Hey, do you need a job?

After Obama signed the bill that allowed for the government takeover of hellcare into law, the dizzying organizational chart that appears above, that was introduced during the August 2009 town hall meetings, translates into 162 new bureaus, boards, offices, committees, grants, programs, networks, centers, and the list goes on (collectively, the "Programs") created in this bill. By extrapolation, not only are the Programs created, but an entire new level of bureaucracy has been added. Each of these new Programs must have an Administrator or Executive Muckity Muck, the administrator or executive muckity muck needs and Executive Assistant, the Executive Assistant needs an Administrative Assistant(s), clerks and a receptionist, who all need an office with office equipment and telephones and desks and chairs and copy paper and computers and paper clips and toner cartridge and the supply list is endless and, the employees get vacations and healthcare and sick days and snow days and a day off for the inauguration of the next president and pensions ... and who's paying for all this? We did not want nor did we support Frankenstein hellcare, and we certainly did not support a LARGER federal government. Who will be monitoring this? A bureaucrat in DC.. or maybe there will be another $175,000 a year czar appointed to monitor them, or perhaps five or six more czars. It’s sort of like asking a wolf to guard the hen house. This scares me to death, and if you aren't scared... This is another example of spending trillions of taxpayer money to create more government jobs. And let's not forget the 16,000 new Internal Revenue Service jobs so they can enforce your participation. Don't you see what's happening? Here they are; 1-162 (Please, seriously, take a moment to read each one!):




1. Grant program for consumer assistance offices (Sec. 1002, p. 37)


2. Grant program for states to monitor premium increases (Sec. 1003, p.42)


3. Committee to review administrative simplification standards (Sec. 1104, p. 71)


4. Demonstration program for state wellness programs (Sec. 1201, p. 93)


5. Grant program to establish state Exchanges (Sec. 1311(a), p. 130)


6. State American Health Benefit Exchanges (Sec. 1311(b), p. 131)


7. Exchange grants to establish consumer navigator programs (Sec. 1311(I), p. 150)


8. Grant program for state cooperatives (Sec. 1322, p. 169)


9. Advisory board for state cooperatives (Sec. 1322(b)(3), p. 173)


10. Private purchasing council for state cooperatives (Sec. 1322(d), p. 177)


11. State basic health plan programs (Sec. 1331, p. 201)


12. State-based reinsurance program (Sec. 1341, p. 226)


13. Program of risk corridors for individual and small group markets (Sec. 1342, p. 233)


14. Program to determine eligibility for Exchange participation (Sec. 1411, p. 267)


15. Program for advance determination of tax credit eligibility (Sec. 1412, p. 288)


16. Grant program to implement health IT enrollment standards (Sec. 1561, p. 370)


17. Federal Coordinated Health Care Office for dual eligible beneficiaries (Sec. 2602, p. 512)


18. Medicaid quality measurement program (Sec. 2701, p. 518)


19. Medicaid health home program for people with chronic conditions, and grants for planning same (Sec. 2703, p. 524)


20. Medicaid demonstration project to evaluate bundled payments (Sec. 2704, p. 532)


21. Medicaid demonstration project for global payment system (Sec. 2705,p. 536)


22. Medicaid demonstration project for accountable care organizations (Sec. 2706, p. 538)


23. Medicaid demonstration project for emergency psychiatric care (Sec. 2707, p. 540)


24. Grant program for delivery of services to individuals with postpartum depression (Sec. 2952(b), p. 591)


25. State allotments for grants to promote personal responsibility education programs (Sec. 2953, p. 596)


26. Medicare value-based purchasing program (Sec. 3001(a), p. 613)


27. Medicare value-based purchasing demonstration program for critical access hospitals (Sec. 3001(b), p. 637)


28. Medicare value-based purchasing program for skilled nursing facilities (Sec. 3006(a), p. 666)


29. Medicare value-based purchasing program for home health agencies (Sec. 3006(b), p. 668)


30. Interagency Working Group on Health Care Quality (Sec. 3012, p. 688)


31. Grant program to develop health care quality measures (Sec. 3013, p. 693)


32. Center for Medicare and Medicaid Innovation (Sec. 3021, p. 712)


33. Medicare shared savings program (Sec. 3022, p. 728)


34. Medicare pilot program on payment bundling (Sec. 3023, p. 739)


35. Independence at home medical practice demonstration program (Sec. 3024, p. 752)


36. Program for use of patient safety organizations to reduce hospital readmission rates (Sec. 3025(b), p. 775)


37. Community-based care transitions program (Sec. 3026, p. 776)


38. Demonstration project for payment of complex diagnostic laboratory tests (Sec. 3113, p. 800)


39. Medicare hospice concurrent care demonstration project (Sec. 3140, p. 850)


40. Independent Payment Advisory Board (Sec. 3403, p. 982)


41. Consumer Advisory Council for Independent Payment Advisory Board (Sec. 3403, p. 1027)


42. Grant program for technical assistance to providers implementing health quality practices (Sec. 3501, p. 1043)


43. Grant program to establish interdisciplinary health teams (Sec. 3502, p. 1048)


44. Grant program to implement medication therapy management (Sec. 3503, p. 1055)


45. Grant program to support emergency care pilot programs (Sec. 3504, p. 1061)


46. Grant program to promote universal access to trauma services (Sec. 3505(b), p. 1081)


47. Grant program to develop and promote shared decision-making aids (Sec. 3506, p. 1088)


48. Grant program to support implementation of shared decision-making (Sec. 3506, p. 1091)


49. Grant program to integrate quality improvement in clinical education (Sec. 3508, p. 1095)


50. Health and Human Services Coordinating Committee on Women's Health (Sec. 3509(a), p. 1098)


51. Centers for Disease Control Office of Women's Health (Sec. 3509(b), p. 1102)


52. Agency for Healthcare Research and Quality Office of Women's Health (Sec. 3509(e), p. 1105)


53. Health Resources and Services Administration Office of Women's Health (Sec. 3509(f), p. 1106)


54. Food and Drug Administration Office of Women's Health (Sec. 3509(g), p. 1109)


55. National Prevention, Health Promotion, and Public Health Council (Sec. 4001, p. 1114)


56. Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Sec. 4001(f), p. 1117)


57. Prevention and Public Health Fund (Sec. 4002, p. 1121)


58. Community Preventive Services Task Force (Sec. 4003(b), p. 1126)


59. Grant program to support school-based health centers (Sec. 4101, p. 1135)


60. Grant program to promote research-based dental caries disease management (Sec. 4102, p. 1147)


61. Grant program for States to prevent chronic disease in Medicaid beneficiaries (Sec. 4108, p. 1174)


62. Community transformation grants (Sec. 4201, p. 1182)


63. Grant program to provide public health interventions (Sec. 4202, p. 1188)


64. Demonstration program of grants to improve child immunization rates (Sec. 4204(b), p. 1200)


65. Pilot program for risk-factor assessments provided through community health centers (Sec. 4206, p. 1215)


66. Grant program to increase epidemiology and laboratory capacity (Sec. 4304, p. 1233)


67. Interagency Pain Research Coordinating Committee (Sec. 4305, p. 1238)


68. National Health Care Workforce Commission (Sec. 5101, p. 1256)


69. Grant program to plan health care workforce development activities (Sec. 5102(c), p. 1275)


70. Grant program to implement health care workforce development activities (Sec. 5102(d), p. 1279)


71. Pediatric specialty loan repayment program (Sec. 5203, p. 1295)


72. Public Health Workforce Loan Repayment Program (Sec. 5204, p. 1300)


73. Allied Health Loan Forgiveness Program (Sec. 5205, p. 1305)


74. Grant program to provide mid-career training for health professionals (Sec. 5206, p. 1307)


75. Grant program to fund nurse-managed health clinics (Sec. 5208, p. 1310)


76. Grant program to support primary care training programs (Sec. 5301, p. 1315)


77. Grant program to fund training for direct care workers (Sec. 5302, p. 1322)


78. Grant program to develop dental training programs (Sec. 5303, p. 1325)


79. Demonstration program to increase access to dental health care in underserved communities (Sec. 5304, p. 1331)


80. Grant program to promote geriatric education centers (Sec. 5305, p. 1334)


81. Grant program to promote health professionals entering geriatrics (Sec. 5305, p. 1339)


82. Grant program to promote training in mental and behavioral health (Sec. 5306, p. 1344)


83. Grant program to promote nurse retention programs (Sec. 5309, p. 1354)


84. Student loan forgiveness for nursing school faculty (Sec. 5311(b), p. 1360)


85. Grant program to promote positive health behaviors and outcomes (Sec. 5313, p. 1364)


86. Public Health Sciences Track for medical students (Sec. 5315, p. 1372)


87. Primary Care Extension Program to educate providers (Sec. 5405, p.1404)


88. Grant program for demonstration projects to address health workforce shortage needs (Sec. 5507, p. 1442)


89. Grant program for demonstration projects to develop training programs for home health aides (Sec. 5507, p. 1447)


90. Grant program to establish new primary care residency programs (Sec. 5508(a), p. 1458)


91. Program of payments to teaching health centers that sponsor medical


92. residency training (Sec. 5508(c), p. 1462)


93. Graduate nurse education demonstration program (Sec. 5509, p. 1472)


94. Grant program to establish demonstration projects for community-based mental health settings (Sec. 5604, p. 1486)


95. Commission on Key National Indicators (Sec. 5605, p. 1489)


96. Quality assurance and performance improvement program for skilled nursing facilities (Sec. 6102, p. 1554)


97. Special focus facility program for skilled nursing facilities (Sec. 6103(a)(3), p. 1561)


98. Special focus facility program for nursing facilities (Sec. 6103(b)(3), p. 1568)


99. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Sec. 6112, p. 1589)


100. Demonstration projects for nursing facilities involved in the culture change movement (Sec. 6114, p. 1597)


101. Patient-Centered Outcomes Research Institute (Sec. 6301, p. 1619)


102. Standing methodology committee for Patient-Centered Outcomes Research Institute (Sec. 6301, p. 1629)


103. Board of Governors for Patient-Centered Outcomes Research Institute (Sec. 6301, p. 1638)


104. Patient-Centered Outcomes Research Trust Fund (Sec. 6301(e), p. 1656)


105. Elder Justice Coordinating Council (Sec. 6703, p. 1773)


106. Advisory Board on Elder Abuse, Neglect, and Exploitation (Sec. 6703, p. 1776)


107. Grant program to create elder abuse forensic centers (Sec. 6703, p. 1783)


108. Grant program to promote continuing education for long-term care staffers (Sec. 6703, p. 1787)


109. Grant program to improve management practices and training (Sec. 6703, p. 1788)


110. 109. Grant program to subsidize costs of electronic health records (Sec.


111. 6703, p. 1791)


112. Grant program to promote adult protective services (Sec. 6703, p. 1796)


113. Grant program to conduct elder abuse detection and prevention (Sec. 6703, p. 1798)


114. Grant program to support long-term care ombudsmen (Sec. 6703, p. 1800)


115. National Training Institute for long-term care surveyors (Sec. 6703, p. 1806)


116. Grant program to fund State surveys of long-term care residences (Sec. 6703, p. 1809)


117. CLASS Independence Fund (Sec. 8002, p. 1926)


118. CLASS Independence Fund Board of Trustees (Sec. 8002, p. 1927)


119. CLASS Independence Advisory Council (Sec. 8002, p. 1931)


120. Personal Care Attendants Workforce Advisory Panel (Sec. 8002(c), p. 1938)


121. Multi-state health plans offered by Office of Personnel Management (Sec. 10104(p), p. 2086)


122. Advisory board for multi-state health plans (Sec. 10104(p), p. 2094)


123. Pregnancy Assistance Fund (Sec. 10212, p. 2164)


124. Value-based purchasing program for ambulatory surgical centers (Sec. 10301, p. 2176)


125. Demonstration project for payment adjustments to home health services (Sec. 10315, p. 2200)


126. Pilot program for care of individuals in environmental emergency declaration areas (Sec. 10323, p. 2223)


127. Grant program to screen at-risk individuals for environmental health conditions (Sec. 10323(b), p. 2231)


128. Pilot programs to implement value-based purchasing (Sec. 10326, p. 2242)


129. Grant program to support community-based collaborative care networks (Sec. 10333, p. 2265)


130. Centers for Disease Control Office of Minority Health (Sec. 10334, p. 2272)


131. Health Resources and Services Administration Office of Minority Health (Sec. 10334, p. 2272)


132. Substance Abuse and Mental Health Services Administration Office of Minority Health (Sec. 10334, p. 2272)


133. Agency for Health care Research and Quality Office of Minority Health (Sec. 10334, p. 2272)


134. Food and Drug Administration Office of Minority Health (Sec. 10334, p. 2272)


135. Centers for Medicare and Medicaid Services Office of Minority Health (Sec. 10334, p. 2272)


136. Grant program to promote small business wellness programs (Sec. 10408, p. 2285)


137. Cures Acceleration Network (Sec. 10409, p. 2289)


138. Cures Acceleration Network Review Board (Sec. 10409, p. 2291)


139. Grant program for Cures Acceleration Network (Sec. 10409, p. 2297)


140. Grant program to promote centers of excellence for depression (Sec. 10410, p. 2304)


141. 139. Advisory committee for young women's breast health awareness education


142. campaign (Sec. 10413, p. 2322)


143. Grant program to provide assistance to provide information to young women with breast cancer (Sec. 10413, p. 2326)


144. Interagency Access to Health Care in Alaska Task Force (Sec. 10501, p. 2329)


145. Grant program to train nurse practitioners as primary care providers (Sec. 10501(e), p. 2332)


146. Grant program for community-based diabetes prevention (Sec. 10501(g), p. 2337)


147. Grant program for providers who treat a high percentage of medically underserved populations (Sec. 10501(k), p. 2343)


148. Grant program to recruit students to practice in underserved communities (Sec. 10501(l), p. 2344)


149. Community Health Center Fund (Sec. 10503, p. 2355)


150. Demonstration project to provide access to health care for the uninsured at reduced fees (Sec. 10504,  p. 2357)


151. Demonstration program to explore alternatives to tort litigation (Sec. 10607, p. 2369)


152. Indian Health demonstration program for chronic shortages of health professionals (S. 1790, Sec. 112, p. 24)*


153. Office of Indian Men's Health (S. 1790, Sec. 136, p. 71)*


154. Indian Country modular component facilities demonstration program (S. 1790, Sec. 146, p. 108)*


155. Indian mobile health stations demonstration program (S. 1790, Sec. 147, p. 111)*


156. Office of Direct Service Tribes (S. 1790, Sec. 172, p. 151)*


157. Indian Health Service mental health technician training program (S. 1790, Sec. 181, p. 173)*


158. Indian Health Service program for treatment of child sexual abuse victims (S. 1790, Sec. 181, p. 192)*


159. Indian Health Service program for treatment of domestic violence and sexual abuse (S. 1790, Sec. 181, p. 194)*


160. Indian youth telemental health demonstration project (S. 1790, Sec. 181, p. 204)*


161. Indian youth life skills demonstration project (S. 1790, Sec. 181, p. 220)*


162. Indian Health Service Director of HIV/AIDS Prevention and Treatment (S. 1790, Sec. 199B, p. 258)*