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More govt control


Posted: Jul 17, 2010

The feds are gonna start monitoring people and their weight.  The Health and Human Services announced this week that under the stimulus law, health care providers must establish "meaningful use" of electronic health records to qualify for federal subsidies or risk seeing their Medicare and Medicaid payments slashed.  The electronic health records must include Americans' body mass index, or BMI, height and weight.

Our president is a smoker..so that is rich coming from him...... and some alcoholics and drug addicts receive disability and welfare money, but the administration is going after obese people and is threatening to cut Medicare and Medicaid payments?  What next? 

Dear Mr. President, stay out of my personal life.  I pay my taxes, which is better than I can say for some of your fellow politicians, so butt out!!! 

;

Let's see here - sm

[ In Reply To ..]
First we had take over of the car industry. Now we have takeover of student loans, wall street, and health care. Did I miss anything? Is there anything left?

Could you provide a link to this? I've had news on - all morning and have not heard this. nm

[ In Reply To ..]
x

BMI on electronic records by 2014 - sm

[ In Reply To ..]
Government Wants Your Individual Obesity Rating By 2014
Submitted by KC Kelly Ph.D. on 2010-07-16
All Americans, by 2014 will be required to have an individual obesity rating electronically recorded. It has been determined that under the new health stimulus law passed by President Barack Obama recently, that all Americans, by 2014, will be required to have electronic health records which will include their height, weight and body mass index (BMI).

BMI is a formula that calculates ones body measurements, including height and weight, in order to come up with an individual obesity rating. Calculation of BMI is the preferred method of the Centers for Disease Control and Prevention (CDC) for measuring obesity and coming up with an obesity rating, which is the measure of a personâs body fat percentage.

Regina Benjamin, the U.S. Surgeon Genera stated that according to the CDC, âBMI provides a reliable indicator of body fatness for most people and is used to screen for weight categories that may lead to health problems.â

America has been criticized for being a nation that actually promotes obesity and hence leads American's to have health issues. The new health regulation also stipulates that the electronic records, including BMI will be able to quickly send individual health records as public health data to state and federal health agencies such as the HHS and the CDC.

The new obesity-rating regulation will be enforced in every American's electronic health record. The regulation states that it must, âCalculate body mass index. Automatically calculate and display body mass index (BMI) based on a patientâs height and weight.â In addition, these electronic health records will be available for viewing on a national exchange. Seems a bit invasive, say many, but there will be security measures in place on these electronic records to try to help with privacy.

The 2009 economic stimulus law, already in place, has made some additions. The most major; this new regulation and requirement for obesity ratings within electronic records. This is the government's first step towards adopting a new universal requirement for electronic health records (EHRs) by 2014.

Secretary Kathleen Sebelius and Dr. David Blumenthal, the National Coordinator for Health Information Technology for Health and Human Services (HHS), shared on Tuesday that under the stimulus law, health care providers, including doctors and hospitals, must establish "meaningful use" of EHRs by 2014 in order to qualify for federal subsidies. If they do not comply, they will risk getting penalized in the form of diminished Medicare and Medicaid payments.

As outlined in Section 3001 of the stimulus law, it reads, "The National Coordinator shall, in consultation with other appropriate Federal agencies (including the National Institute of Standards and Technology), update the Federal Health IT Strategic Plan (developed as of June 3, 2008) to include specific objectives, milestones, and metrics with respect to the following: (i) The electronic exchange and use of health information and the enterprise integration of such information.ââ(ii) The utilization of an electronic health record for each person in the United States by 2014."

http://www.huliq.com/10017/government-wants-your-individual-obesity-rating-2014

http://www.foxnews.com/politics/2010/07/17/feds-monitor-obesity-white-house-promotes-obama-cook-senior-position/

I can't seem to confirm it on a non-right wing site. - sm

[ In Reply To ..]
Every site I found mention of it on is either a right-wing site (or repeated elsewhere with a link to the right-wing site). I can't even find note of it in the Washington Post or in the WSJ, traditional bastions of the GOP message.

None of the mainstream sites seem to have mention of it. Should I assume that ABC, NBC, CBS, and CNN are all in collusion to keep this from the American people?
What a surprise! LOL. (nm) - Nikki
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:-)
But its true...and the left doesnt want to advertise this. - Not a good "selling point" for them.nm
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nm
Then please provide a non-right wing (sm) - Nikki
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site to corroborate this. Until I see that, then I won't believe it's true.
So, you are SO biased that you only believe left-wing - reports? uh huh..what I thought.nm
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nm
This is from an NBC station posted on youtube - BMI on EMR
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http://www.youtube.com/watch?v=DG7tyqb2_ks&feature=youtube_gdata
Thank you. (nm) - Nikki
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:-)

I posted some info and sites to check - Backwards Typist

[ In Reply To ..]

This BMI is mainly to test children since they are becoming far more obese than prior school children. I think this answers your questions. Hope this helps. The first item is below on Ron Kind's amendment. The next site is ABC News from January. The next source is about the Advocacy Group protesting this. The last is the government HealthCare site. Note it states children’s BMI.


 


 The Healthy Choices Act--introduced by Rep. Ron Kind (D-Wis.), a member of the House Ways and Means Committee--would establish and fund a wide range of programs and regulations aimed at reducing obesity rates by such means as putting nutritional labels on the front of food products, subsidizing businesses that provide fresh fruits and vegetables, and collecting BMI measurements of patients and counseling those that are overweight or obese.
 
Section 101 of the bill amends the Public Health Services Act by stating that health care providers must record the Body Mass Index of all children ages 2 through 18.  "The provision relates to all children in states that accept grants under the bill," a spokesperson for Rep. Kind told CNSNews.com. "However, it is important to note that no one is forced to come in for a doctor’s visit to get their BMI tested.  BMI will be taken at times when the child makes an otherwise scheduled doctor’s visit."

BMI is calculated by taking one’s weight in pounds and height in inches, multiplying that number by one’s height in inches and then multiplying that number by 703. Any number over 24 is considered overweight, with higher numbers resulting in a diagnosis of obese (BMI = [weight / (height x height)] x 703).
 
To pay for implementing BMI data gathering, Sec. 102 of the bill states that the federal government will give grants to states that meet certain criteria, including having “the capacity to store basic demographic information (including date of birth, gender and geographic area of residence), height, weight, and immunization data for each resident of the state.”
 
The grants also will pay for personnel and equipment necessary to measure patients’ BMI.
 
The grants also require that if a child’s BMI is greater than the 95th percentile for the child’s age and gender, the state will provide “information on how to lower BMI and information on state and local obesity prevention programs.”
 
Rep. Kinder's spokesperson said that any data used to generate a report on the BMI data collected would not include patients’ names.
 
The bill also requires HHS to share with Congress and other government officials, including the secretaries of education and agriculture, its analysis of the BMI data collected not more than one year after it gathers all of the data from states. 


 From ABC News: January 10, 2010


,……Under the existing Health Insurance Portability and Accountability Act, group health insurance plans can't discriminate based on an individual's health status by varying insurance premiums.


But the law does allow insurers to provide incentives tied to voluntary "wellness programs," either solely for participating in a workplace wellness program, or for meeting certain health and fitness benchmarks, such as reaching a certain body mass index target.


Those incentives can take the form of extra reimbursements, but they can't top more than 20 percent of the employer's cost of covering the employee.


The Senate bill would raise that figure to 30 percent, so an individual who doesn't meet the wellness goals could hypothetically be paying up to $1,410 more in annual premiums than an employee who met wellness goals.


The amount could be raised to 50 percent, with government approval. People with medical conditions that preclude participation would be offered an alternative program, the bill says. …..


Whole Article Here: http://abcnews.go.com/Health/HealthCare/advocacy-groups-protest-wellness-provision-senate-health-care/story?id=9516706


 http://www.healthcare-blog.com/2010/wellness-provision-in-health-care-bill-meets-protest/


 http://www.healthcare.gov/law/about/provisions/services/lists.html


 

Ah, now I understand why the docs have started using BMI in their dictations - Backwards Typist

[ In Reply To ..]
I was wondering why they started doing it and then I heard ut on the news yesterday.

Please don't ask which one. I listen to ALL of them and not sure where I heard it.

I have had a couple doing it, too - now I know

[ In Reply To ..]
But the BMI isn't a very reliable measurement, is it? It only takes into account your height and weight, not much of that weight is muscle and how much is fat, right?

Not only is obesity the number one killer of our children - but it is

[ In Reply To ..]
overtaking smoking as the number one preventable killer of adult Americans as well, not to mention the fact that it is THE main contributor to the top five medical killers: Heart disease, stroke, high blood pressure, cancer and diabetes. It is predicted that by 2020, it will account for more than 20 percent of ALL medical costs.

So help me out here. Why should BMI not be entered into the medical record, right next to BP, pulse rate, weight and height and followed throughout the course of a patient's life as a measure of wellness, preventative medicine indicator and predictor of risk?

Boy, that Obama sure does have a lot of nerve trying to address a national epidemic and mitigate rapidly rising health care costs! How dare he? It must be because he is darned if he does (try to cut healthcare costs) and darned if he doesn't (try to cut healthcare costs). I think I get it now.

http://www.pbs.org/newshour/extra/features/jan-june04/obesity3_3-15.pdf

http://www.rense.com/general4/yng.htm

http://www.medicalnewstoday.com/articles/6438.php

Are you advocating listing all health mitigators front - and center?

[ In Reply To ..]
Should the number of sexual partners be right there in big bold letters? How about the number of times I wash my hands in the course of a day? What about the number of hours of sleep I get a night? Number of pets?

I find a lot of the right-wing rhetoric rather off-putting, and consider myself extremely centrist and maybe even a tiny bit more left-leaning on social issues. However, I find it really hypocritical that the same group of people who say my body/my business in regards to pro-choice have absolutely no problem with the government stepping in to monitor somebody's weight. Sorry, but here, too, it's my body/my business.

Oh brother. Get a grip, will ya? - sm

[ In Reply To ..]
Read the post again. Number one killer of children and preventable deaths in adults. Major contributor to five top causes of death. Runs up health care cost by 20%. One out of every 5 dollars spent.

The government is not monitoring your weight for God's sake. This is a guideline related to federal funding that aims to address a demonstrable national health epidemic. Body mass index seems as normal and natural to me, as the other post suggests, as BP, pulse, height and weight. Nobody is twisting any arms. If an MD finds this medically objectionable or politically offensive, he or she can go all maverick, forego the funds and nuture their neurotic self-righteous indignation.

Your analogy to pro-choice advocacy is beyond absurd. I cannot believe this lunacy is coming from an MT. The cons really do need to get a new schtick. This incessant screeching about government takeover, government takeover, government takeover is becoming positively pathologic.

Refuse funds, kinda like dems encouraged schools to do - over abstinence only programs? nm
[ In Reply To ..]
x
Nobody encouraged any such thing, then or now, and - Apples and oranges comparisons
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really add nothing useful to this conversation.

Those who would jump off this deep end with you have choices to make, plain and simple. One would be whether or not they want to receive federal subsidies and/or incentives to help fray the cost of implementing EHR within given tims frames. They can either get with the program in a timely fashion and receive this help or they can stall and drag their feet and be on their own to finance themselves. For those who fail to comply by 2015, a 1% penalty will be assessed on Medicare/Medicaid payments. This will increase to a maximum penalty of 3% over the next three years. It is not as though the mavericks will have to close up shop.

I suggest you read up on the concept of "meaningful use" and take a look at the information Backward Typist provided above which explains some intended uses of the BMI information by the HHS and CDC. When mulling over privacy issues, you might want to consider this. Around 150 folks already have access to your records each time you are hospitalized and over 600,000 payors and providers have access when it reaches the billing stages.

Then again, you have our own choices to make, and if you want to be dragged kicking and screaming into a better system of health care delivery and efforts to combat disease and improve the nation's health, nobody's stopping you.
Great post. Thanks. (nm) - Nikki
[ In Reply To ..]
:-)
Well, its even more laughable that we would have - "federal funding" to figure out why people are fat
[ In Reply To ..]
nm
Doesn't really take a bazillion bucks, does it? - sm
[ In Reply To ..]
I'm fat because they allowed my job to be offshored, suppressing my wages, and consequently I am forced to work 14 hours a day to sustain a lifestyle that most would define as modest as best. I therefore don't have the time or energy at 2 am when I finish work to take a brisk walk.
Interesting isn't it... - anon
[ In Reply To ..]
that the left gets all indignant about obesity killing children (I believe you said #1 killer of children? I would like to see a reliable statistic on that because I doubt it), but are perfectly okay with murdering unborn children. By gosh, you are a bad person if you let your child get fat (which, by the way, mine are not and neither am I), but killing children on purpose is acceptable. Talk about self-righteous indignation.
I thought the analogy was perfect. - sm
[ In Reply To ..]
You guys can't have this both ways. If you want people to stay out of your business and let you make decisions about your body....like whether or not to terminate a pregnancy.....then how can you be in favor of feds mandating BMI be put on your medical records. If this were just a recording of your BMI...fine...but they are using this information to cut Medicare and Medicaid funding.

If you are going to go after fat people, you will also have to look at smokers, drinkers, drug users, multiple sex partners, etc.

Just like the argument about abortion....this is my body, my life. I'm breaking no laws so butt the heck out.

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