A project of the Galen Institute
Ilya Shapiro, Florida International Law Review
Wed, 2011-12-14

"This article chronicles the (first) year I spent opposing the constitutionality of Obamacare: Between debates, briefs, op-eds, blogging, testimony, and media, I have spent well over half of my time since the legislation’s enactment on attacking Congress’s breathtaking assertion of federal power in this context. Braving transportation snafus, snowstorms, and Eliot Spitzer, it’s been an interesting ride. And so, weaving legal arguments into first-person narrative, I hope to add a unique perspective to an important debate that goes to the heart of this nation’s founding principles."

Grace-Marie Turner, The Galen Institute
Thu, 2011-12-08

"So clearly President Obama’s key promise will be broken after the law fully takes effect. But the deterioration in coverage already has begun as many people already are losing the coverage they have now as health insurers are dropping out of markets in many states. Some of the carriers are exiting because of onerous state regulations, others are victims of a faltering economy, but the cascade has been accelerated by the rules that already have taken effect and the many more that are to come as a result of PPACA."

Nicole Fisher, American Action Forum
Thu, 2011-12-08

"Beginning September 1, 2011, health insurers must submit requests to state or federal reviewers if they wish to increase insurance rates by 10 percent or more. This “rate review” process is required by Section 2794 of the Public Health Service Act (PHSA), which was added to Section 1003 of the Patient Protection and Affordable Care Act (PPACA), Pub. L. 111-148... The goal of this mandate is to reduce health care costs by addressing the asymmetry of information in the health insurance market between consumers, providers and industry actors. However, despite the stated goals of the mandate, it fails to ultimately address the underlying issues accelerating health care costs."

James C. Robinson, PhD, National Institute for Health Care Managment
Mon, 2011-11-21

"The work reported here confirms earlier studies showing that hospitals are able to extract higher private payments when they hold more market power. Public policy has been ambivalent with respect to the ongoing consolidation within hospital markets. While antitrust regulatory agencies have challenged a number of hospital mergers in the past few decades, these challenges rarely culminated in decisions to disallow a merger. Now provisions of the ACA are encouraging further consolidation of hospitals and physicians, and the final antitrust review regulations from the Department of Justice and the Federal Trade Commission have eliminated the proposed mandatory review of certain prospective ACOs."

Devon Herrick, National Center for Policy Analysis
Wed, 2011-11-16

"The Patient Protection and Affordable Care Act (ACA) — the new health reform law — contains financial incentives for the states to establish health insurance exchanges where qualifying individuals and small businesses can purchase subsidized, individual health insurance, starting in 2014. The structure of the exchange subsidies will encourage low-income workers to congregate in companies that do not provide insurance and high-income employees to work for firms that do provide it."

Anthony Keck, Health Affairs
Mon, 2011-11-14

"As demand outstrips supply we can expect large increases in waiting time for services and a price war for providers between Medicaid and commercial insurers. Regardless of the administration’s arguments, little in the Affordable Care Act (ACA) addresses this dynamic. Increases in primary care physician fees, funding for Federally Qualified Health Centers, and national health services corps slots don’t build any new physician capacity; they only drive more competition for limited physicians and fuel a price war. It is likely the administration is relying on the Independent Payment Advisory Board and their new premium rate review power over private insurance to try to control prices, but waiting lines and an increased reliance on the emergency room will be a new fact of life."

Michael J. Chow, National Federation of Independent Business Research Foundation
Wed, 2011-11-09

"The 2010 healthcare law contains a tax on the health insurance policies that most small businesses purchase... Estimates predict the tax will raise the cost of employer-sponsored insurance by 2% - 3%, imposing a cumulative cost of nearly $5,000 per family by 2020. The NFIB Research Foundation’s BSIM model suggests that such price increases will reduce private sector employment by 125,000 to 249,000 jobs in 2021, with 59 percent of those losses falling on small business."

Scott Gottlieb, American Enterprise Institute
Thu, 2011-11-03

"Under President Obama’s health care plan, the United States Preventive Services Task Force now wields great power to decide which health services (like mammograms) doctors should provide, yet it has few checks on its sweeping authority. Its mandates are likely to raise health insurance costs and premiums, while reducing the number of covered preventive services. To improve accountability for an agency that is both out of date with the medical community and out of touch with the public, Congress should closely monitor the impact new mandates have on patient care."

America's Health Insurance Plans Report
Thu, 2011-11-03

"A new technical analysis by Oliver Wyman estimates that the new health insurance tax in the Affordable Care Act (ACA) 'will increase premiums in the insured market on average by 1.9% to 2.3% in 2014,' and by 2023 'will increase premiums 2.8% to 3.7%.'"

Emily Egan, American Action Forum
Wed, 2011-11-02

"What the Supreme Court will focus on, what it will decide, and whether or not a portion of the law can be severed from the act is open to debate. Importantly, the Supreme Court will be able to decide which lower court decisions to review. They are not required to look at all of the cases or every issue in each case. Central questions exist regarding standing, the individual mandate, the employer mandate and state Medicaid expansion. Furthermore, if the individual mandate is deemed unconstitutional, will it render the entire health reform law void- or can the mandate simply be severed from the law?"

ObamaCare Watch Weekly

* indicates required

View previous campaigns.

Check out Jim Capretta's new book.

ObamaCare Primer