Chronic Illness Patients and No Options to Survive: CBO of Senate #AHCA Defi

The CBO does not include the millions of high-cost or pre-existing conditions as the uninsurable forecast of 23M..
The CBO states, “that the funding available to help provide coverage for those high-cost services would be insufficient in some cases even if a special program was designed for that purpose. Therefore, the agencies expect that insurance coverage for high-cost services would become extremely expensive in those areas, as it was in some places before the enactment of the ACA in 2010. A state is required to have mechanisms to reduce the chance of such outcomes as part of its waiver program under current law, but would not be under this legislation.”….AHCA gives states that accept waivers 2 Billion Dollars. The CBO quotes,”…states can use the funds for purposes other than health care”. CUTTING EHBS includes non-treatment of chronic illness and more

Bear with me on this complicated and urgent subject. It is important to understand the #AHCA contents, key concepts, and how it will cause mass death. This is factual. PLease refer to the documents for the specific legislation, also linked below. This legislation will affect you and your loved ones. It is worth reading as I break it down to basic understanding of the consequences of AHCA that is in process of becoming law THIS WEEK.

The Senates #AHCA, as suspected causes far more damage than the Congressional #AHCA Bill, to EVERY American.

~~~Senate released the “HR1628 Better Care Reconciliation Act of 2017” {BCRA}, also called #trumpcare or the #AHCA, on Friday, 06/23/17. The CBO analysis released, 06/26/17. The horror of this legislation, it may become law by midweek.
What is the CBO?

The Congressional Budget Office, known as the “CBO” reports as a nonpartisan entity that provides long-term statistical data analysis for “congress”. Statistical data reports include cost benefits, analysis, estimates and deficits that range from agriculture, health care, taxes, veterans and more. Final legislation is typically driven by the CBO forecast.

CBOs Influence on #AHCA
**In the case of the HR1628 now known as the BCRA (#AHCA); the CBO Report analyzes past healthcare data, projecting current, proposed legislation and the financial overall (not inclusive) impact.
It seems that the CBO report is heavily weighted with many proposed bills, that will have any impact on the financial economy. Much like a home inspection is to a home seller. On a larger scale, that potentially affects significant population bases within the United States.

Summary of CBO (PRE-EXISTING CONDITIONS)

CBO of the BCRA
In a nutshell the CBO briefly addresses pre-existing, chronic illness,high-cost patients and treatments, or those that would use the protections of the Essential Healthcare Benefits (EHBs).

*However, the CBO does not include the millions of high-cost or pre-existing conditions as the uninsurables.
The CBO states, “that the funding available to help provide coverage for those high-cost services would be insufficient in some cases even if a special program was designed for that purpose. Therefore, the agencies expect that insurance coverage for high-cost services would become extremely expensive in those areas, as it was in some places before the enactment of the ACA in 2010. A state is required to have mechanisms to cut the chance of such outcomes as part of its waiver program under current law, but would not be under this legislation.”
No mention of how, or if, the chronically ill can or will be insurable or have access to care.Stunning. Petrifying.
CBO OF

CBO Reveals NO SOLUTION FOR PRE EXISTING CONDITIONS OR TREATMENTS “NO PROTECTIONS UNDER #AHCA”

As discussed EHBs, will be annihilated. If you haven’t already reviewed what cuts will happen when EHBs get tossed. Please become familiar ASAP, as these cuts are diabolical.
HERE! HERE! HERE! HERE!

Hits home with a lot of persons who were born with defective genes. Leaving our children behind as orphans is a real fear with #AHCA

CBO FACT 2:
The CBO data omitted
millions more as uninsurable by dismissing chronic illnesses and treatment in the last analysis. Perhaps, they have accepted the idea of the chronic illness patients fate? WE HAVE NOT.

CBO CONCLUDES: State Bribery to End EHBs

The last CBO result concludes 23 Million will be uninsured. As stated above, the last numbers are perhaps double, due to unknown omission of Pre-Existing Conditions. The data seems flawed. **Of significance #BCHA or #AHCA gives states that accept waivers 2 Billion Dollars. The CBO quotes,”…states can use the funds for purposes other than health care”. Reportedly, taking effect July 2017-July 2019.

The Catch

Keep in mind, when accepting waivers, states will drop EHBs, and other current health care protections. The ending of EHBs means treatment for chronic conditions, prescriptions, maternity, basic blood work, and more are also no longer covered by insurance.

States receive “pass thru funds” of 2 Billion to end EHBs in 17-19

Senate Legislation #AHCA Confirms: $2 BILLION for Pre-Meditated Murder:
Page 136

Senate #AHCA Bribes states with 2 Billion to drop or change EHBs 2017-2019

Republican Tactic:

*Smokescreen-as usual. Do not divert your attention for ANYTHING. Healthcare and lives are at stake.

*The CBO score gives Mitch McConnell TWO HUNDRED BILLION “extra cash” (by not including the chronic illness patients in their last data) to bribe the few Republicans to flip their moderate or potential no to a yes vote. It happened with the congress vote, and it will happen again.

*Ironically, McConnell (R) KY: His life was saved from polio, by government funding for his treatment and rehabilitation. He is one of the MAIN leaders of this death pact, 2nd to Paul Ryan.

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Mitch McConnell, Ringleader of the Death Spiral: Polio as a child, the government paid for his treatment and rehabilitation. His heart is damaged from the Polio, as killing millions of Americans he has no heart

More Cuts
There are MANY unjust and inhumane aspects of the BCRA (HR1628, #AHCA). Senate is determined to pass this atrocity as law, as I write this. The vast cuts range from qualified health plans (i.e., bare bone coverage) insane Medicaid cuts, employer-provided healthcare cuts, 58% actuaries (will define actuaries later), annual and lifetime limits, 5 times higher premiums for ages above 50, unlimited and uncapped premiums, deductibles and out-of-pocket expenses, elimination of cost-sharing, and the list goes on.

Fact: The Republican Party: Profit & Power: NOT PATIENTS

Kicking elderly out of nursing homes, children from Medicaid, disabled from access to medical care equals the exact amount, 33 Billion in TAX cuts for the wealthy

WHAT CAN YOU DO NOW?
We are running out of time, call, email, fax. Most importantly: Talk to your neighbor, family, friends, tell the, the facts. They will say, “I heard the opposite on the news, radio, internet, newspaper”. Redirect them to the facts. All legislation is on this site, and original sources cited. WORD Of MOUTH, In person, on the Phone (not texting). Sadly the technological world makes reality seem distant people need to actually understand facts, they do not understand the size as hitting them, until it’s to late. Again here are the contacts;

Call these Republican Staffers Right Away stop Senates #AHCA

CBO ANALYSIS OF SENATE AHCA BILL: Here

https://primaryimmunepatientsunited.com/cbo-analysis-senate-survival/
Don’t Be Fooled, Money Talks. Some of the Agencies, once the truth hit, have back paddled. BE SMART!
    REFLECTING
    Since trumps election I have continually pointed out the significance of #Cures, ACA, AHCA, EHBs, Here I Explain How #Cures led the groundwork for the current health-care crises. and more.

    While large organizations denied these facts to Chronic Illness Patients. See: HERE Am I surprised?
    After viewing republicans DENY cuts to Medicaid publicly; knowing they just sentenced children and the elderly to death. Yes, I believe it now.

    Sadly, after putting many of these pieces together and following the trail of money. I am not surprised by the actions of greed. An atrocity. They are all committed to Politics & Profit; not Patients. While innocent patients, who would do anything not to be sick, suffer. Our voices unheard.

cures-ugly-truth
Cures and the Ugly Truth
  • Status Quo and Status Quo Bias:

    The absolute definition of STATUS QUO; Patients that BELIEVE the current health care situation is *better than any change, therefore they refuse to accept truth, or facts–Even-when their life depends upon fact. They refuse to accept an alternative, the facts. If one attempts to present the facts, and disrupt their current world of life with the “status-quo”; they in fact, respond with vengeance, down playing and ostracize. This defines the status quo bias.

    Here we are, the week that we may see the end to life as we knew it on s federal level…AS A LAW. Continue reading “Chronic Illness Patients and No Options to Survive: CBO of Senate #AHCA Defi”

  • Cost Sharing Defined: Who Gets Left Behind

    Cost sharing and medicare

    Medicare Patients & the catch 22 if you have a chronic illness
    Define Cost Sharing: Because BIOLOGICS (blood products) are NOT generics

    CLICK HERE FOR MORE INFORMATION

    Decephiring #Cures 2: A Formal Summary, and Solution. Take Action.

    Keep Infusions at Home, take action! Summary, proposed solutions, and the Appeal of the ACA by Senate.

    The National Home Infusion Association (NHIA), a patient focused organization, disagreed with #Cures Legislation from conception.  The Summary of the effect of Cures, released 01/11/17, is below. The NHIA has proposed a method to “fix” the current #Cures law. The NHIA has launched a campaign to KEEP INFUSIONS AT HOME. Also, a comprehensive website developed for the coalition to fix #Cures (known as the ASP, to us) is located at (bookmark and save the below link):

    REIMBURSEMENT & PART B DME COVERAGE OF HOME INFUSION SERVICES AND ENSURE A SERVICES AND SUPPLIES PAYMENT FOR PART D INFUSION DRUGS

    The NHIA has Launched Sign-On Coalition Letter to Fix ASP Reimbursement Gaps, and are supported by a variety of organizations. I urge patients, caregiver, and any interested party, to sign, advocate, and become involved. The deadline to sign the Coalition against ASP is January 24, 2017. FInd the link to sign below:

    Take Action

    For Individuals: Help us fix a law that is changing life for patients across America.

    The following is a Summary, from the NHIA about how Cures, will affect the population of PI patients, that infuse via SCIG:

    img_2919

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    The following is published on the NHIAs website. For ease of understanding, Specialty Pharmacy News,  spoke to NHIA about the ASP Reimbursement (Cures, Sections 5004; 5012) and summarizes how Cures will affect patients who infuse SCIG:

    NHIA Launches Sign-On Coalition Letter to Fix ASP Reimbursement Gap:

     

    This blog post  identifies how to understand and “fix” the #cures act. Remember, when CMS (Medicare) changes policies, health insurance plans ALL follow suit.

    ⌛️Of recent significance, is the Approval by Senate, on 1/11/17, to repeal ACA. The repeal of the ACA is a certainty that our country, and the health of our citizens are moving in the wrong direction. The effects of  repealing  ACA (Obama care) are significant, specifically those with chronic and rare diseases. It IS  important that each citizen, patient, and loved one, who values their life;  Keep abreast of the current political changes that are being made in Washington. It may be easier, to ignore, these travesties. Or believe hearsay, propaganda and the like, which is EXACTLY how the United States has seen the very quick decline with our economics, our political leaders, our health care situation, and every single aspect since 11//2016. PROPAGANDA.  Ignoring these changes, will certainly make living, a healthy life, harder for ourselves, and our loved ones. We, as a nation, and a community, must continue to educate one another. Keep Informed and TAKE ACTION.

    The consequences of repealing the ACA, are disastrous for ALL citizens. Contrary, to what many felt an unnecessary financial burden. The ACA provided protection for the citizen. Once, the repeal of the ACA, passes Congress: the ACA will almost no longer exist. There are many rumors flying around, and most “informational” support groups, are banning the patients from speaking.   One thing is certain, and the law,  Senate approved the repeal on 01/11/17, and the Repeal was approved by a simple majority vote. Once the House approves the measure, rumored as early as next week, a repeal legislation will be drafted, both Houses vote on it, its repeal passes-or fails-by simple majority vote, and onto trump. However, this repeal  of ACA does have limitations.

    ***Update: The ACA Repeal was approved by the Congress on 01/13/17.

    ?There has been a new BILL INTRODUCED BY Sen. TED CRUZ (R-TX) on 01/12/16 to DISMANTLE the ACA entirely, co-sponsored by Sen. Lee, Mike (R-UT), Sen. Rubio, Marco (R-Fl), and Sen. Paul, Rand (R-KY):  S.106

    “A bill to repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 entirely”

    Click here for updates: https://www.congress.gov/bill/115th-congress/senate-bill/106/all-info?r=12#cosponsors

    Voice your criticisms NOW to HALT the complete demolition of the ACA:Obama care. Preexisting conditions, life-time maximums, unlimited OOPs determined by Insurers, and UNINSURABLE Status will become effective.

     

     

     

     

    What can we expect?

    WHEN the ACA DIES, so do *most-ALL if (S. 106 passes) of the provisions set within the ACA that  protect the patient. Potentially, this blog may address the ACA repeal. Ultimately, contacting your state legislature is the only option, that is absolutely needed at this moment.

    Congress.gov is a resource to use to gauge and check the current bills and legislation activities.  It IS a wise idea that one contact via email, phone, or snail mail their political leaders of your state, and let them hear your voice, opinions, and stories.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Sources and Attribution:
    http://docs.house.gov/billsthisweek/20150706/CPRT-114-HPRT-RU00-HR6.pdf

    Over 700 Groups Stand Behind #Cures2015: https://energycommerce.house.gov/news/press-release/over-700-groups-stand-behind-cures2015/

    Having any Problems with a Specialty Pharmacy (or otherwise) and on Medicare? Are they demanding payment, supplies, IGG, having you sign a form quaranteeing payment or anything related to an SCIG Infusion? Re: immunoglobulin replacement therapy (IGG) via subcutaneous (SCIG)

    difficulties related to billing, supplies, medications, or more, in regard to replacement immunoglobulin therapy

    Report any problems if you are On Medicare with a rare disease, need immunoglobulin replacement therapy, igg via subcutaneous (scig)
    Report any problems if you are On Medicare with a rare disease, need immunoglobulin replacement therapy, igg via subcutaneous (scig) click on the link below ⬇️⬇️

    If experiencing any difficulties related to billing, supplies, medications, or more, in regard to replacement immunoglobulin therapy. Report the difficulty below

    Source: Having any Problems with a Specialty Pharmacy (or otherwise)? With demand of payment, supplies, IGG, or anything related to an SCIG Infusion?

    Update on CMS re: DME (Infusion Pumps, supplies) per #cures

    I Published the information, regarding Policy Article A52507 in reference to CMS billing, codes, payment criteria, and general information of Infusion related DMEs and medication on 12/28/16. Since…

    Source: Update on CMS re: DME (Infusion Pumps, supplies) per #cures

    Sources and Attribution:
    http://docs.house.gov/billsthisweek/20150706/CPRT-114-HPRT-RU00-HR6.pdf

    Over 700 Groups Stand Behind #Cures2015: https://energycommerce.house.gov/news/press-release/over-700-groups-stand-behind-cures2015/