Obamacare, So Much More Than Socialism


The Congressional Research Service has produced a report summarizing the pitfalls of the onerous law that will be enforced by the IRS. Who doesn’t love the IRS? Each page in this law will have a new rule to control our lives and force higher “taxes”, excuse me “penalties” on us.

” CRS report includes a 12-page table itemizing a broad array of intrusions into the prerogatives of states and individuals authorized by provisions in the Obamacare law and funded for this and future years without the need of Congress passing the customary annual appropriations laws to underwrite them.

According to the CRS report, the automatically funded Obamacare items include, among others:

— Whatever amount the secretary of health and human services determines is necessary for “each fiscal year” for “grants to states to plan and establish exchanges” for selling federally approved, federally subsidized health insurance plans. On the last day of fiscal 2010, HHS Secretary Kathleen Sebelius approved an initial $49 million in grants for this purpose. In January, according to CRS, HHS “encouraged states to apply” for additional grants this year.

— $6 billion for Sebelius “to establish the Consumer Operated and Oriented Plan (CO-OP) program to provide funding until July 1, 2013, for the creation of non-profit member-run health insurance issuers that offer” government-approved health insurance plans. This would be the Haight-Ashbury branch of our new socialized medical system.

— $500 million for Sebelius to establish, as Section 3026 of Obamacare puts it, “a Community-Based Care Transitions Program under which the Secretary provides funding to eligible entities that furnish improved care transition services to high-risk Medicare beneficiaries.”

Under the Obamacare law, a “high risk Medicare beneficiary” is “a Medicare beneficiary who has attained a minimum hierarchical condition category score, as determined by the secretary, based on a diagnosis of multiple chronic conditions or other risk factors associated with a hospital readmission or substandard transition into post-hospitalization care, which may include 1 or more of the following: (A) Cognitive impairment. (B) Depression. (C) A history of multiple readmissions. (D) Any other chronic disease or risk factor as determined by the Secretary.” In plain English: This $500 million for “community-based organizations” to take control of ill, elderly people.

— $15 million so the administration can put together a Medicare “Payment Advisory Board.” The CRS description of this board is a masterpiece in double-talk. “Creates an independent, 15-member Payment Advisory Board tasked with presenting Congress with comprehensive proposals to reduce excess cost growth and improve quality of care for Medicare beneficiaries,” it says. “In years when Medicare costs are projected to exceed a target growth rate, the board’s proposals will take effect unless Congress passes an alternative measure that achieves the same level of savings.”

So, how will this board’s virtually automatic provisions to “reduce excess cost growth” in Medicare work? The CRS description says: “‘The board would be prohibited from making proposals that ration care, raise taxes, or increase Part B premiums, or change Medicare benefit, eligibility, or cost-sharing standards.'”
Why the 105.5b in Obamacare should have been stopped