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1. Obamacare will cause millions of Americans to lose their current insurance 2. Obamacare adds trillions of dollars in new taxes, including a devastating tax on medical device manufacturers 3. Obamacare will increase the debt by hundreds of billions of dollars 4. Obamacare will destroy jobs in a struggling economy 5. Obamacare will cause Americans’ health care premiums to skyrocket 6. Obamacare is unconstitutional 7. Obamacare will lead to rationing of health care by Washington bureaucrats 8. Obamacare is an assault on religious liberty and freedom of conscience 9. Obamacare’s exchanges limit consumer choice, drive costs up, and illegally expand tax credits 10. There is a better path forward The following document was compiled using source material from the House GOP Conference, the House Committee on Ways and Means, and the Heritage Foundation.
1. Obamacare will cause millions of Americans to lose their current insurance: Despite President Obama’s repeated assurance that “if you like your current plan, you can keep it,” a McKinsey and Company study in 2011 concluded that because of increased costs and employer penalties, nearly half of all surveyed employers said they would drop or change their employee coverage plans after 2014. A similar 2011 study by Deloitte found that up to 65 million Americans could lose their employer-sponsored health insurance because of Obamacare's employer mandate requirement. The report found that 71 Fortune 100 companies responding to the survey could save almost $30 billion in 2014 alone by eliminating employer-sponsored health plans and instead paying the employer mandate penalty.
These taxes will not be restricted to the wealthy and profitable healthcare businesses.The Congressional Budget Office and the Joint Committee on Taxation now predict that a net total of 3 to 5 million people will no longer be able to obtain health coverage through their employers each year from 2019 through 2022 as a result of the president’s law.9% increase in Medicare taxes for individuals earning more than $200. In June 2012. 90 of the 100 medical device firms attending a conference in Boston stated they would be forced to reduce costs. Obamacare contains 18 separate taxes. announced plans to cut five percent of its workforce over concerns about the medical device tax. the House of Representatives voted to repeal the tax. estimated to yield nearly $318 billion in new revenue through 2022. and the Senate did not act to repeal it . Todd Rokita led 74 colleagues in a letter to House leadership urging them to repeal the medical device tax. In February 2012. but President Obama threatened to veto the bill if it reached his desk. including a devastating tax on medical device manufacturers: According to a recent report from the Joint Economic Committee (based on CBO data). perhaps leading to widespread turmoil in labor compensation and employee insurance coverage.” 2. One particularly egregious tax targets medical device manufacturers. an orthopedic-device business based in Michigan. One of the largest tax increases just took effect at the beginning of this year: a . Obamacare adds trillions of dollars in new taxes. This tax is on top of the increased rates on individuals making more than $400. Instead. because of Obamacare’s 2. the weight of $4 trillion in new taxes will be spread across all sectors and all income classes as incomes and economic growth decline. many of whom are based in Indiana. Medical device manufacturer Boston Scientific announced that it plans to lay-off 1. such as labor expenses or research and development costs. Stryker Corporation. have also been forced to schedule hundreds of layoffs as a result of this tax. including Zimmer and Hill-Rom.000 due to the fiscal cliff deal.200 to 1. the president’s health care law will add an additional $4 trillion in new taxes onto the economy between 2012 and 2035. Shortly after Obamacare was enacted into law.000 a year. shifting those jobs to China. The tax burden may have been just $15 billion in 2012. Rep.3 percent excise tax on medical devices.400 Americans. Former CBO Director Douglas Holtz-Eakin has concluded the president’s health care law provides “strong incentives for employers…to drop employer-sponsored health insurance for as many as 35 million Americans. but in 2035 that burden will be magnified more than twenty-fold to $320 billion. And some Indiana innovators.
Obamacare also enacted tax hikes immediately. federal deficits. The non-partisan Congressional Budget Office (CBO) concluded that President Obama’s health care law will reduce the labor supply by 800. The fact of the matter is. or pay a penalty. and more. not lower.” 4. masking $841 billion worth of increased costs. not paying for the Medicare doc-fix ($208 billion). If the company crosses the 50-person threshold. The Wall Street Journal profiled a growing small business in January 2013 that is trying to keep their employee roster under 50 people. In a January 2012 U. If these gimmicks had been properly accounted for in 2010. even though they are poised to triple their business this year. This is why many small businesses are hiring more part time employees and subcontractors. by $562 billion. the president’s health care law will likely increase the deficit by at least $340 billion between 2012 and 2019. not accounting for the cost of implementation ($115 billion). they will have to provide governmentapproved health insurance. .S. 74 percent said that the health care law makes it harder for their firms to hire new workers and 30 percent said they are not hiring at all thanks to the law.000 lost job opportunities per year. Obamacare will destroy jobs in a struggling economy: A recent small business survey by the U. Chamber of Commerce survey of small businesses. after taking into account Medicare double-counting and other unrealistic assumptions. Other estimates are as high as 670.S. Obamacare would have actually increased the deficit by nearly $700 billion. Chamber of Commerce found that nearly three quarters (73%) of small businesses surveyed cite the president’s health care law as an obstacle to growing their business and hiring more employees. CBO was required to play along with the budget gimmicks the president used to pass this law.” thereby discouraging work.3. which according to CBO “will effectively increase marginal tax rates. These gimmicks include double-counting Medicare savings ($400 billion). almost half of small businesses said they were not hiring due to concerns about possible rising health care costs and worries about new government regulations. Obamacare will increase the debt by hundreds of billions of dollars: According to a recent report by Medicare public trustee Charles Blahous. The White House’s response to the report noted favorable scores from the Congressional Budget Office even though CBO itself admitted that the major savings assumptions in the law were unrealistic and unlikely to be sustained over the long-term. former CBO Director Douglas Holtz-Eakin said: “…if you strip out all the gimmicks and budgetary games and rework the calculus…[t]he health care reform legislation would raise.000 thanks to the law’s perverse incentives. According to a February 2012 Gallup poll. while delaying new program spending for 4 years to give the illusion of savings. In a March 2010 op-ed for the New York Times.
As the New York Times reported. premiums actually increased by more than $3. Even a majority of Democrats. by a margin of 72% to 20%. according to the Congressional Budget Office. A 2012 USA Today/Gallup poll shows Americans overwhelmingly believe the individual mandate is unconstitutional. and a majority of those who think the healthcare law is a good thing. to pay a penalty averaging more than $1.000 in the last four years.” Consultants at Aon Hewitt recently announced that premiums for employer-sponsored coverage continue their upward spiral. some BlueCross BlueShield plans and other smaller carriers “have asked for premium increases of between 1% and 9% to pay for extra benefits required under the law. it upheld the law under the Congress’ taxing power. Employee out-of-pocket costs will see even more of an increase.500 cheaper compared to 2008. believe that provision is unconstitutional.to middle-income Americans in the near future. major health insurers including Aetna Inc. Obamacare will cause Americans’ health care premiums to skyrocket: The president’s desire to fund his new subsidies and entitlement expansions with tax increases and new fees only creates a greater burden for consumers. . it is doubtful that affordable insurance coverage will be available for low.” According to a September 2010 Wall Street Journal article. “if health care costs continue to rise at current unsustainable rates. Obamacare is unconstitutional: The Supreme Court announced their decision regarding NFIB vs. Sebelius in the summer of 2012. Although President Obama promised that health insurance premiums would be $2. Although the Court determined Obamacare’s health insurance mandate violated the Commerce Clause of the Constitution. This decision does not mean the entire law is constitutional – quite the opposite.000 each in 2016 if they don’t purchase health insurance.5. According to Medicare Actuary Richard Foster. and are projected to rise by another 7 percent in 2012.2 billion in 2018 and $17. nearly 11 percent. According to an article in the March/April 2012 issue of the Annals of Family Medicine. The law would require nearly 4 million Americans.” 6. most of them middle class. “we anticipate that these fees and the excise tax would generally be passed through to health consumers in the form of higher drug and device prices and higher insurance premiums with an associated increase in overall national health expenditures ranging from $2.8 billion in 2019. the Aon Hewitt study found that employees’ share of premiums will rise by an even greater amount..1 billion in 2011 to $18.
the IPAB must submit their savings recommendations to Congress.In addition to ruling the individual mandate unconstitutional under the Commerce Clause. The anti-conscience mandate requires religious employers to provide free sterilization and contraception services as part of their health coverage. Several lawsuits are currently pending before the courts. The IPAB. including the high-profile case with Hobby Lobby.” . It starts with government price controls. unaccountable bureaucrats. These are referred to as “preventive health benefits. If Congress fails to act on IPAB recommendations. Interestingly. the Department of Health and Human Services (HHS) issued a new regulation forcing all employers of more than 50 people to provide free coverage for sterilization and contraception services. which consists of 15 unelected. making it much more difficult to shut down. including the Medicare Independent Payment Advisory Board (IPAB) and the anti-conscience mandate. The effect of further cuts on health care providers will likely drive many of them from practice entirely. thus shrinking the number of Medicare participating providers. Obamacare will lead to rationing of health care by Washington bureaucrats: The Independent Payment Advisory Board (IPAB) is not just unconstitutional. including abortion-inducing drugs. Other provisions not considered under NFIB vs. and other health care providers. which again consists of 15 unelected individuals. The catch is. The IPAB is considered mandatory spending. is tasked with cutting Medicare with or without the approval of Congress. It is not hard to see where we are headed. but where does it end? Will Washington bureaucrats eventually determine who can see a doctor and what procedures they are eligible for? The IPAB represents a slippery slope that will slowly erode our freedoms. Obamacare is an assault on religious liberty and freedom of conscience: Last January. they will become law automatically. is tasked with finding billions of dollars in Medicare savings. It wields substantial power over the Medicare program with little accountability or oversight. hospitals. as one of the many rulemaking responsibilities delegated to bureaucrats under Obamacare. 7. 8. or rules. and not subject to annual appropriations. This means that they will undoubtedly recommend tax increases and further cuts to doctors. The IPAB. This is a violation of the First Amendment. This violates the Legislative Powers Clause which forbids Congress from delegating its lawmaking powers. Obamacare prohibits the IPAB from considering changes to Medicare eligibility. the Court also ruled the Medicaid expansion violates the Tax and Spend Clause. It will then be Congress’ job to approve the recommendations or amend them with comparable savings achieved. Sebelius should also be considered. benefits. the supply of doctors will not be sufficient to meet the demand. With millions of Baby Boomers becoming Medicare-eligible.
and taxes. but states are finding little incentive to take on the task. drastically inflating prices for younger Americans. Obamacare seeks to illegally expand tax credits to federally-run exchanges. and patient-centered. As passed. This move is a clear violation of the law. Additionally. Washington bureaucrats do not know best. only 14 to 16 states (plus the District of Columbia) will operate state-run exchanges. . and illegally expand tax credits The so-called “exchanges” established by Obamacare are a bureaucratic nightmare. It is estimated that by the time the law fully takes effect. at least half of states (including Indiana) have declined to run their own exchanges – far more than the law’s authors budgeted for. regulations. The “essential health benefits” requirement mandates what health services must be provided in all insurance plans offered in the exchange. federal bureaucrats at the IRS wrote a rule expanding these tax credits and subsidies to federally-run exchanges in addition to state-run exchanges. and perpetuate a “Washington knows best” mentality. the “actuarial value” rule threatens high-deductible health plans by requiring insurers to cover at least 60% of health costs. which passed without a single bipartisan vote and without the support of the American people. Obamacare’s exchanges limit consumer choice. The law requires the federal government to set up an exchange in states declining to implement their own. While exchanges were designed to foster choice and competition in the health insurance marketplace. thus subjected consumers to a 40% maximum out-of-pocket cost. 10. it forces them to pay for it. There is a better path forward: Our health care system should be patient-driven. One-size-fits-all government mandates do not work. Finally. Lawmakers initially expected states to implement their own health insurance exchanges. This is an egregious overreach of the federal government and a direct violation of our constitutional rights enshrined in the First Amendment. patient-controlled. we should focus on reforming our health care system through sensible. drive up costs (especially on young people). Obamacare’s exchanges dictate what government-approved insurance products are available to consumers. Instead of Obamacare. Obamacare distorts these intentions with heavy-handed government mandates. Obamacare provides tax credits and subsidies for the purchase of health insurance in state-run exchanges. drive costs up.This rule not only forces employers to provide these services regardless of their religious or moral objections. Since so many states are opting not to stand up their own exchanges. All of these regulations limit consumer choice. thus limiting patient choice and possibly making people pay for services they would never use. prompting HHS to push back implementation timelines. So far. Regulations like “community rating” prohibit insurers from charging elderly beneficiaries more than three times what they charge their youngest beneficiaries. 9.
It is estimated that this legislation would save the federal government nearly $2 trillion over the next 10 years. Chris Christie (NJ). . Instead of the Medicaid expansion adding millions of people to program rolls under Obamacare. Block granting Medicaid is a concept supported by a number of state governors including Governors Mike Pence (IN). states would have the flexibility to design Medicaid programs tailored to their unique needs. this bill would control Medicaid’s runaway costs by implementing a block grant to the states. Gary Herbert (UT). Scott Walker (WI). Under a block grant arrangement. One of the first steps I would propose is passing Medicaid reform like my State Health Flexibility Act. reducing costs. and former Florida governor Jeb Bush.market-based reforms aimed at increasing choice and competition. and improving access to care.
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