A Trojan Horse Named IPAB; Unelected Board Would Usher in Socialized Medicine

Article excerpt


Perhaps the most underreported and, until recently, least discussed aspect of the Affordable Care Act is IPAB, the Independent Payment Advisory Board. This 15-person unelected panel has yet to be selected; however, it will be a key to the success of Obamacare.

Health and Human Services Secretary Kathleen Sebelius has been quoted as saying that the majority of IPAB members must not be medical practitioners. Though some doctors may be represented, it is unlikely that they will be actively practicing clinicians who care for patients directly. Instead, the board will be populated by economists and other bureaucrats - bean counters - who will be given the responsibility of deciding how doctors caring for Medicare patients will get paid. It is anticipated that IPAB will drive payments so low that many doctors will be unable to offer certain services to patients, resulting in rationing of health care, which the administration fervently denies. Equally disturbing is IPAB's unaccountability to Congress, but President Obama is unfazed and actually thinks its oversight regarding health care does not go far enough.

IPAB is the Trojan horse of Obamacare. Like a Trojan horse or a worm invading your computer, IPAB will infect and corrupt the entire system once it has been embedded as part of the health care bureaucracy. IPAB has almost limitless power over Medicare spending. Written into the Affordable Care Act are provisions that essentially make its decisions exempt from congressional oversight and impervious to administrative or judicial review. It is a nearly autonomous agency operating as an arm of the executive branch. Conveniently, this does not occur until after the 2012 elections.

As if this weren't pernicious enough, President Obama thinks IPAB should have even more power - that of automatic sequester, which means it would be able to prevent Congress from appropriating any additional money for Medicare outside of its purview. …