…like a box of chocolates, you never know what you’re gonna get.
In the case of PPACA (aka Obamacare) most everything we’ll ‘get’ revolves around stifling, overreaching bureaucracies and top down command and control of the relationship between you and your medical service vendors.
We bet you’ve not heard of the Independent Payment Advisory Board, or IPAB, a cost-containment board under the executive branch which, under ObamaCare, is given the authority to make reccomendations about how to change Medicare in order to meet predetermined cost-containment targets.
‘Making recommendations’ sounds pretty benign, right? Well, those those recommendations aren’t really recommendations at all. Rather they’re legislative changes: They go into effect automatically unless Congress either proposes equally large cuts of its own or three-fifths of the Senate votes to override the cuts.
In addition any resolution to abolish the IPAB must pass both houses of Congress. But no such resolution can be introduced before 2017 or after Feb. 1, 2017, and must be enacted by Aug. 15 of that year. And if passed, it cannot take effect until 2020. Defenders of all this audaciously call it a “fast track” process for considering termination of IPAB. This scheme will permanently entrench IPAB — never mind the principle that one Congress cannot by statute bind another Congress from altering a statute.
One more reason to pointedly advise those congresscritters who would tinker around the edges and ‘keep the good features’ (Mr. Boehner perhaps?) that the only answer is immediate repeal of the whole damned thing.