Here is where that money for Obamacare properly known as The Appropriations and Funds Transfer in the Patient Protection and Affordable Care Act (PPACA) (Oh Yeah it is funded; read pages 3 through 10) is going. The Obamacare train is on the track; you can switch it off to a siderail where prudent fiscal judgment can analye it. Here is a small net from Rep Bachmann on some of the costs:
•Section 1311(a) of ObamaCare provides an unlimited appropriation to the Health and Human Services Secretary to award grants to states for Exchanges.The Heritage Foundation points out how the Obama administration circumvents this and future Congresses in eliminating the need to authorize funding for Obamacare in the future!
•Section 4002 essentially creates a $16 billion slush fund for the HHS Secretary to spend and $2 billion is appropriated to the Secretary per year in perpetuity after 2015.
•Section 4101(a) allows $230 million in appropriation for school-based health centers.
•Section 5508 appropriates $230 million for expanded primary care residency programs.
•Section 2953 allocates $320 to Title XX-type education programs.
It takes eight pages for CRS simply to list the PPACA provisions that seek to bypass the normal appropriations process. These go beyond standard appropriations for the current and following fiscal years, making spending decisions for as long as 10 years in the future—not only beyond the term of the last Congress, but also beyond the current term of President Obama. These include, among others: Section 2951 on “Maternal, Infant, and Early Childhood Home Visiting Programs” and Section 3021 on a “Center for Medicare and Medicaid Innovation” (including $10 billion for FY 2011 through FY 2019, and $10 billion for each subsequent 10-year fiscal period). The report also describes how billions are to be transferred—without approval of current or future officeholders—from Medicare into Obamacare accounts, such as in Section 3403.
Making years’ worth of spending decisions in advance is an attempt to handcuff the current Congress and prevent it from determining current levels of spending. The entire balance of power is upset when President Obama need not work with current elected officials to fund his priorities, since he already got the prior Congress to make decisions that extend beyond its term. The ability of the new Congress to leverage and negotiate is thereby weakened.Let Sharky&Sharky remind you "WE HAVE NO MONEY" "WE ARE FUCKING BROKE"! Sorry, Sharky&Sharky is shouting please forgive.
The newly elected Republicans promised to remove $100B; the defunding of PPACA, (aka, Obamacare) fulfills the letter and the spirit of that promise, far beyond the measly $16B being considered. If you are concerned about any or all of the following
- Managing Presidential power,
- the exercise of good fiscal judgement in Washington,
- Control over you own health plan
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