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Recommendations: 1
http://www.washingtonpost.com/opinions/george-f-will-romneys...
The Independent Payment Advisory Board perfectly illustrates liberalism's itch to remove choices from individuals, and from their elected representatives, and to repose the power to choose in supposed experts liberated from democratic accountability. Beginning in 2014, IPAB would consist of 15 unelected technocrats whose recommendations for reducing Medicare costs must be enacted by Congress by Aug. 15 of each year. If Congress does not enact them, or other measures achieving the same level of cost containment, IPAB's proposals automatically are transformed from recommendations into law. Without being approved by Congress. Without being signed by the president.
These facts refute Obama's Denver assurance that IPAB "can't make decisions about what treatments are given." It can and will by controlling payments to doctors and hospitals. Hence the emptiness of Obamacare's language that IPAB's proposals "shall not include any recommendation to ration health care."
By Obamacare's terms, Congress can repeal IPAB only during a seven-month window in 2017, and then only by three-fifths majorities in both chambers. After that, the law precludes Congress from ever altering IPAB proposals. Because IPAB effectively makes law, thereby traducing the separation of powers, and entrenches IPAB in a manner that derogates the powers of future Congresses, it has been well described as "the most anti-constitutional measure ever to pass Congress." _____________________
But if you want to give up a lot of freedom (and possibly your life, depending on what the IPAB bureaucrats decide) for a little security, go for it. Or you can join me in getting treated in another country if you can afford it.
--fleg
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