Showing posts with label Independent Payment Advisory Board. Show all posts
Showing posts with label Independent Payment Advisory Board. Show all posts

Monday, October 29, 2012

Romney During Debate: “I Will Get Rid of Obamacare”

LiveNews.com: During the third and final debate, presidential candidate Mitt Romney repeated his promise that he would work to get rid of Obamacare, the heath care law that prompts abortion funding and rationing concerns.

Romney said: “By the way, number one I get rid of is “Obamacare.” There are a number of things that sound good but, frankly, we just can’t afford them. And that one doesn’t sound good, and it’s not affordable, so I get rid of that one from day one; to the extent humanly possible, we get that out. We take program after program that we don’t absolutely have to have and we get rid of them.”

During the campaign, Romney has repeatedly indicated he would get rid of Obamacare, with his first television ad making that case.

In the October 3 debate, Romney scored points with pro-life voters for making a clear case for repealing Obamacare, the health care law that pro-life advocates have attacked for funding abortions with taxpayer dollars.

“You want it repealed. You want the Affordable Care Act repealed. Why?” moderator Jim Lehrer asked.

“I sure do,” Romney responded.

Well, in part, it comes, again, from my experience. You know, I was in New Hampshire. A woman came to me and she said, look, I can’t afford insurance for myself or my son. I met a couple in Appleton, Wisconsin, and they said, we’re thinking of dropping our insurance, we can’t afford it.

And the number of small businesses I’ve gone to that are saying they’re dropping insurance because they can’t afford it, the cost of health care is just prohibitive. And — and we’ve got to deal with cost.

And, unfortunately, when — when — when you look at Obamacare, the Congressional Budget Office has said it will cost $2,500 a year more than traditional insurance. So it’s adding to cost. And as a matter of fact, when the president ran for office, he said that, by this year, he would have brought down the cost of insurance for each family by $2,500 a family. Instead, it’s gone up by that amount. So it’s expensive.

Romney also went after the Independent Payment Advisory Board, the health care rationing board that pro-life advocates repeatedly called for repealing because it would limit life-saving medical treatments.

“We didn’t put in place a board that can tell people ultimately what treatments they’re going to receive. We didn’t also do something that I think a number of people across this country recognize, which is put — put people in a position where they’re going to lose the insurance they had and they wanted,” he said.

“So for those reasons, for the tax, for Medicare, for this board, and for people losing their insurance, this is why the American people don’t want Obamacare. It’s why Republicans said, do not do this, and the Republicans had — had the plan. They put a plan out. They put out a plan, a bipartisan plan. It was swept aside,” he said. “I think something this big, this important has to be done on a bipartisan basis. And we have to have a president who can reach across the aisle and fashion important legislation with the input from both parties.

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Wednesday, June 27, 2012

“Death Panel” Three Years Later

by Sarah Palin on Monday, June 25, 2012 at 11:11am – on Facebook

Sarah Palin Gallup Photo

As we wait for the impending Supreme Court decision on Obamacare, I reiterate what I wrote in my first post on this topic nearly three years ago. I stand by everything I wrote in that warning to my fellow Americans because what was true then is true now, and it will remain true as we hear what the Supreme Court has to say.

It was a pretty long post, but a lot of people seem to have only read two words of it: “death panel.” Though I was called a liar for calling it like it is, many of these accusers finally saw that Obamacare did in fact create a panel of faceless bureaucrats who have the power to make life and death decisions about health care funding. It’s called the Independent Payment Advisory Board (IPAB), and its purpose all along has been to “keep costs down” by actually denying care via price controls and typically inefficient bureaucracy. This subjective rationing of care is what I was writing about in that first post:

The Democrats promise that a government health care system will reduce the cost of health care, but as the economist Thomas Sowell has pointed out, government health care will not reduce the cost; it will simply refuse to pay the cost. And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s “death panel” so his bureaucrats can decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.

Health care by definition involves life and death decisions. Human rights and human dignity must be at the center of any health care discussion.

Rep. Michele Bachmann highlighted the Orwellian thinking of the president’s health care advisor, Dr. Ezekiel Emanuel, the brother of the White House chief of staff, in a floor speech to the House of Representatives. I commend her for being a voice for the most precious members of our society, our children and our seniors.

We must step up and engage in this most crucial debate. Nationalizing our health care system is a point of no return for government interference in the lives of its citizens. If we go down this path, there will be no turning back. Ronald Reagan once wrote, “Government programs, once launched, never disappear. Actually, a government bureau is the nearest thing to eternal life we’ll ever see on this earth.” Let’s stop and think and make our voices heard before it’s too late.

If the Supreme Court doesn’t strike down Obamacare entirely, then Congress must act to repeal IPAB and Obamacare before it is indeed “too late.” All of Obamacare must go one way or another.

- Sarah Palin

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Friday, July 22, 2011

UPROAR OVER OBAMACARE‘S ’RATIONING PANELS’ INTENSIFIES

So long death panels. Hello “rationing” board.

An independent panel authorized by President Barack Obama’s health care law to control excessive Medicare cost increases is drawing heavy fire from Republicans. The Independent Payment Advisory Board may not be appointed for another couple of years, and remains in suspended animation to see if the brouhaha dies down. Nearly every health industry lobbying group is pushing for an Obamacare repeal, as are some consumer advocates. GOP lawmakers call it a rationing panel, and at least one has suggested seniors will die from its decisions.

IPAB has the power to force Medicare cuts if costs go up beyond certain levels and Congress fails to act. Although Medicare’s long-term finances are troubled, it’s unclear if short-run costs will rise enough over the next decade to trigger the board’s intervention. If that happens, the law explicitly forbids IPAB from rationing care, shifting costs to retirees or restricting benefits.

Yet the uproar is getting louder.

“Senior citizens will lose control over what they actually get in Medicare,” GOP presidential candidate Michele Bachmann told conservative bloggers in Minneapolis last month, “because a politically appointed 15-member board that‘s unelected and unresponsive to the will of the people called IPAB will make the decisions about what care we get and what care we don’t.”

After their own plan to essentially privatize Medicare for future retirees ran into trouble, Republicans became more vocal about IPAB. At a press conference of the GOP Doctors Caucus, Georgia Rep. Phil Gingrey suggested the board could leave a trail of bodies.

“Under this IPAB … a bunch of bureaucrats decide whether or not you get care, such as continuing on dialysis or cancer chemotherapy,” said Gingrey, an ob-gyn physician. “I’ll guarantee you, when you withdraw that, the patient is going to die.”

But IPAB — an unusual delegation of power by Congress — may exist only on paper for a long while. The administration seems in no rush to set it up.

Just this spring, Obama had proposed beefing up IPAB to squeeze more out of Medicare. But as opposition grew, and prominent House liberals and AARP voiced their own objections, the administration downplayed that idea. In recent testimony before two House committees, Health and Human Services Secretary Kathleen Sebelius described IPAB as just a “backstop” and a “failsafe.”

“If Congress is actually paying attention to the bottom line of Medicare, IPAB is irrelevant … and it never triggers in,” she said.

Obama hasn’t made any moves to set up the new agency, said Sebelius, but has only consulted about possible board candidates. Those members would have to be confirmed by the Senate, a fight the administration may be unwilling to pick when it can’t even get Medicare chief Don Berwick approved.

“The more interesting question is whether it will ever get off the runway,” said economist Robert Reischauer, one of the public trustees overseeing Medicare finances. “Can they find 15 people willing to serve under the conditions laid out in the legislation? Will the Senate confirm them?”

It wouldn’t be the first time cries of rationing forced Democrats to pull back. During the congressional health care debate, Sarah Palin denounced a plan to have Medicare pay for voluntary end-of-life consultations between patients and their doctors. Although the “death panels” accusation was discredited, the idea got dropped.

Rationing is a criticism Americans respond to, said Reischauer. “They are fearful that health reform might include limitations on their ability to access any care they consider worthwhile.”

HHS spokeswoman Erin Shields said comments such as Gingrey’s amount to “scare tactics” and IPAB is “absolutely prohibited” from rationing. It could recommend savings that don’t involve cuts, she said.

Backers say the board is meant to counterbalance a Congress addicted to spending, unable to turn down lobbyists for hospitals, doctors, drug companies, nursing homes, power wheelchair companies and other businesses that depend on Medicare, and whose executives and employees make political contributions.

“The system now is that people come up here that work the Congress like crazy, lobbyists making millions of dollars,” said Sen. Jay Rockefeller, D-W.Va., one of IPAB’s biggest supporters. “The Congress often doesn’t know how to say no. And the Congress has the practice of never saying no. And costs go up.”

Dispassionate experts can do a better job, Rockefeller contends. Some of his colleagues don’t like IPAB “because they don’t get to … do the big connection with the lobbyist,” he added. Under the law, Congress can override the board’s recommendations with its own savings, as long they add up to the same total.

Critics say their concerns can’t be dismissed as easily as that, because IPAB is an attempt to cap Medicare spending. A stingy approach could stifle promising new medical innovations. And if IPAB leads to steep payment cuts, doctors and other providers will be reluctant to take Medicare patients, limiting access even without explicit rationing.

The early evidence is not particularly alarming.

For example, the nonpartisan Congressional Research Service tried last fall to estimate the impact of projected IPAB cuts and came up with about $60 per year, per beneficiary from 2015-2019. Annual Medicare spending during that period was estimated to increase from an average of $13,374 per enrollee in 2015 to $15,749 in 2019.

Updated cost projections from other government offices differ on whether IPAB cuts will be required in the short run. The Congressional Budget Office says no. But Medicare’s Office of the Actuary says yes, in 2018 and 2019. Under the law, it’s the actuary who makes the call.

That’s keeping critics on edge.

The Associated Press contributed to this article.

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