The Cato Institute released a study entitled, The Independent Payment Advisory Board: PPACA’s Anti-Constitutional and Authoritarian Super-Legislature, authored by Diane Cohen and Michael Cannon, which states that once the “unelected government officials on this board submit a legislative proposal to Congress, it automatically becomes law.”
The Independent Payment Advisory Board (IPAB) is comprised of “doctors and patient advocates would be nominated by the President and confirmed by the Senate.”
The Patient Protection and Affordable Care Act (PPACA), a.k.a. Obamacare, requires that the Secretary of Health and Human Services (SHHS) implement the proposal. Denying its execution would necessitate the House, Senate and President agree on an alternate plan.
The IPAB’s plan would become law without Congressional approval, oversight, or even be subject to a presidential veto. Once this proposal is submitted, it is law.”
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Professional politicians have outsourced lawmaking to bureaucrats in order to concentrate on raising funds for re-election (this is SOP).