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<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009>Please take a moment and read the <U>extremely
important excerpts</U> from the report of the Chief Actuary of the Centers for
Medicare and Medicaid Services regarding the <U>devastating effects</U>
Obamacare would have on all Americans!</SPAN></FONT></DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009></SPAN></FONT> </DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009>The full report from CMS is at <A
href="http://republicans.waysandmeans.house.gov/UploadedFiles/OACT_Memorandum_on_Financial_Impact_of_H_R__3962__11-13-09_.pdf">http://republicans.waysandmeans.house.gov/UploadedFiles/OACT_Memorandum_on_Financial_Impact_of_H_R__3962__11-13-09_.pdf</A> </SPAN></FONT></DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009></SPAN></FONT> </DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009>Please forward this critical information to everyone
you know with a request that they also send it to other persons they
know.</SPAN></FONT></DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff><SPAN
class=218302220-16112009></SPAN></FONT> </DIV>
<DIV dir=ltr align=left><FONT face=Arial color=#0000ff size=4><SPAN
class=218302220-16112009><STRONG>Art</STRONG></SPAN></FONT></DIV><BR>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B> The Heritage Foundation
[mailto:morningbell@heritage.org] <BR><B>Sent:</B> Monday, November 16, 2009
10:11 AM<BR><B>To:</B> Art Kelly<BR><B>Subject:</B> Morning Bell: A Deathblow
for Obamacare<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV align=center>
<DIV align=center>
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delivery directly to your inbox, please add </FONT><BR><FONT face=Arial
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<P align=left><B><FONT face=Arial color=#ffffff size=5>The Morning
Bell<BR></FONT><FONT style="FONT-SIZE: 2pt" face=Arial
color=#ffffff> </FONT></B></P></TD></TR>
<TR>
<TD>
<P align=left><B><FONT face=Arial color=#ffffff><SPAN
style="BACKGROUND-COLOR: #000000">MONDAY, NOV. 16,
2009</SPAN></FONT></B></P></TD></TR></TBODY></TABLE></DIV></TD></TR>
<TR>
<TD width=0 colSpan=2 height=0>
<DIV align=center>
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<TD>
<P align=left><B><FONT style="FONT-SIZE: 28pt" face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606046:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">A
Deathblow for Obamacare</A><BR></FONT><FONT style="FONT-SIZE: 6pt"
face=Arial> </FONT></B></P></TD></TR></TBODY></TABLE></DIV>
<DIV align=left>
<TABLE id=table3 cellSpacing=0 cellPadding=5 width=600 border=0>
<TBODY>
<TR>
<TD vAlign=top width=267>
<P style="LINE-HEIGHT: 150%" align=left><FONT face=Arial>Standing in
the Rose Garden on November 7th, President Barack Obama celebrated
the passage of the House health care bill <A
href="http://paracom.paramountcommunication.com/ct/3606047:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">claiming</A>:
“The Affordable Health Care for America Act is a piece of
legislation that will provide stability and security for Americans
who have insurance; quality, affordable options for those who don’t;
and bring down the cost of health care for families, businesses, and
our government, while strengthening the financial health of
Medicare.” </FONT></P></TD>
<TD style="PADDING-LEFT: 14px" vAlign=top align=left>
<P style="LINE-HEIGHT: 150%"><B><FONT face=Arial
color=#174d89>Recent Entries</FONT></B></P>
<TABLE id=table6 cellSpacing=0 cellPadding=0 bgColor=#ebebeb
border=0>
<TBODY>
<TR>
<TD style="PADDING-LEFT: 4px; PADDING-TOP: 4px" vAlign=top
align=left width=36><IMG height=10
src="http://paracom.paramountcommunication.com/cimages/b878bb3c4eae913925f7e2b8fca014f5/pagebullet.JPG"
width=8 border=0 NOSEND="1"></TD>
<TD align=left><FONT face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606048:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Video:
Pelosi Says Jail “Very Fair” Punishment For Not Buying Health
Insurance</A> </FONT></TD></TR>
<TR>
<TD bgColor=#ffffff colSpan=2><SPAN
style="FONT-SIZE: 6pt"> </SPAN></TD></TR>
<TR>
<TD style="PADDING-LEFT: 4px; PADDING-TOP: 4px" vAlign=top
align=left width=36><IMG height=10
src="http://paracom.paramountcommunication.com/cimages/b878bb3c4eae913925f7e2b8fca014f5/pagebullet.JPG"
width=8 border=0 NOSEND="1"></TD>
<TD align=left><FONT face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606049:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Obama
to Copenhagen but No Berlin?</A> </FONT></TD></TR>
<TR>
<TD bgColor=#ffffff colSpan=2><SPAN
style="FONT-SIZE: 6pt"> </SPAN></TD></TR>
<TR>
<TD style="PADDING-LEFT: 4px; PADDING-TOP: 4px" vAlign=top
align=left width=36><IMG height=10
src="http://paracom.paramountcommunication.com/cimages/b878bb3c4eae913925f7e2b8fca014f5/pagebullet.JPG"
width=8 border=0 NOSEND="1"></TD>
<TD align=left><FONT face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606050:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Obama’s
Public Option for Gitmo</A> </FONT></TD></TR>
<TR>
<TD bgColor=#ffffff colSpan=2><SPAN
style="FONT-SIZE: 6pt"> </SPAN></TD></TR>
<TR>
<TD style="PADDING-LEFT: 4px; PADDING-TOP: 4px" vAlign=top
align=left width=36><IMG height=10
src="http://paracom.paramountcommunication.com/cimages/b878bb3c4eae913925f7e2b8fca014f5/pagebullet.JPG"
width=8 border=0 NOSEND="1"></TD>
<TD align=left><FONT face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606051:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">President
Obama’s Trade Failure</A> </FONT></TD></TR>
<TR>
<TD bgColor=#ffffff colSpan=2><SPAN
style="FONT-SIZE: 6pt"> </SPAN></TD></TR>
<TR>
<TD style="PADDING-LEFT: 4px; PADDING-TOP: 4px" vAlign=top
align=left width=36><IMG height=10
src="http://paracom.paramountcommunication.com/cimages/b878bb3c4eae913925f7e2b8fca014f5/pagebullet.JPG"
width=8 border=0 NOSEND="1"></TD>
<TD align=left><FONT face=Arial><A
href="http://paracom.paramountcommunication.com/ct/3606052:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">The
Logic of Obamacare</A>
</FONT></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
<DIV align=left>
<TABLE id=table11 cellSpacing=0 cellPadding=5 width=600 border=0>
<TBODY>
<TR>
<TD>
<P style="LINE-HEIGHT: 150%" align=left><FONT face=Arial>Quite a
bold statement if true. But a <A
href="http://paracom.paramountcommunication.com/ct/3606053:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">report</A>
released Friday by the non-partisan and independent <A
href="http://paracom.paramountcommunication.com/ct/3606054:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Centers
for Medicare and Medicaid Services</A>, the agency in charge of
running Medicare and Medicaid, blows the lid off of every one of
Obama’s claims. All of the following quotes are from the report
itself:<BR><BR><STRONG>Health Care Costs Increase</STRONG>: <A
href="http://paracom.paramountcommunication.com/ct/3606055:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“In
aggregate, we estimate that for calendar years 2010 through 2019
[national health expenditures (NHE)] would increase by $289 billion,
or 0.8 percent, over the updates baseline projection that was
released on June 29, 2009.”</A> In other words, Obamacare bends the
cost curve up, not down.<BR><BR><STRONG>Millions Lose Existing
Private Coverage:</STRONG> <A
href="http://paracom.paramountcommunication.com/ct/3606056:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“However,
a number of workers who currently have employer coverage would
likely become enrolled in the expanded Medicaid program or receive
subsidized coverage through the Exchange. For example, some smaller
employers would be inclined to terminate their existing coverage,
and companies with low average salaries might find it to their - and
their employees’ - advantage to end their plans … We estimate that
such actions would collectively reduce the number of people with
employer-sponsored health coverage by about 12 million.”</A> In
other words, Obamacare will cause millions of Americans to lose
their existing private coverage.<SPAN
id=more-19878></SPAN><BR><BR><STRONG>Millions Pay Fines Yet Remain
Uncovered:</STRONG> <A
href="http://paracom.paramountcommunication.com/ct/3606056:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“18
million are estimated to choose not to be insured and to pay the
penalty associated with the individual mandate. For the most part,
these would be individuals with relatively low health care expenses
for whom the individual or family insurance premium would be
significantly in excess of the penalty and their anticipated health
benefit value.”</A> In other words, 18 million Americans will either
face jail time or be forced to pay a new tax they will receive no
benefit from.</FONT></P>
<P style="LINE-HEIGHT: 150%" align=left><FONT
face=Arial><STRONG>Millions Lose Medicare Advantage</STRONG>: <A
href="http://paracom.paramountcommunication.com/ct/3606057:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“Section
1161 of Division B of H.R. 3962 would set Medicare Advantage
capitation benchmarks … We estimate that in 2014 when the MA
provisions would be fully phased in, enrollment in MA plans would
decreased by 64 percent (from its projected level of 13.2 million
under current law to 4.7 million under the proposal).”</A> In other
words, 8.5 million seniors who currently get such services as <A
href="http://paracom.paramountcommunication.com/ct/3606058:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">coordinated
care for chronic conditions, routine eye and hearing examinations,
and preventive-care services</A> would lose their existing private
coverage.<BR><BR><STRONG>Millions Placed on Welfare:</STRONG> <A
href="http://paracom.paramountcommunication.com/ct/3606059:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“Of
the additional 34 million who are estimated to be insured in 2019 as
a result of H.R. 3962, about three-fifths (21 million) would receive
Medicaid coverage due to the expansion of eligibility to those
adults under 150 percent of the FPL.”</A> In other words, more than
half the people who gain health insurance will receive it through
the welfare program Medicaid.<BR><BR><STRONG>Seniors Access to Care
Jeopardized:</STRONG> <A
href="http://paracom.paramountcommunication.com/ct/3606057:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“H.R.
3962 would introduce permanent annual productivity adjustments to
price updates for institutional providers… Over time, a sustained
reduction in payment updates, based on productivity expectations
that are difficult to attain, would cause Medicare payment rates to
grow more slowly than and in a way that was unrelated to, the
providers’ costs of furnishing services to beneficiaries. Thus,
providers for whom Medicare constitutes a substantive portion of
their business could find it difficult to remain profitable and
might end their participation in the program (possibly jeopardizing
access to care for beneficiaries).”</A> In other words, the Medicare
cuts in the House bill are so out of touch with reality that
hospitals currently serving Medicare patients might be forced to
stop doing so. Thus making it much more difficult for seniors to get
health care.<BR><BR><STRONG>Poor’s Access Problems
Exacerbated:</STRONG> <A
href="http://paracom.paramountcommunication.com/ct/3606060:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“In
practice, supply constraints might interfere with providing the
services by the additional 34 million insured persons. …providers
might tend to accept more patients who have private insurance (with
relatively attractive payment rates) and fewer Medicaid patients,
exacerbating existing access problems for the latter group.”</A> In
other words, those 21 million people who are gaining health
insurance through Medicaid are going to have a very tough time
finding a doctor who will treat them.<BR><BR>Reacting in part to
Friday’s CMS report, Robert J. Samuelson writes in today’s <A
href="http://paracom.paramountcommunication.com/ct/3606061:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Washington
Post</A>:<BR></P>
<BLOCKQUOTE>The disconnect between what President Obama says and
what he’s doing is so glaring that most people could not abide it.
The president, his advisers and allies have no trouble. But
reconciling blatantly contradictory objectives requires them to
engage in willful self-deception, public dishonesty, or
both.<BR></BLOCKQUOTE>
<P style="LINE-HEIGHT: 150%" align=left>There is a reason why <A
href="http://paracom.paramountcommunication.com/ct/3606062:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">as
more Americans learn about Obamacare, the less popular it
gets</A>.<BR><BR><B><FONT style="FONT-SIZE: 16pt"
color=#174d89>QUICK HITS</FONT></B></FONT></P>
<DIV align=center>
<TABLE id=table12 cellSpacing=0 cellPadding=5 width=520
bgColor=#ebebeb border=0>
<TBODY>
<TR>
<TD><FONT face=Arial>Commenting on President Barack Obama’s
meeting with Emperor Akihito of Japan, an academic with
expertise about the Japanese Empire tells <A
href="http://paracom.paramountcommunication.com/ct/3606063:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">ABC
News</A>: “The bow as he performed did not just display
weakness in Red State terms, but evoked weakness in Japanese
terms….The last thing the Japanese want or need is a weak
looking American president and, again, in all ways, he
unintentionally played that part.”<BR> </FONT></TD></TR>
<TR>
<TD><FONT face=Arial>Thanks to conservatives in Congress,
President Obama has been <A
href="http://paracom.paramountcommunication.com/ct/3606064:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">“hobbled”</A>
in his search for a global warming treaty.<BR>
</FONT></TD></TR>
<TR>
<TD><FONT face=Arial>The government paid more than <A
href="http://paracom.paramountcommunication.com/ct/3606065:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">$47
billion in questionable Medicare claims</A> including medical
treatment showing little relation to a patient’s condition,
wasting taxpayer money at a rate nearly three times that of
the previous year.<BR> </FONT></TD></TR>
<TR>
<TD><FONT face=Arial>Former Assistant Secretary of Treasury
and Deputy Assistant to President George W. Bush Tony Fratto
explains why President <A
href="http://paracom.paramountcommunication.com/ct/3606066:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">Obama’s
trip, and his “new engagement” with Asia, ignores the
achievements</A> of many past U.S. presidents.<BR>
</FONT></TD></TR>
<TR>
<TD><FONT face=Arial>After $111 billion in bailouts for Fannie
Mae and Freddie Mac, <A
href="http://paracom.paramountcommunication.com/ct/3606067:5233602888:m:1:149266645:201F56A192D026F44C6504E7DF454D36">the
Federal Housing Administration is also close to a taxpayer
bailout</A>.</FONT></TD></TR></TBODY></TABLE><SPAN
style="FONT-SIZE: 8pt"> </SPAN>
<P></P>
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<P class=MsoNormal><B><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 12pt"><FONT
face=Arial><FONT size=4>FIX HEALTH CARE
POLICY<BR></FONT></FONT></SPAN></B><FONT size=3><SPAN
style="FONT-SIZE: 12pt"><FONT face=Arial>Get all the
latest health care news as the battle heats up in
<st1:place w:st="on"><st1:State w:st="on">Washington.
</st1:State></st1:place></FONT></SPAN></FONT><FONT
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will be constantly updated as we get news. </FONT><A
title=http://www.fixhealthcarepolicy.com/
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face=Arial color=#800080>Click here for the latest on
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