F ,[object Object],[object Object],[object Object],[object Object]
Insurance Companies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mass. Experience with Individual Mandate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mass Experience cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massachusetts Utilization ,[object Object]
“ Employer Responsibilties” ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Miscellaneous Provisions” Subtitle G ,[object Object],[object Object],[object Object]
“ Role of Public Programs” Subtitle A ,[object Object],[object Object],[object Object],[object Object]
READY FOR THIS??? It just keep getting better…
“ Improving the Quality and Efficiency of Health Care” Title III, Subtitle A—”Transforming the Health Care Delivery System” Pt. I —”Linking Payment to Quality Outcomes…”
“ Improving the Quality and Efficiency of Health Care” Title III, Subtitle A—”Transforming the Health Care Delivery System” Pt. I —”Linking Payment to Quality Outcomes…” ,[object Object],[object Object],[object Object]
“ National Strategy to Improve Health Care Quality” ,[object Object],[object Object],[object Object]
Cont’d ,[object Object],[object Object]
Improving Medicare for Patients and Providers Subtitle B ,[object Object],[object Object],[object Object],[object Object],[object Object]
Provisions Related to Medicare Part C Subtitle C ,[object Object],[object Object],[object Object]
“ Medicare Part D Improvements for Prescription Drug Plans…” Subtitle D ,[object Object],[object Object],[object Object]
“ Health Care Quality Improvements” Subtitle F ,[object Object],[object Object]
“ Modernizing Disease Prevention and Public Health Systems” Title IV, Subtitle A ,[object Object],[object Object]
“ Creating Healthier Communities” Subtitle C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physician Workforce ,[object Object],[object Object]
Investors Business Daily
“ Increasing the Supply of the Health Care Workforce” Title V, Subtitle C ,[object Object],[object Object]
“ Supporting the Existing Health Care Workforce” Subtitle E ,[object Object],[object Object],[object Object]
“ Physician Ownership and Other Transparency” Subtitle A ,[object Object],[object Object],[object Object]
“ Patient-Centered Outcomes Research” Subtitle D ,[object Object],[object Object],[object Object]
Revenue Provisions Title IX, Subtitle A—Revenue Offset Provisions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d ,[object Object],[object Object],[object Object]
Cont’d ,[object Object],[object Object],[object Object]
Cont’d ,[object Object]
Something to look forward to… ,[object Object],[object Object]
Tort Reform ,[object Object],[object Object]
Oh yeah… ,[object Object]
Reconciliation Education and Health Title II ,[object Object],[object Object],[object Object],[object Object]
Congressional Budget Office ,[object Object],[object Object]
159 new agencies, programs, grants, funds, task forces, commissions, boards… Want to know how the Congressional Budget office scored these new entities?
$ 0
“ Unintended” Consequenses ,[object Object],[object Object],[object Object],[object Object]
European/Canadian Experience ,[object Object],[object Object],[object Object],[object Object],[object Object]
Germany ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Center for Medicare and Medicaid Services CMMS covers over 100 million Americans, has an annual $800 billion budget (before PPACA), larger than the defense department's and is the 2nd largest insurance company in the world
Donald Berwick, MD Obama’s Choice for CMMS ,[object Object],[object Object],[object Object],[object Object]
Berwick, cont’d. ,[object Object],[object Object]
As of 5/17/2010… ,[object Object],[object Object],[object Object]
As of  5/28/2010 ( Kaiser Health News) ,[object Object],[object Object],[object Object]
Kaiser Health News ,[object Object],[object Object],[object Object],[object Object]
Lawsuits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
American Medical Assoc ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where are the doctors???? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
This is our last chance! If  Republicans  do not take the House in November, 2010 PPACA will become our REALITY!!
Why Republicans? ,[object Object],[object Object],[object Object],[object Object]
“ What   are you prepared to do?” Sean Connery “Untouchables”
Get Involved!! ,[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU!! Keep up the fight!! Pass the word!! Let’s ALL be “Community Organizers”!

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Healthcare Reform Talk 6 6 2010

  • 1. Healthcare Reform: What the new law really says Jill Q. Vecchio, MD Docs 4 Patient Care June 6, 2010
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  • 3. Who are the Uninsured?
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  • 6. Doctors and Patients all believe Healthcare Reform is needed But is this the right “reform”???
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  • 12. Remember… ALL new costs are either paid by taxpayers directly or passed on to them indirectly!
  • 13. Cost Recognition Exercise States to businesses and taxpayers Employers to employees Businesses to customers Non-taxpayers are employees and customers too
  • 14. Let’s get to the Law…
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  • 21. “ I’m ready for my free healthcare now”
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  • 32. READY FOR THIS??? It just keep getting better…
  • 33. “ Improving the Quality and Efficiency of Health Care” Title III, Subtitle A—”Transforming the Health Care Delivery System” Pt. I —”Linking Payment to Quality Outcomes…”
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  • 58. 159 new agencies, programs, grants, funds, task forces, commissions, boards… Want to know how the Congressional Budget office scored these new entities?
  • 59. $ 0
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  • 63. Center for Medicare and Medicaid Services CMMS covers over 100 million Americans, has an annual $800 billion budget (before PPACA), larger than the defense department's and is the 2nd largest insurance company in the world
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  • 72. This is our last chance! If Republicans do not take the House in November, 2010 PPACA will become our REALITY!!
  • 73.
  • 74. “ What are you prepared to do?” Sean Connery “Untouchables”
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  • 76. THANK YOU!! Keep up the fight!! Pass the word!! Let’s ALL be “Community Organizers”!