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new-logo25Contributor &  author:  Jane M. Orient, M.D., Executive Director of  Association of American Physicians and Surgeons,    (see Dr. Orient’s bio at the bottom of this release)

Interview – Contact Dr. Orient directly  at (520) 323-3110 or  (reporters and  journalists welcome!)


As Americans watch  congressional hearings on the Internal Revenue Service, they should ask  themselves what this enormously powerful, corrupt, politically motivated agency  might do with its new job of administering ObamaCare….


The IRS and Your Health

By Author-Contributor Jane M.  Orient, M.D.,

jpeg bryantAs Americans watch congressional  hearings on the Internal Revenue Service, they should ask themselves what this  enormously powerful, corrupt, politically motivated agency might do with its new  job of administering ObamaCare.

We have heard testimony from  those whose tax exemption was delayed or denied, or who underwent abusive  audits, or faced seizure of their accumulated earnings, apparently because  someone viewed them as opponents to the Powers.

The people who are testifying  are obviously still alive.

What if this agency had the  power to control access to medical care?

Of course, it will not have this  power under ObamaCare. Not exactly. These are the powers that it will  have:

The IRS will decide whether you  get a subsidy to buy the increasingly expensive health coverage mandated under  the law. Since that coverage could cost a third of your income, its  “affordability” obviously depends on whether other taxpayers have to help pay  for it. And by the way, the subsidy doesn’t go to you—it goes to the Plan. To  qualify, the Plan has to please the Administration. It has to allocate enough  for politically correct “prevention” (such as abortions) and not too much to  services that lead to “disparity” (such as hip fractures in the  elderly).

The IRS will determine which  insurers will survive. A Plan that is not eligible for subsidies is likely to  die for want of enough customers. The Administration has a record of picking  winners (its cronies) and losers (its opponents).

The IRS will influence the  chances that your job will survive. Your employer may be hit with ruinous fines  for not having benefits that qualify or for having workers who apply for  subsidies on the Exchange. As the rules are impossibly complex, government  agencies have a lot of discretion, which can be used to reward and to  punish.

The IRS will control your  ability to get real insurance. Big employers are now discovering that they can  satisfy the mandate by offering “skinny” plans that are even more limited than  the “mini-meds” whose waivers are about to expire. These plans offer all the  approved “prevention” you could ever want (likely excluding mammograms, prostate  cancer screening, and other “unnecessary” items)—but no surgery or  hospitalization. If you want to buy insurance as an individual, you may find  that premiums have become impossibly expensive, if plans are available at  all.

The IRS will determine whether  you get your anticipated tax refund—or a demand to pay for the subsidies  received by your Plan, say because you got a raise last year. To figure this  out, the IRS will have to collect enormous amounts of new information, and match  it up with data from Social Security, Homeland Security, and consumer reporting  agencies.

All of this does not mean that  the IRS will be dictating your medical care. But the IRS has shown enormous  interest in medical records. When executing a search warrant to obtain financial  information on a single employee of a healthcare provider, the IRS seized  medical records on 10 million Americans. Its agents reportedly threatened to rip  servers out of the building if the records were not turned over  voluntarily.

The IRS can’t be trusted to keep  donor lists confidential. How can it be trusted with sensitive medical  data?

The government has another  potential source of medical data. Almost half of Americans’ medical records will  soon be in the hands of Epic Systems, whose founder and CEO Judy Faulkner is a  top Obama donor. Faulkner is reportedly the only industry representative  appointed by Obama to the panel overseeing the $19 billion medical records  incentive program from which Epic Systems benefits.

Someone observed that if a rifle  is mounted on the wall in the first scene of a play, it will be used by the end  of the play. Even if the medical data are collected, at huge expense, for a  noble purpose, the weapon is there to be used for a sinister purpose if it falls  in the wrong hands.

Will the hearings result in  meaningful reform? Perhaps. But remember, we have seen sensational hearings on  IRS abuses before, not long ago. Relief was temporary. The IRS needs to have its  powers permanently curtailed, not expanded.


About the  author/contributor:

Jane M. Orient, M.D., Executive Director of  Association of American Physicians and Surgeons, has been in solo  practice of general internal medicine since 1981 and is a clinical lecturer in  medicine at the University Of Arizona College Of Medicine. She received her  undergraduate degrees in chemistry and mathematics from the University of  Arizona, and her M.D. from Columbia University College of Physicians and  Surgeons. She is the author of Sapira’s Art and Science of Bedside  Diagnosis; the fourth edition has just been published by Lippincott,  Williams & Wilkins. She also authored YOUR Doctor Is Not In: Healthy  Skepticism about National Health Care, published by Crown. She is the  executive director of the Association of American Physicians and Surgeons, a  voice for patients’ and physicians’ independence since 1943. Additional  information on health-related issues: and

Dr. Orient’s position on Obama’s healthcare reform:  “The Obama plan will increase individual health insurance costs, and if the  federal government puts price controls on the premiums, the companies will  simply have to go out of business. The plan will deliver higher costs, more  hassles, fewer choices, less innovation, and less patient care.” 

Doctor Orient can be contacted for interviews and  further information at: (520) 323-3110 or  .

To view more of Dr. Orient’s  op-ed releases go here:

Interview – Contact Dr. Orient directly  at (520) 323-3110 or  (reporters and  journalists welcome!)