The word "shall" appears over 3400 times in this grab for control over EVERYBODY'S lives!!!!!!!!!!!!!!

Nanzi Pelosi is going to run your life if this pile of crap gets signed by GANGSTAPUPPETOTUSPOS.

10 Facts Every American Should Know About Speaker Pelosi’s 1,990-Page Gov’t Takeover of Health Care

Posted on October 29, 2009

-By Representative John Boehner (R-OH), Washington, Oct 29

Members of Congress and the American people are just beginning tolook at Speaker Nancy Pelosi’s (D-CA) 1,990-page government takeover ofhealth care, but it’s already becoming clear just how costly andunsustainable this proposal is. From higher taxes on middle-classfamilies to job-killing mandates on small businesses to cuts in Medicare benefits for seniors, here are 10 facts every American should know about Speaker Pelosi’s 1,990-page government takeover of health care:

1. RAISES TAXES ON MIDDLE CLASS FAMILIES. Speaker Pelosi’shealth care bill imposes a range of tax increases on families withincome below $250,000, breaking a promise made by President Obama. Taxincreases on middle class families include: an individual mandate taxof up to 2.5 percent of income for taxpayers earning as little as$9,350; repeal of a tax break on medicine purchased with funds from anHSA (health savings account); limits to tax relief through FSAs(flexible spending accounts); taxes on medical devices that willinevitably be passed on to consumers; and a new tax on all insurancepolicies.

2. MASSIVE CUTS TO MEDICARE BENEFITS FOR SENIORS. Despitegrave warnings from CBO, FactCheck.org, and the independent Lewin Groupthat cuts to Medicare of the magnitude included in Speaker Pelosi’sbill would have a negative impact on seniors’ benefits and choices,Speaker Pelosi’s health care bill stays the course and cuts Medicare byhundreds of billions of dollars.
 
3. NO PROTECTIONS FOR SMALL BUSINESSES. Speaker Pelosi’s healthcare bill claims to exempt small businesses from the steep eightpercent ‘pay or play’ employer mandate. The facts tell a differentstory. Using Census data compiled by the Small BusinessAdministration, this so-called ‘exemption’ hammers small employers withonly, on average, 17 or more employees to new taxes and mandates. Theoutfits affected employ 70 percent of allsmall business employees, or 42.3 million workers. Adding to the assault on small businesses, the bill does not index the small business “exemption” amounts, meaning more and more small businesses will be ensnared by this job-killing employer mandate each year.

4. INCREASES THE COST OF HEALTH INSURANCE. Imposing a new $2 billion tax on insurance policies will be passed on to patients in the form of higher premiums. Changes to the Medicare Part D prescription drug benefit will, according to estimates by CBO, will raise Medicare Part Bpremiums by $25 billion and Part D premiums by 20 percent. And imposingan unfunded mandate on the states to pay for the bill’s Medicaidexpansion will shift the burden of this expansion on state taxpayerswho may experience tax increases to cover the cost.

5. USES GIMMICKS TO HIDE BUDGET-BUSTING COST, PILES UP DEBT ON FUTURE GENERATIONS.Speaker Pelosi’s health care bill claims to be deficit neutral, butuses budget gimmickry to hide its massive total cost. Working familiesacross America know they cannot simply decide that a bill they get inthe mail doesn’t exist, butthat’s exactly what congressional Democrats are doing. In order to meetthe President’s ‘target’ spending total of $900 billion, Democrats havesimply swept costly provisions under the rug, including the $245billion ‘doc fix.’

6. IMPOSES JOB-KILLING EMPLOYER MANDATES. Additional taxes onemployers and new government mandates that dictate acceptable insurancewill place new and crushing burdens on employers. These are burdensthat will ultimately fall squarely on the backs of workers in the formof reduced wages, fewer hours or lost employment. CBO agrees that“[e]mployees largely bear the cost of… play-or-pay fees in the form oflower wages.” According to the National Federation of IndependentBusiness (NFIB), the nation’s largestsmall business association, anemployer mandate of this magnitude will disproportionately impact smallbusinesses, triggering up to 1.6 million lost jobs. Two-thirds of thosejobs would be shed by small businesses.

7. TILTS THE PLAYING FIELD IN FAVOR OF THE GOVERNMENT-RUN INSURANCE COMPANY.Speaker Pelosi’s health care bill promises not to give thegovernment-run plan advantages over private insurers in the market, butthe opposite is true. The bill provides billions in start-upfunding for the government-run plan, and while it requires the plan torepay the money over time it does not require the plan to pay intereston this “loan.” This interest-free, taxpayer-subsidized loan ispotentially worth millions of dollars and tilts the playing field infavor of the government-run plan.

8. THREATENS CASH-STRAPPED STATES WITH UNFUNDED MANDATES.Speaker Pelosi’s health care bill swells the number of Americans on thegovernment rolls by expanding Medicaid eligibility. Medicaid isfinanced through a federal-state partnership, but the bill dumps nearlyten percent of the mandated expansion included in the bill onto thestates. States, already struggling with fiscal constraints, would beleft on the hook for billions of dollars due to this unfunded mandate.

9. CREATES A NEW MONSTROSITY IN THE TAX CODE. Starting in2011, Speaker Pelosi’s health care bill imposes a 5.4 percent tax onadjusted gross income above $500,000 for individuals and $1 million formarried couples. Yet, the dollar amounts for which the tax kicks in arenot indexed for inflation. We’ve seen this horror film before: theAlternative Minimum Tax, another Frankenstein’s monster of the taxcode, also wasn’t indexed for inflation and now affects millions ofmiddle class families with incomes below the Democrat’s surtax.

10. MISSES AN OPPORTUNITY TO CURTAIL JUNK LAWSUITS. SpeakerPelosi’s health care bill misses a critical opportunity to rein in junklawsuits and costly defensive medicine. The bill includes only avoluntary grant program to deal with the medical liability crisisinstead of including real reform, which would produce tens of billionsof dollars in savings, improve efficiency in our health care system and reduce costs for patients and providers.

BONUS: Republicans have offered better solutions to lower healthcare costs and expand access to quality, affordable coverage at a priceour nation can afford. Learn more by visiting healthcare.gop.gov.