The PPACA has been deemed Constitutional, yet it remains bad policy. A close review of this legislation reveals that  while it indeed increases coverage, it minimizes care delivery, and funnels all private insurance into one government controlled program. 

Enter the era of American Socialized Medicine.

Although there are a number of worthy ideas in the PPACA, the actual structure of it is such that it sets a framework for a new delivery model and allows broad discretion to future appointed (note: no Congressional oversight!) bureaucrats to issue decrees. The IPAB (Independant Patient Advisory Board) is a reallay onerous one. This Board has 15 appointed members, of which only one is a doctor. This Board has the ability to make recommendations to Congress which the PPACA then REQUIRES the Secretary of HHS to implement immediately--NO congressional oversight, NO judicial review. And very hard to repeal.

In fact, to repeal the IPAB,
Congress must enact a Joint Resolution, but it is prohibited from introducing
such a resolution until 2017, and must act no later than Feb. 1 2017. The
resolution must be in place no later than Aug. 15, 2017. In the event that a
resolution is introduced, PPACA calls for a super-majority vote, meaning 3/5 of
all elected members of Congress must support the resolution. Even if a
resolution is passed, the Board would not disband until 2020.

Of all the issues which lead to an erosion of our medical care system, this clearly has the top rating--an agency that by the law which created it, cannot be appropriately  overseen by Congress or the Judiciary.

And can this Board ratin health care, despite the language of the lw instructing that no such thing can occur? If one considers that the prupose of the law is to reign in costs, and the law also creates a Board to review and decide what is the appropriate standard of care, then yes! Just think about how the Independent Preventative Services Task Force (authorized in section 4 003) came out in November 2009 with the recommendation that women aged 40-49 do NOT mamograms(they also have stated that men really dont need PSA screening--for prostate cancer--and women dont need cervical cancer screening). And all Congress has to do is blame some Board-they keep their fingers clean.

This is NOT an improvement in healthcare!

Cato Institute--IPAB policy review
The Galen Institute
Benjamin Rush Society
National Center for Policy Analysis
Council for Affordable Health Coverage

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