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By John R. Bolton
Reality calls for attaching Gaza to Egypt and the West Bank to Jordan
Topic - Independent Payment Advisory Board
There are several unattractive parts of the Affordable Care Act, but perhaps the most unattractive is a little-discussed board that has the power to dramatically alter Medicare. The Independent Payment Advisory Board has the power to reshape Medicare to meet a budget, and Congress has only limited ability to stop it.
President Barack Obama and Republican rival Mitt Romney spun one-sided stories in their first presidential debate, not necessarily bogus, but not the whole truth.
The Republican-controlled House voted Thursday to repeal a Medicare cost-cutting panel that was part of President Obama's health care overhaul, delivering a carefully-timed blow to his signature accomplishment one day before the two-year anniversary of his signing it into law.
President Obama's health care overhaul marks its second anniversary this week, and from the way Republicans and Democrats on Capitol Hill are talking about it, you would think they are looking at two entirely different laws.
Every election, voters are told that this election is the most important of our lifetimes. In most elections, it's not really true. In 2012, though, it probably is true, for one reason: Obamacare.
The curtain seems to be rising on Act 2 in the saga of piecemeal repeal of the Patient Protection and Affordable Care Act, or Obamacare. The first part to fall was the financially unsustainable long-term care portion, the Class Act. The next target is the Independent Payment Advisory Board.
After voting last fall to scrap a long-term care program in President Obama's health care law, House Republicans homed in Wednesday on their next major target in the law by advancing legislation that would repeal a Medicare cost-cutting panel and winning support for the move from a leading Democrat.
The ongoing controversy over President Obama's universal female-contraception entitlement decree reportedly found Vice President Joseph R. Biden, Defense Secretary Leon E. Panetta, former Chief of Staff Richard Daley and five Democratic senators opposing Mr. Obama's fusillade against religious liberty and economic freedom.
Perhaps the most underreported and, until recently, least discussed aspect of the Affordable Care Act is IPAB, the Independent Payment Advisory Board. This 15-person unelected panel has yet to be selected; however, it will be a key to the success of Obamacare.
President Obama recently received a harsh letter from an important ally. The National Committee to Preserve Social Security and Medicare, an organization that has long supported the president's health care reform efforts, wrote to express its opposition to the health care law's Independent Payment Advisory Board (IPAB).
President Obama used to claim Medicare would save money by implementing the principle that if the "red pill" works just as well as the "blue pill," but costs half as much, patients should get the red pill. That dangerously simplistic notion now boasts an enforcer created by last year's Obamacare legislation.
House Republicans called Tuesday for repealing a panel created by the new health care law they say will lead to rationing - highlighting a controversy they hope to use against Democrats in next year's elections.
With Medicare's trustees predicting the Medicare program will go bankrupt in 2024 - five years earlier than was projected before the passage of the Patient Protection and Affordable Care Act - even Americans who strongly supported Obamacare have little choice but to acknowledge that Medicare must be reformed - and soon. While lawmakers continue to argue about the best way to protect this vital program for the seniors it serves and those who it has yet to serve, there is a growing bipartisan consensus that the Independent Payment Advisory Board (IPAB) is one provision of the new health law that will do more to undermine the program than save it.
Tucked away in the 2,000-plus pages of the health care law is a provision that would create a harmless-sounding entity called the Independent Payment Advisory Board (IPAB). Its job, as laid out in the law, would be to enact savings from the Medicare program when actual spending exceeds targeted spending levels. It doesn't sound like something to be too concerned about, right? If you're a senior or a physician, you should be.