Colin Hanna

This week the House of Representatives is scheduled to vote on one of the most damaging provisions of ObamaCare: The Independent Payment Advisory Board (IPAB). The board is supposed to be President Obama’s solution to Medicare’s funding crisis, yet it still leaves the program bankrupt in nine years. While Congressman Paul Ryan’s (R-WI) Medicare solution that saves the program from bankruptcy is well-known (and also misunderstood by most), IPAB has rarely been discussed, and thus the vote provides an important opportunity to educate the public about these two fundamentally opposite visions for Medicare’s future.

In Washington, politicians often give legislation a name that is completely contradictory to its function. One only has to look to ObamaCare’s real name “The Patient Protection and Affordable Care Act”, a law that makes health care more unaffordable and gives bureaucrats direction over patients’ care, to get the point. If IPAB was to spell out its true effect, it would be It’s Patients Against Bureaucrats.


The Independent Payment Advisory Board is in fact very independent, but there’s very little advisory about it. IPAB is a board of 15 unelected bureaucrats who are charged with keeping Medicare below a global spending cap. They are empowered with one tool and one tool only for meeting this target: cutting reimbursement rates. With 30% of doctors already limiting the number of Medicare patients they see, the fear is IPAB’s potentially dramatic reimbursements cuts will leave even more to stop seeing seniors.

In summary, ObamaCare creates a board of bureaucrats who are paid $160,000 a year, almost three times the annual wage of the average American, to hurt these very same Americans by limiting their access to necessary care.

Yes, IPAB technically submits to Congress its recommendations, which one can stretch to deem advisory, with specific provider rates that should be slashed. However, these recommendations automatically go into effect unless both the House and Senate pass legislation with an equal amount of reimbursement cuts and the President signs it into law. Let’s just say that’s highly unlikely and rather; it’s highly likely IPAB’s bureaucrats will singlehandedly control what services patients have access to. This pits patients against bureaucrats, giving IPAB its true name: It’s Patients Against Bureaucrats.

Colin Hanna

Colin A. Hanna is President of Let Freedom Ring USA, Inc., a non-profit public policy organization committed to promoting Constitutional government, free enterprise and traditional values.