This Broadside will look at the changes that can be made to halt the full implementation of the law over the next few years, including repealing parts of the act that are unpopular with members of both parties. These parts are the medical device tax, IPAB, the new 3.8 percent tax on unearned income, to name a few.Also covered will be potential reforms to Medicare and Medicaid, two major entitlement programs that, if not reformed to ensure sustainability for those who really need these programs, will be bankrupt by 2024. There are a number of important lawsuits that will come before the courts this year on issues such as the exchanges, employer and individual mandates, and the contraception mandate. These will be highlighted and their potential impact on the law will be discussed.Finally, there is the issue of defunding the Medicaid expansion and the federal tax subsidies which, unless changed, will add tremendously to the cost of health care in this country. With the current fiscal crisis, these programs must be scaled back.Like welfare reform, the battle to bring about meaningful health care reform is a long-term fight. We must not give up. The election of 2016 will be very important for the future direction of health care. A reform plan will be offered. If Obamacare is not repealed and replaced, the U.S. will be on the road to a single-payer, “Medicare for All” system such as exists in Canada. We, too, will face long waiting lists, rationed care, and a lack of access to the latest technology and treatments. Examples will be given. America will be on the “Road to Serfdom” and there will be no off-ramp.
