“Hospitals that treat the most vulnerable patients may have the toughest time weathering spending cuts under President Obama’s health-care law… Under the Affordable Care Act, the safety-net hospitals will gain a new source of revenue when millions of the uninsured gain coverage. At the same time, the law’s spending cuts could prove challenging for hospitals that tend to operate with relatively small profit margins.”

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“A labor union representing roofers is reversing course and calling for repeal of the federal health law, citing concerns the law will raise its cost for insuring members. Organized labor was instrumental in getting the Affordable Care Act passed in 2010, but more recently has voiced concerns that the law could lead members to lose their existing health plans. The United Union of Roofers, Waterproofers and Allied Workers is believed to be the first union to initially support the law and later call for its repeal.”

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“Obama and his lieutenants have their work cut out for them as they try to connect millions of uninsured people to subsidized private health insurance or Medicaid — and to transition people and small businesses who already buy their own health insurance into the new system. Public polling continues to show a plurality of Americans oppose the law, which is bad enough for Obama.”

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“The nation’s largest movie theater chain has cut the hours of thousands of employees, saying in a company memo that ObamaCare requirements are to blame. Regal Entertainment Group, which operates more than 500 theaters in 38 states, last month rolled back shifts for non-salaried workers to 30 hours per week, putting them under the threshold at which employers are required to provide health insurance.”

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“Sen. Max Baucus (D-Mont.) said Wednesday he fears a ‘train wreck’ as the Obama administration implements its signature healthcare law. Baucus, the chairman of the powerful Finance Committee and a key architect of the healthcare law, said he fears people do not understand how the law will work.”

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“Illinois Medicaid Director Julie Hamos is warning that there won’t be enough doctors to treat the expected surge next year of new Medicaid patients unless more physicians participate in the health care program for the poor… About 1.2 million uninsured people in Illinois are expected to gain some form of health insurance coverage on Jan. 1 under the landmark overall of health care. About half of those people will be newly eligible for Medicaid.”

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“Obamacare is designed to destroy the insurance market. Markets do not function without prices, and Obamacare ensures that prices will not be allowed to emerge. There is a medical price associated with smoking, but the District of Columbia has decided to suppress that price by law. Pretending that smoking has no relationship with health-care costs does not make it so — it is only a way to push costs around in a way that is agreeable to the likes of Barack Obama, converting a system that prices risk into a system of entitlements.”

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“One of the many objections to President Obama’s health care reform law echoed philosophical beliefs rather than explicitly appealing to empirical evidence; the refrain is that Obamacare is a government takeover of our health care system, and as such, infringes on our freedom. While the reality isn’t quite that gloomy, the law does significantly increase government involvement in health insurance – through subsidies, Medicaid expansion, and new regulations for health care providers and insurers.”

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“Even when the law was passed three years ago, $1 billion for implementation was thought to be just the start. Getting the massive law up and running was expected to cost 10 times that. And that was before the federal exchange task ballooned as conservative states refused to do much to make the law a success.”

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“In a 2010 paper I authored for the Heritage Foundation, I documented the delayed and failed effort by the Massachusetts public exchange (Connector) to offer real choice and savings to small businesses. My report suggested the experience served as a warning to other states. I suppose I should have targeted it toward the federal government instead.”

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