Dismantling Obamacare Piece by Piece

H.R. 849 – Protecting Seniors’ Access to Medicare Act of 2017
Effective as of the enactment of the Patient Protection and Affordable Care Act (Public Law 111–148), sections 3403 and 10320 of such Act (including the amendments made by such sections) are repealed, and any provision of law amended by such sections is hereby restored as if such sections had not been enacted into law.

Passed the House 307 – 111 and now heads to the Senate.

H.Res.600 – Providing for consideration of the bill (H.R. 849) to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board.

Passed or agreed to in the House 240 – 178 . Does not need Senate approval.


Why is this news? Obviously, it seems congress gets the hives just as they are about to vote on repealing Obamacare in its entirety. If they do not eliminate the act in its entirety then there are hidden within those 2000 plus pages some very scary parts that are and would  continue to be a serious problem. So the next thing remains to dismantle every section of the law that is in contention.

One of many has been the Independent Payment Advisory Board. Many senior citizens were very nervous and obviously their representatives were very vocal about the possible catastrophic results if the board made decisions based on nothing more than mathematical formulas which had no feelings or human interactions. They believed right or wrongly that this allowed a single group of 15 members to determine the payments of or rationale that might see seniors and long-term disabled cut off from medical assistance at crucial points of their lives, like taking away medications or care that meant the difference between life and a painful death.

In some cases since ACA was implemented, this has happened as more than a few seniors found that Medicare dropped specific doctor-recommended drugs that were important to the patient comfort and survival or reduced home or long-term care so that people were left to fend for themselves more often.

What is the Independent Payment Advisory Board, or IPAB?

It is a fifteen-member United States Government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which has the explicit task of achieving specified savings in Medicare without affecting coverage or quality.

This board has been referred to as the Death Panel by many, especially senior citizen groups, since first discovered to be a part of the ACA. The American Enterprise Institute called it “one of the more notorious provisions of the Affordable Care Act because it is the perfect embodiment of belief in technocratic expertise. The IPAB’s 15 “expert” members would have great power and little accountability. The basic idea of the IPAB is to impose a cap on Medicare spending and then allow the board’s fifteen members to come up with ways to keep program spending under control. Congress was supposed to have been triggered to provide legislation if the panel made recommendations. If Congress failed to pass legislation that overrides what the IPAB recommends, then the IPAB’s recommendations automatically go into effect.”

The IPAB is fundamentally flawed concept for two reasons:
1) It tramples on Congress’ power to write laws.
2) It emphasizes payment reductions at the expense of real Medicare reform. Basically it uses market analysis and no consideration of the human factor.

This is only one of many sections that if not addressed through a complete repeal might still bite us if something is not done.


Here is another section of possibly several that needs to be looked at and deleted from the ACA if the whole is not rescinded:

Section 203 of the Public Health Service Act (42 U.S.C. 204)
is amended to read as follows:
‘‘—There shall be in the Service a commissioned
Regular Corps and a Ready Reserve Corps for service
in time of national emergency.
CORPS.—Effective on the date of enactment of the Patient Protection
and Affordable Care Act, all individuals classified as officers in
the Reserve Corps under this section (as such section existed on
the day before the date of enactment of such Act) and serving
on active duty shall be deemed to be commissioned officers of
the Regular Corps.
‘‘(1) PURPOSE.—The purpose of the Ready Reserve Corps
is to fulfill the need to have additional Commissioned Corps
personnel available on short notice (similar to the uniformed
service’s reserve program) to assist regular Commissioned
Corps personnel to meet both routine public health and emergency
response missions.

I was under the impression that FEMA was for this purpose. Even they are now to be suspect for their actions since Obama used them as a go-between with Putin around 2013 if memory serves to get an agreement for Russian “boots on the ground in case of civil uprising.” We wouldn’t even have known about that if an article had not been posted in a RUSSIAN paper to that effect. (By the way much of the links have “mysteriously disappeared.)

Investment Watch Blog – 07/06/2013
RogerSherman Society – 07/02/2013 Intelligence Brief #298 (unsure of this society and purpose but all Russian FEMA links are no longer available.  However, the posting does provide some useful information.)
New American – 07/04/2013
Western Journal – 07/05/2013 video about Russian FEMA and US FEMA signing the agreement

While seemingly innocuous, in the wrong hands and for the wrong reasons, this could effectively provide, fund, and maintain a “civilian militia type force” which could use the excuse of public health to carry out far-reaching changes or round ups of individuals.


There are others I am sure but those two in particular caused a lot of controversy after the public actually got a chance to see and read through this very secretive document. It was telling then and now that the Obama administration made every effort to cover up or prevent congress and the American people from seeing the document as a bill in total or to object before the vote had been shoved through to be enacted by Democrats.

Even now I get very angry when I remember Pelosi standing in front of a podium and telling us on the newscast “We simply have to pass the bill before you (Congress members and the public) can learn what is in it……..”  It was passed blindly, so look where we are now.

By the way, at the time we had only our feelings to go on but even then MSM was making sure we heard only the liberal version of how “wonderful” this ACA would be for every American.  Look where letting them get away with all their rubbage reporting has led us.


About Uriel

Retired educator and constitutionalist
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5 Responses to Dismantling Obamacare Piece by Piece

  1. Wise Owl says:

    Yup! MyObamacare premiums went to $1000/mo each, with $7000 deductible, on $20K SS income. What crap, in addition to what you point out above.

  2. whitetop says:

    Seems life would be a lot simpler for most Americans if they would just repeal this piece of shit legislation once and for all. Of course that would mean giving up control of the slave nation.

  3. vonMesser says:

    Do you really mean you want to disestablish the Democrat Sturmabteilung? That will only leave them AntiFa (their SS) and the press.