I’m going to take the death panel end-of-life planning conundrum down one point at a time to make this very clear for Americans to understand what the Pelosi-led Democrats have done to your healthcare and their attempt to take cover under a Bush-era law–the Medicare Improvement for Patients and Providers Act of 2008.

The Hill reported that the Obama White House attempted to calm Americans’ fears of the dreaded death panels:

The Medicare policy will pay doctors for holding end-of-life-care discussions with patients, according to the Times. A similar provision was dropped from the new healthcare reform law after Republicans accused the administration of withholding care from the sick, elderly and disabled.

However, an administration spokesman said the regulation, which is less specific than the reform law’s draft language, is actually a continuation of a policy enacted under former President George W. Bush.

“The only thing new here is a regulation allowing the discussions … to happen in the context of the new annual wellness visit created by [healthcare reform],” Obama spokesman Reid Cherlin told The Wall Street Journal.

In 2003, Medicare added a consultation visit for seniors new to the program, according to the Journal. Another 2008 law, enacted under Bush, said the visit can include “end-of-life” planning discussions.

However, what The Hill’s Jason Millman forgot to mention in his article was that President Bush VETOED the 2008 bill and the Democrats, along with some “good-willed” Republicans OVERRODE Bush’s veto forcing him to sign the legislation into law.  The bill dealt with doctors’ reimbursements and more, but the Democrats slipped in the end-of-life planning by opening up the Social Security Act, which I have stated many times is dangerous. Once the act is changed, it is difficult to amend again and allows for tinkering with the Medicare fee schedule and covered services definitions and requirements

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To achieve the goal of a universal, single-payer health system, the White House must secure the power it needs by amending the Social Security Act to transfer pivotal controls from Congress to the executive branch.  This transfer of power would ultimately give the President and the majority party, in this case the radical left Obama White House and Pelosi-Reid led progressive Democrats, the authority to frame and manipulate new policy, coverage options, and reimbursements, ultimately reshaping the future US health care system into a something unrecognizable in this country.

The deliberate setup for the White House power grab is built into the each of the health care bills and, if they fail, little-known twin bills called “MedPAC Reform of 2009” are waiting in the wings.  The bills, S.B. 1110 and H.R. 2718, craftily amend the Social Security Act and transfer the Medicare guideline and rule setting processes, from the legislative branch to the executive branch.  These bills offer cover to one another in case one doesn’t pass the House or Senate, respectively.  Remember, Democrats need to gain executive branch authority by amending the Social Security Act over Medicare regulations and physician fee schedules to transform the health care system in a single-payer, socialized system.

More importantly, Medicare’s regulations and physician fee schedules are the keystone to developing payer systems and reimbursement models across the entire health care industry.  And where Medicare goes, insurers follow.

To underscore the far-reaching power, a bulk of the states already reference or utilize the Medicare guidelines and fee schedules in determining policy, coverage, and payment, which impacts certain state-specific plans, including, but not limited to, self-funded plans, automobile insurance payers, and state workers’ compensation funds and plans – affecting even Big Labor.   For the executive branch to have such authority over Medicare regulations with little oversight is alarming.  This raises further issues of the powerful impact these federal mandates could potentially have on the states in stripping them of their own management of their respective insurance industries.

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Congress is moving closer to enacting a law requiring all Americans to purchase health insurance. House Majority Leader Steny Hoyer says that this is “like paying taxes.”

He’s right about that. But Hoyer made this statement as part of an effort to justify the health-care mandate on constitutional grounds. Here he indicates that he doesn’t understand the Constitution that he took an oath to support.

When asked what power the Constitution gives to Congress to enact this legislation, Hoyer claimed that it came from the Constitution’s “general welfare” clause.

Article One, section eight says that Congress can “lay and collect taxes… to pay the debts and provide for the common defense and general welfare of the United States.”

But what defines the “general welfare”?

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