Liberal Utopia

What your world would be if everything liberals wanted, they got. Open the door at the bottom of its Elysium fa├žade and take a glimpse of hell.

Health Choices Administration


A bureaucracy that makes health choices for you.


suppose calling it the "Shut Up & Do Whatever We Tell You Administration" was too long for the letterhead or something. Although it would've been more accurate, given that no administrative or judicial review of anything the Health Choices Commissioner ever does is expressly allowed in the bill.

That's what you self-blinded supporters of Øfascist"Care" are mindlessly supporting. Solely because someone else told you you ought to support it. Not because you, you know, like read it or anything and said, "Hey, that sounds like a pretty good idea."

Or maybe you actually want someone else making all "your" health choices for you. So long as its your beloved worshipped Der Führer making them, right? When its President Sarah Palin appointing the next Health Choices Commissioner, no doubt you'll still be cool with that.

In that case, let's see what other things, yes, President Palin's healthcare appointees can do without ever having to worry about any of those nasty administrative or judicial reviews:

SEC. 223(f) LIMITATIONS ON REVIEW.–There shall be no administrative or judicial review of a payment rate or methodology established under this section [for the public health insurance option for services and health care providers] or under section 224 ["innovative" payment mechanisms and policies to determine payments for items and services under the public health insurance option].

President Palin's healthcare appointees are just going to loooove setting payment rates that you betchya will leave you squealing "she's stealing from the poor to give to the rich!11!!!11ONE!" or some other incoherent nonsense. But squeal is all, yes, you can do, because this bill requires every agency and court in the land to flat-out ignore you. Mwwahahhaa hahahaha ha

SEC. 1123 [adding new subsection (x) to section 1833 of the Social Security Act]... "[(x)(2)](C) LIMITATION ON REVIEW.–There shall be no administrative or judicial review under section 1869, 1878, or otherwise, respecting (i) the identification of a county or other area under subparagraph (A) [i.e., which counties are among 'lowest fifth percentile of utilization based on per capita spending' for services provided in accordance with a government-specified 'physician fee schedule']; or (ii) the assignment of a postal ZIP Code to a county or other area under subparagraph (B) [i.e., the 'dominant county' in that ZIP code]."

Oops. President Palin's healthcare appointees could only identify counties in Red States eligible fur al dis heer extree "free" health care, by golly (paid for mostly by you Blue Statists, of course). What's that? You're gonna sue them? Sorry. Better commence with your futile squealing again. 'Cause that's the only relief you have any standing to seek.

SEC. 1151 [adding new subsection (p) to section 1886 of the Social Security Act]... "[(p)](6) LIMITATIONS ON REVIEW.–There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of (A) the determination of base operating DRG [Diagnosis Related Group of a hospital's patients for which a flat rate is paid regardless of the actual services provided] payment amounts; (B) the methodology for determining the adjustment factor under paragraph (3) [i.e., the greater of 1 minus ratio of 'aggregate payments for excess readmissions' and 'aggregate payments for all discharges', or 0.99, 0.98, 0.97, or 0.95 for fiscal years 2012, 2013, 2104, 2015+, respectively], including excess readmissions ratio under paragraph (4)(C) [i.e., ratio (but not less than 1.0) of 'risk adjusted readmissions' to 'risk adjusted expected readmissions'], aggregate payments for excess readmissions under paragraph (4)(A) [i.e., 'applicable conditions' sum of the product of 'base operating DRG payment amount,' number of admissions, and 'excess readmissions ratio' minus 1], and aggregate payments for all discharges under paragraph (4)(B) [sum of 'base operating DRG payment amounts' for all conditions], and applicable periods and applicable conditions under paragraph (5); (C) the measures of readmissions as described in paragraph (5)(A)(ii) [i.e., 'endorsed' readmissions that 'have appropriate exclusions' unrelated to prior discharge]; and (D) the determination of a targeted hospital under paragraph (8)(B)(i) [i.e., one that received or was eligible to receive at least $10 million in estimated 'disproportionate share payments'], the increase in payment under paragraph (8)(B)(ii) ['for transitional care activities designed to address the patient noncompliance issues that result in higher than normal readmission rates'], the aggregate cap under paragraph (8)(C)(i) [i.e., 5 percent of the estimated difference in spending with and without application of the 'adjustment factor' mentioned above], the hospital-specific limit under paragraph (8)(C)(ii) [i.e., the full estimated difference in spending with and without application of the 'adjustment factor'], and the form of payment made by the Secretary under paragraph (8)(D) [i.e., 'a lump sum basis, a periodic basis, a claim by claim basis, or otherwise']."

For some strange reason, hospitals in Red States have been faring far better financially and otherwise under the Palin Administration than they had under the Øfascist Tyrannical Dictatorship. It's really just too bad there's no legal recourse for bed-wetting liberals(birm) to do anything about it, even if they could find out why Red State hospitals are now literally rolling in dough. Boo-flickin'-hoo. (Time for another round of pointless squealing.)

SEC. 1156(a) [adding new subsection (i) to section 1877 of the Social Security Act]... "[(i)(2)](H) LIMITATION ON REVIEW.–There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of the exception process under this paragraph [for lifting the prohibition on expansion of a hospital's capacity], including the establishment of such process, and any determination made under such process."

My, my, how nearly every Red State hospital has been expanding like a herd of caribou around the Alaskan pipeline since President Palin took office! But it's a complete mystery the same can't be said about very many Blue State Stasis ones. Gee whiz, that right there is some mighty potent prima facie evidence for a heckuva abuse-of-power case... Huh? Oh, that's right. Never mind. (Cue squealing)

SEC. 1301 [adding new section 1866D to Title XVIII of the Social Security Act]... "[SEC. 1866D(e)](4) LIMITATIONS ON REVIEW.–There shall be no administrative or judicial review under section 1869, section 1878, or otherwise of (A) the elements, parameters, scope, and duration of the pilot program ['to test different payment incentive models']; (B) the selection of qualifying ACOs ['accountable care organizations'] for the pilot program; (C) the establishment of targets, measurement of performance, determinations with respect to whether savings have been achieved and the amount of savings; (D) determinations regarding whether, to whom, and in what amounts incentive payments are paid; and (E) decisions about the extension of the program under subsection (g), expansion of the program under subsection (h) or extensions under subsection (i)."

Don't be surprised when President Palin's healthcare appointees select Dick Cheney's own Conservative Death Beast Blood-for-Oil Evil Tonsillectomy Services & Amputation Supplies® company as one of the ACOs qualifying for all the neat "incentive payments".... Wait a minute, I can't hear a word you're saying with all that squealing going on. Tell that angry mob of yours to take it outside.

SEC. 1303 [adding a new subsection (p) to section 1833 of the Social Security Act]... "[(p)](4) LIMITATION ON REVIEW.–There shall be no administrative or judicial review under section 1869, section 1878, or otherwise, respecting (A) any determination or designation under this subsection [relating to 'primary care payment incentives' (i.e., a 5 to 10 percent bonus for doctors serving in 'primary care health professional shortage areas')]; (B) the identification of services as primary care services under this subsection; and (C) the identification of a practitioner as a primary care practitioner under this subsection."

President Palin especially likes this one. So many Republican-donor physicians, so little time (for "spreading the wealth incentives around a bit"™). Don't like it? Well, by golly, then sue! ...uh, er... I mean, let's start up that chant again. "What are we only doing? Squealing!1!!!! When are we doing it? Now Always!!!111!!!ONE!!1" OK. Again. But this time with political terrorist-size feeling....

SEC. 1631 [adding new section 1128G to Title XI of the Social Security Act]... "[1128G(a)(1)]... Actions taken and determinations made under this subsection [relating to punishment imposed on a whole 'category of providers of services or suppliers of items or services' which Der Sekretär 'determines' feels poses a 'significant risk of fraudulent activity' (without any regard for those providers or suppliers that have never themselves engaged in any), where such universal punishment includes invasive, unannounced, and blackballing-intended 'screenings,' arbitrary periods of 'enhanced oversight,' and an unlimited 'moratorium on enrollment' (so long as Der Sekretär 'determines' feels it wouldn't 'adversely impact access of individuals to care')] shall not be subject to review by a judicial tribunal."

Lovely. Certainly every liberal is comfortable with the fact that one of President Palin's healthcare appointees has such massive, unreviewable power to punish an entire category of predominantly Demoqrat-donating and/or unionized companies "providers or suppliers" while never having to stop or even slow down once to bother with any kind of messy, inconvenient trial. And, no, I don't want to hear any more of your squealing. The most effective time for that was before this bill ever got to the House floor, not after it had to spend only a half day on your Der Führer's desk waiting for him to again break his "five days of sunlight before signing" promise.

SEC. 1741(a)(2) [striking "regard to" and all that follows through the period in section 1927(k)(1)(B) of the Social Security Act, and inserting]... "(v) ...Such a determination [relating to a non-inhalation, non-infusion drug's 'average manufacturer price' obtained by 'necessary' inclusion of 'its sales directly to, or rebates, discounts, or other price concessions provided to, hospitals, clinics, and physicians'] shall not be subject to judicial review...."

Another official act obtained from the bribery of Half-Whitey Former Junior Senotard Baracketeer al-Hussein Øfascist by the Pharmaceutical Researchers and Manufacturers Association (PhRMA)? As the Democorrupt Speaker of the Hate "Nan Sees Swastikas" Peloseri would say: You be the judge.®

Labels: , , , , ,

Bookmark and Share  

Comments (registered users)

Post a Comment

Liberal Utopia

LC Local 666, VRWC
Never Submit

This page is powered by Blogger. Isn't yours?


Liberal Utopia

Site Feed

Subscribe to Liberal Utopia by Email


March 2004
April 2004
May 2004
June 2004
July 2004
August 2004
September 2004
October 2004
November 2004
December 2004
January 2005
February 2005
March 2005
April 2005
May 2005
June 2005
July 2005
August 2005
September 2005
October 2005
November 2005
December 2005
January 2006
February 2006
April 2006
May 2006
June 2006
July 2006
August 2006
September 2006
October 2006
November 2006
December 2006
January 2007
February 2007
March 2007
April 2007
May 2007
June 2007
July 2007
August 2007
September 2007
October 2007
November 2007
December 2007
January 2008
February 2008
March 2008
April 2008
May 2008
June 2008
July 2008
August 2008
September 2008
October 2008
November 2008
December 2008
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
August 2009
September 2009
October 2009
November 2009
December 2009
January 2010
February 2010
March 2010
April 2010
May 2010
June 2010
July 2010
August 2010
September 2010
October 2010
November 2010
December 2010
January 2011
February 2011
March 2011
April 2011
May 2011
June 2011
July 2011
August 2011
September 2011
October 2011
December 2011
January 2012
February 2012
March 2012
April 2012
May 2012
June 2012
July 2012
August 2012
September 2012
October 2012
November 2012
December 2012
January 2013
February 2013
March 2013
April 2013
May 2013
June 2013
July 2013
August 2013
September 2013
October 2013
November 2013
December 2013
January 2014
February 2014
March 2014
April 2014
May 2014
June 2014
July 2014
August 2014
September 2014
October 2014
November 2014
December 2014
January 2015
February 2015
March 2015
May 2015
June 2015
July 2015
August 2015
September 2015
November 2015
December 2015
January 2016
March 2016
April 2016
May 2016
June 2016
July 2016
August 2016
September 2016
October 2016
November 2016
January 2017
February 2017
March 2017
May 2017
June 2017
July 2017
August 2017
January 2018
February 2018
June 2018
July 2018
October 2018
January 2019
June 2019
July 2019
January 2020
March 2020
April 2020
May 2020
July 2020
August 2020
October 2020
January 2021
February 2021
June 2021
July 2021
August 2021
September 2021
February 2022
July 2022
December 2022
July 2023


Gab @LiberalUtopia

Gettr @LiberalUtopia

Parler @LiberalUtopia

TruthSocial @LiberalUtopia

Tw*tter @LiberalUtopia


G o o g l e
b o m b s
miserable failure
culture of corruption
sus barbatus
wicked witch of the east
great president