“The Obama Administration’s healthcare proposals continue to rob Peter to pay Paul with dangerous
consequences for the America’s healthcare system. First, the President failed to address the Medicare
physician reimbursement problem with the Patient Protection and Affordable Care Act. Now the
President is proposing a two year doc fix that shifts care access problems from the elderly to the poor,
undermines drug innovation, and further relies on unproven cost savings that will likely just add to the
federal budget deficit.”

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“The Obama administration health department office tasked with selling the healthcare reform law is looking to quadruple its budget while almost doubling the size of its staff. Under the Department of Health and Human Services’ fiscal 2012 budget request, the assistant secretary for public affairs’ office would get a bump from $4.8 million to $19.9 million in fiscal 2012. Meanwhile, the office would grow from 24 to 46 full-time equivalent employees.”

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“This month, Jan Brewer of Arizona became the first governor to request what most of the states really need — a waiver from HHS freeing the states from an Obamacare provision known as the maintenance of effort requirements. This is a mandate that forces states to maintain their current Medicaid rolls until 2014 for adults and 2019 for children. If the states trim programs, they end up forfeiting all of Medicaid’s federal matching funds.”

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“In ruling as he did, Judge Vinson wrote that ‘it must be presumed that federal officers will adhere to the law as declared by the court.’ Yet the Obama administration has thus far shown no inclination to do so. But neither has it sought to stay the practical effects of the ruling — perhaps because it thinks that doing so would give credence to the court’s decision.”

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“Back in a November 2009, Utah governor Gary Herbert complained in remarks at the Heritage Foundation that the federal government was ‘freezing out the states’ on health-care reform. How have things gone since then? According to the governor’s remarks (as reported by Jane Norman of CQ HealthBeat) when he returned to the Heritage Foundation last week, ‘Utah officials waited for eight months to find out if the state would be allowed to us e-mail rather than paper to communicate with Medicaid recipients and save $6 million a year.’ Herbert concluded — with bemusement – that ‘they sent us a denial by e-mail.'”

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“Beginning in 2014, the Patient Protection and Affordable Care Act, signed into law in March 2010, is expected to significantly extend health-insurance coverage in New York by increasing Medicaid enrollment and offering federal subsidies for the purchase of private health insurance. However, there is no guarantee that the newly insured will be able to access the health-care system in a timely fashion as new demand for services outstrips physician supply.”

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“Obamacare was passed under the expansive notion that government can run Americans’ health care better than we can ourselves. Bureaucrats in Washington believes they have the power to get things done, but with unmet deadlines passing each month and promises to the American public broken, it seems to be the opposite.”

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“One way to think about all this is to see the ACA as a sham of sorts. Long before the passage of the bill public opinion polls consistently showed over many years that the average voter was willing to pay only $100 or so to insure the uninsured. If you think about it, everything that has come out of the White House and other administration officials is consistent with that finding. ObamaCare, we are being told, is one big free lunch. No one’s premium will be higher. No one’s wage will be lower. Millions of people are supposed to benefit and no one is acknowledged to be the slightest bit worse off because of it.”

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“GOP committee members repeated their warnings that the law will drive doctors away from treating older Americans, ruin people’s ability to keep their current health care, undermine the free enterprise system and place health care in the hands of what one called ‘unelected bureaucracies.’ These were arguments they and GOP House colleagues made last month when the chamber voted to repeal the entire law – a step the Senate has refused to take.”

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“In a hearing of the House Budget Committee today, Paul Ryan asked CBO director Douglas Elmendorf about that claim, saying that some people have argued the new law ‘will create jobs and increase labor force participation. But if I recall from your analysis, it was quite the opposite. Is that not the case?’ Elmendorf answered ‘Yes.'”

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