The first is this: While Obama has shown appallingly little seriousness in dealing with our runaway deficit spendingor the runaway entitlement spending that drives it, he does have his own plan to reduce Medicare costs. It relies upon the Independent Payment Advisory Board (IPAB), a creation of Obamacare.
The IPAB is a board of 15 unelected and largely unaccountable bureaucrats who would be empowered to cut payments to Medicare providers. In Ryan’s own words, “Obamacare … puts a new rationing board in charge of Medicare next year to start price-controlling Medicare to deny access to current seniors.” (Amazingly, Obamacare says that Congress wouldn’t even be allowed to overrule the IPAB’s decisions with a majority vote, thereby also making the IPAB quite constitutionally dubious.)Amazing how much little platy the IPAB's received. It's expected to cut Medicare payments to providers to levels below Medicaid to help fund ACA (Obamacare) and very little said of it by MSM.