Our Lady of Soccorso
DEALERS IN ILLUSION
March 9th 2016 @ 7:30 pm

Camille Giglio, Legislative Analyst
March 9, 2016.

On Sunday, 2/28/16, my local California newspaper, the Contra Costa Times (Bay Area News Group) carried a commentary by Arthur J. Breischneider, owner and operator of several Bay area managed care facilities called Seniorly. He was promoting managed care for everyone, declaring that everybody needs a caretaker, even the caretakers need caretakers and he had just the organization to provide that need. The article was basically a promotional piece for government funded and managed care, but he was given space on the commentary page to make it look like he had something worthwhile to say.(1)

He did his best, in this article to make you feel bad if you aren’t taking care of someone else. He also made you feel like a victim because the job of care-giving is burdensome requiring a great deal of of your time and energy.

And, yes, providing care for home-bound persons, is one of today’s workforce development programs. The government has realized that it must demonstrate to the taxpaying public that it seeks to economize somewhere and also recognizes that it is less expensive to provide low-level, government trained assistance that will keep the patient at home rather than in an expensive facility or in and out of emergency rooms.

In other words, You shouldn’t really be the one caring for your family member because that takes you out of the taxpaying category if you remain at home providing care. You should be bringing in a caregiver for Mom and taking advantage of the respite services that the government has provided for you, at taxpayer expense of course.

Regarding Mr. Breischneider. This isn’t concern for you or your family member’s welfare, it’s workforce development and extra money in his pocket and extra money going to the state in the form of taxes that these insurers are going to have to pay now. http://www.contracostatimes.com/opinion/ci_29563106/guest-commentary-taking-care-yourself-when-youre-taking.

Where, you ask, will this extra money come from?  The state’s legislators just voted in special session and the Governor signed, a huge new health care bill ; SB2b, by Ed Hernandez (D-L. A.) and AB1b by Asm Tony Thurmond, (D-Richmond). Changing the method of and amount of taxes Managed Care Organizations, ( think Metlife, Kaiser, Blue Shield, Blue Cross, any HMO) will have to begin paying retroactively to the government. This requires every Managed Care organization in the state to be taxed at a rate of 8.84%, a figure used by the state Department of Health Care, rather than the 3.9% charged under the Knox-Keene Act.

Currently MCO’s that accepted Medi-Cal patients were taxed on their profits at the higher rate and those which did not were taxed at the lower rate. However, those that paid the higher rate also got reimbursed from the feds at a higher rate thereby making the other MCO’s somewhat jealous. Now, thanks to a 2004 court case, Myers v State Board of Equalization, brought by a public interest non-profit called Foundation for Taxpayer and Consumer Rights, they will all be taxed at the higher rate but will also be required to pay this higher rate retroactively in the amount of $10.5 Billion. Also, the tax to be paid by all the MCO’s will be based on number of clients rather than on profits. The more clients the more taxes collected. (1)

Some Republicans voted, in the recent and still active special session on health care, for the expanded taxation required by both the Hernandez bill, SB2b and the Thurmond bill AB1b, thereby allowing the state to realize a new source of funds - of $1.3 billion yearly in federal matching funds which will go into the General Fund.

If the state had not created this new taxing schedule, Republicans whimpered, the feds, through this lawsuit, would have been able to keep $1.3 Billion of California taxpayer dollars to itself rather than returning it to the state. In other words by framing it as a benefit to the taxpayer the feds were able to get the state to agree to collect more taxes for the feds and themselves while the taxpayers foot the bill for everything. (2)

For the sake of Public appearance the Republicans negotiated a spending plan for this $1.3 billion: paying down the unfunded mandates, some disability payments, nursing home reimbursement and salary increases. Already some Democrats are considering bills to raise salaries for their special interest pals.

This article was titled Dealers in Illusion to make a point. Next time you read an article about health care and the government struggling to find ways to contain costs, remember that it is probably you, the taxpayer, who is actually paying more in taxes for a reduced amount of care or concern about patients. It’s all about finances and how the government can get more of your money without disturbing your tranquility or realization that you are being had, once again.

Fox TV news played a clip from a campaign talk given by Bernie Sanders recently. He was, apparently asked by a member of the audience why everybody needed (government provided) health care. Bernie’s answer was: “ because we are all human beings.”  Behind that nice sounding statement lurks the hard reality of who is going to pay for all the things that Bernie and friends think are due to us (or forced upon us) simply because we are all human beings? That’s pure Socialism.

Bernie and Hillary and even Donald all want us to also have abortions and euthanasia which we are paying for ourselves with increased taxes. And they want your money to pay for everybody else to have these things as well…just because we are human beings. And, they want Social Workers appointed to every body from birth to death. They want children under government scrutiny along with their parents, from birth. They want the government to use education to plan everyone’s life path, job placement and housing placement…just because we are human beings. And, they have to find ways to sell us these ideas so that we will quietly accept and pay for our own enslavement.

And, now, we learn of a House Resolution, Hres 552, asking approval for funding the training of Health Coaches. (See definition in footnotes). Now the Government has succeeded in raising the ridiculous to the heights of honor. We can all become busy bodies. (4)

FOOTNOTES.

  1. Seniorly, We strongly believe that there is a community out there for everyone at every step in life. https://www.seniorly.com/about/
     
  2. The Foundation for Taxpayer and Consumer Rights, according to its website, changed its name to Consumer Watchdog.org. This group’s main objective, it would seem, is suing the government regarding health care insurance and other issues. In 2004 it provided its legal services to a group suing the Los Angeles Dept of Educaton on the grounds regarding a lack of sufficient services to school children with Autism.  http://www.consumerwatchdog.org/about/
     
  3. SB2b, Ed Hernandez, Medi-Cal managed care organization tax:
                            SUMMARY:
     
  4. Imposes a three-year managed care organization provider tax (MCO tax) on health plans, with different taxing tiers and based on enrollment assessed during a base year period of October 1, 2014 through September 30, 2015. Continuously appropriates funds from the MCO tax for purposes of funding the nonfederal share of Medi-Cal managed care rates. Reduces the amount of the Corporate or Gross Premium taxes that specified health plans and insurers are required to pay for the three years of the MCO tax assessment. Sunsets these provisions June 30, 2020.

    If the state would not cooperate with the federal mandate to change its MCO taxing schedule the feds would retain $1.3 billion in matching funds, funds which California taxpayers had paid. It would simply be divided up amongst other states.

    The Myers v Brd of Equalization Decision declared that the state owed the federal government $10.5 billion retroactively because they had been taxing Medi-Cal insurers at the lower Knox-Keene rate of  3.9% on total revenue.  Under the new ruling all insurers will be charged the same rate of 8.84% based on number of insured, not on profits. Senate Committee On Public Health and Developmental Services, 2/10/2016
     

  5. Laws Relating to Health Care Plan in California , Department of Managed Health Care. http://wpso.dmhc.ca.gov/regulations/.
     
  6. Dr. Sears Wellness Institute. WHAT IS A HEALTH COACH?

    A Certified Health Coach helps others achieve their health and wellness goals by providing science-based, trusted information, positive encouragement, and continued motivation. In 2007 world-renowned Dr. Sears and a team of experts developed a Health Coach Training that provides the education and tools to help make a positive difference in the lives of others. The    training is based on the four pillars of health: Lifestyle, Exercise, Attitude and Nutrition.

https://www.drsearswellnessinstitute.org/health-coach-certification/?
utm_source=bing&utm_medium=cpc&utm_campaign=2012%2520Health
%2520Coach&utm_term=health%2520coaching&utm_content=Health%2520Coach

-Camille
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Take away God, all respect for civil laws, all regard for even the most necessary institutions disappears; justice is scouted; the very liberty that belongs to the law of nature is trodden underfoot; and men go so far as to destroy the very structure of the family, which is the first and firmest foundation of the social structure.
- St. Pius X, Jucunda Sane, March 12, 1904