Audits and investigations into the effects of ObamaCare from congressional committees, government auditors, advocacy groups, and others.

“This change works well as part of an incrementalist strategy to destroy the private insurance market–especially patient-driven healthcare. I realize that may sound cynical. But the far left has made no secrets about its desire to create a single-payer system and to use a strategy of patient trench warfare (no pun) to create it. Obamacare was a major advance towards that end and, tactically, the eventual destruction of HSAs must figure in to said strategy.”

Three Catholic hospitals in Pennsylvania are putting themselves up for sale because they are unable to cope with ObamaCare’s interference. “Officials said there are numerous reasons for the sale. One big one is the heath care reform bill signed into law this year… The CEO said it means the need for more spending and less federal reimbursements.”

“When a federal program is hemorrhaging taxpayer dollars and delivering poor results, policymakers should reform it. Fundamental Medicaid reform is desperately needed. Market-based principles should be introduced to re-align incentives of doctors and patients so that quality can increase and cost can decrease. Instead of addressing the many problems of Medicaid, Obamacare doubles down on the broken program and greatly adds to its rolls.”

Texas doctors will be unable to accept new Medicaid patients under scheduled reimbursement cuts. ObamaCare further squeezes these physicians with more across the board cuts, which will lead to access problems.

“So here’s the bottom line: The new health reform law does have three notable cost-control mechanisms — two of which are very aggressive. None of the three, however, are likely to achieve their objective.”

“Back when Secretary Sebelius was nominated for her current position, a colleague enthused that, ‘An insurance commissioner is a great choice for Secretary of HHS, because his or her direct contact with consumers provides unique insight into the challenges…..’ Unfortunately, Secretary Sebelius’ current direct contact with the Beltway political class and its ideological agenda obviously have far more significance than her previous direct contact with consumers, whose suffering under ObamaCare has only just begun.”

“The U.S. healthcare reform law will worsen a shortage of physicians as millions of newly insured patients seek care, the Association of American Medical Colleges said on Thursday. The group’s Center for Workforce Studies released new estimates that showed shortages would be 50 percent worse in 2015 than forecast.”

“One of the big ironies of the health care debate was that supporters of the new law were arguing that government intervention was necessary to deal with the problem of consolidation in the insurance industry. ObamaCare was supposed to change all of that by fostering competition. But now we’re starting to get confirmation of one of the arguments that critics of the legislation were making — that ObamaCare’s onerous regulations would drive smaller insurers out of business, thus leading to further consolidation in the industry.”

“Principal said its exit in part is because smaller insurers will have a hard time competing with bigger players under the overhaul. Expenses such as for sales forces are a bigger proportion of costs for smaller insurers, said Mr. Houston, making it harder to meet the new threshold on how much they pay out for care, known as the medical-loss ratio. ‘In the past, scale hasn’t mattered,’ said Mr. Houston. ‘But with administrative costs getting the focus,’ the company would have to grow significantly to stay in the business.”

“The Principal Financial Group announced on Thursday that it planned to stop selling health insurance, another sign of upheaval emerging among insurers as the new federal health law starts to take effect… Principal’s decision closely tracks moves by other insurers that have indicated in recent weeks that they plan to drop out of certain segments of the market, like the business of selling child-only policies. State regulators say some insurance companies are already threatening to leave particular markets because of the new law.”