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Paul Hsieh

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June 28, 2012 - 9:22 am
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The Supreme Court has finally ruled on ObamaCare.  To the surprise of many, the court has essentially upheld ObamaCare, including the controversial “individual mandate” requiring Americans to purchase health insurance. (They ruled it could not be upheld under the Commerce Clause but could be upheld under Congress’ taxing power.)

What does this mean for Americans and what should we do now? There are three important take-home points:

1) American health care will be in deep trouble in just a few years.

Not only does the individual mandate stand, but also all the other provisions including various new taxes, new regulations on the insurance industry, and new payment and practice standards for physicians.

CNN recently reported that 17% of doctors in private practice might close shop within the next year due to a combination of factors, including “business expenses and administrative hassles, shrinking insurance reimbursements and costly malpractice insurance.” Under ObamaCare many will likely join large “Accountable Care Organizations” or become hospital employees, accelerating the government-driven collectivization of American medicine. Under new medical practice incentives, doctors will become increasingly beholden to their paymasters, rather than their patients.

Medicare patients will also face de facto rationing under the Independent Payment Advisory Board (IPAB) which will set physician reimbursements. Given that private insurance companies generally mirror Medicare coverage and payment decisions, this means these government restrictions will likely affect millions of Americans with nominally private insurance as well.

However, Chief Justice Roberts also noted that the Court “does not express any opinion on the wisdom of the Affordable Healthcare Act.” Rather, “That judgment is up to the people.”

In other words, if Americans want to repeal ObamaCare, we will have to do it ourselves.

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