Health Care Questions 
for Your Congressperson 
Part I 
 
Members of Congress will be home next week for a month-long recess. This will provide an 
excellent opportunity for citizens to query them on the subject of the Obama-Kennedy- 
House Democrat health care bill. 

There are actually three huge bills under intense development. The Democrats’ game is to 
cobble together some collection of provisions that will attract enough votes to pass their 
respective chambers. Then in the House-Senate conference, their leadership and the Obama 
Administration will reshape the package into what they want, and twist arms until enough 
Democrats agree to vote to enact it.

Here are twelve questions that concerned citizens should pose to their Congresspersons: 

PENALTIES: The bills impose an individual mandate on me to buy health insurance 
approved by the Federal government. What will happen to me if I don’t go along? Fines? 
Wage garnishment? Jail? Will these penalties also apply to millions of illegal aliens, or will 
they apply only to American citizens and legal aliens? 

EMPLOYER MANDATES: The bills impose a mandate on most businesses to pay for 
employee health insurance containing “essential benefits” approved by the federal 
government. If the businesses don’t do so, they’ll be required to pay a fine. How many 
small businesses in Vermont will shrink their operations, or go under, rather than pay this 
new penalty? 

KEEPING PRIVATE PLANS: President Obama said that if I am happy with my coverage, I 
can keep it “no matter what”. Now we learn that I can keep it until my employer changes 
or drops it, or until I change employers, or until I try to buy individual insurance. Will you 
stand behind the President’s initial promise, or will you support Congress’s action to break 
it? 

UNION PREFERENCE: The bills contain a provision allowing health insurance plans 
bargained by labor unions to continue unchanged – while nonunion workers are threatened 
with loss of coverage.  Is this preference for unionized workers a result of Labor’s strong 
support of Obama and the Democrats in the last election? Do you support the exemption? 

INCREASE IN DEFICIT: President Obama has said he won’t support a health care reform 
bill that will add to our exploding deficit. The Congressional Budget Office says this bill will 
bend the Federal health care expenditure curve up, not down. Will you vote against any bill 
that fails President Obama’s requirement that it will not add to our deficit? 

UNFUNDED MANDATE: Governors of both parties have strongly objected that the bill’s 
mandated expansion of Medicaid will put an intolerable fiscal burden on struggling state 
treasuries and state taxpayers. Will you vote against any bill containing this very costly 
unfunded mandate?

RATIONED CARE: The bill includes provisions for Federally-designed “comparative 
effectiveness research”. This is intended to require health care providers to deny health 
care to elderly citizens, people with disabilities, and others the health of whom certain 
appointed experts think is not worth improving. Will you oppose any bill that contains 
such a provision? 

ABORTIONS: The bill requires that “qualified” health insurance plans include all “essential 
benefits” determined by federal bureaucrats. Democratic majorities have already voted 
down amendments to exclude elective abortions from the list of “essential benefits”. That 
means that for the first time taxpayers will be required to subsidize elective abortions. Will 
you vote for a bill requiring taxpayer financing of elective abortions?
 
INFLUENCE OF LAWYERS: Exploding medical malpractice claims, fueled by the plaintiff’s 
bar, are driving doctor and hospital malpractice insurance premiums ever upward. Why are 
there no provisions in any of the bills to ameliorate this problem, which is driving doctors 
out of practice? Is it because the plaintiff’s bar contributes millions of dollars to the leading 
sponsors of this legislation?
 
GOVERNMENT MONOPOLY: The bill contains a “public option”, a government-run 
insurance company “to keep the private insurers honest.” Will this government-run 
company pay taxes, pay for its own revenue collection and marketing costs, and pay 
market interest rates on its debt? Or will it enjoy government backing that will enable it to 
undersell its private competitors, swallow up their customers, and become a new 
“Medicare for Everybody”? 

MEDICARE: Speaking of Medicare, the system is $36 trillion out of actuarial balance and 
will run out of hospitalization benefit funds by 2017. How will the government-run “public 
option” insurance company avoid turning into another Medicare basket case? And how will 
our senior citizens on Medicare continue to get medical services? 

WILL YOU TAKE PUBLIC PLAN: Finally, as a supporter of this “public option” plan, are you 
willing to transfer your family and your staff’s families out of the existing Federal 
Employees Health Benefit Plan, with its choices of many private insurers, into the new 
government plan? If not, why won’t it be good enough for you? 

Part II Below
LINE BY LINE ANALYSIS 

Pg 16: SEC. 102, lines 3-26, PROTECTING THE CHOICE TO KEEP CURRENT 
COVERAGE: Outlaws private insurance by forbidding enrollment after HR 3022 is 
passed into law. 
Pg 21-22: SEC. 113. INSURANCE RATING RULES of the HC Bill MANDATES the 
Government will audit books of ALL EMPLOYERS that self insure!! 
Pg 29, SEC. 122, ESSENTIAL BENEFITS PACKAGE DEFINED: On lines 4-16... Your 
health care is rationed! 
Pg 30, SEC. 123, HEALTH BENEFITS ADVISORY COMMITTEE: There will be a 
government committee that decides what treatments/benefits you get. 
Pg 42, SEC. 142, DUTIES AND AUTHORITY OF COMMISSIONER: The Health Choices 
Commissioner will choose your health care benefits for you. You have no choice! 
PG 50-51, SEC. 152, PROHIBITING DISCRIMINATION IN HEALTH CARE: Health care 
will be provided to ALL NON-US citizens, here legally or otherwise. 
Pg 58, SEC. 163, ADMINISTRATIVE SIMPLIFICATION: Government will have real-time 
access to individual’s finances and a National ID Health Card will be issued! 
Pg 59, SEC. 163, Lines 21-24, ADMINISTRATIVE SIMPLIFICATION: Government will 
have direct access to your BANK ACCOUNTS for electronic funds transfer. This 
means the government can go in and take your money right out of your bank 
account. 
PG 65, SEC. 164, REINSURANCE PROGRAM FOR RETIREES: A subsidized plan for 
Union retirees and their families, and to community organizations (think ACORN). 
Pg 72, SEC. 201, Lines 8-14, ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; 
OUTLINE OF DUTIES; DEFINITIONS: Creates an “Exchange” to bring private health 
care plans under Government control. 
PG 84. SEC. 203, BENEFITS PACKAGE LEVELS: Government mandates ALL benefit 
packages for private health care plans in the Exchange. 
PG 85, SEC. 203. BENEFITS PACKAGE LEVELS Line 7 HC Bill – SPECIFICATION OF 
BENEFIT LEVELS FOR PLANS = The Government will ration your Healthcare! 
PG 91: SEC. 204, Lines 4-7, CONTRACTS FOR THE OFFERING OF EXCHANGE- 
PARTICIPATING HEALTH BENEFITS PLANS: Government mandates linguistic 
appropriate services. (Example – Translation for illegal aliens!) 
Pg 95, SEC. 205, Lines 8-18, OUTREACH AND ENROLLMENT OF EXCHANGE-ELIGIBLE 
INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH BENEFITS 
PLAN: The Government will use groups (i.e., ACORN and Americorps) to sign up 
individuals for Government plan. 
PG 102, SEC. 205, Lines 12-18, OUTREACH AND ENROLLMENT OF EXCHANGE- 
ELIGIBLE INDIVIDUALS AND EMPLOYERS IN EXCHANGE-PARTICIPATING HEALTH 
BENEFITS PLAN: Medicaid Eligible Individuals will be automatically enrolled in 
Medicaid. No choice! 
PG 124, SEC. 223, lines 24-25, PAYMENT RATES FOR ITEMS AND SERVICES: No 
company can sue the GOVERNMENT on price fixing. No “judicial review” against 
Government Monopoly! 
PG 127, SEC. 225, Lines 1-16, PROVIDER PARTICIPATION, DOCTORS / AMA: The 
Government will dictate the income of doctors and other health care 
professionals. 
PG 145, SEC. 312, Line 15-17: EMPLOYER RESPONSIBILITY TO CONTRIBUTE 
TOWARDS EMPLOYEE AND DEPENDENT COVERAGE: An Employer MUST auto enroll 
employees into public option plan. NO CHOICE! 
PG 146, SEC. 312, Lines 22-25, EMPLOYER RESPONSIBILITY TO CONTRIBUTE 
TOWARDS EMPLOYEE AND DEPENDENT COVERAGE: Employers MUST pay health 
care coverage for PART-TIME employees AND their families. 
PG 149, SEC. 313, Lines 16-24, EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE: 
ANY Employer with payroll of $400,000 and above, who does not provide public 
option, will pay an 8 percent tax on all payroll. 
PG 150, SEC. 313, Lines 9-13, EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE: A 
business having a payroll between $251K – $400K, who does not provide the 
public option, must pay a 2 – 6 percent tax on all payroll. 
PG 167, SEC. 401, Lines 18-23, TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH 
CARE COVERAGE: ANY individual, who does not have acceptable health care, 
according to the Government, will be taxed 2 – 5 percent of their of income. 
PG 170, SEC. 401, Lines 1-3, TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH 
CARE COVERAGE: Any NONRESIDENT Alien is EXEMPT from individual taxes. 
(Americans will pay) 
PG 195, SEC. 421, CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE 
EXPENSES: Officers and employees of the health care administration 
(GOVERNMENT) will have access to ALL Americans financial and personal records! 
PG 203: SEC. 441, Line 14-15, SURCHARGE ON HIGH INCOME INDIVIDUALS: “The tax 
imposed under this section shall not be treated as tax” It actually states that in 
writing!
PG 239, SEC. 1121, Line 14-24, SUSTAINABLE GROWTH RATE REFORM: Government 
will reduce physician services for Medicaid. Seniors, low income, poor affected. 
Pg 241, SEC. 1121, Line 6-8, SUSTAINABLE GROWTH RATE REFORM: Doctors, it 
does not matter what specialty you have, you will all be paid the same. 
PG 253, SEC. 1122, Line 10-18, MIS-VALUED CODES UNDER THE PHYSICIAN FEE 
SCHEDULE: Government will set value of Doctor’s time, professional judgment, 
etc. Literally, the government will determine the value of humans (The 
philosophy of Karl Marx) 
PG 265, SEC. 1131, INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET 
BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS. 
Government will mandate and control productivity for private health care 
industries. 
PG 268, SEC. 1141, RENTAL AND PURCHASE OF POWER-DRIVEN WHEELCHAIRS. 
Federal Government will regulate rental and purchase of power driven wheelchairs 
PG 272, SEC. 1145, TREATMENT OF CERTAIN CANCER HOSPITALS: Cancer patients, 
welcome to rationing! 
PG 280, SEC. 1151, REDUCING POTENTIALLY PREVENTABLE HOSPITAL RE- 
ADMISSIONS The Government will penalize hospitals for what Government deems 
preventable re-admissions. 
PG 298, SEC. 1151, Lines 9-11, REDUCING POTENTIALLY PREVENTABLE HOSPITAL 
RE-ADMISSIONS: If doctors treat a patient during initial admission, that results in 
a readmission... the Government will penalize them. 
PG 317, SEC. 1156, Lines 13-20, LIMITATION ON MEDICARE EXCEPTIONS TO THE 
PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS: Incredible! 
A PROHIBITION on ownership and investment! Government will tell doctors “what 
and how” much they can own! 
PG 317-318, SEC. 1156, Lines 1-3 and 21-25, LIMITATION ON MEDICARE 
EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO 
HOSPITALS: A A PROHIBITION on expansion – Government is mandating hospitals 
cannot expand! 
PG 321, SEC. 1156, Lines 2-13, LIMITATION ON MEDICARE EXCEPTIONS TO THE 
PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS: Hospitals 
have option to apply for exception BUT community input required. Can you say 
ACORN?
PG 335, SEC. 1162, Lines 16-25 and Pg 336-339, QUALITY BONUS PAYMENTS: 
Government mandates establishment of outcome-based measures. Health care 
the way they want, aka... rationing. 
PG 341, SEC. 1162, Lines 3-9,. QUALITY BONUS PAYMENTS: Government has 
authority to disqualify Medicare Advantage Plans, HMOs, etc., thus forcing people 
into Government plan. 
PG 354: SEC. 1177, EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO 
RESTRICT ENROLLMENT: Government will RESTRICT enrollment of Special needs 
people! 
PG 379, SEC. 1191, TELEHEALTH EXPANSION AND ENHANCEMENTS: Government 
creates more bureaucracy, the Telehealth Advisory Committee. Can you say 
health care by phone? 
PG 425, SEC. 1233, Lines 4-12, ADVANCE CARE PLANNING CONSULTATION: 
Government mandates Advance Care Planning Consultations. Think Senior 
Citizens end of life 
PG 425, SEC. 1233, Lines 17-19, ADVANCE CARE PLANNING CONSULTATION 
Government will instruct and consult regarding living wills, and durable powers of 
attorney. This is Mandatory! 
PG 425, SEC. 1233, Lines 22-25, PG 426, Lines 1-3, ADVANCE CARE PLANNING 
CONSULTATION: Government provides approved list of end of life resources, 
guiding you in death! 
PG 427, SEC. 1233. Lines 15-24, ADVANCE CARE PLANNING CONSULTATION: 
Government mandates program for orders for end of life. The Government has a 
say in how your life ends! 
PG 429, SEC. 1233, Lines 1-9, ADVANCE CARE PLANNING CONSULTATION: An 
“advance care planning consultant” will be used frequently as patients health 
deteriorates. Can you say government-induced euthanasia? 
PG 429, SEC. 1233, Lines 10-12, ADVANCE CARE PLANNING CONSULTATION 
“advance care consultation” may include an ORDER for end of life plans. AN 
ORDER from Government! 
PG 429: SEC. 1233, Lines 13-25, ADVANCE CARE PLANNING CONSULTATION: The 
Government will specify which doctors can write an “end of life” order. 
PG 430, SEC. 1233, Lines 11-15, ADVANCE CARE PLANNING CONSULTATION: The 
Government will decide what level of treatment you will have at end of life.
PG 469, SEC. 1302, MEDICAL HOME PILOT PROGRAM: Community Based Home 
Medical Services equals Non profit organizations. Hello, ACORN Medical Services 
here? 
PG 472, SEC. 1302, Lines 14-17, MEDICAL HOME PILOT PROGRAM PAYMENT TO 
COMMUNITY-BASED ORG: 1 monthly payment to a community-based 
organization...like ACORN? 
PG 489, SEC. 1308, COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES 
AND MENTAL HEALTH COUNSELOR SERVICES: The Government will cover Marriage 
and Family therapy... They will insert Government into your marriage! 
Pg 494-498, SEC. 1308, COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES 
AND MENTAL HEALTH COUNSELOR SERVICES: Government will cover Mental 
Health Services, including defining, creating, and rationing those services.