As we head in to the final two weeks before the Presidential Election, we must examine the facts about the Affordable Care Act because clearly we have two very different choices when it comes to healthcare. Healthcare is a hotbed issue because it affects everyone at some point in their lives. Under the ACA, a new federal burocracy will be created. We will see a demise in medical treatment in this country due to new regulations. In order to earn the same money, doctors will need to see more patients, meaning, individual care, time and attention will be a thing of the past. The ACA also greatly expands the roll of the Federal Government in healthcare decisions, something that can never be a good thing. I have spent the better part of several months reading the actual Bill which is 974 pages. Never do I want to want to listen to either side, without first attempting to gather the facts, first hand. What I can tell you is, it’s a very dry read, and difficult to understand. No surprise there. What I ended up doing was going through sections as it is fairly impossible for an individual to read line by line. What’s disturbing is there is no way any of the Representatives or Senators read this cover to cover. I’m sure they had staff going through it, but to vote on a bill without reading it, is a problem. The Affordable Care Act so far, has been positive, (children able to remain on their parent’s insurance until 26, no denial of coverage for pre-existing conditions, no ceiling on coverage) but in the end, it will lead to the erosion of the healthcare profession as we now know it. Primary care doctors will no longer exist. Internal medicine will be turned over to Physician’s Assistants and nurses who have far less training than MD’s or DO’s. My greatest concern in the Bill is something Romney touched on in the first debate, the unelected 15 member Independent Payment Advisory Board (IPAB) created as part of Obamacare. According to Bill, the IPAB is charged with developing proposals to “reduce the per capita rate of growth of Medicare spending,” According to Kevin Mooney an investigative reporter, “The Board’s authority is activated whenever Medicare’s future spending is expected to increase faster than the target rate, which is the average of the change in the Consumer Price Index (CPI) until 2018. At that point, the target rate is set to the nominal Gross Domestic Product (GDP) per capital plus one percentage point. The Secretary of Health and Human Services (HHS) must implement the Board’s proposals, unless Congress intervenes. In practice, this means there are few meaningful limits on the IPAB’s ability to shape policy. Obamacare calls for a 3/5 supermajority vote in the U.S. Senate to change or repeal any proposals from the IPAB”. The ACA also prohibits administrative and judicial review of IPAB laws, meaning it has almost unlimited power. The American Heritage Foundation has summarized the findings of two doctors, Jerry Ellig of the Mercatus Center at George Mason University and Christopher Conover of Duke University. In the report, “They detailed major deficiencies in the regulatory process, including poor analysis, inadequate cost–benefit analysis, a bias toward regulatory solutions, and a failure to consider alternatives”. In short, there are many holes in this legislation that will need to be dealt when fully implemented. I believe the President has even admitted as much. Obama simply wanted to pass the legislation and needed it to do it quickly because he knew he had no support from the other side of the aisle. The way in which he did it according to the findings was as follows, “Congress enacted the ACA in the face of public opposition: only 10 of nearly 140 polls between July 2009 and passage of the bill showed majority popular support. Between passage of the bill and August 10, 2011, only one of 87 polls opposed repeal. With the 2010 congressional elections only seven months away, Members of Congress had a clear incentive to put the more popular provisions of the law in place, in hopes that people would support the new law to keep these popular benefits”. Since only one member of the Republican Party voted in favor of the bill, the reference, “Members of Congress” refers only to the Democrats. The lack of public support became glaringly evident in the mid-term election massacre. The logic appears to have been, “let them eat cake” and “what they don’t know, won’t hurt them”. But how could anyone know or understand the 974 pages of legal jargon. In the bill is a section that refers to making the language of benefits simple so anyone, even with limited english could understand it. But of course most people couldn’t even understand that section. The day of reckoning is quickly approaching and if this law is not changed and tightened, the financial ramifications, along with healthcare as we know it, will be irreversibly changed, and not for the better, for the majority of Americans. Coming soon to a medical facility near you, waiting months for a non-emergency MRI. Don’t take my word for it, make a friend in Canada, they’ll be happy to back me up. This is not fear mongering, it’s simply the truth.