"The term 'health disparities' includes health and health care disparities and means population-specific differences in the presence of disease, health outcomes, or access to health care," says page 960 of the bill. "For purposes of the preceding sentence, a population may be delineated by race, ethnicity, geographic setting, or other population or subpopulation determined appropriate by the Secretary."
The Senate bill mandates the creation of a massive national database to be used for ferreting out "disparities" wherever they might be found.
"Ensures that any ongoing or new federal health program achieve the collection and reporting of data by race, ethnicity, geographic location, socioeconomic status, health literacy, primary language and any other indicator of disparity," says the Senate Health committee's summary of the bill. "The secretary shall analyze data collected to detect and monitor trends in health disparities and disseminate this information to the relevant federal agencies. The secretary shall also award grants to develop appropriate methods to detect and assess health disparities."
In the name of reducing "disparities," Section 224 of the House bill directs the secretary to change the way that the proposed government-run "public option" health insurance plan pays the health-care providers that do business with it.
"The secretary," it says, "shall design and implement the payment mechanisms and policies under this section in a manner that -- (1) seeks to ... reduce health disparities (including racial, ethnic and other disparities)."
The Senate Health committee's bill includes a section -- "Creating Healthier Communities" -- that authorizes paying tax dollars to so-called community-based organizations so they can monitor individual behavior patterns on the neighborhood level -- and in schools -- in the name of reducing "health disparities."
Only community-based organizations that are part of a "national network of community-based organizations" will be eligible for these grants.
So, what will these government-funded, national networks of community-based organizations monitor in American neighborhoods in the interest of reducing "health disparities"?
"In carrying out subparagraph (A)," says page 386 of the bill, "the eligible entity shall, with respect to residents in the community, measure -- (i) decreases in weight; (ii) increases in proper nutrition; (iii) increases in physical activity; (iv) decreases in tobacco use prevalence; (v) other factors using community specific data from the Behavioral Risk Factor Surveillance Survey; and (vi) other factors as determined by the Secretary."
They will be government-funded busybodies paid to monitor the personal behavior of a once proud and free people who surrendered an irretrievable measure of their liberty to a government-run health-care system spawned by the redistributionist vision of Barack Obama and his allies in the Congress.