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Modern Healthcare - - OPINIONS EDITORIALS -

“One of the most promis­ing cost-con­trol mea­sures in the new health­care law is an en­tity called the In­de­pen­dent Pay­ment Ad­vi­sory Board, or IPAB. To be launched in 2015, IPAB will have the au­thor­ity, if growth in health­care costs ex­ceeds a cer­tain tar­get, to rec­om­mend changes to the Medi­care pro­gram. … You can prob­a­bly guess where this is go­ing. Rather than em­brac­ing IPAB, Repub­li­cans, joined by some Democrats who chafe at ced­ing con­trol of Medi­care pol­icy to an un­elected body, are try­ing to dis­man­tle the pro­gram even be­fore it gets started.”

—Washington Post “Democrats are al­ready fo­cus­ing their protests on the big changes (House Bud­get Com­mit­tee Chair­man Paul) Ryan pro­poses for Medi­care, start­ing in about a decade. But it’s not the dra­co­nian out­line Ryan of­fered last year ... More prob­lem­atic are Ryan’s pro­pos­als to re­quire states to pick up a grow­ing share of the cost of Med­i­caid ... and to limit fed­eral spend­ing to about 20% of the econ­omy, which even­tu­ally would force painful trade-offs be­tween hon­or­ing in­creas­ing obli­ga­tions to re­tirees (in the form of So­cial Se­cu­rity and Medi­care ben­e­fits) and main­tain­ing other fed­eral pro­grams.”

—Los An­ge­les Times

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