What the “Affordable Health Care for America Act,” HR 3962, Actually Says

What does the bill recently passed by the U.S. House of Representatives, HR3962, short-titled the ‘‘Affordable Health Care for America Act,” actually say about major health-care issues? I here pose a few commonsense questions, cite some relevant passages, and offer a few brief comments. (The bill is available at http://docs.house.gov/rules/health/111_ahcaa.pdf.)

This bill is 1,990 pages of mind-numbing legalese. It will reach deeply into federal and state regulations and laws, on a scale that will require years for experts to interpret. It will establish institutions that will be effectively irreversible. It will grant arbitrary powers to bureaucrats, who will have to interpret and enforce its dictates. A full analysis of its impact would require a commentary at least as long as the bill itself. American citizens cannot be expected to read and understand such legislation. But they should be aware that this is the nature of the laws being written by their (alleged) representatives in Washington.

I have only touched on pieces of the bill here. I have not considered the establishment of (1) the “Health Choices Commissioner” and the associated bureaucracy; (2) the “Health Insurance Exchange,” (a government-mandated insurance scheme to control all insurance activity); (3) the so-called “Public Health Insurance Option,” or similar provisions. I have not analyzed the more than one hundred new committees, boards, commissions, and bureaucratic institutions that it establishes (but I have listed them below under the section titled Special Note).

This legislation empowers the executive branch, namely the Secretary of Health and Human Services and a “Health Choices Commissioner,” to write thousands of pages of regulations, and to force Americans to comply with them. For every line in this bill, many pages of regulations will be written. As a result, the bureaucracy will expand, the final cost will be many times more than the original estimates—and the impact on American medicine will be devastating.

The overall result of this bill, if enacted, will be a complete government takeover of the health-care industry. This cannot be prevented by tweaking the language in the bill. The bill must be rejected in full before we can consider proper reforms to American medicine. . . .

About John David Lewis

John David Lewis was a contributing editor to TOS from the journal’s second issue, in 2006, until his death, on January 3, 2012. He was a visiting associate professor in the Philosophy, Politics, and Economics Program at Duke University. He held a PhD in classics from the University of Cambridge and taught at the University of London. He had also been a senior research scholar in history and classics at the Social Philosophy and Policy Center, Bowling Green State University, and a fellow of the Foundation for Objectivist Scholarship. He published in journals such as Journal of Business Ethics, Social Philosophy and Policy, Polis, Dike, and Bryn Mawr Classical Review, and lectured on classics, military history, and contemporary political issues at numerous universities and for private groups. His research interests were in ancient Greek and Roman thought, military history, and their connections to the modern day. His books are Solon the Thinker: Political Thought in Archaic Athens (Duckworth, 2006), Early Greek Lawgivers (Bristol Classical Press, August, 2007), and Nothing Less than Victory: Decisive Wars and the Lessons of History (Princeton, 2010). Dr. Lewis also wrote for Capitalism Magazine. His website is www.JohnDavidLewis.com.

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