posted on Sep, 25 2013 @ 06:06 PM
So what can we expect after whatever the US Senate votes regarding Obamacare? The logistics and subsequent foaming at the mouths of the New Insurance
regimes, will be the most dangerous part of this Agenda21 style wealth redistribution and health fraud initiative.
Will New Laws in States with Federally Run Health Insurance Marketplaces Hinder Outreach?
This fall, under the Affordable Care Act, there will be new marketplaces in each state where insurance companies will sell private health plans.
People without job-based affordable health benefits can go to these new marketplaces either in person, by phone, or on the Internet and choose a
This means that consumer outreach and enrollment assistance in the marketplaces, also known as exchanges, will be vital to achieving one of the law's
core purposes: substantially reducing the number of people without health insurance in the United States. To help with outreach and enrollment, the
law requires that every state marketplace establish a "navigator" program to support consumers.
Ok, so this sounds 'helpful' right? Nothing is too good for the American people and their informed choices
under this new legislation. But
The Department of Health and Human Services recently released proposed rules that provide additional guidance on standards for the navigator
programs, particularly for the 33 states that have decided to allow the federal government to operate their exchange.
What is a navigator? Under the Affordable Care Act, navigators must perform the following key functions:
* conduct public education activities;
*distribute fair and impartial information on health plan enrollment, premium tax credits, and free or low-cost *coverage through Medicaid;
* facilitate enrollment in qualified health plans;
* provide referrals to other consumer assistance organizations or state agencies that address health insurance issues; and
* provide information in a culturally and linguistically appropriate manner.
Again, sounds like "Help is on the Way" however...
Navigators may be self-employed individuals or organizations as diverse as trade, industry, and professional associations, chambers of commerce,
and ranching and farming organizations. Each state must include at least one community and consumer-focused nonprofit group as a navigator.
Did that just say Chambers of Commerce? Since when did community mixers become responsible parties in this wealth redistribution, oops I mean
healthcare initiative and responsibility? Agenda 21?
Big Agriculture such as the slaughter, meat industries? Really? I never figured they were interested in helping people with affordable healthcare and
finding the best program for their needs? And making sure that everyone including non English speaking citizens get the right program for their
futures as well with informative and linguistically trained representatives.
So how do these community and commerce based Navigators/Commandant's expect to accomplish all of this without failing the stringent protocols
expected of them and to ensure their security against any and all lawsuits for misjudged or inappropriate actions and or advice?
Some requirements may prevent the application of the federal navigator program. A state law that prohibits navigators from offering advice
about the benefits, terms, and features of a particular health benefit plan could prevent a navigator from facilitating enrollment and helping
individuals make informed decisions, as required under federal law.
For example, would state restrictions prohibit a navigator from "advising" a consumer with HIV about which plans cover certain antiretroviral drugs
or "recommending" that a consumer consider plans that includes her providers in its network?
Stringent standards could be a barrier for respected community-based organizations—such as agricultural extension centers, churches, and
safety-net health care providers—that want to serve as navigators for underserved communities, including those whose primary language is not
English, those who live in remote areas, and the uninsured.
Many of these laws require the state's insurance department to further define navigator requirements in regulations. Because many states have not
yet issued regulations, potential navigators may be unable to comply with state requirements ahead of open enrollment in October 2013, potentially
leaving a state without a navigator program.
As October 1 approaches, stakeholders are focused on the need to inform and educate millions of consumers who will be eligible for expanded
coverage options. While all would agree that navigators must be held to high standards to ensure that consumers are protected, uncertainty remains
regarding how state and federal regulators will interpret critical terms such as "advise" and "recommend." This uncertainty could result in confusion
and, potentially, litigation to determine whether state navigator requirements are preempted by federal law. To avoid confusion and delays or limits
to implementation of effective navigator programs in each state, additional federal guidance on the scope of state-specific navigator requirements
could be helpful as stakeholders prepare to help people get needed and affordable coverage.
Since this is ATS and we still have the ability to say it like it is, this whole situation reeks of agenda 21 imho.
I am more than concerned for the baby boomers first, and then for the generations proceeding them, their families and neighborhoods as the Government
continues to place them in a vice of control and poverty. Today it is Health, tomorrow it is Food and shelter. One step at a time the Orwellian
future continues to look like a reality.