ObamaCare includes new mandates which require all insurance companies to provide “free” preventive care, with no co-pays or deductibles. Of course, patients will still be paying for it, but the costs will instead be built into increased insurance premiums to pay for the new requirements. A government board will be deciding what does or does not qualify as preventive. “The rules stipulate that no co-payments can be charged for tests and screenings recommended by the United States Preventive Services Task Force, an independent panel of scientific experts. The rules apply to new health plans that begin coverage after Sept. 23 and to existing health plans that make significant changes after that date. The administration said the requirements could increase premiums by 1.5 percent, on average.”

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“I think what is interesting is how poorly the law stacks up against its proponents’ own criteria. The new law fails to control rising health-care costs or increasing health-insurance premiums. In fact, the legislation will actually increase U.S. health-care spending by $311 billion over ten years. Insurance premiums will roughly double over the next six years, roughly what was expected before the law passed. It doesn’t restructure programs in a way to improve quality… By 2019, there will still be 21 million uninsured Americans, and nearly half of those who do get coverage under this law are merely thrown into Medicaid. Many other touted reforms come with surprisingly high price tags. For example, sure you can now keep your children on you insurance plan through age 26, but it will cost them an average of $3,380 per year per child in higher premiums. Even if you believed completely in President Obama’s goals, it’s hard to see what there is to like about this law.”

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“Is the IRS capable of handling all of its new responsibilities under ObamaCare? Not according to the National Taxpayer Advocate. A new report from the IRS watchdog says that your friendly neighborhood tax collectors are insufficiently prepared to carry out their duties under the new health care law, and will therefore require additional funding not included in the bill.”

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“Considering how dubious the public remains about Obamacare, there is every reason to believe the Republicans really did want an exchange with the candid, erudite Berwick. The recess appointment strongly suggests the White House simply did not want to have another fight over the contentious health-care issue.”

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“Unfortunately, Dr. Berwick’s prescription for reform – a bolder, more determined bureaucracy – is the wrong strategy for an industry that has labored under increasing government control for the past 50 years. Instead, health care is in desperate need of more consumer-driven innovations like the iPhone that have the potential to change the way we think about health and health care.”

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Elena Kagan has spent the last year as the Solicitor General of the United States, where she is one of the government’s chief advocates. If she were a Supreme Court justice, she might need to recuse herself from deciding the fate of ObamaCare. “Ms. Kagan would sit as Mr. Obama’s nominee on the nation’s highest Court on a case of momentous Constitutional importance. If there is any chance that the public will perceive her to have prejudged the case, or rubber-stamped the views of the President who appointed her, she will damage her own credibility as a Justice and that of the entire Court.”

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Maine’s Insurance Commissioner is requesting an exemption from the onerous new “medical loss ratio” regulations in ObamaCare. It would likely force one of the state’s larger insurers out of the market, greatly restricting choice and competition.

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“If the health care legislation passed in 2010 is implemented fully and on schedule, public attention will turn to features of the legislation that were perhaps less obvious during the debate. For example, who ultimately controls the new health exchanges-the states or the federal government? Resolution of this issue could determine the nature of health insurance in America. The so-called OPM alternative will soon be seen as an end-run for the public option and, if it remains on the statute book, could lead to a far stronger public option than anyone thought possible. Employers and employees will soon wake up to the fact that the legislation will accelerate the erosion of employer-based insurance. And rosy projections that health spending will taper down will most likely prove to be an illusion-forcing choices about price controls and budgets. However Congress responds to these decisions, it will mean big changes in access to services and control of the system.”

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ObamaCare is substantially worse than most people think. “The length and complexity of the legislation, combined with a debate that often generated more heat than light, has led to massive confusion about the law’s likely impact. But, it is now possible to analyze what is and is not in it, what it likely will and will not do. In short, the more we learn about what is in this new law, the more it looks like bad news for American taxpayers, businesses, health-care providers, and patients.”

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New ObamaCare regulations to increase tax revenues by adding paperwork to small businesses will sock businesses with onerous regulations. “An Internal Revenue Service watchdog warned Wednesday the paperwork burdens on small businesses may outweigh the benefit of tax collections generated as part of the new health-care law. Starting in 2012, about 40 million businesses, charities and other entities will be required to report to the IRS payments they make to suppliers and service providers, the IRS Taxpayer Advocate Service said in its midyear report to Congress.”

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