Even if you read the bill you won’t understand it. It is written
exactly to hide what it is they are doing.
There is one provision that gives the Secretary the power to
reduce payment to any cancer treatment center that has above
average charges. That is a pretty neat trick by itself, since any
“average” requires things that are higher than average and lower
than average. If you eliminate everything that is above average,
what happens to the average?
But, right after this provision are three paragraphs exempting
three facilities from the provision. Here is one of them —
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“A hospital that was recognized as a comprehensive cancer
center or clinical cancer research center by the National
Cancer Institute of the National Institutes of Health as of
April 20, 1983, that is located in a State which, as of
December 19, 1989, was not operating a demonstration project
under section 1814(b), that applied and was denied, on or
before December 31, 1990, for classification as a hospital
involved extensively in treatment for or research on cancer
under this clause (as in effect on the day before the date of
the enactment of this subclause), that as of the date of the
enactment of this subclause, is licensed for less than 50 acute
care beds, and that demonstrates for the 4-year period ending
on December 31, 1996, that at least 50 percent of its total
discharges have a principal finding of neoplastic disease, as
defined in subparagraph (E).”
I doubt there is anyone in America who can identify what hospital
that is — except the Congressman who wrote it and the person who
bribed him to insert it.
This is one paragraph of a 1,000 page bill that is chock full of
similar shenanigans.