“Instead, the co-chairs propose the same ol’ failed strategy of trying to limit Medicare and Medicaid spending using government price-and-exchange controls, which they euphemistically describe as “rebates” and ”payment reforms.” Along the same lines, they propose strengthening IPAB, ObamaCare‘s rationing board. IPAB’s mandate is — you guessed it — to ration care by fiddling with Medicare and Medicaid’s price and exchange controls. It will therefore inevitably fall prey to the same political buzzsaw.”

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“The Bowles-Simpson proposal would leave in place the entire trillion-dollar monstrosity. Indeed, many of its supposed cost-cutting recommendations would build on Obamacare’s flawed structure of government-driven cost-cutting through price controls. In particular, they would like to create what amounts to a global budget on health care, with the Independent Payment Advisory Board (IPAB) given the unilateral authority to hit budget targets with price cutting. This is exactly the opposite of what’s needed, which is cost discipline through consumer choice in a functioning marketplace.”

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ObamaCare is planning to achieve significant savings in Medicare through creating Accountable Care Organizations to coordinate patient care. But these ACOs are unlikely to work because very few doctors and hospitals are equipped to set them up any time soon.

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“However, on the whole, large employers
believe PPACA broadens access while failing to make any meaningful changes in the way health
care is delivered by the health care supply chain, and then places the primary burden for paying
for this broadened access on employers and employees.”

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ObamaCare levies a $20 billion tax on medical device companies, which will reduce incentives for innovation and raise the cost of care. It will likely be one of the first targets for repeal.

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“The health-care overhaul has taken some of the flex out of flexible spending accounts, which let workers pay medical expenses with pretax dollars. Starting in January, you’ll no longer be able to use your FSA for over-the-counter drugs and medicines unless you have a doctor’s prescription. Experts agree that the new rules will likely discourage people from tapping their FSAs for routine purchases of aspirin, vitamins, cough medicine and other drugstore essentials.”

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“Congress must repeal the new law. Congress cannot build sound market-based health care reform on the PPACA foundation, which is utterly incompatible with a health care system based on consumer choice and free markets.”

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“The U.S. Food and Drug Administration estimates that it will take the food service industry 14 million additional hours each year to comply with a new regulation that mandates chain restaurants and vending machine operators label the products they sell with a calorie count in a place visible to the consumer.”

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“A leading House Democrat said this week that the party’s signature healthcare reform law was largely the reason the Democrats were trounced in the midterms.”

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“Some Republicans may be willing to take their symbolic victory in the House and call it a day. They shouldn’t. There are many things they can do short of repeal that can begin the step-by-step dismantling of ObamaCare.”

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