Doctors and Healthcare Professionals
• Pay squeeze: Creates greater dependence upon shrinking government Medicare/Medicaid reimbursements. The bill does nothing to stop recent reimbursement cuts.
• More regulations: Dozens of additional government forms and regulations to follow.
Small Businesses (50 employees or more)
• $2,000 per-employee fine: Companies will be fined for not offering health insurance by 2014. (Section 1513)
• $3,000 fine: Employers must subsidize health insurance for employees who earn up to 400 percent of the poverty level. Employers who fail to do so will be fined $3,000 per incident. (Section 1513)
• File more reports to the federal government: Companies must detail the coverage they offer. (Section 1514)
• Menu nutritional labeling: All restaurants (not just those with at least 50 employees) and vending machines will have to provide nutritional information. (Section 4205)
• Federal manipulation of the insurance market: Federal officials will “make recommendations, as appropriate, to the State Exchange about whether particular health insurance issuers should be excluded from participation in the Exchange based on a pattern or practice of excessive or unjustified premium increases.” (Section 2794)
• Require government approval before increasing premiums: The law “shall require health insurance issuers to submit to the Secretary and the relevant State a justification for an unreasonable premium increase prior to the implementation of the increase.” (Section 1003)
• Sets executive salaries: Determines maximum salary of $500,000 per year beginning in 2012. (Section 9014)
Individuals and Families
• Meddling in your home: Billions of dollars fund new programs for “home visitation” and other grant-created agencies designed to manage your and your children’s weight, eating habits, exercise routine, and other lifestyle habits — all in the name of controlling healthcare costs to the federal government.
• Fine for noncompliance: By 2016, those who don’t purchase government-approved private health insurance will be assessed $750 on their income tax. (Section 5000A)
• Higher private health insurance premiums: As the financial squeeze is put on doctors and insurers owing to losses on Medicare/Medicaid patients, the costs for other patients can be expected to rise. Should government respond by requiring below-market reimbursements for all patients, an exodus of qualified doctors will occur and rationing of healthcare services can be expected.
• Medicare/Medicaid patients may have more trouble seeing the doctors of their choice: How can it be otherwise when doctors are forced to accept below-market reimbursements for Medicare/Medicaid patients?