Indiana’s proven health reforms are about to be overturned by ObamaCare’s Washington-led directives. “A key part of American federalism is states’ ability to serve as laboratories where the consequences of various programs can be explored without committing the entire nation to what may turn out to be expensive blunders. For instance, Wisconsin successfully took the lead on welfare reform in the early 1990s, setting the template for national bipartisan legislation in 1996 that lifted millions of women and children out of poverty. But in health-care reform, President Obama and congressional Democrats didn’t wait for state experiments to run their course. State reform efforts—on the left and right—were still in their earliest stages in March 2010, when Congress passed the Patient Protection and Affordable Care Act, committing the nation to trillions of dollars of new health-care spending. The consequences of this rush to national reform could be dire.”

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“The precise number of new entities that will ultimately be created pursuant to PPACA is currently unknowable, for the number of entities created by some sections is contingent upon other factors, and some new entities may satisfy more than one requirement in the legislation. Although PPACA states that certain entities were ‘established’ by the legislation, in practical terms, these entities will not be able to function until members are appointed and appropriations are provided or made available… The degree of specificity in these provisions may have implications for congressional control and, conversely, the amount of discretion that agencies will have in the implementation of the legislation. PPACA significantly increased the appointment responsibilities of the Comptroller General of the United States, and it is unclear how the Government Accountability Office (GAO) will be able to independently audit entities whose members are appointed by the head of GAO.”

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Sen. Blanche Lincoln (D-AR) is the first Senate Democrat to endorse Sen. Mike Johann’s (R-NE) bill to repeal the restrictive new business reporting requirements in ObamaCare. The provision is entirely unworkable, and even the IRS has questioned its worth.

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The Medicare Trustees issued their annual report outlining the financial status of Medicare last week. At the end of the document was a formal rebuke from the chief Medicare actuary, casting doubt on the rosy portrayal of the main report. “It is difficult to overstate how unusual this development is. The normal process with the annual Trustees’ Reports is for the Trustees to develop and publish the best available projections for the future finances of Social Security and Medicare. The respective Social Security and Medicare actuaries then sign a pro forma blessing of those projections, which is tacked to the back of the report when released to the public.”

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“The American people can kill this monster in its crib. Handing Republicans the keys to Congress on November 2 could smother this $2.5 trillion extravagance in its infancy. While a GOP repeal vote surely would earn a presidential veto, a Republican Congress could defund this law’s implementation. Instead, Republicans should administer a pro-market antidote to ObamaCare’s poison: health-insurance vouchers, Medical malpractice reform; universal, tax-free Health Savings Accounts; and individual, portable medical plans — all available across state lines.”

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“The ‘spin’ surrounding the Trustees Reports will largely involve what the new health care bill did and did not do to ‘solvency’ and other metrics. Unfortunately, the real ‘news’ in the reports is that the window for reform to slow the growth of these programs and to keep taxes at historical levels has nearly closed. Program beneficiaries need to be told of changes before they retire so they can adjust their life plans accordingly. If someone knows in advance that Social Security benefits will be lower or Medicare Part B premiums higher, they can delay retirement and make other changes. When people are informed of these changes in retirement, that flexibility has been taken away, leaving them worse off. Yet, if reforms are passed in say 2013 (a soon but reasonable timeframe) and they exempt future beneficiaries within 10 years of retirement, the reforms will (or can only) address less than 40% of the entitlement cost growth.

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“In the 2010 Annual Report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, the Board warns that ‘the actual future costs for Medicare are likely to exceed those shown by the current-law projections.’ The Trustees Report is necessarily based on current law; as a result of questions regarding the operations of certain Medicare provisions, however, the projections shown in the report do not represent the ‘best estimate’ of actual future Medicare expenditures. The purpose of this memorandum is to present an alternative scenario to help illustrate and quantify the potential magnitude of the cost understatement under current law.”

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“For the first time in Medicare history, the Medicare Chief Actuary has called the projections in a Medicare Trustees Report ‘unreasonable’ and ‘implausible’ and encouraged everyone to ignore them and view instead an ‘Illustrative Alternative’ report… The alternative report says that the number of facilities that would become unprofitable will grow to 25% by 2030 and 40% by 2050 if the health reform law is implemented as written.”

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59% of likely voters told Rasmussen that they wanted to repeal ObamaCare. Only 38% told the pollster they wanted to keep it in place. This is the largest number the pollster has found to date.

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“One of the more illuminating remarks during the health-care debate in Congress came when House Speaker Nancy Pelosi told an audience that Democrats would ‘pass the bill so you can find out what’s in it, away from the fog of controversy.’ That remark captured the truth that, while many Americans have a vague sense that something bad is happening to their health care, few if any understand exactly what the law does. To fill this vacuum, Representative Kevin Brady of Texas, the top House Republican on the Joint Economic Committee, asked his staff to prepare a study of the law, including a flow chart that illustrates how the major provisions will work… It’s a terrifying road map that shows Democrats have launched America on the most reckless policy experiment in its history, the economic equivalent of the Bay of Pigs invasion.”

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