IPAB Dissent Disregards Party Lines
April 15, 201111:55 am
It’s worth noting that, in the same week that President Obama cited the Independent Payment Advisory Board (IPAB) as a key tool in cutting future Medicare costs, a House Democrat known for her expertise on healthcare issues went public with her belief that IPAB is a bad idea that should be repealed.
In fact, Representative Allyson Schwartz (D-PA), co-chair of the New Dems Health Care Task Force, said she would support Representative Phil Roe’s legislation to do away with IPAB. She’s not the first member of her Democratic caucus in the House to do so. Fellow Democratic Representatives Shelley Berkley (D-NV), Michael Capuano (D-MA) and Larry Kissell (D-NC) have already cosponsored the bill.
IPAB was created by the Affordable Care Act. The board would have the power to make Medicare spending reduction recommendations if program expenditures exceeded the per capita gross national product plus one percent. If Congress didn’t vote down the IPAB recommendations, they would automatically take effect. In President Obama’s deficit reduction proposal, he would give IPAB even greater authority, lowering the spending threshold at which the board’s powers would kick in.
Schwartz’s reasons for opposing IPAB are good ones. First, it transfers decisionmaking over healthcare policy from members of Congress to an unelected commission, placing an unwanted layer of bureaucracy between patients, healthcare providers and their elected representatives. In Schwartz’s words, it would “undermine our (Congress’s) ability to represent the needs of seniors and disabled in our communities.”
She also said that she “cannot condone the implementation of a flawed policy that will risk beneficiary access to care.”
That, I believe, is the greatest knock against the IPAB concept, as it’s drawn up in the health reform law. Rather than develop innovative ways to deliver high quality, cost effective care to Medicare beneficiaries, IPAB is simply about chopping spending levels downward. At a time in which likely physician shortages are on the horizon, it makes little sense to “fix” Medicare by cutting payments. As Alex Valadka, a neurosurgeon, said in National Journal, “Doctors cannot continue to ably treat Medicare patients if they are constantly wondering whether or not the money will be there to reimburse them.”
Yes, we do need to take steps to place Medicare on a sustainable course, but as Congresswoman Schwartz and others so ably point out, IPAB is the wrong tool to pursue that objective.
60 Responses to “IPAB Dissent Disregards Party Lines”
January 28th, 2024 at 8:30 am
ventolin inhalator usa buy albuterol 2mg online order albuterol generic
January 30th, 2024 at 6:23 pm
order tizanidine 2mg pill purchase tizanidine order tizanidine sale
February 1st, 2024 at 7:03 am
deltasone 20mg brand deltasone 20mg for sale order prednisone 20mg generic
February 2nd, 2024 at 9:50 pm
purchase absorica pill isotretinoin 20mg generic brand accutane
February 4th, 2024 at 2:26 pm
amoxicillin 250mg cheap amoxil brand where can i buy amoxicillin
February 5th, 2024 at 8:12 am
buy augmentin 375mg pill augmentin over the counter augmentin 625mg tablet
February 6th, 2024 at 6:22 am
order azithromycin order zithromax 250mg zithromax sale
February 6th, 2024 at 11:44 pm
order synthroid pill levothroid oral purchase levoxyl pills
February 7th, 2024 at 10:48 pm
cheap prednisolone 10mg order prednisolone 40mg sale omnacortil medication
February 8th, 2024 at 4:58 pm
order clomiphene 100mg clomiphene cheap clomid 100mg us
February 9th, 2024 at 1:33 pm
cheap gabapentin online neurontin tablets purchase neurontin
February 10th, 2024 at 11:54 pm
sildenafil pills sildenafil pills 100mg buy generic sildenafil 100mg
February 11th, 2024 at 4:18 am
buy furosemide for sale diuretic lasix 100mg pills order furosemide 100mg online
February 12th, 2024 at 1:50 pm
buy rybelsus 14 mg generic order generic semaglutide 14 mg order rybelsus 14 mg sale
February 12th, 2024 at 7:05 pm
vibra-tabs pills buy generic acticlate buy doxycycline 200mg online
February 16th, 2024 at 3:26 pm
generic aristocort buy triamcinolone for sale triamcinolone without prescription
February 16th, 2024 at 8:06 pm
cost cialis 10mg buy generic cialis 20mg cheap cialis pill
February 17th, 2024 at 9:33 pm
desloratadine 5mg pill desloratadine brand clarinex 5mg tablet
February 19th, 2024 at 10:57 am
buy loratadine generic order loratadine order loratadine generic
February 19th, 2024 at 12:59 pm
cheap aralen buy cheap chloroquine buy generic aralen
February 20th, 2024 at 6:11 pm
brand dapoxetine dapoxetine 60mg without prescription purchase misoprostol online cheap
February 20th, 2024 at 8:17 pm
glucophage where to buy buy glucophage 1000mg online glycomet without prescription
February 22nd, 2024 at 2:48 am
buy orlistat online cheap orlistat 120mg for sale buy diltiazem no prescription
February 22nd, 2024 at 12:10 pm
buy generic lipitor order atorvastatin 80mg generic lipitor 20mg drug
February 23rd, 2024 at 12:09 pm
norvasc 10mg drug generic amlodipine 5mg amlodipine 10mg sale
February 24th, 2024 at 1:32 am
buy acyclovir 400mg generic zyloprim 300mg ca order allopurinol sale
February 24th, 2024 at 8:43 pm
lisinopril for sale generic lisinopril 5mg zestril sale
February 25th, 2024 at 8:56 am
buy crestor 10mg online cheap order generic zetia purchase ezetimibe online
February 26th, 2024 at 4:16 am
buy generic omeprazole over the counter buy prilosec online prilosec 20mg for sale
February 26th, 2024 at 2:58 pm
order domperidone pill tetracycline canada oral tetracycline 500mg
February 27th, 2024 at 1:30 pm
lopressor uk order lopressor 100mg for sale where to buy lopressor without a prescription
February 28th, 2024 at 1:35 am
order flexeril 15mg pill purchase flexeril sale order baclofen 10mg online
February 28th, 2024 at 11:14 pm
buy tenormin 100mg sale tenormin over the counter atenolol 100mg brand
February 29th, 2024 at 7:31 am
ketorolac sale purchase colchicine pill colcrys without prescription
March 1st, 2024 at 8:31 am
medrol 16mg over counter buy methylprednisolone without a prescription buy medrol 16mg online
March 2nd, 2024 at 4:14 pm
assignment website write my term paper buy assignments
March 2nd, 2024 at 11:02 pm
inderal 10mg us generic inderal 20mg buy clopidogrel online
March 4th, 2024 at 1:55 am
methotrexate 5mg usa coumadin 5mg over the counter warfarin 2mg without prescription
March 4th, 2024 at 12:59 pm
mobic brand order celecoxib online celebrex 100mg price
March 5th, 2024 at 5:35 am
reglan us buy generic reglan over the counter buy losartan pills for sale
March 6th, 2024 at 12:42 am
tamsulosin 0.2mg pills generic celebrex celecoxib for sale online
March 8th, 2024 at 9:42 am
nexium 40mg oral purchase esomeprazole sale topiramate order
March 8th, 2024 at 8:57 pm
brand zofran 4mg zofran over the counter spironolactone price
March 9th, 2024 at 2:08 pm
purchase sumatriptan without prescription order imitrex 25mg without prescription levofloxacin 250mg drug
March 10th, 2024 at 4:59 am
buy simvastatin pill valtrex 500mg tablet valtrex tablet
March 11th, 2024 at 12:45 am
avodart medication zantac 300mg over the counter zantac 300mg brand
March 12th, 2024 at 1:48 pm
acillin generic buy generic amoxicillin online amoxil cost
March 13th, 2024 at 9:24 am
brand finasteride diflucan oral buy forcan cheap
March 14th, 2024 at 11:10 am
baycip over the counter – cephalexin uk augmentin 625mg uk
March 15th, 2024 at 12:11 am
purchase cipro sale – sulfamethoxazole oral buy augmentin cheap
March 17th, 2024 at 6:51 am
order flagyl 400mg – order cleocin 300mg sale cost azithromycin 500mg
March 18th, 2024 at 10:20 am
order generic ciprofloxacin 500 mg – ciprofloxacin over the counter oral erythromycin
March 19th, 2024 at 11:45 am
buy generic valtrex for sale – nemasole without prescription buy acyclovir 400mg pills
March 20th, 2024 at 1:55 pm
ivermectin 6mg without a doctor prescription – buy amoxiclav pills for sale order sumycin 500mg pill
March 21st, 2024 at 12:17 pm
flagyl ca – cleocin cheap buy azithromycin 250mg
March 22nd, 2024 at 4:08 pm
ampicillin for sale online oral penicillin buy amoxicillin no prescription
March 23rd, 2024 at 4:34 am
buy furosemide sale – order prazosin generic how to buy capoten
March 26th, 2024 at 9:04 am
buy glycomet online – purchase lamivudine online buy lincocin 500 mg without prescription
March 26th, 2024 at 10:36 am
retrovir online order – order avapro 300mg pill order zyloprim 100mg generic
March 28th, 2024 at 7:57 pm
cost clozapine 100mg – buy amaryl tablets order pepcid sale
Leave a Reply