“If Congress is serious about reducing the deficit and controlling spending, lawmakers should set aside easily manipulated rules like PAYGO and require scoring that reveals the true long-term impact of legislation. This would make it more difficult for legislation like PPACA, which increases the size of government and creates unsustainable new spending, to become law. To reduce the deficit, PPACA must be repealed.”

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“In a Jan. 7 letter to President Obama, more than 30 current and former GOP governors urged the White House to remove ‘excessive constraints placed on us by healthcare-related federal mandates.’ The letter says that ObamaCare and spending mandates from the stimulus bill passed in 2009 ‘prevent states from managing their Medicaid programs for their unique Medicaid populations.'”

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“Beginning in 2014, most U.S. residents will be required to have health insurance coverage. However, provisions of the new Affordable Care Act (ACA) will limit the choice of health plans offered. Health insurance that does not cover preventive care, plans with deductibles above the statutory limit and plans that cap benefits at predetermined levels will ultimately disappear.”

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“An estimated 32 million to 34 million individuals will gain public or private health insurance under the Patient Protection and Affordable Care Act (ACA). Insured individuals consume nearly twice as much health care as the uninsured, on the average. Thus, EMS utilization will likely increase; however, the ACA does not provide funds to pay for increased EMS use. This will force local governments to choose between raising taxes, finding alternative revenue sources or reducing emergency services.”

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“The top-down federal approach to health care reform assaults the traditional state role in insurance regulation, squashes innovation, and undermines real choice and competition. PPACA is thus a bad deal for states, reducing them to mere agents of federal health and insurance policy. They could not make full use of their comparative advantages in coping with very different insurance markets, mending the safety net care for the poorest and most vulnerable of their citizens with new policies, or undertaking imaginative reforms without getting a permission slip from Washington.”

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“The problems of the uninsured, including the ‘free rider’ issue, are best addressed through a judicious combination of positive economic incentives, such as tax credits and vouchers for insurance, creative new mechanisms to facilitate coverage (such as automatic enrollment with a right to refuse coverage), and transparency in personal choice and consequences, such as an upfront signed acknowledgement of financial liability for refusing coverage.[18] This policy encourages the adoption of coverage and individual responsibility while not compromising Americans’ personal freedom and responsibility.”

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“The problem is that the board is prohibited by law from proposing real structural reforms. The only cuts it is allowed to make would be cutting providers’ reimbursements—including administrative costs and profit margins of Medicare Advantage plans, which are already slated for a payment freeze and future cuts under the new law.”

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“One of the central goals of the Patient Protection and Affordable Care Act (PPACA) was to increase the number of individuals with health insurance coverage. To encourage employers to offer coverage, the new law creates a tax penalty on firms with more than 50 workers that fail to provide “adequate” coverage for their employees. The result is government intrusion into voluntary arrangements made between employer and employee. The cost of the tax penalty will ultimately be borne by workers (lower wages and fewer jobs), shareholders (lower profits), and consumers (higher prices).”

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“Roughly half of the anticipated gains in insurance coverage from the Patient Protection and Affordable Care Act (PPACA) are achieved through a massive expansion of Medicaid, the joint federal–state health insurance program for the poor. The Medicaid program, with its soaring price tag and dubious level of care for recipients, is in serious need of reform, not expansion. Increasing enrollment in this program by a third is a major flaw of the new health care law.”

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“The Patient Protection and Affordable Care Act (PPACA) contains several provisions that weaken longstanding federal policy denying public subsidies for elective abortion and health care plans that provide coverage of elective abortion. In addition, PPACA fails to adequately protect the conscience rights of health care insurers, providers, and personnel who decline to provide, pay for, provide coverage of, or refer for abortions. These defects in PPACA not only fail to fix the patchwork of laws that have been passed to bar federal support for elective abortion; they also create new avenues for federal subsidies and promotion of elective abortion.”

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