Obama's Fascist IMAB will kill!

March 24, 2010 (LPAC)—While President Obama and House Speaker Nancy Pelosi euphorically proclaimed that the health care bill which Obama just signed into law "is what makes us the United States of America" and "honors the vows of our founders who in the Declaration of Independence talked about life, liberty, and the pursuit of happiness," the centerpiece of the legislation, the so-called Independent Medicare Advisory Board (IMAB), as Lyndon LaRouche has stated from the beginning, is modeled on Hitler's Tiergarten-4 genocide panel, and unless repealed, will mean the early death of countless Americans. Contrast Obama and Pelosi's lies with the Senate Healthcare Bill, now passed by the House and signed into law by President Obama.

In Section 3403, the bill creates an Independent Medicare Advisory Board which is directed to make recommendations the purpose of which is to "reduce the per capita rate of growth in Medicare spending." Specifically the bill says that "implementation of the recommendations ... would not be expected to result, over the 10-year period starting with the implementation year, in any increase in the total amount of net Medicare program spending relative to the total amount of net Medicare program spending that would have occurred absent such implementation."

The bill also "empowers the Secretary of Health and Human Services to impose "efficiency measures." While there are limits on the use of comparative effectiveness research to justify denial of treatment based on quality of life criteria, the quality and efficiency measures are not made subject to these critically important anti-discrimination protections. Specifically, the Board's proposals shall include recommendations that "improve the health care delivery system and health outcomes, including by promoting ... quality and efficiency improvement... and protect and improve Medicare beneficiaries' access to evidence-based items and services."

Starting in 2014, the Board is to make recommendations to ensure that the growth rate of expenditures does not exceed a stipulated level.

For 2015, unless Medicare spending is projected to come in at or below a "target" set at the midway point between medical inflation and the average inflation rate for all goods and services (the "Consumer Price Index-Urban"), the Board is to specify how to cut Medicare payments by either the difference from the target or half a percent, whichever is less.

For 2016, the Board is to specify how to cut Medicare by the lesser of the difference from the target for that year or 1 percent, and for 2017 by the lesser of the difference from the target for that year or 1.25 percent.

For 2018 and subsequent years, the target shifts to the growth in the nominal Gross Domestic Product (GDP) per capita plus 1.0 percentage point, and the Board must specify how to cut Medicare payments by the lesser of the difference from that target and 1.5 percent.

Each year, the Secretary of Health and Human Services must implement the Board's directives unless Congress, within a given deadline, legislates an alternative set of restrictions to accomplish the same result. However, Congress could not reduce the net of the targeted cuts unless three-fifths of both chambers voted to do so. The bill goes so far as to forbid a future Congress from repealing these provisions, except for a one-time opportunity to terminate it in 2017! The latter would require a joint resolution to be introduced no late than Feb. 1 of 2017 and enacted no later than Aug. 15, 2017. But if the board is terminated, it does not go into effect until August 16, 2018.

- How is the Board to bring about these Medicare reductions? -

Nominally, the bill instructs the Board not "to ration health care, raise revenues or Medicare beneficiary premiums ..., increase Medicare beneficiary cost-sharing ..., or otherwise restrict benefits or modify eligibility criteria." Predominately, the reductions will have to come in reimbursement rates for health care providers. This, according to the Robert Powell Center for Medical Ethics, is likely to have either/or, more likely, both of two rationing effects.

First, an increasing number of Medicare providers, being paid further and further below their costs of providing care, would stop accepting new Medicare patients.

Second, the Board could change the way reimbursement rates are structured, away from a fee-for-service model toward a "capitated" model, for example, under which practitioners are paid a set annual amount per patient, or toward an "episode" model somewhat similar to the DRG payment system for hospitals, under which a set amount is paid per illness or injury. In either of these cases, the physician or other health care provider would have a strong financial incentive to limit treatment, especially if it is costly. So, in compliance with the statute, the Board itself would not be "rationing" treatment—instead, it would be compelling health care providers to do so.

Section 10304 empowers the Secretary of Health and Human Services to impose "efficiency measures," in addition to the "quality measures" on health care providers. These measures are to be incorporated "in workforce programs, training curricula, and any other means of dissemination determined appropriate by the Secretary." They are to be used in the calculation of value-based purchasing from hospitals, and renal dialysis services must abide by them or be penalized. Health care providers, including hospices, ambulatory surgical centers, rehabilitation facilities, home health agencies, physicians and hospitals must provide reports, generally made publicly available, based on these measures.

Consequently, they exercise considerable influence on how health care providers practice medicine, and consequently on what treatment patients do—and do not—receive. In the medical and bioethical literature, quality and efficiency measures are often based on "quality of life" standards that discriminate on the basis of age and disability. Accordingly, during the period when the group of six Senators were negotiating in an attempt to achieve a bipartisan health care bill, agreement was reached to make anti-discrimination language applicable to the results of comparative effectiveness research.

However, the quality and efficiency measures are NOT made subject to the same limits on employment of quality of life criteria that are applied to the use of comparative effectiveness research. Consequently, the Secretary is free to formulate such measures in a way that has the effect of rationing treatment on the basis of disability, age, or other "quality of life" criteria.

T4 NAZI BILL WAS exercised in Germany 1939 by Adolf Hitler after war broke out. The criminals were sentenced at Nuremberg in 1945 - 1947 for Euthanasia and hanged. 

THIS IS THE SIGN OF NAZI GENOCIDE.

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