the guide to wyoming's health care freedom amendment

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  • 8/7/2019 The Guide to Wyoming's Health Care Freedom Amendment

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    The Guide to

    Wyomings Health

    Care Freedom ActThe purpose, reasoning and history of Wyomings effort, to preserve

    individual freedom in health care.

    Wyomings Future

    www.WyomingHealthFreedom.org, www.WyomingsFuture.org

    Douglas Gerard, Executive Director

    (307) 682 4909

    Paid for by Douglas Gerard

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    ContentsIntroduction ..................................................................................................................................... 2

    Purpose ............................................................................................................................................ 3

    Legal Basis ........................................................................................................................................ 3

    The Health Care Freedom Act .......................................................................................................... 6

    The Proposed Text of the Amendment ........................................................................................ 6

    Section Commentary.................................................................................................................... 7

    History .............................................................................................................................................. 8

    Nationally ..................................................................................................................................... 8

    In Wyoming .................................................................................................................................. 8

    Frequently Asked Questions ............................................................................................................ 9

    AppendicesA Legislative Service Office Memorandum on preemption of federal law

    B Arizona Health Care Freedom Act

    C Initial 2009 version of the Wyoming Health Care Freedom Act

    D 2010 version of the Health Care Freedom Act

    E Amendment or statues analysis from the Goldwater Institute

    F Survey of legislative candidate support for the Health Care freedom Act

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    Guiding

    principle

    Everyone wants health

    care reform. We all

    want costs reduced and

    better care provided for

    those who are least

    advantaged.

    No matter how

    "necessary" some may

    deem it; it never, ever,

    makes sense to take

    rights away from one

    citizen to confer the

    guise of safety to

    another.

    The Guide to

    Wyomings

    Health CareFreedom ActThe purpose, reasoning and history of

    Wyomings effort, to preserve individual

    freedom in health care.

    IntroductionFreedom is the cornerstone of Wyoming and America. Nothing is

    more personal than your health and health care.

    Everyone wants health care reform. We all want costs reduced and

    better care provided for those who are least advantaged.

    It is of paramount importance that personal liberty be respected in

    health reform. No matter how "necessary" some may deem it; it

    never, ever, makes sense to take rights away from one citizen to

    confer the guise of safety to another.

    Unfortunately this is precisely what some individuals want to do with

    health reform. Either by government mandate, enforcement of the

    dictates of a government panel of "experts" or even simply the

    rationing of health care, your right to make decisions about your

    health and health care is being eroded. In fact the recently passed

    Health care reform, the Patient protection and Affordable Care act

    directly violates these basic American principles.

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    Guiding

    principle

    Health care reform, yes,

    but PROTECT OUR

    FREEDOM FIRST!

    The cornerstone of health care reform must be the protection andpreservation of the rights of people to make their own health and

    health care choices.

    Without that protection, lobbyists, bureaucrats and politicians will

    create rules and regulations that make it harder and more difficult to

    get any health care without the approval and authorization of the

    government and special interests.

    Wyoming's Health Freedom Act safeguards the personal liberty of

    every Wyomingite by preventing government control of your health

    and health care decisions.

    PurposeThe Health Care Freedom Act is a proposed amendment to the

    Wyoming Constitution that would preserve an individuals right to

    make their own health care decisions.

    Our right to make our own health care decision has been implicit in our

    republic since its inception. We believe our governments, both state

    and federal, exist and derive their power from the consent of the

    governed. As such, it is only proper that the people of Wyoming be

    consulted to explicitly preserve or yield any individual right to

    government.

    We believe it of paramount importance to ask the people of Wyoming

    through a constitutional amendment referendum if the fundamental

    right to make our own health and health care decisions is worth

    preserving or is it worth yielding to our governments.

    Legal BasisThe two most frequently asked questions about the Health Care

    Freedom Act are, Will it work? and Is it constitutional? The answer

    to both questions is an undeniable, yes.

    The Wyoming Legislative Service Office prepared an excellent memo

    (see appendix A) regarding preemption of state laws and constitutional

    provisions by federal law.

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    Wyoming

    Constitution

    Article 7,

    Section 20

    As the health and

    morality of the people

    are essential to their

    well-being, and to the

    peace and permanence

    of the state, it shall be

    the duty of the

    legislature to protect

    and promote these vital

    interests

    The memo ultimately reaches a conclusion that says a state cannot, bystatute or by constitutional amendment, override a valid federal

    statute or mandate.

    This is accurate as far as it goes, however it only starts the legal

    conversation, but it does not complete it. If it did, then any time there

    was a clash between state and federal laws, the federal government

    would always win. But the federal government doesnt always win, as

    illustrated by Horne v Flores, 08-289 (2008) where Arizona challenged

    setting its own educational preferences over federal objection, and

    Gonzalez v Oregon, 546 U.S. 243 (2006) where Oregon won its

    challenge over federal objection concerning euthanasia.

    What does this mean for Health Care Freedom Amendment? The

    answer to that can be found in the Wyoming and United States

    Constitutions.

    Wyomings constitution contains two relevant sections: (Article 1,

    Section 37) which declares that the Constitution of United States is the

    supreme law of land; and (Article 7, Section 20) which states the state

    legislature has As the health and morality of the people are essential

    to their well-being, and to the peace and permanence of the state, it

    shall be the duty of the legislature to protect and promote these vital

    interests. The only way these two clauses can coexist in the samedocument is if (Article 7, Section 20) reserves to the state primacy on

    health and health care statutes and regulation, by the 10th

    amendment of the United States Constitution.

    This 121 year old tenth amendment claim has two significant

    consequences. First, the State of Wyoming has long held that health

    and health care are state issues reserved to the state by the 10th

    amendment. As such Wyoming has the power to make declarations,

    especially by constitutional amendment involving a vote of the people,

    to declare an individual right concerning healthcare. Second, the

    federal government cannot suddenly ride rough shod over the duty of

    the legislature to promote and protect the health and morality of the

    people because it now suits them to do so, regardless of any novel

    and expansive reading of the commerce and supremacy clauses of the

    US Constitution.

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    Proposed

    amendment to

    the Wyoming

    Constitution:

    Article 1, Section 38.

    Protection of individuals

    to make their own

    health care decisions.

    The State of Wyoming

    recognizes the right of a

    natural person to make

    his or her own healthcare decisions

    When the two relevant clauses of the Wyoming constitution arecombined with the US Supreme Court ruling in Gonzalez v Oregon, and

    a general election to ratify the amendment, it is clear that the Wyoming

    Health Care Freedom Act has a solid legal foundation.

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    The Health Care Freedom ActThe Health Care Freedom Act has been evolving from the original language based on Arizonas

    Proposition 101 to a newly crafted version drafted by Senator Charles Scott, with help from

    Representative Tom Lubnau, and Douglas Gerard, Executive Director of Wyomings Future.

    The Proposed Text of the Amendment

    Article 1, Section 38. Protection of individuals to make their own health care decisions.

    (a) The State of Wyoming recognizes the right of a natural person to make his or her ownhealth care decisions. Neither the State of Wyoming nor any subdivision thereof shall:

    i. Limit the ability of any person or entity to obtain any beneficial health carefrom an appropriate licensed health care provider acting within the lawful

    scope of his practice, providing the person is willing and able to pay for the care

    in a manner satisfactory to the health care provider;

    ii. Sanction or penalize any health care provider acting within the lawful scope of

    their practice for competently providing health care to any person; or

    iii. Sanction or penalize any person or entity for participating or not participating in

    any particular health care insurance plan or health care system, except for

    employers required to participate in the workers' compensation system. This

    section shall not be construed as limiting the ability of the state to regulate the

    business of health insurance or other business arrangements that promise

    payment for health care in the future in return for present payments.

    (b) The State of Wyoming shall have the power to:i. License, regulate, or both, the provision of health care to promote professional

    competence and reduce the potential of harm from incompetently provided

    health care.

    ii. Protect the public from diseases, epidemics and harmful substances.

    (c) Nothing in the Constitution shall be construed as requiring the state or any political

    subdivision thereof to provide or pay for any health care, except for the workers

    compensation system and for prisoners and others in the custody of the state, or a

    subdivision, to the standard deemed appropriate by and enacted into law by the

    legislature.

    (d) Notwithstanding Article 16 Section 6 of this Constitution, the attorney general may,

    subject to the availability of budget and subject to any regulations and restrictions the

    legislature may by law provide, provide any citizen of the state with assistance, includingfinancial assistance, in any litigation to protect the right to make health care decisions

    from being abridged by the federal government or any of its agents.

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    Section Commentary

    Article 1, Section 38. Protection of individuals to make their own health care decisions.

    (a) The State of Wyoming recognizes the right of a natural person to make his or her own

    health care decisions. Neither the State of Wyoming nor any subdivision thereof shall:

    The first sentence clearly recognizes an individuals right to make his or her own health

    care decisions. This is the single most important clause as it provides the foundation for

    the legal argument supporting the Health Care Freedom Act.

    i. Limit the ability of any person or entity to obtain any beneficial health care

    from an appropriate licensed health care provider acting within the lawfulscope of his practice, providing the person is willing and able to pay for the care

    in a manner satisfactory to the health care provider;

    This section preserves the individuals ability to obtain any lawful health care

    without government interference.

    ii. Sanction or penalize any health care provider acting within the lawful scope of

    their practice for competently providing health care to any person; or

    This protects health care providers from being prevented from providing care by

    the government. It is intended to prevent a legal end run around in right to

    obtain health care by preventing a doctor, nurse, therapist or other provider

    from delivering care.

    iii. Sanction or penalize any person or entity for participating or not participating in

    any particular health care insurance plan or health care system, except for

    employers required to participate in the workers' compensation system. This

    section shall not be construed as limiting the ability of the state to regulate the

    business of health insurance or other business arrangements that promise

    payment for health care in the future in return for present payments.

    This section prevents individuals or companies from being mandated into any

    kind of insurance system with the sole exception of the workers compensation

    system. It concludes by preserving the role of the state as insurance regulators.

    (b) The State of Wyoming shall have the power to:

    i. License, regulate, or both, the provision of health care to promote professional

    competence and reduce the potential of harm from incompetently provided

    health care.

    This section preserves the role the state has in licensing and regulating health

    care providers.

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    ii. Protect the public from diseases, epidemics and harmful substances.

    This section preserves the role the state has in protecting the general public

    health from disease and other catastrophes.

    (c) Nothing in the Constitution shall be construed as requiring the state or any political

    subdivision thereof to provide or pay for any health care, except for the workers

    compensation system and for prisoners and others in the custody of the state, or a

    subdivision, to the standard deemed appropriate by and enacted into law by the

    legislature.

    (d) Notwithstanding Article 16 Section 6 of this Constitution, the attorney general may,

    subject to the availability of budget and subject to any regulations and restrictions the

    legislature may by law provide, provide any citizen of the state with assistance, including

    financial assistance, in any litigation to protect the right to make health care decisions

    from being abridged by the federal government or any of its agents.

    This enables the state Attorney General to aid citizens when the federal government

    violates the right of an individual to make his or her own health care decisions, subject to

    budgetary and statue.

    History

    NationallyThe Health Care Freedom movement began in in Arizona. It was initially proposed by two

    Arizona physicians, Dr. Eric Novack and Dr. Jeffrey Singer, with drafting assistance from theGoldwater Institute. The measure qualified as a voter initiative on the 2008 ballot as Proposition

    101, and despite a well-financed opposition campaign, it was defeated by less than one-half of 1

    percent of the vote. Changes were made to address concerns raised by the opponents, and the

    Arizona Legislature voted to refer the revised version to the 2010 ballot. The American

    Legislative Exchange Council (ALEC) adopted model legislation based on the Arizona measure,

    and activists and legislators in at least 35 additional states are pursuing constitutional

    amendments or statutes based on the Arizona model (See Appendix B).

    Virginia has passed a statute based on the ALEC language and is the basis of Virginias lawsuit.

    Arizona, Florida, Colorado have a referendum on their respective ballots all based on the Arizona

    language.

    Missouri has held and passed a referendum to amend their Constitution. It passed with over

    70% of the people voting in favor the amendment.

    In WyomingThe 2008 election brought news of Arizonas Proposition 101 to Wyoming. This caused several

    concerned Gillette citizens to form an informal group, Wyomings Future. Douglas Gerard with

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    the aid of Charlie Gulley spearheaded the effort meeting with then President of the Senate,Senator John Hines and asked him to pursue this in the Wyoming legislature.

    In February 2009, the initial version of the Health Care Freedom Act (see Appendix C) was

    brought up in front of the Senate Committee on Labor, Health and Social Services. The measure

    was held back as the language was deemed to have too many potentially unintended

    consequences. This provided valuable insight as to the structure the future amendment would

    have to take.

    In August of 2009, the Wyoming Liberty Group joined the fight and authored the 2010 version of

    the Health Care Freedom Act (see Appendix D), which ultimately failed in each chamber of the

    legislature by two votes. Campbell Country legislators Senator John Hines and Representatives

    Tom Lubnau and Timothy Hallinan carried the fight in legislature. Support for the measure grew

    as Senators Anderson, Bebout, and Case joining Representatives Buchanan, Quarberg and

    Simpson in sponsoring the proposed amendment.

    In the spring of 2010, Wyomings Future reached out to the Senators who voted against the

    measure in 2010. Senator Charles Scott was eager to continue work to address the flaws he saw

    in the measure. He drafted an original version that had input from Representative Tom Lubnau,

    Douglas Gerard, and others had input. This is the version that is presented in the Guide.

    Frequently Asked QuestionsWhat is the objective of the Health Care Freedom Act?

    Our right to make our own health care decision has been implicit in our republic since its

    inception. We believe our governments, both state and federal, exist and derive their power

    from the consent of the governed. As such, it is only proper that the people of Wyoming be

    consulted to explicitly preserve or yield any individual right to government.

    We believe it of paramount importance to ask the people of Wyoming through a constitutional

    amendment referendum if the fundamental right to make our own health and health care

    decisions is worth preserving or is it worth yielding to our governments.

    What will your initiative do?

    The "Health Care Freedom Act" will preserve and protect the rights of individuals to make theirown health care and health insurance choices. Currently, many lobbyists and special interest

    groups in Wyoming and around the country are promoting policies that would limit or, in some

    extreme cases, eliminate the ability of people to have choices when seeking out health care for

    themselves and their families. Whether health care "solutions" come from the right or left we

    want to make sure "choice" remains a fundamental component.

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    Why does Wyoming need this initiative?

    Efforts in Wyoming and around the country are gaining steam to put complete control over your

    healthcare in the hands of government bureaucrats and appointed 'experts'. Government

    control means you will have less freedom to make the health care choices that are best for you

    and your family. Government control over health care means "healthcare-by-lobbyist", not the

    health care that you believe is best for you or your family.

    Two hundred and twenty years ago, some founders questioned the need for the First and

    Second Amendments, and the rest of the Bill of Rights, to be in the US Constitution. Some,

    including Alexander Hamilton, believed the Constitution as written provided enough protection.

    Our rights have been preserved by the First and Second Amendments. The Health Freedom Act

    will protect the right to health freedom in the same way.

    What is it you are asking the legislature to do by passing the Health Care Freedom Act?

    The goal of the Health Care Freedom Act is to preserve the right to make our own health care

    choices without interference from government. It is unique among all of the Health Care

    Freedom statutes and amendments being considered by the various states. Its uniqueness

    derives from the declaration of the fundamental right of individuals to make their own

    independent decisions about their health care.

    The health care reform, the Patient Protection and Affordable Care Act, passed by Congress and

    signed into law by President Obama at its core substitutes the judgment of the individual for the

    judgment of bureaucrats. It establishes a large number of panels staffed with unelected officialswho will determine everything from the type of insurance you are required to have to what

    procedures, treatments, drug and therapies that the insurances will be allowed to cover. It

    replaces the judgment of the individual and their heal care providers with that of the

    government.

    By passing the Health Care Freedom Act we are asking the legislature to allow the people of

    Wyoming to determine if preserving health care liberty or accepting the premise of government

    selected health care on which the Patient Protection and Affordable Care Act is based is best for

    the citizens of Wyoming.

    There are already lawsuits filed by several states making tenth amendment claims in an

    attempt to stop the current reform. Why pursue this amendment if that is the goal?

    Stopping health care reform is not the goal of the Health Care Freedom Amendment. Rather,

    the Health Care Freedom Act will determine if preserving our liberty and establishing the ground

    rules for health care reform is important to the people of Wyoming.

    Virginia and Idaho have famously passed statutes to prohibit mandates in their states. We

    believe that those statutes are not sufficient to forestall the health care reform. Ultimately the

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    supremacy clause of the US constitution and the current expansive judicial interpretation of thecommerce clause will invalidate those states statutes.

    Florida, Colorado, Oklahoma, and Arizona all have placed a state constitutional amendment on

    their ballots. Wyomings Health Care Freedom Act is substantially different and provides a

    better argument than the current lawsuits and provides a solid declaration of an individuals

    right to make their own health decisions. The most salient difference is that it explicitly declares

    the fundamental right for individuals to make their own health care choices. The Health Care

    Freedom Act invalidates the core premise of the Patient Protection and Affordable Care Act,

    namely that government is better off making health care decision for its citizens then are the

    citizens themselves.

    Fortunately, the courts have a history of deferring to the states especially when the issue at

    hand is if the question is decided by the people of a state through an election. There have been

    recent challenges to the federal government imposing its will on the states contrary to the

    preferences of the state. Most notably Oregon won its challenge over federal objection

    concerning euthanasia (Gonzalez v Oregon, 546 U.S. 243 (2006)), and Arizonas challenge in

    setting its own educational preferences over federal objection (Horne v Flores, 08-289 (2008));

    additionally, the federal government was also stopped from commandeering the background

    check provisions of the Brady handgun bill.

    If the Health Care Freedom Act is approved by the people of Wyoming, Wyoming will have the

    strongest possible tenth amendment argument by declaring it an individual right for every

    person to make their own health care choices.

    Changing the Constitution is serious business, what makes health care any different from any

    other special interest?

    Recent constitutional amendments have been proposed for tort reform, legislative control of

    property taxes among other issues. Each of these issues does not directly affect the entire

    population of Wyoming. While they certainly will have secondary or tertiary effects on the

    population as a whole, the entire citizenry is not directly affected by the amendment

    themselves.

    The Health Care Freedom Act simply codifies the right we enjoyed until recently, namely the

    individuals liberty to make their own health care choices. This directly affects every citizen andas such is not a special interest amendment being sought by a special interest group defending

    its turf.

    Everyone eventually needs health care services, and nothing is as personal or as important as an

    individuals health and health care. As such, the Health Care Freedom Act is in the general

    interest of the state of Wyoming and her citizens.

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    Reforming health care ultimately leads to the question: who is better able to determine what isappropriate for the individual? Is it the government or is it the individual citizen?

    It is the central question that should be resolved by the people of Wyoming in being allowed to

    vote on the Health Care Freedom Act.

    The Wyoming Constitution Article 1, Sec. 37, states: The State of Wyoming is an inseparable

    part of the federal union, and the constitution of the United States is the supreme law of the

    land. Why should we even challenge the Patient Protection and Affordable Care Act with the

    Health Care Freedom Act?

    The Health Care Freedom Act is meant to preserve a basic freedom we as a people had

    stripped from us when the President signed the Patient Protection and Affordable Care Act into

    law. With the stroke of a pen, all Americans are no longer able to choose what they believe is

    best for themselves in terms of health care. By 2013, the panels and commissions established by

    the Patient Protection and Affordable Care Act will determine much of what can and cannot be

    done in health care.

    Every individual is different and every individual requires unique care based on the preferences

    and requirements of the individual and the individuals doctors. Since the inception of the union

    the right to make your own health care decisions has been an implicit right. It is consequently a

    grave injustice to strip Wyoming citizens of this liberty without our explicit approval.

    Wyoming through her constitution acknowledges the constitution of the United States as the

    supreme law of the land. The US Constitution, through the tenth amendment states, Thepowers not delegated to the United States by the Constitution, nor prohibited by it to the States,

    are reserved to the States respectively, or to the people.

    The Health Care Freedom Act simply removes any doubt that individual medical liberty is a right

    reserved by the state of Wyoming for its citizens.

    One legislator has stated the Health Care Freedom Act itse lf is based on the misguided

    political view that states can pick and choose which federal legislation they chose to accept;

    that concept was settled by President Lincoln and the Union army. Is this what the

    amendment is about?

    While some perceive this as an attack on health care reform, it is not. The Health Care FreedomAct does not make an attempt to select particular federal legislation. It is a reasoned attempt to

    preserve what we believe is a fundamental right of every citizen of Wyoming and indeed of

    every American. It is about maintaining the basic ground rules and citizens rights on which

    health care reform is built.

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    Fundamentally this is about what rights we as citizens will allow our government to take from us.If we are to take the unprecedented step of ceding the most personal of freedoms to our

    government, what wont we yield?

    If we are to remain a country where the government derives its powers and rights from the

    people, its citizens, we must defend and exercise our rights, otherwise we lose the uniquely

    American government. We will devolve into a government that can be found throughout the

    rest of the world. We will become a country where our rights are afforded to us as the

    government sees fit.

    Theodore Roosevelt said something similar 125 years ago in Dickenson, North Dakota:

    Here we are not ruled over by others as in the case of Europe;here we rule ourselvesWhen we rule ourselves thusly we

    have the responsibilities of sovereigns, not of subjects. We

    must never exercise our rights either wickedly or

    thoughtlessly; we can continue to preserve them in but one

    possible way, by making the best use of them.

    Right here, right now we the people of Wyoming deserve the opportunity to decide as the

    sovereigns of our state if the right to make our own health care decisions is worth defending or

    yielding uncontested to the federal government.

    How will the Initiative impact current programs in our state?

    The Health Freedom Act will not in any way impact the funding of any state healthcare program.

    People currently on Medicare will not be impacted. The ability of individuals to choose their

    health care providers and health care plans will be forever protected.

    Who are the winners and losers?

    The winners are the people of Wyoming, who will have a freedom we have all had for 220 years

    placed into the state's Constitution. The losers are those individuals and groups who believe that

    a government-run health care system, controlled by bureaucrats and special interests is the best

    kind of health care system reform.

    Who supports this initiative and why?

    Families of all political persuasions who want to have their freedom to make their own health

    care choices for themselves and their children believe in the Health Care Freedom Act.

    Supporters and advocates for those with disabilities who know that government-run health care

    will limit their ability to seek out and obtain specialized care and treatments for their loved ones

    believe in the Health Care Freedom Act. People who think that naturopathic and homeopathic

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    treatments ought to remain available believe in the Health Care Freedom Act. Health careproviders, who know that government run, socialized medical systems limit choice and increase

    waiting times for their patients believe in the Health Care Freedom Act.

    Who is against this initiative and why?

    Advocates for a government run, single payer, and socialized health care system may oppose the

    Health Care Freedom Act. Individuals and corporations who would rather lobby government

    officials than actually provide health care services will be against this initiative. Why? Because it

    is easier for a major corporation to spend money on lobbyists to get bureaucrats to write rules

    and regulations that favor companies over people rather than convincing the public that the

    service it is offering is a good value.

    Does this initiative forbid Wyoming from embracing some form of universal healthcare?

    The Health Freedom Act will prevent Wyoming legislators from passing legislation forcing

    Wyomingites into a government mandated health care system. It will not prevent the

    implementation of ideas, whether they come from the right or the left, that allow patients to

    continue to make health care decisions for themselves rather than cede those rights to

    government bureaucrats.

    How does this initiative impact insurance companies?

    Insurance companies are not directly impacted by this initiative. The Health Freedom Act

    protects patients, not insurance companies.

    How does this initiative impact Doctors?

    Doctors are not directly impacted by this initiative. The Health Freedom Act protects patients,

    not doctors.

    How does this initiative impact Hospitals?

    Hospitals are not directly impacted by this initiative. The Health Freedom Act protects patients,

    not hospitals.

    Is the amendment limited to medical services provided by a physician?

    No. The amendment protects the right of individuals to purchase any lawful medical services,

    whether provided by physicians or others, such as nurses, therapists, pharmacists,

    paraprofessionals, or anyone who may lawfully provide such services.

    What do you see as the intended consequences of this initiative?

    The Health Freedom Act will preserve and protect the right of individuals to make their own

    health care choices. The initiative will limit the power of special interest groups to engage in

    'back room', 'closed door' negotiations to get laws and regulations passed that claim to be for

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    the benefit of all people, when in fact the laws and regulations first and foremost protect theinterests of those who have the money and power to lobby most effectively.

    What are potential unintended consequences of this initiative?

    The Health Freedom Act will protect all people against having their resources forced into the

    hands of government-which then will give that money to private companies, or place into the

    hands of "experts". The private companies and "experts" would then be in a position to

    determine what health care services and treatments people can receive.

    Who is behind this initiative?

    The Health Freedom Act has very broad based support. It is fair to say that the effort is non-

    partisan. Polling by one of the nation's leading survey research companies suggests that the

    protection of the right to make one's own health care choices is viewed as nearly fundamental

    by Democrats, Republicans, the middle class, and women and men of all ages.

    Wyomings Future is an informal group of dedicated citizens based in Gillette joined by over 300

    citizens from around the state in backing the Health Care Freedom act.

    The Wyoming Liberty Group joined effort to pass the Health Care Freedom Act in 2009.

    How might this initiative affect federal programs adopted by our state?

    The Health Freedom Act will be in Wyoming's Constitution. It will have no impact on those who

    receive their health care benefits through government programs, including Medicare, Medicaidor SCHIP.

    Does supporting the Initiative mean that I am against health care system reform?

    Absolutely not. The Initiative simply states that the cornerstone of any future health care system

    reform must include the preservation and protection of the right of individuals to make their

    own health care choices.

    I am pro-life. Will this Initiative prevent laws from being passed that can limit abortion?

    The Initiative does not take any stance on the abortion issue. By focusing on lawful medical

    practice, the initiative defers to the legislature to define which medical services are legal and

    which ones are illegal.

    I am pro-choice. Will this Initiative hurt the current rights of women to choose?

    The Initiative does not take any stance on abortion. By focusing on lawful medical practice, the

    initiative defers to the legislature to define which medical services are legal and which ones are

    illegal.

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    I believe in freedom of conscience protections for health care providers of all types. Will thisInitiative prevent laws from being passed that address freedom of conscience issues?

    The Initiative does not take any stance on freedom of conscience protections. The Initiative does

    not restrict in any way an individual health care provider's or insurance company's right to

    determine what services to provide, or the legislature's power to protect or expand such rights.

    It is not the intent of the Health Care Freedom Act to be interpreted so that health care

    providers would be forced to provide health care services with which they have an objection.

    Does this mean people can use illegal drugs for medicinal purposes?

    The Initiative does not take any stance on medical marijuana or any other currently illegal

    substance. By focusing on lawful medical practice, the initiative defers to the legislature todefine which medical services are legal and which ones are illegal.

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    Appendix ALSO Memorandum

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    Appendix BArizona Health Care Freedom Act

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    Appendix CInitial 2009 version of the Wyoming Health Care Freedom Act

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    Appendix D2010 version of the Health Care Freedom Act

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    Appendix EAmendment or statues analysis from the Goldwater Institute

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    Appendix FSurvey of legislative candidate support for the Health Care freedom Act