Paving the road to nowhere, one word at a time.

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Location: Tijuana, Baja California, Mexico

American born, living in Mexico since 1992.

Monday, February 09, 2009

The Stimulus Miracle: Chapter Seventeen - The Beginning Of A National Health Care System

Let's take a moment to talk about the "Health Information Technology for Economic and Clinical Health Act", but because that's so damned long, let's just call it HITECH. This is another example of your crafty government at work, masters of the acronym. HITECH creates a brand shiny new office and lodges itself into the Public Health Service Act. Deeply. Deep and hard. Just the way America likes it.

This begins with identifying terms. It amends the Public Health Service Act, and adds Health Information Technology and Quality, and then defines EHR Technology, Enterprise Integration, and on and on. Then they establish an Office of the National Coordinator for Health Information Technology (HIT). It ensures stuff that Doctors use to ensure, because apparently Doctor's sucked at it. The duties of the National Coordinator are to Health Information Technology works. This is because the government has to have access to your health records by the year 2014 ("The utilization of an electronic health record for each person in the United States by 2014"). This is so they can determine whether or not your doctor should treat you. There are penalties that your Doctor will have to pay for not complying with it.

If you think that I am kidding, you need to read Division B, Title IV of the bill. Now, let's pretend that you are all pro-National Health Care and a Democrat. Why is this a bad idea? Because sooner or later the other guys will get to run the government again for a while. This happens. And now you want an abortion. Guess what's going to happen?

This section is the blueprint for Nationalized Healthcare. There will be a HIT Czar, and that HIT Czar, within twelve months, will have a "Chief Privacy Officer". And a Policy Committee. Here's a slice of their responsibilities: "Technologies that as a part of a qualified electronic health record allow for an accounting of disclosures made by a covered entity (as defined for purposes of regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996) for purposes of treatment, payment, and health care operations (as such terms are defined for purposes of such regulations)". This will scare you, unless you are a Socialist. And if you are a socialist, you aren’t reading this anyway.

There are pages and pages of crap in here. It is, by far, the largest part of this bill.

There will also be a Standards Committee, because apparently there can never be too many committees. This is going to be a government regulated system, and they might even charge for it ("AUTHORIZATION TO CHARGE A NOMINAL FEE - The National Coordinator may impose a nominal fee for the adoption by a health care provider of the health information technology system developed or approved"). Then, they get Medicare and Medicaid involved, but those guys get it free. There are Grants and Appropriations to provide incentives to get Doctors and Hospitals on board. And other funding. Lots of other funding. Billions of dollars. It would take me a month to break this down.

Plus, I didn't get any tequila today because it's raining like hell here.

Anyway, welcome to the birth of Socialized Medicine in the United States of America. And don't argue with me unless you have read this provision, please, you would be wasting both your time and mine. If you want it, you've won. And if you don't want it, you're screwed, because it's here.

Next: Chapter Eighteen – Free Nationalized Health Care


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