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New England Journal of Medicine Inadvertently Hands House GOP the Game Plan for Starving ObamaCare
Doug Ross @ Journal ^ | 07 November 2010 | Douglas Ross

Posted on 11/07/2010 11:05:51 AM PST by CharlesMartelsGhost

On Wednesday talk show host and constitutional attorney Mark Levin pointed his Facebook followers to a curious article published in the October 28th edition of The New England Journal of Medicine (PDF).

In short, Dr. Henry J. Aaron -- an apparent fan of the Affordable Care Act (ACA) -- inadvertently handed the House Republicans a fiscal blueprint for crushing the wildly unpopular health care takeover.

The outcome of the 2010 congressional elections may well determine whether this landmark legislation succeeds or fails. Put another way: the outcome of the 2010 elections reflects the electorate's desire to have the landmark legislation fail.

The evidence of party polarization is overwhelming (see table). A majority of both parties ended up voting for the original Social Security Act, although Republicans had campaigned actively against it. Many members of both parties voted for the legislation that created Medicare and Medicaid, that revamped welfare, and that created Medicare drug coverage (Part D). Not so in 2010. Gee, you think that had anything to do with being completely shut out of the process? Or, as MSNBC put it, "House and Senate Democrats intend to bypass traditional procedures when they negotiate a final compromise on health care legislation, officials said Monday, a move that will exclude Republican lawmakers... in both houses."

The ACA is nothing if not ambitious. It proposes to enroll tens of millions of people in private health insurance plans through yet-to-be-created health insurance exchanges. It will provide millions of Americans with subsidies tied to income and health insurance costs. It will greatly expand Medicaid. It will set and enforce standards for private insurance... It will create a new commission to oversee Medicare... [and this] is but a partial listing of the provisions of the 906-page bill. If permitted to run its course, the ACA promises to transform the U.S. health care system...

But successful implementation poses remarkable challenges and will require adequate funding, enormous ingenuity, and goodwill from federal and state officials, as well as cooperation from private insurers, businesses and private citizens. That would be the same private citizens that kicked record numbers of Democrats out of office for passing this Soviet-style plan.

A more serious possibility [than repeal] is that ACA opponents could deliver on another pledge: to cut off funding for implementation. Here is how such a process could work...

The ACA contains 64 specific authorizations to spend up to $105.6 billion and 51 general authorizations to spend “such sums as are necessary” over the period between 2010 and 2019. None of these funds will flow, however, unless Congress enacts specific appropriation bills. In addition, section 1005 of the ACA appropriated $1 billion to support the cost of implementation in the Department of Health and Human Services (DHHS).... [and the] ACA appropriated nothing for the Internal Revenue Service, which must collect the information needed to compute subsidies and pay them. The ACA also provides unlimited funding for grants to states to support the creation of health insurance exchanges (section 1311). But states will also incur substantially increased administrative costs to enroll millions of newly eligible Medicaid beneficiaries...

Without large additional appropriations, implementation will be crippled. Sweeter words I don't think I've ever heard.

Since most major provisions of the ACA do not take effect until January 1, 2014, [these] delaying tactics might eventually enable repeal...

Perhaps the more likely — and in some ways more troubling — possibility is that the effort to repeal the bill will not succeed, but the tactic of crippling implementation will. The nation would then be left with zombie legislation, a program that lives on but works badly, consisting of poorly funded and understaffed state health exchanges that cannot bring needed improvements to the individual and small-group insurance markets, clumsily administered subsidies that lead to needless resentment and confusion, and mandates that are capriciously enforced. Zombie legislation. Perfect. After all, this bill was the result of an historic Democrat overreach. And everyone knows that the Democrat Party routinely employs zombies (along with felons and illegal aliens) in its election wins.

Thanks, Dr. Aaron. We appreciate your instructions for starving this vampire entitlement of the taxpayers' blood it requires.


TOPICS: Business/Economy; Health/Medicine; Politics; Society
KEYWORDS: obamacare
Drive a stake in the heart of this vampire entitlement legislative monstrosity. NO COMPROMISE. Starve it, repeal it, kill it and do not replace it.

Then a personal suggestion-Go after the real parasites, of which many reside in congress, i.e. tort attorneys and the trial bar.

1 posted on 11/07/2010 11:05:53 AM PST by CharlesMartelsGhost
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To: CharlesMartelsGhost

and the RATS, take another one in the..............................HA ha!!!

2 posted on 11/07/2010 11:07:36 AM PST by Chode (American Hedonist - *DTOM* -ww- NO Pity for the LAZY)
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To: CharlesMartelsGhost

ping


3 posted on 11/07/2010 11:08:34 AM PST by unkus
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To: Chode

Thank You


4 posted on 11/07/2010 11:08:57 AM PST by scooby321
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To: CharlesMartelsGhost

I also read something about how the statehouses being taken over by republicans can make it so that them passing laws to protect their citizens from Obamacare can also be used to attack it on a second front. All the dems need to do to make themselves irrevelent for the next 40+ years is to re elect Pelosi to show the public that they did not get the message!


5 posted on 11/07/2010 11:10:02 AM PST by chris_bdba
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To: chris_bdba

This needs a multi-prong approach: Fighting it in public opinion, in the State Houses, in the Courts, and in Congress.


6 posted on 11/07/2010 11:13:27 AM PST by unkus
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To: chris_bdba

Yes. That is one way to kill it a two pronged attack. Starve the beast in the House at the federal level and the states attack it on constitutional grounds at the state level. If I remember correctly, a judge ruled in Fla. that the AG who are suing the ACA due to its unconstitutional mandate can proceed with the suit.

I have also heard that states are considering election referundums that would make such federal mandates null and void as it applies to their state residents.


7 posted on 11/07/2010 11:14:13 AM PST by CharlesMartelsGhost
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To: CharlesMartelsGhost

The republicans should tag these non-appropriations to EPA funding and dare Obama to veto it.


8 posted on 11/07/2010 11:15:14 AM PST by AU72
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To: scooby321
welcome...
9 posted on 11/07/2010 11:16:18 AM PST by Chode (American Hedonist - *DTOM* -ww- NO Pity for the LAZY)
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To: CharlesMartelsGhost

Madoff


10 posted on 11/07/2010 11:17:13 AM PST by FrankR (DEAR GOP: REPEAL IT, or you'll FEEL IT, in 2012!)
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To: CharlesMartelsGhost

11 posted on 11/07/2010 11:17:18 AM PST by Diogenesis ('Freedom is the light of all sentient beings.' - Optimus Prime)
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To: FrankR

Love the pic and it is on point!


12 posted on 11/07/2010 11:20:14 AM PST by CharlesMartelsGhost
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To: CharlesMartelsGhost

Nice. Kill it.


13 posted on 11/07/2010 11:22:36 AM PST by Frantzie (Imam Ob*m* & Democrats support the VICTORY MOSQUE & TV supports Imam)
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To: CharlesMartelsGhost

I’m really concerned about the 1099’s for any amount over $600.


14 posted on 11/07/2010 11:25:11 AM PST by Tuscaloosa Goldfinch ( T.G., global warming denier.)
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To: CharlesMartelsGhost

Starve the beast...total takeovers of the levers of power in 2012!


15 posted on 11/07/2010 11:26:36 AM PST by Hotlanta Mike (TeaNami)
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To: Tuscaloosa Goldfinch

Yes I am too. Congress, which doesn’t have a clue about how businesses are run, doesn’t consider the hidden cost of such ridiculous and unnecessary burdens and the associated costs of time, manpower, paper work, etc... As a friend said its Six Sigma process improvement in reverse. Goes against efficiency and best practices in business. Most government legislation does.


16 posted on 11/07/2010 11:32:37 AM PST by CharlesMartelsGhost
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To: Hotlanta Mike
and
17 posted on 11/07/2010 11:35:54 AM PST by CharlesMartelsGhost
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To: Hotlanta Mike
And for the GOP:
18 posted on 11/07/2010 11:37:49 AM PST by CharlesMartelsGhost
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To: FrankR

The fools Bernie got were by and large big dems and big Obama supporters including con artists and Holocaust pimp Elie Weisel. He has received criticism from other Jews have protrayed Elie as a con artist like Bernie.

Even Bernie loathed many who he scammed. Elie had a bogus “foundation” designed to pay no takes on investment gains. This was common in those who got scammed by Bernie. This is how many libs get rich. They avoid paying taxes.


19 posted on 11/07/2010 11:40:27 AM PST by Frantzie (Imam Ob*m* & Democrats support the VICTORY MOSQUE & TV supports Imam)
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To: CharlesMartelsGhost

It must be repealed.

Withholding funds merely delays implementation until the Democrats get back in control.


20 posted on 11/07/2010 11:52:46 AM PST by Yet_Again
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To: Tuscaloosa Goldfinch

Obama said he would compromise on that. That’s easy.


21 posted on 11/07/2010 11:57:32 AM PST by SC_Pete
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To: CharlesMartelsGhost

Not funding the provisions is what Republican legislators did to Dukakis-care in Mass. When Weld became governor, he killed it outright. Of course, then Mitt Romney started his monstrosity.


22 posted on 11/07/2010 11:59:37 AM PST by SC_Pete
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To: CharlesMartelsGhost; All

As a non-lawyer, may I ask a related question which hopefully someone can answer? Both sides agree that the issue of the constitutionality of the mandates ( that individuals MUST purchase health insurance) must and will reach the Supreme Court, in a year or two..( after the appeals court) Because it is such an important question, isn’t there a procedure for an expidited appeal directly to SCOTUS, and if so, why isn’t it being used. Thanks


23 posted on 11/07/2010 12:00:55 PM PST by ken5050 (I don't need sex.....the government screws me every day..)
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To: Tuscaloosa Goldfinch

The 1099 section is already being rolled back.


24 posted on 11/07/2010 12:01:20 PM PST by Georgia Girl 2
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To: CharlesMartelsGhost
We need new leaders in the House and Senate, or not a damn thing will change.
25 posted on 11/07/2010 12:18:57 PM PST by TornadoAlley3 (Obama is everything Oklahoma is not.)
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To: CharlesMartelsGhost

Bump for later


26 posted on 11/07/2010 12:23:26 PM PST by Amntn
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To: Georgia Girl 2

Judge in VA will rule by Jan if madated insurance is constitutional.


27 posted on 11/07/2010 12:38:53 PM PST by 11th_VA (Things that have never happened before, happen every day ....)
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Comment #28 Removed by Moderator

To: CharlesMartelsGhost

202-224-6121 DeMint
202-225-3021 Pence
202-225-6205 Boehner
202-225-2331 Bachmann

Not to be forgotten, because it will not help just to repeal Obamacare, the parts of the Stimulus bill that CONTROL doctors has to be removed too!

Dr. David Janda explains rationing and why

http://www.youtube.com/watch?v=8HnkxIh62dQ&NR=1

PRINT form of the video, by Dr. Elaina George

Obamacare Endgame: Doctors Will be Fined or Jailed if they Put Patients First
by Dr. Elaina George

http://biggovernment.com/egeorge/2010/10/30/obamacare-endgame-doctors-will-be-fined-or-jailed-if-they-put-patients-first/

Ruin Your Health With the Obama Stimulus Plan

http://www.bloomberg.com/apps/news?pid=newsarchive&refer=columnist_mccaughey&sid=aLzfDxfbwhzs

OBAMACARE’S LETHAL THIRD RAIL SHOCK TO COME

http://www.thecypresstimes.com/article/News/Opinion_Editorial/OBAMACARES_LETHAL_THIRD_RAIL_SHOCK_TO_COME/27933

Federal Coordinating Council for Comparative Effectiveness Research Membership
Recovery Act Allocates $1.1 Billion for Comparative Effectiveness Research

http://www.hhs.gov/recovery/programs/os/cerbios.html


29 posted on 11/07/2010 12:42:58 PM PST by GailA (obamacare paid for by cuts & taxes on most vulnerable Veterans, retired Military, disabled & Seniors)
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To: CharlesMartelsGhost
I have also heard that states are considering election referundums that would make such federal mandates null and void as it applies to their state residents.

Arizona and Oklahoma just voted to pass this.

30 posted on 11/07/2010 12:57:47 PM PST by Nateman (If liberals are not screaming you are doing it wrong!)
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To: chris_bdba

It seems that the states can refuse to pay for unfunded mandates. This action would cripple Obamacare.

The Democrats are desperate to repeal the new 1099 requirement. The Republicans blocked them in the summer from this move. Obviously Republicans favor repeal but they do not want to repeal the provision without revisiting the entire legislation.


31 posted on 11/07/2010 1:02:26 PM PST by businessprofessor
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To: CharlesMartelsGhost

bookmark


32 posted on 11/07/2010 1:26:30 PM PST by GiovannaNicoletta
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To: ken5050

We can and should also sue based on the religious exemptions within Obamacare - Christians and Muslims can both receive the medical services, but Muslims don’t have to pay the mandated health insurance as part of the religious exceptions.


33 posted on 11/07/2010 1:26:30 PM PST by tbw2 (Freeper sci-fi - "Sirat: Through the Fires of Hell" - on amazon.com)
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To: Georgia Girl 2

When was the 1099 mandate rolled back?


34 posted on 11/07/2010 1:30:08 PM PST by tbw2 (Freeper sci-fi - "Sirat: Through the Fires of Hell" - on amazon.com)
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To: 11th_VA
I don't have insurance. Is this illegal?

When I go to the DR I pay from my own pocket. So far in this decade I've been to the DR 2 times, a Tetanus shot and a fractured finger. I must be living in the stone ages because I just don't see why someone else should be paying for my bills.

35 posted on 11/07/2010 1:35:49 PM PST by 1_Rain_Drop
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To: CharlesMartelsGhost

Bookmark.


36 posted on 11/07/2010 1:44:55 PM PST by SuzyQue (Remember to think.)
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To: CharlesMartelsGhost

Zombie legislative invasion! The set up for clockwork orange.


37 posted on 11/07/2010 1:52:07 PM PST by Domestic Church (AMDG...)
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To: CharlesMartelsGhost

ping


38 posted on 11/07/2010 3:09:14 PM PST by Whats the Matter with Kansas? (Freedom is not FREE)
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