-Caveat Lector-

 From: Eagle Forum <[EMAIL PROTECTED]>
 Date: Thu, 08 Apr 1999
 Subj: Clintonites Close In On Our Medical Records


 Clintonites Close In On Our Medical Records

 April 7, 1999                             by:  Phyllis Schlafly

 While the American people were trying to kill the FDIC Know Your
 Customer plan to monitor our financial records, the Clintonites
 have been moving steadily and craftily to grab access to our health
 records. Just as local bankers were to have been coopted to spy on
 our bank accounts, the Administration is using two groups, home
 health providers and senior citizens, to spy on our medical records
 and forward all sorts of personal data to government databases.

 The pretext for these overreaching regulations is to uncover
 "fraud and abuse." But the methodology is to monitor all
 law-abiding citizens under the supposition that any of us
 might be doing something criminal.

 The new regulation to force 9,000 home health care agencies to
 collect and report sensitive information about all their patients
 was issued by the powerful federal agency called HCFA (Health Care
 Financing Administration). OASIS (Outcome and Assessment
 Information Set) is the cutesy name for this latest venture into
 Big Brotherism.

 Under OASIS, home health providers must interrogate ALL their
 patients, not merely those whose bills are being paid by the
 government through Medicare or Medicaid, exempting only children
 under age 18 and pre- and post-natal mothers. The government is
 thus reaching out to grab the medical records of patients whose
 medical bills are paid by private sources, i.e., not paid by the
 government.

 The 12-page fine-print form that home health care providers must
 fill out on each patient is extraordinarily detailed, offensively
 privacy-invading to the patient, and obviously exhausting and
 time-consuming for the employee conducting the interrogation.
 Curiously, this mandatory government form carries a copyright
 notice on every page, probably to prevent commentators like me
 from making copies and alerting the public to this new evidence
 of the Clintonites' efforts to collect information that is none of
 the government's business.

 The questionnaire isn't just about medical history, treatment and
 medications. Questions must be answered on race, ethnicity, family,
 whether you own or rent your residence, whom you live with, your
 finances, and your psychological attitude and behavior, of course,
 all tied into your Social Security number.

 There's much more. The questionnaire demands information on your
 mental state, your depression, your tobacco and alcohol use, your
 obesity, your bathing and eating practices, and your lack of
 motivation, unrealistic expectations, indecisiveness, suicide
 attempts, and life expectancy. The form asks if you make grammar
 mistakes, or use "excessive profanity" or "sexual references," and
 it has 53 boxes to be filled out on toilet and "elimination"
 performance.

 The home health care interrogator is instructed how to win the
 patient's trust before asking these nosy questions. If the patient
 refuses to answer any questions, the home health care employee is
 told to insert his own "observations."

 There is no provision for voluntary informed consent on the part of
 the patient, or that he be told that his responses will be logged
 onto government databases. Home health providers must obey HCFA
 directives under penalty of not getting paid for their Medicare
 patients.

 These forms must be filled out every time a home health care
 provider enrolls a new patient, and then revised every 60 days.
 Data are sent electronically to computers at state agencies and
 then to HCFA's database.

 It was the 1996 Kennedy- Kassebaum Act (which Bob Dole bragged
 about passing) that legislated the framework for a federal system
 of collecting and sharing medical records identified by a unique
 number for each patient. The OASIS regulation is another step to
 implement one of the original goals of Clinton's 1994 nationalized
 health plan: global budgeting, i.e. government management of all
 private, as well as public, health-care spending.

 When grassroots Americans found out about the Know Your Customer
 Regulation, they flooded the FDIC with 300,000 negative comments
 over a three-month comment period. But the comment period for the
 OASIS regulation expired March 26, and major newspapers didn't
 report it until 15 days before the deadline.

 The Clinton Administration's other campaign to gather medical
 records is a plan to recruit all senior citizens to spy on their
 own physicians with the goal of accusing them of fraud. Attorney
 General Janet Reno has made a public-private partnership with AARP
 to offer senior citizens the chance to collect a reward of up to
 $1000 if they file a report that leads to a monetary "recovery"
 from their doctor.

 If a senior suspects that his doctor has billed Medicare too much
 for a service rendered, the senior is supposed to call the
 toll-free "Fraud Hotline'' and report the doctor as a possible
 thief and crook.

 The harassment potential is enormous when 39 million seniors start
 trying to collect a bonus if the doctor's office enters the wrong
 payment code number on a Medicare form. It is probable that most
 seniors believe that everything they buy is overpriced because they
 grew up at a time when prices were so much lower.

 What a malicious scheme to harass doctors and destroy any
 confidential relationship between doctors and patients!


                                Phyllis Schlafly column 4-07-99

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