This is the second installment about OBAMCARE’s DEATHPANEL; IPAB.

First I will regurgitate what Wikipedia says about IPAB.

I know it is not easy reading but please try your best.

While reading, please remember that the term “Patient Protection and Affordable Care Act” is normally called “OBAMACARE.”

The Independent Payment Advisory Board, or IPAB, is a fifteen-member United States Government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which has the explicit task of achieving specified savings in Medicare without affecting coverage or quality.[1] Under previous and current law, changes to Medicare payment rates and program rules are recommended by MedPAC but require an act of Congress to take effect. The new system grants IPAB the authority to make changes to the Medicare program with the Congress being given the power to overrule the agency’s decisions through supermajority vote.

Beginning in 2013, the Chief Actuary of the Centers for Medicare and Medicaid Services will determine in particular years the projected per capita growth rate for Medicare for a multi-year period ending in the second year thereafter (the “implementation year”). If the projection exceeds a target growth rate, IPAB must develop a proposal to reduce Medicare spending in the implementation year by a specified amount. If it is required to develop a proposal, the Board must submit that proposal in January of the year before the implementation year; thus, the first proposal could be submitted in January 2014 to take effect in 2015. If the Board fails to submit a proposal that the Chief Actuary certifies will achieve the savings target, the Secretary of Health and Human Services must submit a proposal that will achieve that amount of savings. The Secretary must then implement the proposal unless Congress enacts resolutions made to override the Board’s (or the Secretary’s) decisions under a fast-track procedure that the law sets forth.[1]

(Footnote 1 above) “Independent Payment Advisory Board American Medical Association. Quote|”By Jan 1, 2015, and at least every other year thereafter, the IPAB will submit recommendations to slow the growth in national health care expenditures while preserving or enhancing quality of care.”

End of Wikipedia’s definition


It means that the Democrat controlled Senate now controls what medical treatments it wants you to get OR NOT GET. It has control of the lives of you and your loved ones.

1. Congress (read that The Democrat controlled Senate), with a supermajority, approves the judges that will sit on the panel.

2. Congress (read that as The Democrat controlled Senate), with a supermajority, can override any decision that the IPAB.


3. Two days ago (November 21, 2013) changed a 200 year old Senate Rule. The old rule stated that 61 members of the Senate were needed to pass a law and approve judges. The Democrat controlled Senate unilaterally changed that 200 year old rule to read “51 members” of the senate can change the law. That means that the Democrat controlled Senate can now change any law it wishes without input from the other party.

It was not bad enough to have Obama waving his magical wand, over the last few weeks, to change the basic rules of OBAMACARE at will, but now The Grand Prestidigitator has had the Democrat controlled Senate do more of his dirty work.

Please pass this on to every citizen of the USA.

This is not the USA that we love but it is the one we elected.