Let’s Stop Talking About Coverage

 

August 20, 2014
 
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Coverage is a bad measure of American health care. The Left wins every time the Right discusses how many Americans are “covered.”

Let’s talk about care. The Left wants universal coverage. But we want care for those in need. Coverage doesn’t guarantee care. In fact, the high-prices, regulations, and corporate controls of today’s “coverage” limit access to care.

 
The “covered” can expect rationing – even in private HealthPlans, where “medical necessity” definitions, dictated treatment protocols and drug formularies specifically limit access to care.  On June 12, 2000, the U.S. Supreme Court ruled in Pegram vs. Herdrich, that Congress established managed care for rationing: “[W]hatever the HMO, there must be rationing and inducement to ration.”
 
HealthPlans are managed care. Obamacare imposes managed care on everyone. And once you’ve paid Obamacare-priced premiums to government-approved HealthPlans that aren’t required to “cover” your care, how much cash will you have to pay for care denied?
 
What if you aren’t allowed to pay cash? Frank Lobb wrote about trying to pay cash for his wife’s care after care was denied, and her death as a result of HealthPlan contracts that prohibit doctors from accepting private payment. His only hope was charity.
 
But what if charity care disappears? The ethical and caring foundation of American medicine is being dismantled. Some hospitals are telling their charity patients to sign up for Obamacare or don’t come back, even if patients can’t afford the premiums, deductibles and cost-sharing.
 
What if Obamacare blacklists your doctor? If you’re “covered,” coverage won’t help. Obamacare’s section 1311(h) allows the Secretary of HHS to shut down any doctor:
 
“Beginning on January 1, 2015, a qualified health plan may contract with ... a health care provider only if such provider implements such mechanisms to improve health care quality as the Secretary may by regulation require.” [Emphasis added.]
 
Call Congress now. U.S. Rep. Phil Gingrey (R-GA) and U.S. Sen. Tom Coburn (R-OK), both physicians, have introduced the SCOPE Act (H.R. 6320/S. 2278) to repeal this dangerous provision of Obamacare. So far, there are 17 House and three Senate co-sponsors and no vote has been taken.  Coburn and Gingrey leave office in January. Ask them to get a vote on their bill before they leave.
 
It’s time to stop talking about coverage. We must talk about how government health care is destroying patient access to care: individualized care, choice of care, timely care and charity care.
 
Please join us! CCHF will celebrate our 20th anniversary on Thursday, September 11. We’d love to see you in the room! Your ticket provides a small donation to CCHF -- and you’ll enjoy an amazing dinner and hear the fabulous STEPHEN HAYES discuss how the 2014 midterm election can impact efforts to repeal Obamacare. Register by next Thursday, August 28 for early-registration prices!
 
 
Working to protect your access to care,
 
Twila Brase, RN, PHN
President and Co-founder
 
 

REGISTER HERE by THURSDAY, AUGUST 28 for best prices!

On September 11, STEPHEN HAYES will discuss the repeal of Obamacare in the context of the 2014 mid-term elections, recent and pending court action and the charged political atmosphere surrounding a law that continues to remain unpopular with the public nearly five years after its enactment.  Please join us for a great evening as we raise funds to support CCHF’s work to secure health freedom for all.