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Perhaps the two aspects of Donald Trump’s presidency that I admire the most are is ability to go around supposedly immovable blocks to his proposals and the way he stiffens the spines of his fellow Republicans.
After the humiliating Obamacare repeal failure of 2017, many weaker men would have moved on to other matters. However, as Trump continues to take a giant eraser to Obama’s legacy, he has obviously moved Congress to take a more piecemeal approach to ending the onerous health insurance regulations promulgated under his predecessor.
Mandate - Health - Insurance - Tax - Reform
The unpopular mandate to purchase health insurance died when the tax reform package was passed in December. This week, congressional Republicans pulled the plug on the Independent Payment Advisory Board (IPAB), which Republicans have tagged as the “Death Panel”.
The 15-member board has always been more theoretical than actual. Medicare spending has grown at record-low rates in the years since the bill passed, meaning that its use has never been triggered…And the Obama administration, eager to avoid a political fight over the board, didn’t nominate a single person to sit on it. Neither has the Trump administration.
Idea - IPAB - Congress - Appetite - Cost
The idea behind the IPAB was that Congress often has little appetite for cost control. So, the thinking went, if Medicare spending took off, the board would develop a plan to get that spending back under control. If Congress hated the idea, it could pass an alternative that saved the same amount by a deadline — or ignore the cuts altogether if it could muster...
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