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<pubDate>Fri, 17 May 2013 00:00:00 EST</pubDate>
<title>Should Conservatives Vote to Give Tax Collectors MORE Power?</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1707</link>
<dc:creator><![CDATA[Bartlett Cleland]]></dc:creator>
<description><![CDATA[<p>The U.S. Senate recently approved a measure handing significant new powers to each state&rsquo;s department of revenue, the state equivalent of the IRS. That means that each senator voting for the Marketplace Fairness Act is encouraging state tax collectors to reach outside of their own state and into the pockets of non-citizens. Thus the legislation radically expands the power of government, particularly where taxes and government audits are concerned.<br /><br />Not long after the Senate vote the story broke that the IRS targeted conservative groups seeking tax-exempt status for additional scrutiny and harassment, even while expediting the applications of supposed &ldquo;liberal&rdquo; groups. Every day the facts get more damning and more politicians line up to denounce this obvious government abuse of power. &nbsp;All indications are that the abuse was political, but in other situations the motivations could be different, perhaps to something as simple as a desire to raise questionable revenue from a target that cannot really fight back.<br /><br />The Marketplace Fairness Act allows just that by greatly expanding the power of each state&rsquo;s department of revenue, making it easier to shake down out-of-state businesses. For example, California could summon a Louisiana merchant to defend itself in a California court. How much easier to just pay the demand rather than to spend the time and resources to fight it? &nbsp;Do we trust that the audits will be legitimate or driven by the need for new revenue? &nbsp;As with the IRS scandal, abuse of power can take many forms.<br /><br />We&rsquo;ve been through all of this before, when states under the Articles of Confederation were erecting all manner of barriers to trade and sought to advance themselves to the economic detriment of other states. Hence, the new U.S. Constitution included a Commerce Clause and a Due Process Clause. Both of which are violated under the proposed law.<br /><br />So why would a conservative embrace such a huge expansion of government taxing power?&nbsp; Real conservatives would not.<br /><br />You don&rsquo;t need to be fan of history to know why supporting this legislation is bad. Just look to the IRS to see what happens when extensive intrusive government powers are granted.</p>
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<pubDate>Thu, 16 May 2013 00:00:00 EST</pubDate>
<title>Never Let a Good &#8217;Scandal&#8217; Go to Waste as Conservatives Push Their Agenda</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1706</link>
<dc:creator><![CDATA[Merrill Matthews]]></dc:creator>
<description><![CDATA[<p>Former White House Chief of Staff Rahm Emanuel famously, or infamously, said at a 2008 <a href="http://www.forbes.com/wall-street/">Wall Street</a> Journal Forum, &ldquo;You never want a serious crisis to go to waste.&rdquo; In 2011 he helpfully explained to <a href="http://politics.blogs.foxnews.com/2011/01/11/video-rahm-emanuel-clarifies-2008-comment-you-never-want-serious-crisis-go-waste">Fox News</a>, &ldquo;First of all, what I said was never let a good crisis go to waste when it&rsquo;s an opportunity to do things you had never considered or you didn&rsquo;t think were possible.&rdquo;</p>
<p>With at least three Obama administration scandals swirling in <a href="http://www.forbes.com/washington/">Washington</a>, and perhaps more on the way, a number of opportunities &ldquo;to do the things &hellip; you didn&rsquo;t think were possible&rdquo; have emerged&mdash;like moving a conservative agenda.</p>
<p>President <a href="http://www.forbes.com/profile/barack-obama/">Barack Obama</a>&rsquo;s agenda for the immediate future, and probably for the next three years, is dead. D-E-A-D. One reason he has survived this long is that the media have been so supportive&mdash;one might say &ldquo;coddling.&rdquo; No surprise, since major <a href="http://www.newsmax.com/Newsfront/Network-News-Ties-Obama/2013/05/12/id/504036">news executives</a> have siblings working for the White House.</p>
<p>But that&rsquo;s changing, probably because the media think they&rsquo;ve been lied to, repeatedly. Plus now they know the Justice Department was scrutinizing the AP&rsquo;s phone records.</p>
<p>Politico&rsquo;s Jim Vandehei and Mike Allen just published <a href="http://www.politico.com/story/2013/05/dc-turns-on-obama-91386.html">a piece</a> entitled &ldquo;D.C. Turns on Obama.&rdquo; That apparently includes the authors. They write, &ldquo;Obama&rsquo;s aloof mien and holier-than-thou rhetoric have left him with little reservoir of good will, even among Democrats.&rdquo; And in the next paragraph they say, &ldquo;This White House&rsquo;s instinctive petulance, arrogance and defensiveness have all worked to isolate Obama at a time when he most needs a support system.&rdquo;</p>
<p>Ouch! That&rsquo;s not House Speaker John Boehner talking; that&rsquo;s from journalists. &ldquo;D.C. Turns&rdquo; indeed.</p>
<p>That turning will suck almost all of the air out Washington for proceeding with Obama&rsquo;s agenda&mdash;though in fairness, a number of pundits have emerged recently wondering if he even has a second term agenda.</p>
<p>And people who would normally back the president could begin looking for ways to oppose him. Even ethics-challenged Rep. Charlie Rangel is <a href="http://www.mediaite.com/tv/rep-charlie-rangel-on-obamas-handling-of-ap-phone-records-no-one-truly-believes-hes-given-a-sufficient-answer/">stepping it back</a>.</p>
<p>All that scrum likely means a country without any policy direction, as the administration shifts to permanent damage control, which means conservatives have a chance to fill the policy agenda void. Here are some suggestions.</p>
<p><strong>ObamaCare Repeal &mdash;</strong> The House is set to vote on repealing ObamaCare again. But this time, repeal proponents should stress that a vote for ObamaCare is <em>a vote for the IRS tracking your health care</em>. The IRS wants funding for nearly <a href="http://online.wsj.com/article/SB10001424127887324715704578481461934680982.html">2,000 full-time employees</a> to ensure Americans are obeying ObamaCare. Just how extensive the agency&rsquo;s new <a href="http://www.forbes.com/sites/scottgottlieb/2013/05/14/the-irs-is-accessing-to-your-health-records-but-you-can-trust-them/">power and control</a> will be was intentionally left vague in the legislation. (Update: <a href="http://abcnews.go.com/blogs/politics/2013/05/irs-official-in-charge-during-tea-party-targeting-now-runs-health-care-office/">Now we learn</a> that the IRS person in charge of ObamaCare is the one who ran the office targeting conservative nonprofits.)</p>
<p>Very few politicians are going to want to expand the IRS&rsquo;s size and power in the midst of news headlines about the agency&rsquo;s abuse of power, which is exactly what ObamaCare does. This scandal creates an opportunity for some Democrats to agree that we need to end, or at the very least postpone, the legislation until Congress gets a handle on the scope of the IRS&rsquo;s crimes and does something about it.</p>
<p><strong>Tax Reform &mdash;</strong> There is bipartisan support for fundamental tax reform, and now is the perfect time to simplify the tax code by lowering rates and limiting tax breaks. A less-complicated tax system means fewer opportunities for tax agents to harass Americans.</p>
<p>And again, reformers need to stress that a vote for the status quo tax system is a vote of confidence in the IRS agents and management who perpetrated the unethical and possibly illegal targeting.</p>
<p><strong>Entitlement Reform &mdash;</strong> There is some bipartisan support for entitlement reform, but it has been mostly nipping at the edges. Conservatives need to push forward with Rep. Paul Ryan&rsquo;s bipartisan <a href="http://www.usnews.com/debate-club/is-the-ryan-medicare-overhaul-proposal-a-good-idea/paul-ryans-medicare-plan-harnesses-consumer-power-in-healthcare">Medicare reform plan</a> that expands on the current Medicare Advantage program already popular with more than a quarter of seniors.</p>
<p>And conservatives need to return to their roots on Social <a href="http://www.forbes.com/security/">Security</a> reform, by implementing a system of personal retirement accounts. Accounts could be small to begin with, perhaps allowing workers to set aside that 2 percentage points that were part of the &ldquo;payroll tax holiday&rdquo; in 2011 and 2012, but is now going to Social Security again.</p>
<p>The stock market is roaring and yet millions of Americans are excluded from the climb because they don&rsquo;t have enough income left over to significantly fund a personal IRA. Personal retirement accounts have long been a key component of Republican entitlement reform. There&rsquo;s no better time to reenergize that effort than when the market is up and Obama is down.</p>
<p>While Obama officials devote all of their time and effort trying to rescue their now-demolished promise that big government can be efficient, fair and truthful, conservatives should fill the policy void with proposals that will shrink the government and grow the economy. If successful, it could turn out that the worst thing for the Obama presidency is the best thing for the country.</p>
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<pubDate>Wed, 15 May 2013 00:00:00 EST</pubDate>
<title>Trust the IRS With Your Personal Information?</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1702</link>
<dc:creator><![CDATA[Tom Giovanetti]]></dc:creator>
<description><![CDATA[<br/><img src="http://www.ipi.org/imgLib/20130326_IRSsign.jpg" alt="" width="147" height="155"/><p>It is well understood (though much less appreciated) that the American Founders wrote a Constitution and designed a system to limit the power of the federal government.<br /><br />Less well understood is WHY they did so. Our Founders believed that the greatest threat to personal freedom was not from foreign governments, but rather from an oppressive domestic government. They did not design federalism and limited government because it was more efficient, or more productive, or more elegant. They did so because they simply didn&rsquo;t trust government.<br /><br />Our founders realized that, with a large, powerful, intrusive government, your freedom is only as secure as the virtue of whatever mid-level functionary whose path you are so unfortunate as to cross.<br /><br />The latest example, of course, is the admission that the IRS actively discriminated against groups with a particular political viewpoint, in this case Tea Party and conservative groups. Every few hours, the scandal widens and the discrimination broadens. But if this is what they&rsquo;ve admitted to up front, one can&rsquo;t help but wonder what they are hiding.<br /><br />Whether the abuses were committed by mid-level bureaucrats with an ax to grind or acting on orders from higher-ups is politically tantalizing, but not necessarily relevant to the observation that when we continually empower government agencies with more and more control over our lives, our freedom is in peril.<br /><br />There are some immediate and obvious implications from having been reminded that we can&rsquo;t trust the IRS:</p>
<ul>
<li>Compliance with our current complicated and intrusive tax code requires the submission of more and more personal financial information to the IRS. We cannot trust them to safeguard this information.&nbsp; So the tax code must be simplified and migrated toward a consumption tax, which involves far less intrusive information demands upon taxpayers.</li>
<li>Enlisting the IRS as the enforcement mechanism for Obamacare makes a bad thing much worse. The IRS will have access to at least some of your personal health information. This is unacceptable, and it&rsquo;s further justification for outright repeal of the legislation.</li>
<li>The IRS plan for a &ldquo;real time tax system&rdquo; and &ldquo;return free&rdquo; tax compliance, where the IRS has access to your personal financial information, computes your tax liability for you, and simply sends you a bill, is an affront to our system of voluntary tax compliance and should be rejected outright. The IRS has earned opprobrium, not trust.</li>
</ul>
<p>Finally, it&rsquo;s clear that the movement to limit the spending and power of the federal government is riling some powerful enemies within the Government Class, and they&rsquo;ll use whatever power they have to fight back, whether it&rsquo;s IRS harassment, <a href="http://online.wsj.com/article/SB10001424127887323789704578444793863984384.html">purposely delaying flights</a>, or <a href="http://weaselzippers.us/2013/03/16/more-than-a-third-of-illegal-immigrant-detainees-released-by-feds-in-arizona-over-sequester-cuts-were-convicted-criminals/">releasing felons</a>. Restoring some semblance of limited government is going to require stiff spines on the part of our elected leaders, and faithful engagement on the part of the citizenry.</p>
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<pubDate>Tue, 14 May 2013 00:00:00 EST</pubDate>
<title>Who Cares About Hospital Prices Under ObamaCare?</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1701</link>
<dc:creator><![CDATA[Merrill Matthews]]></dc:creator>
<description><![CDATA[<p>The most newsworthy aspect of the federal government&rsquo;s announcement last week that hospital prices vary widely for the same procedures is that &hellip; the government and the media thought it was newsworthy.<br /><br />Health policy experts have known for years&mdash;decades, really&mdash;that hospital prices are a sham, bearing little or no relation to what it takes to provide a specific service.<br /><br />The Centers for Medicare and Medicaid Serves (CMS) released the <a href="http://ipi.us2.list-manage2.com/track/click?u=236713c0eb5508a7a8a8c680e&amp;id=96b93a5876&amp;e=34cb1131da" target="_blank">data </a>on the 100 most frequently billed procedures at more than 3,000 hospitals. Charges can easily vary by 300 to 400 percent for the same procedure.<br /><br />As the New York Times <a href="http://ipi.us2.list-manage.com/track/click?u=236713c0eb5508a7a8a8c680e&amp;id=cc765afe51&amp;e=34cb1131da" target="_blank">pointed out</a>, &ldquo;In one hospital in Dallas, the average bill for treating simple pneumonia was $14,610, while another there charged over $38,000.&rdquo;<br /><br />However, very few people pay what we might call the &ldquo;list price.&rdquo; Medicare sets its own prices for various procedures and that&rsquo;s what the hospital gets. Private insurers negotiate discounts for their members, which can be significantly less than the list price.<br /><br />The people who get hit hardest are the uninsured. For years, many hospitals forced the uninsured to pay the inflated list prices. But after several groups and the media highlighted this practice, most hospitals started offering the uninsured a discount, usually around 30 percent. However, in most cases that&rsquo;s still significantly more than Medicare or the privately insured pay.<br /><br />Apparently CMS hopes that by releasing the data, patients and their doctors will choose the less-expensive hospitals, forcing others to lower their prices. Don&rsquo;t hold your breath.<br /><br />The vast majority of Americans have health coverage, which insulates them from the cost of hospital care. Health insurers and employers were transitioning to consumer driven health coverage, which tried to give patients an economic incentive care about the price.<br /><br />But ObamaCare tries to quash that movement by insulating most patients from the cost of hospital care even more than they are now.<br /><br />From an economic perspective, why would I care if a hospital charges $5,000 or $10,000 for a procedure if the government-qualified policy limits my maximum deductible to, say, $2,000? <br /><br />CMS is giving patients important pricing information; ObamaCare ensures that they won&rsquo;t care.</p>
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<pubDate>Mon, 13 May 2013 00:00:00 EST</pubDate>
<title>When It&#8217;s Medicaid, Protect the Work Horses, Not the Gift Horses</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1700</link>
<dc:creator><![CDATA[Bill Murchison]]></dc:creator>
<description><![CDATA[<p>The rule of thumb about gift-horses and the idiocy of looking them in the mouth is overdue for reassessment. Say the federal government offers Texas billions of dollars, under ObamaCare&mdash;if the state will enroll more uninsured people in Medicaid. Sounds nice, until light breaks through the fog.<br /><br />What if &ldquo;free&rdquo; turns out to be a whole lot less free than represented?&nbsp; What if a federal government already weighed down by massive debts&mdash;the result of unrestrained spending during the past five years&mdash;decides, ooops &hellip; guess we can&rsquo;t give you everything we said we would?&nbsp;And what if, meanwhile, a million or so uninsured Texans have signed up for the services the missing money was to cover?<br /><br />The answer seems clear: Texas taxpayers will get the call to pick up the tab through higher taxes and cuts in other state programs, such as highways and public education.<br /><br />So frightening is that prospect that we probably won&rsquo;t actually confront it. However, not because anyone is depending on the federal government to stand by its sacred promises; rather, because most Texas lawmakers, along with Gov. Rick Perry, appear to understand how dumb and irresponsible it would be to operate on such an assumption.<br /><br />From the look of things, Texas, like most Southern and Midwestern states, is set to reject the Obamacare bucks for Medicaid. Even states where governors had decided to participate in Medicaid expansion&mdash;Florida is an example&mdash;are pulling back, often because the state legislature won&rsquo;t go along.<br /><br />Many of the objecting states want to provide more sensible ways of making sure good health care is available to the poor. A bloc of Texas Republicans had hoped to work out a deal with the feds for a block grant, giving the state flexibility in spending Medicaid money. Their proposal had the effect, however, of locking in more public money for a program that already soaks up a fourth of the state budget.<br /><br />Had Obamacare not been designed and crafted as a mammoth expansion of federal power,&nbsp; Congress might have worked into its fabric some marketplace incentives offering recipients an array of choices in medical care of all kinds. It could, and should, happen soon. For now, when it comes to Obamacare, just one strategy seems feasible: protecting the work horses&mdash;taxpayers&mdash;rather than the gift horses.</p>
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<pubDate>Fri, 10 May 2013 00:00:00 EST</pubDate>
<title>Our view: Obama&#8217;s full court press</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1699</link>
<dc:creator><![CDATA[]]></dc:creator>
<description><![CDATA[<p>President Barack Obama is beginning today what appears to be a full court press to try to get people, particularly younger people, to sign up for the Affordable Care Act, a key to its success.</p>
<p>In addition to sending $150 million to the states&rsquo; community health centers, including Michigan&rsquo;s $3.75 million, to help them enroll people, Obama will be talking today about all the good things encapsulated in the more than 2,000 page act. He will particularly appeal to women and young Americans, his main base of support in the past two elections</p>
<p>For good reason. A recent poll conducted by the Kaiser Family Foundation shows that overall, 57 percent of Americans do not believe they have enough information to make informed decisions in the new marketplace. A whopping 67 percent of the presently uninsured don&rsquo;t believe they have enough information to sign up for the new program.</p>
<p>The ACA was ramrodded through a Democratic Congress in 2010 and signed by the president without so much as one vote from Republicans. And now that strategy is coming back to haunt the president. Without any Republican support, some GOP governors are refusing to play along with strategies they didn&rsquo;t approve of in the first place. This is most significant in the setting up of insurance exchanges, a centerpiece of Obama&rsquo;s legislation. Many states with GOP governors are letting the feds set up the state exchanges.</p>
<p>Other states have refused to go along with the expansion of Medicaid.</p>
<p>But some of the problems are self-inflicted. A program to cover people with pre-existing conditions has cost more than expected, causing it to be shut down to new enrollees, even though only a quarter of the people expected to sign up actually did.</p>
<p>This has caused Merrill Matthews, a resident scholar at the Institute for Policy Innovation in Dallas, Texas, to write for Forbes: &ldquo;One of Obama&rsquo;s primary justifications for demanding health care reform was to help the uninsurables get coverage, and he has closed that provision to new entrants.&rdquo;</p>
<p>Insurers, too, once supporters, are backing away. According to Matthews, quoting Reuters, &ldquo;In recent days, executives at the four largest U.S. health insurers say they are likely to sell insurance plans on less than a third of the exchanges, reluctant to venture out beyond the states where they already offer coverage.&rdquo;</p>
<p>In addition to the uncertainties and problems cited above, there has been speculation by actuaries that health care premiums will increase, some as much as 100 percent.</p>
<p>Despite Americans&rsquo; trepidation, supporters are encouraged.</p>
<p>&ldquo;We&rsquo;re in the phase for the actual meat of the law to come online,&rdquo; said Neera Tanden of the Center for American Progress, a liberal group aligned with the White House. &ldquo;It&rsquo;s important for the public to recognize that the law has tangible benefits to people so they feel comfortable enrolling.&rdquo;</p>
<p>Still, Obama has a hard sell.</p>
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<pubDate>Thu, 09 May 2013 00:00:00 EST</pubDate>
<title>Private Sector Experience Is a Plus, Not a Minus</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1698</link>
<dc:creator><![CDATA[Tom Giovanetti]]></dc:creator>
<description><![CDATA[<p>President Obama has nominated Tom Wheeler to be the next chairman of the Federal Communications Commission (FCC), replacing Julius Genachowski, who will be departing in mid-May.<br /><br />With a budget of nearly $400 million and almost 2,000 employees, the FCC is one of the largest and most powerful federal regulatory agencies. The agency has unwisely been granted enormous authority over the critical communications sector. It can approve or block mergers and acquisitions in the industries it regulates, and it administers the federal Universal Service Fund (USF), a tax that shows up on almost all communications bills and that adds up to over $8 billion every year. It&rsquo;s clear that FCC policies have a direct and dramatic impact on the economy at large, as well as upon the day-to-day lives of American consumers.<br /><br />So it&rsquo;s worth paying attention to what&rsquo;s going on at the FCC, especially when there&rsquo;s a change at the top.<br /><br />The choice of Wheeler has been criticized almost exclusively on the grounds that he once represented the communications industry. The New York Times called him an &ldquo;industry man,&rdquo; while <a href="http://www.freepress.net/press-release/103984/obama-name-tom-wheeler-new-fcc-chairman">Free Press predictably blasted the choice</a>, saying that he &ldquo;does not appear to be&rdquo; the right person for the job.<br /><br />Of course, we have no idea what kind of chairman Mr. Wheeler will be, though we doubt the president would nominate anyone sufficiently skeptical of government intervention to satisfy us. Indeed, <a href="http://www.mobilemusings.net/2011/09/awaiting-final-aria.html">in a blog post</a>, Mr. Wheeler seemed to endorse the AT&amp;T/T-Mobile merger as an excuse to introduce the heavy hand of regulation into the wireless space. So we&rsquo;re &ldquo;cautious.&rdquo;<br /><br />But what is truly unwise and indeed offensive is the larger idea that experience in the private sector, indeed experience in the very sector you&rsquo;re supposed to be regulating, is some sort of contamination.<br /><br />The alternative, of course, is LACK of industry knowledge and experience. That&rsquo;s better? In other words, the alternative is rule by academic and government elites who proclaim from their ivory towers how an industry should be run, and what the future should look like, without ever having labored in the very fields over which they claim to be an expert.<br /><br />America is successful when a robust private sector drives the economy, and when government performs its most basic and essential duties. America fails when appointed elites with little or no real-world experience attempt to manage the economy through top-down central planning.<br /><br />Given the poor performance of this administration, especially its inability to meet the most basic desire of the American people to get the economy going again, we should be begging people with private sector experience to enter government and fix things, instead of treating them as pariahs.</p>
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<pubDate>Thu, 09 May 2013 00:00:00 EST</pubDate>
<title>Actually, Sen. Baucus, ObamaCare Is Facing Multiple Train Wrecks</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1697</link>
<dc:creator><![CDATA[Merrill Matthews]]></dc:creator>
<description><![CDATA[<p>Senate Finance Committee Chairman Max Baucus&rsquo; gaff&mdash;defined in Washington as when someone inadvertently tells the truth&mdash;about ObamaCare being a &ldquo;train wreck&rdquo; was actually an understatement: ObamaCare faces multiple train wrecks.</p>
<p>Baucus was referring to the implementation of ObamaCare: the missed deadlines, the confusion, and perhaps most importantly, the political fallout. But there are several other train wrecks, abject failures that have received little attention. And Republicans have had little or nothing to do with them.</p>
<p><strong>Train Wreck No. 1 </strong>&mdash; Electronic health records, or EHRs, were supposed to create an electronic version of patients&rsquo; medical records that could be transferred from doctor to doctor or hospital to hospital, known as &ldquo;interoperability.&rdquo;</p>
<p>The Obama administration included $20 billion in the 2009 &ldquo;stimulus bill&rdquo; to promote the adoption of EHRs. Doctors and hospitals would be paid if they implemented EHRs in a &ldquo;meaningful&rdquo; way. The oft-repeated justification was that EHRs would save money&mdash;Obama cited an <a href="http://www.washingtonpost.com/blogs/wonkblog/wp/2013/01/11/why-electronic-health-records-failed/">$81 billion savings</a> that no one now believes&mdash;and improve the quality of care.</p>
<p>Well, the title of a January New York Times <a href="http://www.nytimes.com/2013/01/11/business/electronic-records-systems-have-not-reduced-health-costs-report-says.html">report reveals</a> what many health policy experts predicted: &ldquo;In Second Look, Few Savings from Digital Health Records.&rdquo; As it turns out the only ones benefiting from EHRs are the companies that lobbied for the legislation, doubling some of those companies&rsquo; profits. As the <a href="http://www.nytimes.com/2013/02/20/business/a-digital-shift-on-health-data-swells-profits.html?pagewanted=all">Times points out</a>, &ldquo;the legislation has been a windfall to top executives at the leading health records companies.&rdquo;</p>
<p>Had anyone taken the time to look at the VA and its hospital system, which has had versions of electronic health records for decades, they might have been a little less optimistic. A recent National Center for Policy Analysis <a href="http://www.ncpa.org/sub/dpd/index.php?Article_ID=23147&amp;utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed:+ncpadpd+(Daily+Policy+Digest)">report explains</a>, &ldquo;efforts to integrate Department of Defense medical records for service members with VA electronic health records for new veterans have failed, hamstringing attempts to provide a continuum of care for veterans with service-connected conditions, as well as costing taxpayers more than $1 billion dollars.&rdquo;</p>
<p>Electronic health records may eventually become the gold standard in health care, but we&rsquo;re not there yet and Obama&rsquo;s billions of taxpayer dollars may have even slowed the progress.</p>
<p><strong>Train Wreck No. 2 &mdash; </strong>President Obama rammed through the first major new entitlement in 45 years, but instead of people embracing it, most don&rsquo;t want it; not businesses, not insurers, not doctors, not individuals. Apparently, not even <a href="http://www.politico.com/story/2013/04/obamacare-exemption-lawmakers-aides-90610.html">Democrats</a> who voted for it.</p>
<p><a href="http://www.reuters.com/article/2013/05/02/us-usa-healthcare-insurers-idUSBRE9410UI20130502">Reuters reports</a> that the largest insurers, most of which initially supported the legislation, are very reluctant to enter the health insurance exchanges, where millions are supposed to have access to numerous health insurance options. &ldquo;In recent days, executives at the four largest U.S. health insurers say they are likely to sell insurance plans on less than a third of the exchanges, reluctant to venture out beyond the states where they already offer coverage.&rdquo;</p>
<p>And insurers aren&rsquo;t alone. A majority of the public has supported repeal since the legislation passed, and the<a href="http://www.washingtonpost.com/blogs/wonkblog/wp/2013/03/19/lots-of-americans-still-want-to-repeal-obamacare/"> &ldquo;repealers&rdquo;</a> have recently grown. Of course, business trade associations like the U.S. Chamber of Commerce and the National Federation of Independent Business have been fighting ObamaCare from the beginning.</p>
<p>The reception has been so bad that the Obama administration signed a $20 million <a href="http://thehill.com/blogs/healthwatch/health-reform-implementation/228699-hhs-inks-20m-contract-with-pr-firm-to-tout-preventive-benefits">public relations contract</a> a year ago in an attempt to convince the public they want ObamaCare, and it just <a href="http://ifawebnews.com/2013/04/22/hhs-signs-third-public-relations-contract-for-aca-awareness/">signed two more</a> for another $10 million. That&rsquo;s $30 million of your tax dollars to sell something most of you don&rsquo;t want.</p>
<p><strong>Train Wreck No. 3 &mdash;</strong> Health insurance premiums will explode. In January retired actuary Mark Litow and I published an <a href="http://online.wsj.com/article/SB10001424127887323936804578227890968100984.html">opinion piece</a> in the Wall Street Journal explaining why ObamaCare will push up premiums for some people by 100 percent.</p>
<p>In the last two months, as insurers have begun to announce their ObamaCare premiums, it&rsquo;s clear we were right. States that largely destroyed their health insurance markets, like Massachusetts and New York, may not see much change&mdash;at least for a few years. But states that did a good job of ensuring access to affordable coverage will see their premiums skyrocket, especially in the individual market for younger adults.</p>
<p>Note that the rise in premiums is not a result of Obama&rsquo;s sloppy implementation efforts; it&rsquo;s due to the fact that the people writing the legislation didn&rsquo;t have a clue how health insurance works or how it affects consumer choices. They thought&mdash;and Obama repeated it several times&mdash;that getting everyone covered would <em>lower </em>health care spending. They also thought that adding free services would reduce health care costs, when virtually any actuary would have told them the opposite.</p>
<p><strong>Train Wreck No. 4 &mdash;</strong> And let&rsquo;s not forget those with major pre-existing medical conditions, the uninsurables. ObamaCare put $5 billion aside to fund a <a href="http://www.ncsl.org/issues-research/health/high-risk-pools-for-health-coverage.aspx">new system of high risk pools </a>to cover them&mdash;even though 35 state-based high risk pools already existed with about 220,000 people enrolled.</p>
<p>While Democratic planners expected some 375,000 people would be eligible to enroll in the program, only about 100,000 have. And yet the program is running out of money, and so the administration has closed it to new enrollees.</p>
<p>Let me repeat that: One of Obama&rsquo;s primary justifications for demanding health care reform was to help the uninsurables get coverage, and he has closed that provision to new entrants.</p>
<p>Yes, ObamaCare will be a train wreck, many times over&mdash;just wait until the IRS cranks up its enforcement efforts or it becomes clear that people cannot get health insurance subsidies in the federally created exchanges.</p>
<p>Democrats went to great lengths to completely restructure the U.S. health care system and get all the &ldquo;credit&rdquo; for it. And now they are increasingly afraid they will.</p>
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<pubDate>Tue, 07 May 2013 00:00:00 EST</pubDate>
<title>Cruz: GOP should champion &#8217;the 47 percent&#8217;</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1696</link>
<dc:creator><![CDATA[]]></dc:creator>
<description><![CDATA[<p class="loose"><strong>By Gromer Jeffers</strong></p>
<p class="loose">Last week, during the 25th anniversary celebration of the Institute for Policy Innovation at the Frontiers of Flight Museum, Sen. Ted Cruz told the crowd that 2012 GOP nominee Mitt Romney was wrong to declare that 47 percent of the population was receiving government aid and lost as potential Republican voters.</p>
<p class="loose">"We need to champion those climbing the economic ladder," Cruz said. "We should be defenders and champions of the 47 percent."</p>
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<pubDate>Tue, 07 May 2013 00:00:00 EST</pubDate>
<title>The Stock Market Isn&#8217;t Troubled by the Sequester Cuts</title>
<link>http://www.ipi.org/ipi_issues/article_detail.asp?id=1695</link>
<dc:creator><![CDATA[Merrill Matthews]]></dc:creator>
<description><![CDATA[<br/><img src="http://www.ipi.org/imgLib/20130507_EconGrowthpageheaderstockmarketupiStock_000015854384XSmallthumbnail.jpg" alt="" width="147" height="155"/><p>Lots of factors affect the Dow Jones Industrial Average. But at this point, the sequester budget cuts aren&rsquo;t one of them&mdash;at least not negatively.<br />&nbsp;<br />Remember all the hand wringing from the White House, and especially President Obama, last February, as we approached the March 1 sequester deadline?<br />&nbsp;<br />According to the president, the self-imposed budget cuts amounting to about $85 billion for the rest of this fiscal year, and about $1.2 trillion over 10 years, would be devastating to the economy&mdash;perhaps pushing us back into a recession.<br />&nbsp;<br />We&rsquo;re now two months into it. The air traffic control hassle prompted Congress to act&mdash;some might say &ldquo;cave&rdquo;&mdash;passing legislation to ensure the Federal Aviation Administration had the freedom to shuffle money around. And we&rsquo;re learning that there will be cutbacks in various programs and services across the country, which will certainly cause some individual pain.<br />&nbsp;<br />But as for the stock market? It&rsquo;s up nearly 900 points since March 1 ($14,089 to $14,974 on May 3). Apparently, investors don&rsquo;t see the cuts hurting the economy&mdash;and perhaps actually helping it.<br /><a href="http://finance.yahoo.com/q/bc?s=^DJI&amp;t=3m&amp;l=on&amp;z=l&amp;q=l&amp;c=" target="_self"><img src="https://d2q0qd5iz04n9u.cloudfront.net/_ssl/proxy.php/http/gallery.mailchimp.com/236713c0eb5508a7a8a8c680e/images/chart.png" border="0" width="535" height="350" /></a><br />&nbsp;<br />Of course, so many factors affect the stock market that it would be difficult to claim that the 900-point rise was because of the sequester cuts. In fact, the market started its latest climb in mid-November, with significant drops in late December as Congress and the president struggled over the Fiscal Cliff, and again on February 25, probably out of concern that the cuts wouldn&rsquo;t take effect.<br />&nbsp;<br />And the market may turn south come summer&mdash;as it often does&mdash;as fears of a European Union downturn and other factors begin to weigh on investors.<br />&nbsp;<br />But the market&rsquo;s current rise is just one more rebuke to the administration&rsquo;s guiding economic policies: that government spending is what spurs economic growth.<br />&nbsp;<br />That&rsquo;s why, as we creep up on the debt-limit ceiling later in May, fiscal conservatives may want to consider another round of sequester cuts, as Institute for Policy Innovation President Tom Giovanetti has <a href="http://www.ipi.org/ipi_issues/detail/sequester-sanity" target="_self">proposed</a>.<br />&nbsp;<br />The sequester may be a blunt instrument for cutting government spending. But as long as the Big Spender is in the White House, it may be the best tool we have.</p>
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