THE OMINOUS SECRET THAT WILL DESTROY THE PRESENT HEALTH CARE DELIVERY SYSTEM THAT OBAMA IS HIDING IN THE HOUSE HEALTH CARE BILL

WE SPEAK ABOUT WHAT HEALTH CARE IS AS IF IT EXISTED ON A TWO DIMENSIONAL LEVEL, WHAT IS IN IT, WHAT IS NOT IN IT, WHAT IT INCLUDES, WHAT IT EXCLUDES, WHO IT COVERS, AND WHO IT DOES NOT COVER, AND FINALLY, WHAT IT COSTS. BUT WHAT HAS NOT BEEN RAISED, WHAT HAS NOT BEEN DISCUSSED, AND WHAT THE PUBLIC HAS NOT BEEN INFORMED ABOUT, IS THE THIRD DIMENSION, WHICH IS THE HEALTH CARE DELIVERY SYSTEM. WE ASSUMED THAT IT WILL CONTINUE TO RUN THE WAY IT ALWAYS HAS IN THE PAST, EVEN IF OBAMA PASSED A HEALTH CARE LAW. BUT IT WILL NOT, EVEN IF OBAMA PASSES A BILL WITHOUT A PUBLIC OPTION.

THE HEALTH CARE DELIVERY SYSTEM IS QUIETLY BEING DISMANTLED BRICK BY BRICK, AND IT IS BEING STEALTHILY REPLACED BY A SECRET MONSTROSITY WHICH THE AMERICAN PEOPLE WOULD FIND APPALLING. IF YOU DON'T BELIEVE THAT A DELIVERY SYSTEM IS IMPORTANT, THINK ABOUT WHAT A DISRUPTION THE DISMANTLING OF THE DELIVERY SYSTEM OF FOOD OR ELECTRICITY WOULD HAVE ON YOUR LIFE AND HOW IT WOULD EFFECT THAT PRODUCT OR SERVICE. WELCOME TO THAT THIRD DIMENSION.

On Saturday, November 7, 2009, the Democratic House Health Care Bill, No. 3962, a bill itself which was over 1,900 pages long, passed the House near midnight with a vote of 220 to 215. To claim victory by the Democrats, a vote of at least 218 was required. Only a single Republican voted for this bill, while 39 Democrats voted against it. Most of these were Blue- Dogs who were elected from primarily Republican areas, and who were fearful of not being re-elected in 2010. But this is just the minutia of the creation of the bill. Inside the bill itself, is a peak at a destructive delivery system attached to the health care system, which is quickly on its way to both you and your doctor -if this bill does indeed become law when it merges with the Senate's version of a Health Care Bill.

Still, probably the the most significant event in the health care debate occurred, even before that House Health Care vote was finalized. It became apparent when Obama announced the endorsement of both the A.M.A. (The American Medical Association ) and the A.A.R.P. which is (The American Association of Retired People ) who many felt jumped on the pro- Health Care bandwagon. They became supporters of Obama's Health Care Bill because this group, the A.A.R.P. sells supplementary health care plans, which Obama said would not be taxed, in contrast to regular insurance companies' plans which he insisted would be taxed. Therefore, it could appear that the A.A.R.P. simply sold out the helpless seniors.

For the big Pharmacy's lobby participation in Obama's Health Care Program, Obama had smartly traded for their loyalty to his program, this particular plum- that consumers could not have easy access to Canadian drugs, nor would the American government buy drugs wholesale, or at discount value, as the Veteran's administration has done to save massive drug costs for their veteran population.

I watched with interest and then later with horror while Dr. James Rohach, head of the A.MA. (The American Medical Association, ) said that he endorsed the House Health Care Bill, but that there was a section in that bill that really bothered him. Specifically, it was this section that caused me apprehension.

Dr. Rohach said, and I paraphrase, that he was disturbed by the fact that the government would continue to provide grants and funds as they had always done [to support the educational training of doctors in hospitals] but these funds were available only to create primary and family doctors. He did not see funds allocated for specialists such as surgeons and adolescent psychiatrists whom he stated that this country direly needs. This exclusion of specialists evidently disturbed him.

Why is the fact that funding is not available to hospitals to train specialists even important to Americans ? Because if hospitals don't have the funding to train specialists, but they do have funding to train primary doctors, who do you think they will train in the end ? Of course they will train a legion of primary doctors because they, the hospitals, will certainly not reach into their own profits and create training positions for specialists. Probably the most vulnerable party which will be hurt because of this policy will be the teaching hospitals. But in addition, the poll of applicants who apply for speciality positions, will also diminish if they cannot find available training positions, because the training positions are not funded for specialists.

And finally, the individual patient will be hurt, because for serious conditions, the family doctor does refer his patients for complicated problems he cannot solve himself to specialists. These conditions often require admission to a hospital, operations, expensive diagnostic testing, and highly priced drugs such as cancer drugs; and, medical devices such as stints and pace-makers or hip and knee replacements.

It appears that the specialist holds the key, to the entrance door of expensive, although critically needed health care. So perhaps the elimination of funding to aid in the creation of specialists is a clever and insidious plan to cut the patient off at the knees, if he needs the expensive health care treatments or items listed in this paragraph. The bottom line is this: no funding for education and training programs for specialists = no specialists= rationing= poor health care for you.

What you will have in the end, is a health care system that is replete with physician assistants and family doctors, as well as, low level minimum wage health home workers, and these will sit with the patient at home to reduce hospital admissions. There will be little or no access to specialists, tests, medical devices, expensive life-saving cancer drugs, and of course a hospital admission if you need one. It would be an Obama's cost containment Nirvana, and a patient's nightmare.

We know that hospital training for specialists is eliminated in this bill by the ploy of not listing specialists as one of the groups which will receive such funding, when primary doctors are listed. It works for Obama's purpose better than stating that specialists should be refused admission into a training program, because Obama has done just that in omitting them, without this fact being overly obvious to the public.

In the medical study called, The Dartmouth Atlas Study, which Obama constantly refers to in his speeches, we find if we do read their white paper, that they actually advise Obama on specific actions to take if he wants to reduce health care costs. This group is insistent that Obama should not allow Congress to fund the training of specialists.

By no stretch of the imagination is The Dartmouth Atlas subtle in their pronouncements. They also express their disgust for expensive tests, like Cat- Scans and MRI's, and one of the Health Care bills in the House, did have a section which refused to allow such expensive equipment that administers these expensive tests like MRI's in private rural offices, which are offered to patients who have trouble accessing these tests in distant city hospitals.

In another Health Care House bill, Congress taxed such frivolous devices such as stents, and pace-makers, although you may not think them so frivolous if you have cardiac disease. It seems that Obama has a pattern here, and that pattern involves using the Dartmouth Atlas Study as his Health Care blueprint or Bible.

The head of the A.M.A. was also on the Dylan Ratigan Morning Meeting, on the MSNBC cable channel which is broadcast between 9 to 11 0'clock, Eastern Time, on November 9, 2009. This time he did not mention the specialist problem specifically, but he did say when speaking, how this association, the (A.M.A.) wanted to keep up that relationship between the doctor and his patient, and to do so, that patients should be allowed to contract privately with their doctor.

What did this doctor mean by this statement ? He meant that you should be able : A--- To arrange privately with your doctor to purchase his services for treatment. B--- Evidently there is something in this bill, or what this doctor perceives to be the final bill, that prevents you, for example, from putting up your home for sale, raiding your IRA, or maxing out your credit card for some large catastrophic medical expenditure you may need to save your child, or to pay for your mother's hip replacement. The head of the A.M.A. is saying in effect, you cannot make such a private agreement between your doctor and yourself at this time. Ironically, you can make such an agreement now, and will be able to do so in the future, if Obama does not pass his Health Care Initiative.

What is the significance of the the 2 previous paragraphs ? It is this. Why should you have to arrange privately to contract with your doctor in the first place, unless under Obama's Health Care plan, the plan refuses you treatment, or rations some treatments , operations, and tests; or suggests that the previously listed items will be denied, rationed, or perhaps have excessively long, and dangerous delays for critical conditions attached to them.

The second statement suggests that doctors and patients should be allowed to set up private payment plans, which certainly implies that such private contracting is not, or will not be allowed under the Obama Health Care Initiative. The director of the A.M.A. implied by his statement that there is something in that House bill which passed, or something in the pipe line which will prevent this.

In that pipe line there is presently in place a bill by Senator Rockefeller, and 2 other similar initiatives sponsored by Obama that would move MEDIPAC, which sets the baseline for Medicare reimbursements and influences private insurance companies who typically bill 20% above the Medicare baseline level, and advises Congress on these matters. However, the MEDIPAC group under Congress, is both independent and their collective advice does not force a mandate on Congress to follow their recommendations.

As previously stated, the Rockefeller Bill, or the Obama Initiative, would change that status by putting MEDIPAC in the executive branch as an independent agency, whose members would be appointed by the president. In addition, they would no longer be under the control of Congress. Furthermore, they would be appointed for longer terms, and their edicts would be mandatory, and beyond both the influence of Congress, and the voter and would therefore impact the entire health care delivery system without any recourse or appeal available to the public.

This movement of MEDIPAC to the executive branch is necessary so that the executive branch ( Obama ) will be able to control the delivery system completely without congressional influence, even from their constituents who would certainly rise up in anger, when they realized that it was against the law for a patient or his doctor to refuse to accept the " Best Practice Diagnosis "
which was offered by CER or ( The Comparative Effectiveness Research Agency ) and which treatment plan they would claim, is the most effective treatment for you.

In addition, any attempt by you to purchase that operation or cancer drug out of your own pocket, might be mandated as illegal if your provider or physician attempted to accommodate your wishes- even if he agreed with you. This is why the head of A.M.A. wanted to be able to engage in private contracts with patients, which by the way, patients can do at the present time when they are under private insurance plans.

Additional ways to harm this delivery system will be to offer incentives or bonuses for practitioners to accept the CER diagnosis, lower co-pays for their patients, but later on doctors may even be subjected to fines or face the removal of their name from the list of doctors who can treat Medicare and Medicaid patients.

If you wish to know what is coming down the pipe line in the final Health Care Bill, or what may be further down the road, access the Datrmouth Atlas which Obama is using as his secret blueprint to alter the Health Care Delivery System. The Dartmouth Atlas spells out their personal agenda, and since Obama keeps on quoting them, and he has adopted several of their provisions in their health care bills already, the reader may wish to examine a few of their tenets, which I have provided as a preview of what you may have to deal with:

A---Refusal to fund training in hospitals for specialists, which will result in longer waits to see specialists- a refusal to increase their numbers in the future, even if we add 50 million more uninsured to the rolls.

B---An increase in primary doctors at least temporarily, but probably not in the long term, since they insist that the number of doctors per patient number is not important. They have also said that even in the future, and even if we add 50 million more uninsured patients, we have enough doctors without adding any more.

C ---A decrease in the use of high tech technology, such as high cost MRI'S, CAT Scans, etc. and any innovative technology that may be available in the future, thus hampering the U.S.A. to develop cutting edge health innovations which will prolong life, and provide jobs in the new and emerging bio-tech field.

D---Most likely less funding for teaching hospitals which try out several procedures, treatments, drugs, and operations which would raise health care costs, which The Dartmouth Atlas bitterly complains about, since they feel these practices raise the over all cost of medical care. Senator Kerry wrote an article claiming the innovation which springs from the teaching hospitals' experimental approach is well worth the extra cost. But his article fell on deaf ears.

E---Since most research springs from specialists and the Dartmouth Atlas rails against them, expect less cutting edge research to extend life and cure disease, tasks which are performed by specialists.

F--Less use of present and future drugs and less money pledged to their development, especially drugs for Aids, Alzheimer's disease, Cancer, and other debilitating illnesses since they are very expensive. Also expect less money spent on government research for these future drug development projects.

G- The Dartmouth has a dislike of medical devices which extend beyond the scooter- like crucial stents, pacemakers, hip, and knee replacements. Expect long delays, rationing and outward refusal to allow patients to receive them, and taxing of these products, thus penalizing the manufacturers who produce them.

H--Discouraging of both doctors and patients from receiving several different types of operations especially in the cardiac arena, and hip and knee replacements, since these operations are discussed negatively in the Darmouth Atlas.

I-- Less allowed hospital admissions, and even entry for the critically ill into hospices.

J--- The inference that some pre-cancer screening is superfluous such as prostrate screenings since they may lead to unnecessary surgery.

This is a small part of what the Dartmouth Atlas is telling your president to follow, and Obama is following a great deal of it, by making it his blue print. This rubbish will filter into the health care delivery system through the pronouncements of CER, which by using this blueprint as their health care model, they will prepare your most effective treatment plan (read most cost effective plan for the government. ) This diagnosis will then be filtered down to your doctor, who if the Rockefeller Bill or similar bills already sponsored by Obama go into place, you and your doctor will be forced to follow CER's directives under mandate of law.

As I said, a great deal of this is already in the pipe- line, and is part of how Obama plans to shave over 1/2 trillion dollars off of Medicare costs, when he is planning to eventually add about 50 million more uninsured patients. Did you really think Obama was a magician ?

The entire pipe line of the health care system will be dismantled, and a great deal of health care will be unavailable to patients, since the Obama plan has decided to block the health care pipeline or delivery system from ever reaching you. You may even be unable to buy necessary treatment out of your own pocket. The Dartmouth Atlas said it best in their '' white paper " which I will quote, '' All will have Health Care, but all will have less." But is that good enough for you and your child ? You decide! Directions are available in the next paragraph to access their " white paper. " Read what they have to say about themselves, and then you be the judge.

Here is their site. http://www.dartmouthatlas.org/

Once in the site, which will take you to their homepage, scroll down the page on the right hand side until you find this paragraph title, "Expanding Coverage Without Increasing Spending: Darthmouth Institute White Paper Recommends Course for Obama Administration." Now scroll down a short distance to the end of this paragraph. Here they list the article titled, "An Agenda for Change: Improving Quality and Curbing Health Care Spending: Opportunities for Congress and the Obama Administration. " Next to this title they have the phrase, Click here. Click your mouse on the word -here. You now will be able to enter the site which displays their controversial " white paper.'' Be prepared to be astounded.