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Sir,

I would like to better understand your read of this. In some ways your points of interpretation are completely the opposite from what I read. The language in the bill seems simple enough, but maybe I'm missing something. We'll use the example of rationing. Please excuse the numbers and word cutoffs, but I wanted to copy and past directly from the draft of the bill i read.

First mention I saw pertaining to Rationing: On page 28 of the draft I've read continuing to page 29:
24 In developing such recommendations, the Committee
25 shall take into account innovation in health care and
1 ensure that essential benefits coverage does not lead
2 to rationing of health care.

Pertaining to treatment of cancer and your arguments regarding rationing of their care: page 212

18 SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.
19 Section 1833(t) of the Social Security Act (42 U.S.C.
20 1395l(t)) is amended by adding at the end the following
21 new paragraph:
22 ‘‘(18) AUTHORIZATION OF ADJUSTMENT FOR
23 CANCER HOSPITALS.—
24 ‘‘(A) STUDY.—The Secretary shall conduct
25 a study to determine if, under the system under
1 this subsection, costs incurred by hospitals de
2
scribed in section 1886(d)(1)(B)(v) with respect
3 to ambulatory payment classification groups ex
4 ceed those costs incurred by other hospitals fur
5 nishing services under this subsection (as deter
6 mined appropriate by the Secretary).
7 ‘‘(B) AUTHORIZATION OF ADJUSTMENT.—
8 Insofar as the Secretary determines under sub9
paragraph (A) that costs incurred by hospitals
10 described in section 1886(d)(1)(B)(v) exceed
11 those costs incurred by other hospitals fur
12 nishing services under this subsection, the Sec
13 retary shall provide for an appropriate adjust
14 ment under paragraph (2)(E) to reflect those
15 higher costs effective for services furnished on
16 or after January 1, 2011.’’.

All this is saying is that they will monitor to ensure that hospitals that offer the same services will be compensated accordingly.

I really want to understand, from which specific lines (not your read-ins or comments) are you drawing rationing? The above are two sections you reference in making such arguments. It will help the credibility of your point and perhaps help others who may be similarly confused.

Best,
J


This is quite a detail and comprehensive posting on The House of Representatives Healthcare Bill HR3200. Thanks for all these information. It is really helpful.

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