Scott Gottlieb, American Enterprise Institute
"The Obama administration envisions accountable care organizations (ACOs) as the drivers of health care innovation, but such innovation has historically come from entrepreneurs in the private sector.
ACOs offer financial incentives to cut costs, but this means restricting patient choice and limiting the use of some expensive care.
The ACO concept is not new. Similar ideas have been tried before, but they failed because they were unable to control costs or manage medical risk."
Paul Howard, PhD, Testimony Before the House Education and Workforce Committee
"I will discuss why the Affordable Care Act is much more likely to increase the deficit than
reduce it; explain how the mandates, taxes, and penalties that it imposes on insurers and employers will
increase health care costs and decrease employment; and conclude by exploring the negative effects of
regulatory uncertainty at a time when companies are 'sitting' on trillions of dollars in cash that could
be used for job creation."
John S. Hoff, The Heritage Foundation
"In response to public opposition to enactment of the Patient Protection and Affordable Care Act (PPACA), President Obama assured Americans that if they were happy with their current health insurance, nothing in the PPACA would force them to change their coverage. This promise has been broken. Not only does the PPACA itself require changes in existing coverage, but regulations issued by the Administration further undercut the ability of Americans to continue with their current insurance plans. The rules are arbitrary and confusing."
Paul Howard and Douglas Holtz-Eakin, City Journal
"What would you call a health-insurance program that has worse health outcomes for cancer and heart disease than Medicare or private insurance, that pays doctors and specialists so little that they often refuse to see patients, and that’s driving state budgets into bankruptcy? If you’re the Obama administration, apparently, you call it a success and make it the cornerstone of the Patient Protection and Affordable Care Act, the health-care-reform legislation passed in March 2010 that is better known as Obamacare."
James C. Capretta, House Budget Committee Testimony
"The most noteworthy characteristic of the new law is that it is the largest entitlement expansion since the 1960s... How then does a new law which increases spending by nearly $1 trillion over the period 2010 to 2019 reduce the federal deficit (by about $130 billion over ten years according to the Congressional Budget Office and by a modest amount in the decade after that)? The only way is by raising taxes and cutting spending by amounts in excess of the new spending commitments. According CBO’s estimate of the final legislation, spending reductions will bring the net increase in spending down to about $430 billion over the next decade. The tax hike to pay for this spending will total about $560 billion over the same period."
Devon Herrick, National Center for Policy Analysis
"Beginning in 2014, most U.S. residents will be required to have health insurance coverage. However, provisions of the new Affordable Care Act (ACA) will limit the choice of health plans offered. Health insurance that does not cover preventive care, plans with deductibles above the statutory limit and plans that cap benefits at predetermined levels will ultimately disappear."
James C. Capretta and Kathryn Nix, The Heritage Foundation
"If Congress is serious about reducing the deficit and controlling spending, lawmakers should set aside easily manipulated rules like PAYGO and require scoring that reveals the true long-term impact of legislation. This would make it more difficult for legislation like PPACA, which increases the size of government and creates unsustainable new spending, to become law. To reduce the deficit, PPACA must be repealed."
Curtis Dubay, The Heritage Foundation
"The Patient Protection and Affordable Care Act (PPACA) imposes numerous tax hikes that transfer more than $500 billion over 10 years—and more in the future—from hardworking American families and businesses to Congress for spending on new entitlements and subsidies. In addition, higher tax rates on working and investing will discourage economic growth both now and in the future, further lowering the standard of living."
Edmund Haislmaier, The Heritage Foundation
"A set of provisions included in the Patient Protection and Affordable Care Act (PPACA) gives the U.S. Department of Health and Human Services (HHS) sweeping new powers to impose a wide range of detailed benefit requirements on employer-sponsored health plans and major medical policies sold by health insurers. This will effectively make all health insurance benefits uniform—depriving patients of choices—increase the cost of coverage for tens of millions of Americans, and stifle insurance innovation."
James Capretta, The Heritage Foundation
"Medicare Advantage (MA) plans are private insurance options available to Medicare beneficiaries. The Patient Protection and Affordable Care Act (PPACA) cuts deeply into the projected payments to MA plans. Millions of Medicare beneficiaries enrolled in MA plans, or who would have been enrolled if not for the cuts, will experience very substantial reductions in the value of health care services provided to them by the Medicare program."