“Health Care Reform” Or Back Door Dictatorship?

July 22, 2009 – The government finally does it: It establishes a tax on being alive.

By The Cerebral Aesthetic Vagabond

Tax On Being Alive

This morning I skimmed through the entire 1017-page bill known as H.R. 3200, which I’m sure is more than did most of the congress people who voted for the bill. All I can say is, oh my god! This is a sweeping, disastrous piece of legislation that is more appropriately described as a back door route to totalitarian dictatorship!

What they failed to achieve with the two Patriot Acts, they will accomplish under the guise of “health care reform,” and that’s what I call “change you can be terrified of.” Yet, while the Patriot Acts were ostensibly aimed at terrorists, this new law is aimed squarely at U.S. citizens who have done nothing wrong, transforming those citizens who don’t wish to participate in this totalitarian health care regime into de-facto criminals.

This new law essentially establishes for the first time, a tax on being alive, as those individuals who refuse to purchase health insurance that meets with the government’s approval will have to pay a tax equal to 2.5% of their income. Section titled “Subpart A—Tax on Individuals Without Acceptable Health Care Coverage” [page 167, line 16] reads,

TAX IMPOSED.—In the case of any individual who does not meet the requirements of subsection (d) at any time during the taxable year, there is hereby imposed a tax equal to 2.5 percent of the excess of— [page 167, line 20] [All highlighting here and below is my own.]

Opting Out Is Not An Option

Although titled “America’s Affordable Health Choices Act of 2009,” the bill does not offer the “choice” to not participate, which is the most “affordable” choice for me. I have utterly no desire to have anything to do with the for-profit medical establishment. Should I not have that right in a supposedly “free” country that boasts a supposed “free” market economy? Not according to this bill. Participation is mandatory whether you need or want the health care it offers.

The bill “initiates shared responsibility” [page 5, line 11]. Frankly, I don’t want to be “responsible” for anyone else, only myself. I take care of myself so I don’t require health care, and that’s my version of being “responsible.” The authors of this bill should be more honest and simply say that we are being forced to be responsible for other peoples’ health care expenses, as well as the compensation packages of health insurance industry executives.

New Burdens For Individuals

The bill imposes staggering new information reporting requirements on individuals, businesses and health care providers, such as:

The Commissioner shall establish rules under which an individual determined to be an affordable credit eligible individual would be required to inform the Commissioner when there is a significant change in the family income of the individual (expressed as a percentage of the FPL for a family of the size involved) and of the information regarding such change [page 141, line 2].

In other words, if you are a poor person who starts earning more money, you will be required to notify the government of your increase in income, so that the government can increase your health care premiums. And should you fail to notify the government of such a change, you will be liable for back payment of any premiums you should have paid.

In the case of an individual intentionally misrepresents family income or the individual fails (without regard to intent) to disclose to the Commissioner a significant change in family income under subsection (c) in a manner that results in the individual becoming an affordable credit eligible individual when the individual is not or in the amount of the affordability credit exceeding the correct amount— [page 142, line 14]

This is going to be a bureaucratic nightmare for poor people and a powerful disincentive to working, not to mention hiring. One will be better off becoming, and remaining a ward of the state under this new law. We’re going to have to provide the government with extensive details about our personal lives and finances in order to implement this law. Section titled “SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS” [page 57, line 10] reads,

(D) enable the real-time (or near real-time) determination of an individual’s financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card; [page 58, line 5]
(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice; [page 59, line 21]

The above goals simply cannot be accomplished without massive, detailed databases and individual identification schemes. We will inevitably be issued ID cards, which like our social security numbers have become, will become de-facto national ID cards. We will no doubt also be required to provide our bank account information, both to determine our “financial responsibility” for this health care monster, and to automate payments.

Section titled “TITLE VIII—REVENUE-RELATED PROVISIONS” [page 819, line 1] provides for extensive disclosure of income tax filing data to the new health administration for the purpose of determining one’s “financial responsibility,” or tax on being alive.

Moreover, we are ultimately responsible for the accuracy of the information provided to the government on our behalf. The bill contains numerous provisions for punitive fines in the event that any of the information on file is incorrect. The bill contains so many paragraphs pertaining to enforcement, audits and penalties on those who fail to pay sufficient premiums, that the primary focus of this bill is clearly on generating revenue. In other words, it’s little more than a massive, across the board tax increase.

The bill weds “health care reform” to the income tax system. We will presumably be required to prove compliance with this foul new law or add the appropriate tax to our income tax return.

Reduced Access To Health Care And Higher Prices

Under this bill, the government will dictate the medical care received and collect premiums (taxes), literally from cradle to grave. Private health care is effectively being outlawed. No longer will a person be able to walk into a clinic, pay a reasonable fee and receive treatment. From now on, all health care providers will have to check with the government first to determine what services a patient may receive and how that person will pay for those services.

The Commissioner shall specify the benefits to be made available under Exchange-participating health benefits plans during each plan year, consistent with subtitle C of title I and this section [page 84, line 5].

There is no possible way the onerous requirements this bill imposes on health care providers can increase the number of such providers, even though increased competition is precisely the prescription called for in order to reduce health care costs, the fundamental problem we face. This bill will accomplish the opposite: fewer health care providers, poorer quality and higher costs.

“Building on current system” [page 4, line 10]. The current system is totally broken. The current system consists of patients who have no incentive to shop around for a good value or regulate their use of health care services, and health care providers who have no incentive to be competitive, all because the insurance companies and governments act as middlemen, paying much of the cost. That is a totally broken model, which this new legislation seeks to enlarge! Since this bill vastly increases the size of the middleman bureaucracy, there is no possible way it can lower costs, since all those additional bureaucrats aren’t going to be working for free.

Ask yourself, since when has any government program failed to achieve the exact opposite of its purported goal? The “war on poverty” launched during the Johnson years has produced more poverty; the “war on drugs” launched during the Nixon years has produced more drugs; the “war on terror” launched during the Bush years has produced more war and terror; no doubt, this bill to improve the health care system will accomplish the exact opposite.

Among other things, this bill is a wet dream piece of legislation for the health insurance industry (see Industry Cash Flowed To Drafters of Reform) by mandating an increase in the number of customers, especially healthy customers who don’t need health care and won’t be filing claims, but will be paying extorted premiums. Yet, as with mandatory automobile insurance, not only will the cost of health insurance increase, but coverage and the quality of customer service will decrease, which is to be expected when a monopoly has a captive customer base and no meaningful competition.

Additional Objectives

The subtitle of this bill reads,

To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes [page 1].

“And for other purposes” is the exact same wording that appeared in an ominous bill passed a few years ago to build detention camps capable of housing millions of people. I wonder what “other purposes” the government has in mind.

Perhaps a clue lies in a several-page section titled “SEC. 1310. EXPANDING ACCESS TO VACCINES” [page 498, line 16]. It’s curious that this should be emphasized at a time when there’s so much impetus to inject the entire population with vaccines in order to ward off the hyperbolic threat from bird flu or swine flu, or whatever they’re trying to scare us with. It’s difficult to ascertain exactly what all these revisions pertaining to vaccines actually say because they amend existing laws. My suspicion, however, is that the provisions of H.R. 3200 pertaining to vaccines are aimed at giving the government the authority to force people to take them, while indemnifying the government and its corporate partners from any legal claims made by victims harmed by those vaccines.

In addition, this bill gives the government massive new surveillance authority over peoples’ medical and financial records, while also giving the government the authority to decide what health care we are entitled to receive, regardless of our means to pay for it.

And people thought the recent push to computerize medical records was a benign effort to improve the quality of health care. It was, in fact, a vital prerequisite to the government taking total control over everyone’s health destiny.

Like all other government initiatives, this is a foot in the door to more control in the future. The present bill already contains hints about governing peoples’ lifestyles. No doubt, future versions of it will intensify those intrusions into our personal lives, giving the government the authority to dictate what we eat, how we exercise and who knows what else, all in the name of “health care reform.”


I merely skimmed through the legislation over a period of a couple of hours. I can only assume that there are numerous vile gotchas buried in that tome of a document (see Shock: Check out what's INSIDE the Healthcare Bill), which seems to be the modus operandi of government today: create legislation so vast, complex and obfuscated that nobody will actually read it word for word, in order to conceal vital details. That was the procedure for the Patriot Acts, the Emergency Economic Stabilization Act (H.R. 1424) and now the “health care reform” bill, all of which taken as a whole place the entire population in a totalitarian headlock.

There is no worse time than right now to impose such an ill-conceived, burdensome bill on the nation. If the intent is to fiscally hobble this country so that economic “recovery” is impossible, this bill will achieve that goal. While this bill might increase access to health care for a tiny segment of the population, it will do so by reducing access to, and the quality of health care for the vast majority of the population, while substantially increasing the cost to them, which is the exact opposite of the purported goal of the bill, which is “To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.”

Update – 22 July 2009

The always awe-inspiring Catherine Austin Fitts has just written a piece that I sense is related to the health care reform initiative passing through Congress. As I mentioned above, the bill seeks to increase accessibility to vaccines. Moreover, the threat from [fill in the blank] flu is being hyped beyond all sanity in order to scare people into submitting to vaccination. Finally, I have long believed that there is a desire among the global elite to reduce the global population and that disease and/or “treatment” for such disease would be an ideal and concealed means by which to accomplish that goal. And as Ms. Fitts points out, if the depopulation process is carried out slowly, it can be profitable as people pay money in a vain quest for a remedy for their terminal disease.

While such a plan sounds utterly preposterous to normal people, the people running the world are by no means normal. They are psychopaths, pure and simple. They would exterminate their entire families without a shred of remorse if it would profit them in some way. Once one understands that fact, nefarious schemes such as described in Ms. Fitts’ piece aren’t so preposterous.

The End