CATO INSTITUTE: ‘Nuclear Option’ Does Enable Democrats To Ensure One-Party Authoritarian Control of Health Care

By Michael F. Cannon

This article appeared on Forbes.com on November 25, 2013.

Last week, I explained that the U.S. Senate’s deployment of the “nuclear option” — lowering the threshold for approval of non-Supreme Court presidential nominees from 60 votes to 51 votes — does not make it easier for President Obama to use ObamaCare’s Independent Payment Advisory Board. I need to add this caveat: during his tenure. The nuclear option does enhance the ability of the president and his party to control the health care sector well after he leaves office.

It’s true that the rules change will make it easier for the president to have his IPAB nominees approved by the Senate, particularly through January 2015, when the Democratic caucus holds 55 seats. But if the president and Senate fail to seat anyone on the IPAB, the board’s sweeping legislative powers fall to the Secretary of Health and Human Services. If President Obama wants to use IPAB’s powers during his term, therefore, he need only retain Kathleen Sebelius as his HHS secretary.

ObamaCare permits IPAB to exercise its powers, however, only if Medicare’s actuaries project the program’s outlays will grow faster than a specified rate. A number of readers note that Medicare’s actuaries reported earlier this year that their projections currently do not show Medicare spending exceeding that target rate, and that their projections likely will not do so during the remainder of President Obama’s term. Those projections and the resulting determination could change next year. If so, and if the president and Senate have not placed confirmed any IPAB members, Secretary Sebelius could use IPAB’s powers during President Obama’s term. Those powers include the ability to raise taxes, to ration care to Medicare enrollees, and to appropriate funds to her own department, without the consent of the people’s elected representatives. (Critics will object that IPAB has none of these powers. In this study, Diane Cohen and I explain why we think they are incorrect.) Sebelius’ “proposal” would take effect during 2016.

PLEASE READ MORE:  http://www.cato.org/publications/commentary/nuclear-option-does-enable-democrats-ensure-one-party-authoritarian-control?utm_source=Cato+Institute+Emails&utm_campaign=5e45bb1a43-Cato_Today&utm_medium=email&utm_term=0_395878584c-5e45bb1a43-141723190&mc_cid=5e45bb1a43&mc_eid=2653a08a51

IS THIS THE ALARMING REASON KATHLEEN SEBELIUS HASN’T BEEN FIRED?

TheBlaze

November 25,2013

Michael F. Cannon, the Cato Institute’s director of health policy studies, has recently been warning Americans about the ramifications of the U.S. Senate unleashing the “nuclear option” and what it means for the nation’s healthcare industry.

Much of it is related to Health and Human Services Secretary Kathleen Sebelius and Obamacare’s Independent Payment Advisory Board (IPAB) which some, including Glenn Beck, have likened to “death panels.”

Speaking on the Glenn Beck Program Monday, Cannon explained that IPAB “has the power to do all sorts of things that really the Constitution leaves to Congress, like enact or impose taxes…”

“This is supposed to be a 15-member board, but if no one is seated on that board — if the president and the Senate cannot agree on whom the president will appoint… then all of IPAB’s powers fall, all of those legislative powers, fall to the Secretary of Health and Human Services Kathleen Sebelius,” he said.

VIDEO AND MORE:  http://www.theblaze.com/stories/2013/11/25/is-this-the-alarming-reason-kathleen-sebelius-hasnt-been-fired/