“Does President Obama have any idea what’s in his own health-care reform law? Since he signed the Patient Protection and Affordable Care Act a bit more than 100 days ago, the president has given a number of speeches and interviews in which he continues to say things that, well, just aren’t so. Just last Friday, he told MSNBC’s Chuck Todd that the law ‘not only makes sure everybody has access to coverage but is reducing costs.’ Wrong on both counts.”

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ObamaCare’s regulations dictating the spending levels of insurance companies may result in them ending their disease management programs, where insurance companies provide free counseling to chronically ill enrollees. “These phone-based programs have sparked debate, with critics claiming there is little evidence that they actually work, and proponents — including many insurance companies — lauding them as precisely the sort of prevention-oriented approach needed to fix the health-care system. That debate has gained new salience because of a key requirement of the sweeping health-care overhaul enacted by Congress this year.”

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Nationally, over half of those newly insured by ObamaCare will be added to Medicaid. This government-run program reimburses doctors at such low rates, that many providers refuse to treat enrollees. “The Kentucky Hospital Association said in a report on Monday that Kentucky hospitals will lose $1.2 billion in revenues in the next 10 years because of health care reform. Because Kentucky has one of the lowest income levels in the nation, the majority of uninsured Kentuckians will be covered under Medicaid rather than private health insurance, leaving the state with 25 percent of its population on Medicaid, the report said. Medicaid is jointly financed by federal and state tax dollars.”

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“[S]pending on health care is clearly the most important source of the spending explosion. Remember that these data came out after Obamacare was passed. Thus, Obamacare does not address the explosive health care spending problem, which will come as no surprise to its critics, but is clearly contrary to the claims of those who supported it. Moreover, to the extent that Obamacare slowed growth in Medicare it more than offset this with new entitlements, making controlling health care spending even more difficult now. The data are clear: In order to control government spending, you have to start over on health care reform. Whether you call that “repeal and replace” or “repeal and reduce (the deficit)” the message is the same.”

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“So to sum up: McCain accurately dings Obama for being a tax-raiser. Obama responds by reiterating tax pledges he wouldn’t keep, while specifically (and ‘misleadingly’) attacking McCain for raising taxes with his health care plan. The ruse works–for most of the campaign, opinion polls showed that more people believed McCain was likely to raise taxes than Obama. Then, after the election, when Obama’s successfully passed health care plan imposes a new tax, he denies this fact in literally absolutist terms, until his administration is challenged to defend it in court. It’s breathtaking. And not in the good way.”

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“If the Commerce Clause claim of power were a slam dunk, as previously alleged, would there be any need now to change or supplement that theory? Maybe the administration lawyers confronted the inconvenient fact that the Commerce Clause has never in history been used to mandate that all Americans enter into a commercial relationship with a private company on pain of a ‘penalty’ enforced by the IRS. So there is no Supreme Court ruling that such a claim of power is constitutional. In short, this claim of power is both factually and judicially unprecedented.”

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Seeing rising health costs on the horizon, employers are scaling back their insurance plans to put more costs on the consumer. This is despite pledges from the White House that families will see their premiums decrease without any quality reduction because of ObamaCare. “That could come as a surprise to many who remember the repeated assurances from President Obama and other officials that consumers would retain a variety of health-care choices.”

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The new health system in Massachusetts included huge subsidies to provide insurance coverage on a new exchange, but lacked cost control components. This is leading employers to drop health insurance for their workers and get the government to pick up the tab. ObamaCare has the same features and incentive structure, which means the national costs will rise sharply over previous estimates, just like in Massachusetts.

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CBO Director Doug Elmendorf testified before the President’s Deficit Commission and said that ObamaCare will not cause any notable improvement in the long term deficit picture. And since the law has lots of guaranteed spending which is paid for with speculative, future cuts, it might make things much worse.

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“Starting on Oct. 1, 2012, Medicare payments for hospitals with high readmission rates for certain conditions, including heart failure, will be reduced. This means Obamacare may actually punish hospitals and physicians for providing better quality care. As Dr. Eiran Z. Gorodeski of the Cleveland Clinic put it, ‘I think that the message to patients and the general public is that they should be wary of seemingly simple measures of quality of care.’ There’s also a message here for lawmakers: health care is too large and complex to expect central planning to yield positive results. Unfortunately, the passage of Obamacare and the recent recess appointment of Dr. Donald Berwick as Medicare head only move the U.S. further in that direction.”

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