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Page 58 of Health Care Bill: National ID Health Card
Page 58 of the Health Care Bill, HR 3200, has been charged by republicans as allowing real-time access to individual's finances and mandatory National ID health cards. The section of the health reform bill, HR 3200, which has created the controversy reads below:
'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'
The left has responded to page 58 accusations, by saying the health plans must determine your financial responsibility before you are issued an insurance plan. They also mention that anyone with health insurance has an insurance card.
IT SAYS THAT THE HEALTH PLANS IN THE EXCHANGE SHOULD BE ABLE TO DETERMINE YOUR FINANCIAL RESPONSIBILITY BEFORE THEY ISSUE YOU AN INSURANCE PLAN. YOU ALREADY HAVE ID CARDS IF YOU HAVE PRIVATE INSURANCE
Page 58: Every person will be issued a National ID Healthcard. Barely True: Section 163 sets out goals for electronic health records. It says one goal should be real-time confirmation of which services a person qualifies for and how much they will have to pay. That could be achieved by machine-readable beneficiary cards, according to the legislative language. But the legislation does not require the cards.
The recent dispute is from a long string of complaints to a chain email raising concerns about the health care bill, most notably Page 425, which dealt with the choice of life sustaining treatments for patients.
Most Recommended Comment
Recommendations (14)
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francislholland
Brazil -
Roy C
Vancouver, Washington, United States -
Rhonda J Mangus
North Tonawanda, New York, United States


Most RecentMost Recommended Comments (7)
at 10:12 on August 6th, 2009
I agree with the idea of a national health care card. I had one when I lived in France, and now I have one while I live in Brazil. It is a tremendous waste of our nation's medical professional resources for a nurse to do a new intake form for every visit to a new doctor, when that information could easily be stored and brought up on a computer screen, just like we do at banks and with our cars at Midas Muffler.
However, the MOTIVE for this card - determining an individual's financial responsibility - is strictly prohibited by law in Brazil, where Government health workers at Government clinics and hospitals are forbidden from asking for payment for services provided. In the private market in Brazil, such a card is already used to cut down intake time, determine which tests have already been done and what they results were.
In France, the Carte Vitale allows health professionals to bring up the patient's information on any computer and determine how much the co-pay should be, what tests have already been done and what the results were.
People who oppose keeping medical records on a computer should instead keep all of their medical records in their wallet, including X-rays, and old vials of urine. The absolute waste that comes from starting from scratch at every medical visit is waste that ALL OF US have to pay for. We pay for it with higher premiums and we pay for it with a chaotic system that can't afford medical care for everyone because it wastes so much time searching drawers and wastebaskets for the medical records of the few who have medical insurance.
at 10:26 on August 6th, 2009
And moreover, if you don't want your information recorded on a centralized computer, then:
In other words, forget about privacy that comes from avoiding digital databases. That toothpaste has been out of the tube for decades. The only question is whether we're as willing to use digitalized information to maintain our health as we are willing to use it to maintain the mufflers and brake shoes in our cars, and our voting privileges. I think staying healthy and rapid access to medical information in an emegency is at least as important as all f the other reasons we allow our information to be digitized and readily accessible.
at 13:24 on August 8th, 2009
I love it! "Forget about privacy that comes from avoiding digital databases"...
[/start sarcasm]Yeah, no one has the right to preferences of their privacy (especially in America, huh!), even if it is only specific preferences when it comes to healthcare records [/end sarcasm] I'm actually all for having my records digitized for better service, lower costs, etc. What I'm not for is forcing my fellow countrymen to do the same, as it's a right of privacy.
Is it 451 degrees out here yet, or should I start burning the books myself?
There are PLENTY of ways to go about making healthcare better for us all, and a complete government lockdown and stranglehold of it is not the answer. Free market hasn't been allowed to run in current healthcare options (due to healthcare insurance lobbyists AND government intervention against free market practices), and if it was allowed then many of the problems we would be having wouldn't be. In fact, many politicians (both Republican and Democrat) have voted down legislation that would ease healthcare costs in many ways the current proposed legislation lists WITHOUT the integration of government control on the free market. That leaves one excuse for the current legislation, which is to grab power.
at 13:58 on August 9th, 2009
"enable the real-time (or near real-time) determination of an individual’s financial responsibility at the point of service..."
HHMMMmm...how is that determined? Bank account access?
I don't give a hoot if Sears keeps track of oil changes (although we have a 1984 truck and do all that ourselves) or if the grocery keeps track of my purchases so they can send me coupons, what I do have a problem with is personal info (health,bank business) on a card. They wanted to do something like this with a national ID card after 9/11 and I wasn't for that either.
The only thing I have on the above list is a social security card and I don't like the idea of that either. I have nothing to hide, but that is the whole point, stop putting your numbers and trackers on me and snooping. We try to fly under the radar because we believe people should leave each other the hell alone. We do not order pizza,take our truck to be serviced,I do not drive although the old man does,we do not travel, we pay cash for what we can afford, know a trade so never needed college, do not, and will not ,vote until there is someone worth voting for (yea Ron Paul!) do not participate in the census (boo Acorn and the ones who will hire them to be census takers) . I believe in small goverment, VERY small. Seems just about every program they are in charge of is rife with fraud, greed and screws the public.
I will decide who I let in my front door, my life and my caboose.
at 12:46 on August 12th, 2009
Drivers license doesn't require proof of ability to pay registration. Riding a bus doesn't require ID. Sears keeping a record of your oil changes is hardly a privacy issue (they don't have access to your checking account) and not to be too obvious about this but you have a choice to do business with the type of companies that conduct themselves the way you see fit. Be it pizzerias and mechanics that don't keep track of your info or ones that do. Also, i might be dating myself here but since when does applying for college require submitting information to a national database? Don't forget that if you don't want to participate in healthcare, well you'll get hit with a tax that's the same rate(but govt. isn't forcing anyone, it's not single payer).
at 23:39 on August 12th, 2009
Once again, since when has France and Brazil been the example for the rest of the world when it comes to health care? Great places to visit, but I would much prefer my options here in the U.S. Last time I had to get treated in an emergency room, (for real) no one was asking me for my insurance card, pre-payment, check book, or checking account number. I got the care I needed, immediately.
Francislholland wrote: "...determining an individual's financial responsibility - is strictly prohibited by law in Brazil, where Government health workers at Government clinics and hospitals are forbidden from asking for payment for services provided"
Since when did a "law" prevent people from asking for an "illegal payment" or prevent them from looking at anyones private records. I don't want any minions in any doctor's office or clinic able to call up my financial records, those of my wife and my children. I have enough trouble keeping my private information private, now, without having a million plus additional bureacrats and government health care workers in cubicles able to access my life story.
at 13:00 on October 28th, 2009
Awesome. Then maybe you also agree with pages 1000-1006 of HR3200 on the implementation of a National Tracking Registry for Class 2 Medical Implantable devices?? Are you aware that R.F.I.D. human implantable chips were classified by the F.D.A. in 2005 as "Class 2 Medical Devices"? Tommy Thompson was Secretary of Health and Human Resources when this was pushed through. Ironically, he is now a large shareholder in Verichip. Verichip.org Refuse to be chipped.