Healthcare-FIX IT w/ Simple Precision Surgery.

PROPOSAL TO FIX “The Affordable Health Care Act”

Different health insurance provides different levels of financial protection and the scope of coverage can vary widely, with more than 40 percent of insured individuals reporting that their plans do not adequately meet their needs as of 2007.[2]
The share of Americans without health insurance has been cut in half since 2013. Many of the reforms instituted by the Affordable Care Act of 2010 were designed to extend health care coverage to those without it; however, high cost growth continues unabated.[3] National health expenditures are projected to grow 4.7% per person per year from 2016–2025. Public healthcare spending was 29% of federal mandated spending in 1990, 35% in 2000, and is projected to be roughly half in 2025.[4]

The problem is…

As Einstein said, “Make it simple”.’Make the “Affordable Care”, simply ‘AFFORDABLE.’
REDUCE the cost of coverage, paperwork, prescriptions, and services.
REVERSE this legislated entitlement for specific companies to compete in political influence using political power for maximizing profit and protecting markets.
Change the direction to one in which companies compete on price, quality and good service.

The Solution:
Legislate-A standardized ‘FAHCA (2017) Claim Form’.
The use of this form will….
1…Repeal- the ‘insurance’ exception to the Sherman Antitrust Act,Clayton Act, and Federal Trade Commission Act.
2…Repeal- the ban on re-importation of drugs and Medicare bulk negotiating on drugs.
“The Federal Affordable Health Care Act (2017)”
Legislate an addendum :
“All participants will be required to use the
‘Federal Affordable Heath Care Act Claim Form’
for all and any services, this contract is a business contract that will be subjected to
all laws regarding interstate commerce and fair trade, specifically The Sherman Antitrust Act,
The Clayton Antitrust Act, and Federal Trade Commission Act.
This act shall:
1…Repeal- the ‘insurance’ exception to the Sherman Antitrust Act,Clayton Act, and Federal Trade Commission Act.
2…Repeal- the ban on re-importation of drugs and Medicare bulk negotiating on drugs.
One clean stroke that will immediately reduce health care cost and health care premiums.Period.

“This is your day. This is your celebration. And this, the United States of America, is your country. What truly matters is not which party controls our government, but whether our government is controlled by the people. …(A) nation exists to serve its citizens. “(President TRUMP)
“Today’s ceremony, however, has a very special meaning because today we are not merely transferring power from one administration to another or from one party to another, but we are transferring power from Washington, D.C., and giving it back to you, the people.”
Begin today, together- your voices, your power will make America Great Again.
At every meeting, on every corner exercise your right, your duty to your country. Mandate that your representatives ‘Work For You’… ” to form a more perfect Union, establish Justice, ensure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity,…”(Quote from President Trump’s Inaugural Speech (February 28, 2017)

“First they will ignore you,then they ridicule you, then they fight you, and then you win.”(Gandhi’s famous quote)

The greatest challenge to overcome will be slung at you in a million ways, with millions of cries,
“It can’t be done.”,“You will put us in unbearable debt.” “We will no longer be able to sustain our sovereignty.”
Hundreds of millions will be spent to keep the system rigged.
Hundreds of millions will be spent to keep the status quo.
Now the pressure will be placed on you.
“The COUNTRY is controlled by LAWS. LAWS are controlled by POLITICIANS.
POLITICIANS are controlled by VOTERS. VOTERS are controlled by PUBLIC OPINION.
PUBLIC OPINION is controlled by the MEDIA & EDUCATION,
so whoever controls MEDIA & EDUCATION, controls the COUNTRY.”
( William J. Federer, Change to Chains, The 6,000 Year Quest for Control)


It is about the future, your children’s, and their children’s future are now in your hands.
No matter what has been said or done you and you alone shall record history; not a political party.
It is the People’s will to govern; not to be governed by political power.
Tell yourself, “This is the moment of truth. I have been pounded and battered by this rigged system;
‘enough is enough’.
Now at this moment I have the power to change this system.”

When Clinton and Obama spoke about “an attack on our basic democracy” did you ever think they could be talking about your own political party as “an attack on our basic democracy”. That your political party would usurp the power of your vote and use it for their own ‘special interest’?

“Since the 2016 election demonstrated the bankruptcy of the professional political classes and led to the election of an upstart outsider, friction between him and the establishment will continue to rock the US polity. Depending on how this relationship fares, and thus on how important it remains for him to secure his working class base for 2020, the distance between Trump’s politics of power and support will widen or narrow.”(
There are but two choices.
1.Continue in this legislated Servitude, or
2. Legislate Prosperity “For the People”.
Divided, We the People shall fail.
United, We the People shall prevail to govern; not be governed.

TRUMP’s PLEDGE to you,
“Every day I wake up determined to deliver a better life for the people all across this nation that have been ignored, neglected and abandoned.” -DJT
” I will outline my full economic plan, which is completely paid for through economic growth and proposed federal budget savings. Together, our tax, trade, regulatory, and energy policies will add trillions in new deficit-lowering growth.
These are the kinds of solutions I want to bring to the White House as your President. It’s time to free ourselves from the baskets that politicians try to put us in, and instead to work together – not as Republicans or Democrats – but as Americans, to achieve real, positive results for the American people. … I call you, hard-working American Patriots who love your country, love your families, and want a better future for all Americans.
It’s time to end the rule of special interests, and to begin the rule of the American people.
It’s time to stop fighting over the smallest words, and to start dreaming about the great adventures that lie ahead.
It is time to Believe In America.
Together, We Will Make Our Country Strong Again.”

We Will Make Our Country Prosperous Again.
And Will Make Our Country Great Again For Everyone!
Thank you!” (President Trump)

Maybe, perhaps as AMERICANS, “IN GOD WE TRUST”

—–Original Message—– Where we went wrong.
How “PEOPLE POWER” was usurped.

***** “Believe nothing merely because you have been told it…But whatsoever, after due examination and analysis, you find to be kind, conducive to the good, the benefit, the welfare of all beings — that doctrine believe and cling to, and take it as your guide.”- Buddha[Gautama Siddharta] (563–483 BC), Hindu Prince, founder of Buddhism.

Health insurance in the United States
From Wikipedia, the free encyclopedia

For details about the number of uninsured persons, see Health insurance coverage in the United States.
Main articles: Health insurance, Insurance in the United States, and Health care in the United States

In the United States, health insurance is any program that helps pay for medical expenses, whether through privately purchased insurance, social insurance or a social welfare program funded by the government.[1] Synonyms for this usage include “health coverage”, “health care coverage” and “health benefits”.
In a more technical sense, the term is used to describe any form of insurance that provides protection against the costs of medical services. This usage includes private insurance and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs such as Medicaid and the State Children’s Health Insurance Program, which provide assistance to people who cannot afford health coverage.
In addition to medical expense insurance, “health insurance” may also refer to insurance covering disability or long-term nursing or custodial care needs.

* Reduce paperwork cost::
Cutting out the paperwork can save 30 percent on the cost of insurance. According to a May 2016 post by Physicians for a National Health Program:

Per capita, the U.S. spends three times as much for health care as the U.K., whose taxpayer-funded National Health Service provides health care to citizens without additional charges or co-pays. In 2013, U.S. taxpayers footed the bill for 64.3 percent of U.S. health care — about $1.9 trillion. Yet in the U.S. nearly 30 million of our citizens still lack any form of insurance coverage.

The for-profit U.S. health care system is corrupt, dysfunctional and deadly. In Canada, only 1.5 percent of health care costs are devoted to administration of its single-payer system. In the U.S., 31 percent of health care expenditures flow to the private insurance industry. Americans pay far more for prescription drugs. Last year, CNN reported, Americans paid nearly 10 times as much for prescription Nexium as it cost in the Netherlands.

The Medicare Prescription Drug, Improvement, and Modernization Act,[1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003.[2] It produced the largest overhaul of Medicare in the public health program’s 38-year history.
The MMA’s most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies.
In the years since Medicare’s creation in 1965, the role of prescription drugs in patient care has significantly increased. As new and expensive drugs have come into use, patients, particularly senior citizens at whom Medicare was targeted, have found prescriptions harder to afford. The MMA was designed to address this problem.
The benefit is funded in a complex way, reflecting diverse priorities of lobbyists and constituencies.

It provides a subsidy for large employers to discourage them from eliminating private prescription coverage to retired workers (a key AARP goal);
It prohibits the federal government from negotiating discounts with drug companies;
It prevents the government from establishing a formulary, but does not prevent private providers such as HMOs from doing so.
#### At its most basic level, a formulary is a list of medicines.[1] Traditionally, a formulary contained a collection of formulas for the compounding and testing of medication (a resource closer to what would be referred to as a pharmacopoeia today). Today, the main function of a prescription formulary is to specify particular medications that are approved to be prescribed at a particular hospital, in a particular health system, or under a particular health insurance policy. The development of prescription formularies is based on evaluations of efficacy, safety, and cost-effectiveness of drugs.
Depending on the individual formulary, it may also contain additional clinical information, such as side effects, contraindications, and doses.
By the turn of the millennium, 156 countries had national or provincial essential medicines lists and 135 countries had national treatment guidelines and/or formulary manuals.

Legistrative history
According to the New York Times December 17, 2004 editorial W.J.”Billy” Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law.[6][7] In 2004 when Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a “rumored salary of $2 million a year,”[6] drawing criticism from a Washington-based Public Citizen, the consumer advocacy group. They claimed that Tauzin “may have been negotiating for the lobbying job while writing the Medicare legislation.”[7][8]

“It’s a sad commentary on politics in Washington that a member of Congress who pushed through a major piece of legislation benefiting the drug industry, gets the job leading that industry.”
— Public Citizen President Joan Claybrook 2004

House Democratic leader Nancy Pelosi said,[7]

“I think if seniors want to know why the pharmaceutical companies made out so well at their expense, all they have to do is look at this. This is an abuse of power. This is a conflict of interest.”

— House Democratic leader Nancy Pelosi 2004

********************************************************************************** REDUCE PREMIUM COST.
THIS IS “… This is an abuse of power. This is a conflict of interest.”

McCarran–Ferguson Act (category Insurance legislation)
“the business of insurance is not commerce, either intrastate or interstate” and that it “is notinterstate commerce or interstate trade, though it might
14 KB (1,697 words) – 15:08, 16 June 2017

The South-Eastern Underwriters case, however, involved the question whether the business of insurance was “interstate commerce” sufficient to allow Congressional regulation. The Supreme Court in United States v. South-Eastern Underwriters Association, 322 U.S. 533 (1944), 4-3 decision written by Justice Hugo Black, reversed the district court, holding that (1) the Sherman Act intended to cover the alleged acts of monopolization; and (2) that the transaction of insurance across state lines was “commerce among the states” which the Constitution permitted Congress to regulate.
Significance to U.S. health care reform in the 21st century[edit]
One aspect of Republican proposals for healthcare reform in the United States is allowing interstate competition for health insurance, potentially requiring modification of the McCarran–Ferguson Act.[21] In February 2010, the House of Representatives voted 406-19 to repeal the McCarran–Ferguson Act with regard to health insurance.[22]
Federal regulation of insurance[edit]
Nevertheless, federal regulation has continued to encroach upon the state regulatory system.[16] The idea of an optional federal charter was first raised after a spate of solvency and capacity issues plagued property and casualty insurers in the 1970s. This OFC concept was to establish an elective federal regulatory scheme that insurers could opt into from the traditional state system, somewhat analogous to the dual-charter regulation of banks. Although the optional federal chartering proposal was defeated in the 1970s, it became the precursor for a modern debate over optional federal chartering in the last decade.[20]
In 1979 and the early 1980s the Federal Trade Commission attempted to regulate the insurance industry, but the Senate Commerce Committee voted unanimously to prohibit the FTC’s efforts. President Jimmy Carter attempted to create an “Office of Insurance Analysis” in the Treasury Department, but the idea was abandoned under industry pressure.[21]
Over the past two decades, renewed calls for optional federal regulation of insurance companies have sounded, including the Gramm-Leach-Bliley Act in 1999, the proposed National Insurance Act in 2006 and the Patient Protection and Affordable Care Act (“Obamacare”) in 2010.[16]
In 2010, Congress passed the Dodd–Frank Wall Street Reform and Consumer Protection Act which is touted by some as the most sweeping financial regulation overhaul since the Great Depression. The Dodd-Frank Act has significant implications for the insurance industry. Significantly, Title V of created the Federal Insurance Office (FIO) in the Department of the Treasury. The FIO is authorized to monitor all of the insurance industry and identify any gaps in the state-based regulatory system. The Dodd-Frank Act also establishes the Financial Stability Oversight Council (FSOC), which is charged with monitoring the financial services markets, including the insurance industry, to identify potential risks to the financial stability of the United States.[16][22][23]
***Read more:
“GRIFTOPIA” by Matt Taibbi

‘The Trillion-Dollar Band-Aid.’
Pages 173-206.

“… What the near failure of Obamacare represented … was a colossally depressing truth about the American political system, which is that our government is so dysfunctional that it can no longer even efficiently sell out to the private interests that actually run things in this country.”(P 174-175)
“Obamacare had been designed as a coldly cynical political deal: massive giveaways to Big Pharma in the form of monster subsidies, and an equally lucrative handout to big insurance… customers who would be forced to buy their products at artificially inflated, federally protected prices.”(P 175)
“…with the way the American health system was drawn up. The system is designed to give regional insurers the power to coerce and intimidate customers…
and also to force them to pay inflated rates.
This is thanks to one of the worst pieces of legislation in American history; a monster called the McCarran-Ferguson Act.” (P 181)
… which essentially invalidated… (US Supreme Court decision that insurance companies were subjected to anti trust federal rules and regulations.)
“Thus the insurance industry was given a permanent license to steal. (P 186)


2 Responses to “Healthcare-FIX IT w/ Simple Precision Surgery.”


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