Members of the Obama administration do not care whether Catholics and those of other faiths are angry about the ObamaCare mandate regarding contraception, sterilization, and abortion-inducing drugs. It’s quite possible that, like exhibitionists, the White House enjoys the shock value that accompanies all their edicts and executive orders to people of main-street America. Waiting for average Americans to recover from the shock gives them a window of time to amuse themselves at the reaction as they also develop their talking points and spin. But, this year, they have an election to win.

To appease those they view as rigid, conservative Catholics, the administration’s talking points are that they’ll “work it out” with them, give them a year to “adapt” their consciences to engaging in behavior that is against their values, and, perhaps, the favorite means of the White House to ensure a minimum of voter loss: hand out a waiver.

But, exactly what should be “worked out?” “Adapt” to what? A “waiver” from what? All of this talk of flexibility is helping the White House to muddy up the real issue.

The spin by the White House, in the midst of this constitutional crisis, is simply a variant on its age- old theme that healthcare is an unalienable right that the government must give to people. Remember that, in liberalism, unalienable rights come from the government, not from the Creator. With the contraception, etc. mandate, the administration just tweaked the message a bit- made it a bit “pinker,” dare we say: that all women deserve access to free contraception- including Catholic women. How could we leave Catholic women out? After all, that would be discriminatory, right? Wrong.

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Imagine being able to choose how we spend our healthcare dollars, without a health insurance company, or the government, telling us how to do it. We choose to buy an over-the-counter medication that performs just as well as a high-priced drug that requires a prescription. We save money. We pay only for what our family needs, and we don’t shift the costs to others.

Actually, we don’t have to imagine it. Health Savings Accounts (HSA’s), tax-exempt trust accounts that are offered by some employers as an alternative to traditional health insurance plans, have been around since 2004. With an HSA option, employees are generally offered a lower insurance premium if they agree to place money into a special account from which they pay for most of their lower-cost, basic healthcare. A “catastrophic,” high deductible insurance plan is in place for larger medical bills due to hospitalizations, surgeries, or other higher cost specialized treatments.

Last week, America’s Health Insurance Plans (AHIP) announced that more than 11.4 million Americans are now covered by HSA-eligible insurance plans, a more than 14% increase since last year. Increasingly popular among small businesses and families, HSA’s put patients in control of their basic health care dollars and- surprise- when people directly control their health care costs, they choose more wisely and costs come down.

Great idea, isn’t it? More personal control of healthcare dollars, more personal control of basic healthcare decision-making, lower healthcare costs because we are shopping around for the best value. So, of course, Obamacare intends to gradually eradicate HSA’s.

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By Reps. Marsha Blackburn, Darrell Issa and Peter Roskam:

Last January, President Obama declared, “Jobs must be our number one focus in 2010.”

Since that time, more than 2.5 million Americans have lost their jobs and unemployment stands at 9.6%. Some focus. The President and his Democrat allies in Congress instead chose to unleash a torrent of bills that do anything but create jobs, like the so-called financial services reform bill that didn’t fix the real problem of government meddling in mortgages, and another round of “stimulus” spending that only deepened states’ addiction to Washington bailouts. Last week, Congressional Democrats canceled a vote on tax relief for all Americans until after the November elections, creating more economic uncertainty while delaying private sector job creation.

The primary job killer is the trillion-dollar folly of ObamaCare. The bill hits America’s struggling small businesses and their families with 2,801 pages of new taxes and complicated rules, creating a climate of hyper-regulation and uncertainty that the nation’s most important small business alliance – the National Federation of Independent Businesses –has called “death by a thousand cuts.”

Just a couple of those painful wounds: by 2018, self-employers and small firms will be hit by a $14.3 billion health insurance tax, while a projected $17 billion will be raised by taxing every business-to-business deal over $600. Washington insiders pushing ObamaCare appear to ignore these truths and clearly don’t understand the negative impact the law is already having on entrepreneurs.

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In the novel, the hero Galt and his followers retreat to a hideaway where they wait for society to collapse. But in America, regular citizens have organised in masses against Obama’s vision of socialized medicine, and they’ve embraced their own John Galt – a Texan scholar-activist named John Goodman. Known to many as the inventor of Health Savings Accounts (HSAs) and a key figure in defeating Hillarycare in the 90’s, Goodman has become the intellectual heavyweight of Obamacare’s opponents and his arguments are increasingly embraced by the new “Repeal and Replace” movement.

According to Goodman, the real problems with the bill are only just starting to emerge. As soon it was set to pass, Caterpillar announced the bill would cost them $100 million in its first year alone. And Verizon told its employees their costs would go up almost immediately because of the 40% excise tax the bill puts on the kind of high-end plans the telco giant provides. But looking ahead it’s clear to Goodman that the legislation’s inverted incentives would result in much more than changes to the healthcare system and the company costs but that the impact on the economy would be disastrous: labor dislocation, hiring freezes, economic assaults on lower paid workers, and spikes in unemployment.

In a “the health alerts” email Goodman listed last week the troubles ahead for the economy and for Obamacare advocates:

1.       People will be required to buy a product whose price will be rising at twice the rate of growth of their incomes and they will be barred from doing many of the things needed to control these costs.

2.      A bizarre system of subsidies will profoundly disrupt the labor market, leading to massive layoffs, contracting and outsourcing.

3.      A health insurance exchange will give health plans incentives to attract the healthy and avoid the sick; and after enrolment, to over-provide to the healthy and under-provide to the sick.

4.      A weakly enforced individual mandate will give people incentives to game the system – remaining uninsured while healthy and obtaining insurance only after they get sick; choosing limited-benefit plans while healthy and scaling up to richer plans after they get sick.

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“They won’t be so opposed to it once they see what’s in it.” That’s the rationalization House leaders gave skittish Democrats to get them to walk the plank on Obamacare Sunday night.

But one of the first things millions of Americans will “see” is an effective 40 percent tax hike on the over-the-counter medicines – from an antihistamine such as Claritin for allergies, pain relief medicine such as Tylenol or Excedrin, Pedialyte to prevent their kids from becoming dehydrated when they are sick, and even prenatal vitamins if they are expecting another one.

All of these items have two things in common.  One is that they are classified as “over the counter” (OTC) medicines and available without a doctor’s prescription. The other is that if you pay for any of these items with money in your flexible spending account (FSA) or health savings account (HSA) – and according to this guide from FSA administrator Benesyst , all of these are eligible expenses  — you will face an effective tax increase of up to 40 percent on these items in the health care bill that President Obama recently signed.

The bill restricts individuals with these pre-tax accounts to buying a “medicine or drug only if such medicine or drug is a prescribed” one. And ironically, this tax that will raise health care costs substantially by creating incentives for the use of more expensive prescription drugs even when OTC drugs are just as safe and effective.

And while the tax on “Cadillac” plans for union members was delayed in the reconciliation bill until 2018, no such luck for HSA and FSA account holders, many of whom are self-employed and entrepreneurs.

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The stakes in the health care debate continue to climb. For the Democrats, they truly are in between a self- imposed Barack and a hard place. If they produce a health care bill that Obama signs over the objections of the American people, they risk losing 55 or more House seats and 8-10 Senate seats. If they don’t push through a bill, they will have angered yet another part of their base.

For the Republicans, any failure to demonstrate a principled resistance to the Democrats will hurt them, in the Fall, among Tea Party voters and their base. If it passes, it will do irrevocable harm to our health care system and the solvency of our government, while hurting the economy and the dollar for decades to come. Worse yet, history has shown that de-nationalizing socialized healthcare is beyond difficult. In other words, hoping for the repeal of ObamaCare is not a good option.

That much danger requires that the Republicans pull out all of the stops to literally stop its passage. As the “final” vote on the bill looms, Republicans in Congress simply must enlist the voice of the American people in their effort and force the Democrats to abandon the bill. Here is a 3 point plan to do just that.

1. Adopt a HealthCare Covenant With America. The existing health care bill represents everything that is wrong with American government today. It is a 2600 page monolith and few have any idea of its true contents – as Nancy Pelosi so eloquently noted (“But we have to pass the [health care ] bill so that you can find out what is in it.”) Republicans quickly and simply must contrast that with a one page charter, contract, or declaration. which sets forth 7 – 10 key reforms in simple straightforward language. The contents should obviously emphasize private sector reforms, such as the promotion of HealthCare Savings Accounts (“HSAs”), coupled with the modernization of government regulations, i.e. updated regulations/laws to allow increased pooling across state lines – all with an eye to addressing the deficiencies of the current health care system.

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Last week, Congressman Thad McCotter introduced a Bill HR 4500, The Freedom From Rationed Health Care Act, that invalidates a little known, hidden part of the Stimulus Bill. That hidden part of The Stimulus Bill created the rationing and enforcement boards.  Significantly, this “minor” fiscal trim makes the first part of ObamaCare null and void.

On November 7th, 2009, Speaker Pelosi marched to the podium and paraded her lap dogs to the microphone to proclaim “Victory” for herself, her Democratic House colleagues, and President Obama.  What about every other American? The “Victory” was the passage of the second part of ObamaCare, “The Health Care Bill.”  That’s right, the second part of ObamaCare is the 1,990 page bill that created 118 new boards, commissions, offices and bureaus. The same bill that will be paid for with (1)  $740 billion in tax increases,  (2)  a cut in Medicare to Seniors by $500 Billion, and (3)  a cost shift of $34 Billion to States in unfunded mandates.

This “Victory” was Pelosi’s and President Obama’s second victory on the health care front.  The first occurred under the cloak of darkness and obfuscation, in February 2009.  Hidden in The Stimulus Bill and passed into law were the ominous Obama, Pelosi, Reid rationing and enforcement health boards.

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If you want to see how Obamacare will hit you and your family in the wallet, look no further than the inside of your medicine cabinet.  Open the cabinet door and you may see an antihistamine such as Claritin for allergies, pain relief medicine such as Tylenol or Excedrin, Pedialyte to prevent your kids from becoming dehydrated when they are sick, and prenatal vitamins if you and your spouse are expecting another one.

All of these items in your cabinet have two things in common.  One is that they are classified as “over the counter” (OTC) medicines and available without a doctor’s prescription. The other is that if you pay for any of these items with money in your flexible spending account (FSA) or health savings account (HSA) – and according to this guide from FSA administrator Benesyst , all of these are eligible expenses  — you will face an effective tax increase of up to 40 percent on these items in the health care bill that passed the U.S. House of Representatives and is poised to pass the U.S. Senate.

Both bills restrict individuals with these pre-tax accounts to buying a “medicine or drug only if such medicine or drug is a prescribed” one. And ironically, this tax that will raise health care costs substantially by creating incentives for the use of more expensive prescription drugs even when OTC drugs are just as safe and effective.

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It is crunch time tonight in Congress. Speaker Pelosi is moving towards a full floor vote on the Obama/Pelosi Health Care Plan up for a vote. At the time of publishing, votes are expected around 8 or 9pm EST. I received a call early this morning that my Orthopaedic Services were in demand.  Apparently, the Speaker, the President’s Chief of Staff Rahm Emmanuel and their staffs have been “breaking arms of anyone and everyone in sight that is on the fence about The Bill.”  These Enforcers have put Freedom, Liberty and constituent representation aside.

Do your congressmen/women have any idea what is in this 1990 page Bill, and what it means for each and every American?  So you do not have to count, it creates 118 new boards, commissions, offices and bureaus.  Supposedly, ALL of these new entities will be selflessly looking out for your “betterment.”  Somehow, ObamaCare needs all of these levels of review and personnel to provide better and more available healthcare to more Americans, and plans to work this miracle do this at a fraction of current costs.  (Oh, and they will eliminate Medicaid fraud in the meantime.)  This has little connection with reality.

There is another option.  A different reform package has been purposed by The GOP Leadership, and every member of the minority has signed on.  In fact, before this debate is over maybe a few “Blue Dog Democrats” (now with broken arms) will sign on as well. This reform package:

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Earlier today Minnesota Governor Tim Pawlenty explained to BigGovernment.com readers how the Baucus health care plan is a prescription for higher taxes and higher premiums.

In keeping with the theme that good perspectives and ideas often come from the states, 33 state-based think tanks came together this morning to announce a health care reform alternative to ObamaCare.

“President Obama and other supporters of government-run health care like to proclaim that there’s no alternative to their plans,” said John Tillman, CEO of the Illinois Policy Institute. “Our patient-centered reform package offers a clear alternative that puts patients, not bureaucrats, first.  It protects the doctor-patient relationship, offers viable solutions for the uninsured, and keeps medical care affordable for all Americans.”

Patient-centered health care reform:

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Today, the Senate Finance Committee is scheduled to vote on Senator Max Baucus’ health care overhaul.  Like most Americans, I believe that our health care system needs to be reformed.  However, this bill is a tax and spending bill masquerading as a health reform bill.  It gives government bureaucrats far too much power and encroaches on freedom more than any legislation since LBJ’s Great Society experiment.  It is bad for the country and bad for the economy.

 Senate Democrats are pushing a vote on the 1,000-page bill now because the Congressional Budget Office recently estimated that the bill cost “only” $829 billion over the next 10 years. In truth, the bill raises taxes immediately, but the benefits do not kick in for another four years, so the 10-year numbers are distorted. This is an expensive experiment that cuts Medicare, and exacerbates state government budget problems by dramatically expanding Medicaid without providing additional funding.

How do the Democrats propose to pay for the rest of the new spending? There are a massive amount of tax increases in the bill, including over $200 billion in tax increases on insurance premiums, new taxes on individuals and employers, and over $120 billion in new taxes on medical device makers and other health care businesses.  All of these tax increases concern me, but the latter category does so especially: My state is the home of Medtronic, Boston Scientific, 3M, St. Jude Medical and other medical technology makers that employ 60,000 Minnesotans and save and improve countless lives. Increasing taxes on these businesses would not only be an unwise burden on these employers, but would siphon money otherwise spent on research and development.  It would also risk the cost of increased taxes being passed on, directly or indirectly, to those who rely on such devices or who cover their cost.

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The health care plan advocated by President Obama, Speaker Pelosi, Senator Reid and The Democratic Majority is hazardous to the health of every American. What the President would like to do with your health care is currently being widely debated, but what is lesser known is a panel has already been created in Part I of his two-part health care plan  through buried language in the American Recovery and Reinvestment Act of 2009, also known as the Stimulus Bill, which became law last February.

The name given to this panel in the President’s Stimulus Bill is The Federal Coordinating Council for Comparative Effectiveness Research, and is an already funded $1.1 billion enterprise run by federal bureaucrats—not practicing doctors on the front line or patients.  All 15 members of The Council have already been appointed by President Obama.  The two part Plan consists of 53 boards and councils, whose underlying method of cutting costs is based on rationing and denying care, not preventing health care need, much like the British Health Care System.

Part II of the Obama health care plan, dubbed “America’s Affordable Health Choices Act,” empowers this Council to create another level of bureaucracy, The Center for Comparative Effectiveness Research, which as in The British System, will determine whether to approve or reject treatment for patients based upon the cost of treatment and the number of years the patient will likely benefit from the treatment.  This will have the biggest impact on seniors, but rightly has caused concern for Americans of all ages.

Part I of the President’s plan dictates that doctors and hospitals will be overseen and reviewed by The National Coordinator of Health Information Technology.  This “Coordinator”, who has already been appointed by President Obama, will be responsible for monitoring treatments to ensure doctors and hospitals strictly follow what the government deems appropriate and cost effective, and to “guide medical decisions at the time and place of care.”  

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I believe that President Obama’s address to Congress, and our Nation, did not go far enough to put the numerous concerns Americans have to rest with the healthcare reform proposals before the House and the Senate.  There are still too many unanswered questions surrounding these discussions and too much at stake to simply pass any bill without intensive scrutiny and review.  After reading the over 1,000 page House Democrat proposal and fielding over 8,000 constituent correspondences into my office, it is clear that there is much work to be done.  

 During the August district work period, I attended numerous meetings across my congressional district and met with hundreds of constituents who made it clear that they are unhappy with the way Congress is conducting the current health care debate.  Democrat Congressional leadership continues to rush health care legislation through both chambers, without any real explanation.  Constituents in Ohio’s Fifth District, in addition to millions of other Americans, have asked Congress to slow this process down and thoroughly examine probably one of the most important pieces of legislation Congress has debated since the New Deal.  No one will argue that our nation does not need health care reform, but it is clear that Congress must start over with real bipartisan negotiations where Republicans can be included and have input into the final legislation.

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