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[[File:ObamaCareSymbol.jpg|thumb|right|150px|Image courtesy [[Newsbusters]].]]

[[File:ObamaCareSymbol.jpg|thumb|right|150px|Image courtesy [[Newsbusters]].]]

'''ObamaCare''', officially known as "'''The Patient Protection and Affordable Care Act'''" ACA), was an [[authoritarianism|authoritarian]] [[diktat|dictate]] imposed by the [[Democratic party]] forcing people into involuntary [[contract]]s for [[medical]] services they did not want or need. It was a coercive [[Marxist]] [[income redistribution]] scheme, imposing penalties for non-compliance and denied freedom of choice. It was intended to create a dependent class ''without'' training any additional doctors to handle millions of new patients (see [[Supply-side economics]]).

'''ObamaCare''', officially known as "'''The Patient Protection and Affordable Care Act'''" (ACA), was an [[authoritarianism|authoritarian]] [[diktat|dictate]] imposed by the [[Democratic party]] forcing people into involuntary [[contract]]s for [[medical]] services they did not want or need. It was a coercive [[Marxist]] [[income redistribution]] scheme, imposing penalties for non-compliance and denied freedom of choice. It was intended to create a dependent class ''without'' training any additional doctors to handle millions of new patients (see [[Supply-side economics]]).

On December 14, 2018, a federal judge declared ObamaCare to be unconstitutional under the same 5-4 [[U.S. Supreme Court]] precedent that had upheld it, before its justification as a tax was repealed.

On December 14, 2018, a federal judge declared ObamaCare to be unconstitutional under the same 5-4 [[U.S. Supreme Court]] precedent that had upheld it, before its justification as a tax was repealed.

ObamaCare mandated the creation of 23 healthcare [[collectivism|collectives]], 22 of which lost money in 2014, and five of which went out of business as of October 14, 2015.<ref>http://dailysignal.com/2015/10/14/another-obamacare-collapse-kentucky-health-co-op-goes-under/</ref> Obamacare caused havoc and harm to tens of millions of Americans: 28 million Americans were caught in a "massive game of health coverage pingpong."<ref>http://www.latimes.com/news/local/la-me-medi-cal-churn-20130520,0,5572821.story</ref>  

ObamaCare mandated the creation of 23 healthcare [[collectivism|collectives]], 22 of which lost money in 2014, and five of which went out of business as of October 14, 2015.<ref>http://dailysignal.com/2015/10/14/another-obamacare-collapse-kentucky-health-co-op-goes-under/</ref> Obamacare caused havoc and harm to tens of millions of Americans: 28 million Americans were caught in a "massive game of health coverage pingpong."<ref>http://www.latimes.com/news/local/la-me-medi-cal-churn-20130520,0,5572821.story</ref>  

[[Democratic Socialist]]s doubled down on their failure by calling for an even more collossal scheme called "[[Medicare for All]]," in which everyone recieves benefits and no one pays for. The cost of the program is twice the [[national income]], which of course doubles [[Greenhouse gas|carbon emission]]s and Democrats refer to as "fair" and as a "right."

[[Democratic Socialist]]s doubled down on their failure by calling for an even more colossal scheme called "[[Medicare for All]]," in which everyone receives benefits and no one pays for. The cost of the program is twice the [[national income]], which of course doubles [[Greenhouse gas|carbon emission]]s and Democrats refer to as "fair" and as a "right."

==Widespread opposition==

==Widespread opposition==

===John Roberts caves===

===John Roberts caves===

On June 28, 2012, the Supreme Court voted 5–4 that while ObamaCare exceeded Congress’s authority under the commerce clause, the law was a permissible tax under the Constitution.<ref>[https://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf]</ref>  The constitutionality of Obamacare was originally challenged under the theory that it exceeded the limitations of the commerce clause; more than 20 federal lawsuits have been filed against Obamacare since President Barack Obama signed it into law.<ref>By Janet Adamy and Evan Perez. [http://online.wsj.com/article/SB10001424052748704058704576015631138296112.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsForth Federal Judge to Rule on Health Law's Constitutionality], WSJ.com, December 13, 2010.</ref><ref>By Rep. [[Lamar Smith]]. [http://www.foxnews.com/opinion/2011/01/19/rep-lamar-smith-voting-repeal-new-health-care-law/ REP. LAMAR SMITH: Why I Am Voting to Repeal the New Health Care Law], ''[[Fox News]]'' (FoxNews.com), Published January 19, 2011.</ref> In total, 27 states have started or joined in a lawsuit against Obamacare.<ref>Brandon Stewart. [http://blog.heritage.org/2011/01/17/list-of-states-suing-over-obamacare/ List of 27 States Suing Over Obamacare], heritage.org, January 17, 2011.</ref>  A federal judge ruled on 13 December 2010 that a central component of ObamaCare, the requirement that most Americans carry insurance or pay a penalty, violates the Constitution. U.S. District Judge Henry E. Hudson is quoted as saying the law "exceeds the constitutional boundaries of congressional power."<ref name=unconstitutional>Judge Rules Mandatory Insurance Unconstitutional; First Round of Long Battle. [http://online.wsj.com/article/SB10001424052748703727804576017552229615230.html?mod=WSJ_hp_LEADNewsCollection Court Strikes at Health Law], By Janet Adamy (WSJ.com), December 14, 2010.</ref> Then on 31 January 2011 federal judge Roger Vinson ruled that as a result of the unconstitutionality of the "individual mandate" that requires people to buy insurance, the entire law must be declared void.<ref>[http://www.foxnews.com/politics/2011/01/31/judges-ruling-health-care-lawsuit-shift-momentum-coverage-debate/ Judge Rules Health Care Law Is Unconstitutional], [[Fox News|FoxNews.com]], Published January 31, 2011.</ref><ref>[[Rush Limbaugh]]. [http://www.rushlimbaugh.com/content/home/daily/site_020111/content/01125106.guest.html Obamacare Ruled Unconstitutional, But Fight for Repeal Must Continue], RushLimbaugh.com, February 1, 2011.</ref> The U.S. district judge declared Obamacare unconstitutional because it violates the [[Commerce Clause]]. In a footnote attached to the ruling, federal judge Roger Vinson cited Barack Obama's position in 2008 from an interview with [[CNN]], when Obama stated that, "If a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house."<ref>Stephen Dinan. [https://www.washingtontimes.com/news/2011/jan/31/judge-uses-obamas-words-against-him/ Judge uses Obama’s words against him], ''[[The Washington Times]]'', January 31, 2011.</ref>

On June 28, 2012, the Supreme Court voted 5–4 that while ObamaCare exceeded Congress's authority under the commerce clause, the law was a permissible tax under the Constitution.<ref>[https://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf]</ref>  The constitutionality of Obamacare was originally challenged under the theory that it exceeded the limitations of the commerce clause; more than 20 federal lawsuits have been filed against Obamacare since President Barack Obama signed it into law.<ref>By Janet Adamy and Evan Perez. [http://online.wsj.com/article/SB10001424052748704058704576015631138296112.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsForth Federal Judge to Rule on Health Law's Constitutionality], WSJ.com, December 13, 2010.</ref><ref>By Rep. [[Lamar Smith]]. [http://www.foxnews.com/opinion/2011/01/19/rep-lamar-smith-voting-repeal-new-health-care-law/ REP. LAMAR SMITH: Why I Am Voting to Repeal the New Health Care Law], ''[[Fox News]]'' (FoxNews.com), Published January 19, 2011.</ref> In total, 27 states have started or joined in a lawsuit against Obamacare.<ref>Brandon Stewart. [http://blog.heritage.org/2011/01/17/list-of-states-suing-over-obamacare/ List of 27 States Suing Over Obamacare], heritage.org, January 17, 2011.</ref>  A federal judge ruled on 13 December 2010 that a central component of ObamaCare, the requirement that most Americans carry insurance or pay a penalty, violates the Constitution. U.S. District Judge Henry E. Hudson is quoted as saying the law "exceeds the constitutional boundaries of congressional power."<ref name=unconstitutional>Judge Rules Mandatory Insurance Unconstitutional; First Round of Long Battle. [http://online.wsj.com/article/SB10001424052748703727804576017552229615230.html?mod=WSJ_hp_LEADNewsCollection Court Strikes at Health Law], By Janet Adamy (WSJ.com), December 14, 2010.</ref> Then on 31 January 2011 federal judge Roger Vinson ruled that as a result of the unconstitutionality of the "individual mandate" that requires people to buy insurance, the entire law must be declared void.<ref>[http://www.foxnews.com/politics/2011/01/31/judges-ruling-health-care-lawsuit-shift-momentum-coverage-debate/ Judge Rules Health Care Law Is Unconstitutional], [[Fox News|FoxNews.com]], Published January 31, 2011.</ref><ref>[[Rush Limbaugh]]. [http://www.rushlimbaugh.com/content/home/daily/site_020111/content/01125106.guest.html Obamacare Ruled Unconstitutional, But Fight for Repeal Must Continue], RushLimbaugh.com, February 1, 2011.</ref> The U.S. district judge declared Obamacare unconstitutional because it violates the [[Commerce Clause]]. In a footnote attached to the ruling, federal judge Roger Vinson cited Barack Obama's position in 2008 from an interview with [[CNN]], when Obama stated that, "If a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house."<ref>Stephen Dinan. [https://www.washingtontimes.com/news/2011/jan/31/judge-uses-obamas-words-against-him/ Judge uses Obama’s words against him], ''[[The Washington Times]]'', January 31, 2011.</ref>

===Unpopular measures===

===Unpopular measures===

On April 28, 2009, the 2008 [[Wall Street Journal's]] prediction of a '[[Liberal]] [[Supermajority]]'<ref>(2008, October 17). "[http://online.wsj.com/article/SB122420205889842989.html A Liberal Supermajority]." ''Wall Street Journal''.</ref> proved correct; as the defection of Senator [[Arlen Specter]] from the [[Republican Party]] to the [[Democratic Party]] put the Democrats on the verge of one of the rarest blessings in politics, a Supermajority - complete control of the [[House]], two-thirds of the [[Senate]], and [[Presidency]] so that they wouldn't need a single Republican vote to pass bills.<ref>Davis, S. (2009, April 28). "[http://blogs.wsj.com/washwire/2009/04/28/sen-specter-to-switch-parties-democrats-near-60-vote-majority/ Sen. Specter To Switch Parties, Democrats Near 60 Vote Majority]." Washington Wire. ''Wall Street Journal''.</ref> Senator Bernie Sanders then urged the Democratic party to pursue single-payer healthcare reform.<ref>keithmsnbcer (2009, April 29). "[https://www.youtube.com/watch?v=iGYBbFMeFNc Bernie Sanders on Ed Show]." ''MSNBC''. YouTube.</ref> On May 16, 2009, [[Barack Obama]] urged [[Congress]] to pass health care reform within the year, stating, "Our businesses will not be able to compete; our families will not be able to save or spend; our budgets will remain unsustainable unless we get health care costs under control".<ref>(2009, May 16). "[http://www.google.com/hostednews/afp/article/ALeqM5js3WXGJZSiC4UpHS8rzfumBXGd-w Obama Urges Health Care Reform by Year's End]." ''AFP''.</ref> On July 1, 2009, [[Al Franken]] was finally declared the winner of his election (narrowly winning by 312 votes<ref>Gilbert, K. (2009, July 1). "[https://www.lifesitenews.com/news/al-franken-win-hands-supermajority-to-senate-democrats Al Franken Win Hands Supermajority to Senate Democrats]." ''LifeSiteNews''.</ref>), giving the Democrats their desired Supermajority, and a clear path towards [[healthcare]] reform which Republicans would be powerless to stop.<ref>Hulse, C. (2009, July 1). "[https://www.nytimes.com/2009/07/02/us/politics/02cong.html Congressional Memo - What's So Super About a Supermajority?]" ''New York Times''.</ref> Nevertheless, sickness of [[Ted Kennedy]] and [[Robert Byrd]] along with several other factors led to question marks about the supermajority's strength.<ref>Pergram, C. (2009, July 1). "[http://www.foxnews.com/politics/2009/07/01/democrats-senate-supermajority-strong-advertised/ Democrats' Senate Supermajority Not As Strong As Advertised]." ''FOX News''.<br>Stewart, J. (2009, July 1). "[http://www.thedailyshow.com/watch/wed-july-1-2009/indecision-2008---franken-s-time Indecision 2008 - Franken's Time]." The Daily Show With Jon Stewart. ''Comedy Central''.</ref> Democrats maintained this Supermajority until February 5, 2010, when Republican [[Scott Brown]] was sworn in to replace deceased Senator [[Edward Kennedy]].<ref>(2010, February 5). "[https://www.washingtontimes.com/news/2010/feb/05/democrats-lose-supermajority-brown-sworn/ Democrats Lose Supermajority as Brown Sworn In]." ''Associated Press''.</ref>

On April 28, 2009, the 2008 [[Wall Street Journal's]] prediction of a '[[Liberal]] [[Supermajority]]'<ref>(2008, October 17). "[http://online.wsj.com/article/SB122420205889842989.html A Liberal Supermajority]." ''Wall Street Journal''.</ref> proved correct; as the defection of Senator [[Arlen Specter]] from the [[Republican Party]] to the [[Democratic Party]] put the Democrats on the verge of one of the rarest blessings in politics, a Supermajority - complete control of the [[House]], two-thirds of the [[Senate]], and [[Presidency]] so that they wouldn't need a single Republican vote to pass bills.<ref>Davis, S. (2009, April 28). "[http://blogs.wsj.com/washwire/2009/04/28/sen-specter-to-switch-parties-democrats-near-60-vote-majority/ Sen. Specter To Switch Parties, Democrats Near 60 Vote Majority]." Washington Wire. ''Wall Street Journal''.</ref> Senator Bernie Sanders then urged the Democratic party to pursue single-payer healthcare reform.<ref>keithmsnbcer (2009, April 29). "[https://www.youtube.com/watch?v=iGYBbFMeFNc Bernie Sanders on Ed Show]." ''MSNBC''. YouTube.</ref> On May 16, 2009, [[Barack Obama]] urged [[Congress]] to pass health care reform within the year, stating, "Our businesses will not be able to compete; our families will not be able to save or spend; our budgets will remain unsustainable unless we get health care costs under control".<ref>(2009, May 16). "[http://www.google.com/hostednews/afp/article/ALeqM5js3WXGJZSiC4UpHS8rzfumBXGd-w Obama Urges Health Care Reform by Year's End]." ''AFP''.</ref> On July 1, 2009, [[Al Franken]] was finally declared the winner of his election (narrowly winning by 312 votes<ref>Gilbert, K. (2009, July 1). "[https://www.lifesitenews.com/news/al-franken-win-hands-supermajority-to-senate-democrats Al Franken Win Hands Supermajority to Senate Democrats]." ''LifeSiteNews''.</ref>), giving the Democrats their desired Supermajority, and a clear path towards [[healthcare]] reform which Republicans would be powerless to stop.<ref>Hulse, C. (2009, July 1). "[https://www.nytimes.com/2009/07/02/us/politics/02cong.html Congressional Memo - What's So Super About a Supermajority?]" ''New York Times''.</ref> Nevertheless, sickness of [[Ted Kennedy]] and [[Robert Byrd]] along with several other factors led to question marks about the supermajority's strength.<ref>Pergram, C. (2009, July 1). "[http://www.foxnews.com/politics/2009/07/01/democrats-senate-supermajority-strong-advertised/ Democrats' Senate Supermajority Not As Strong As Advertised]." ''FOX News''.<br>Stewart, J. (2009, July 1). "[http://www.thedailyshow.com/watch/wed-july-1-2009/indecision-2008---franken-s-time Indecision 2008 - Franken's Time]." The Daily Show With Jon Stewart. ''Comedy Central''.</ref> Democrats maintained this Supermajority until February 5, 2010, when Republican [[Scott Brown]] was sworn in to replace deceased Senator [[Edward Kennedy]].<ref>(2010, February 5). "[https://www.washingtontimes.com/news/2010/feb/05/democrats-lose-supermajority-brown-sworn/ Democrats Lose Supermajority as Brown Sworn In]." ''Associated Press''.</ref>

====Locking Out Republicans, Literally====

====Locking Out Republicans, Literally====

Democrats were so confident that the 2008 elections displayed [[American]] backing for the Democratic Party that in October 2009 they even changed the door locks for the House [[Oversight and Government Reform Committee]] to keep Republicans from meeting when Democrats weren't present.<ref>Crabtree, S. (2009, October 20). "[https://thehill.com/homenews/house/63941-democrats-lock-republicans-out-of-committee-room Democrats Lock Republicans Out of Committee Room]." ''The Hill''.<br>Pershing, B. (2009, October 23). "[https://www.washingtonpost.com/wp-dyn/content/article/2009/10/22/AR2009102204442.html Democrats on House Committee Lock Out Republicans]." ''Washington Post''.</ref> The debacle occurred because Republicans were trying to launch an investigation into corruption by Democrat Senators [[Kent Conrad]] and [[Chris Dodd]] for receiving special VIP loans from [[Countrywide Financial]].<ref>Sherman, J. (2009, October 20). "[https://www.politico.com/news/stories/1009/28531.html Towns Locks Republicans Out, Literally]." ''Politico''.<br>Klein, R. & Jaffe, M. (2009, October 21). "[http://abcnews.go.com/blogs/politics/2009/10/dems-lock-out-republicans-literally/ Dems Lock Out Republicans - Literally]." ''ABC News''.</ref> Democrats canceled the meeting by secretly leaving before the meeting was to begin, and a GOP staffer caught this on videotape, set it to the tune of "Hit the Road, Jack", and posted it on the Oversight and Government Reform Committee’s minority webpage for the press. Committee Chairman Sen. [[Edolphus Towns]] and the Democrats then had the locks changed in retaliation.<ref>Freeman, J. (2009, October 20). "House Democrats Lock GOP Out of Committee Room." ''Wall Street Journal''.<br>(2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/oversight-panels-democrats-lock-republicans-dispute/ Oversight Panel's Democrats Lock Out Republicans After Dispute]." ''FOX News''.</ref>

Democrats were so confident that the 2008 elections displayed [[American]] backing for the Democratic Party that in October 2009 they even changed the door locks for the House [[Oversight and Government Reform Committee]] to keep Republicans from meeting when Democrats weren't present.<ref>Crabtree, S. (2009, October 20). "[https://thehill.com/homenews/house/63941-democrats-lock-republicans-out-of-committee-room Democrats Lock Republicans Out of Committee Room]." ''The Hill''.<br>Pershing, B. (2009, October 23). "[https://www.washingtonpost.com/wp-dyn/content/article/2009/10/22/AR2009102204442.html Democrats on House Committee Lock Out Republicans]." ''Washington Post''.</ref> The debacle occurred because Republicans were trying to launch an investigation into corruption by Democrat Senators [[Kent Conrad]] and [[Chris Dodd]] for receiving special VIP loans from [[Countrywide Financial]].<ref>Sherman, J. (2009, October 20). "[https://www.politico.com/news/stories/1009/28531.html Towns Locks Republicans Out, Literally]." ''Politico''.<br>Klein, R. & Jaffe, M. (2009, October 21). "[http://abcnews.go.com/blogs/politics/2009/10/dems-lock-out-republicans-literally/ Dems Lock Out Republicans - Literally]." ''ABC News''.</ref> Democrats canceled the meeting by secretly leaving before the meeting was to begin, and a GOP staffer caught this on videotape, set it to the tune of "Hit the Road, Jack", and posted it on the Oversight and Government Reform Committee's minority webpage for the press. Committee Chairman Sen. [[Edolphus Towns]] and the Democrats then had the locks changed in retaliation.<ref>Freeman, J. (2009, October 20). "House Democrats Lock GOP Out of Committee Room." ''Wall Street Journal''.<br>(2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/oversight-panels-democrats-lock-republicans-dispute/ Oversight Panel's Democrats Lock Out Republicans After Dispute]." ''FOX News''.</ref>

====Public Option Removed====

====Public Option Removed====

On July 8, 2009, Barack Obama met with hospital [[lobbyists]] and struck a deal with the hospital industry to remove the [[public option]] in exchange for the industry's support of the bill, while also reducing costs for hospitals under the plan.<ref>Mogulesku, M. (2010, March 16). "[https://www.huffingtonpost.com/miles-mogulescu/ny-times-reporter-confirm_b_500999.html NY Times Reporter Confirms Obama Made Deal to Kill Public Option]." ''Huffington Post''.<br>Manjunath, Y. (2010, October 6). "[http://www.alan.com/2010/10/06/obamas-not-so-secret-deal-with-the-hospital-industry-to-kill-the-public-option/ Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''AlanColmes.com''.<br>Manjunath, Y. (2010, October 7). "[http://www.dailykos.com/story/2010/10/07/908619/-Obama-rsquo-s-Not-So-Secret-Deal-With-The-Hospital-Industry-To-Kill-The-Public-Option Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''Daily Kos''.</ref> {{cquote|"Not to worry, [[Jim Messina]], the deputy [[White House]] [[chief of staff]], told the hospital lobbyists, according to White House officials and lobbyists briefed on the call. The White House was standing behind the deal, Mr. Messina told them, capping the industry’s costs at a maximum of $155 billion over 10 years in exchange for its political support... Several hospital lobbyists involved in the White House deals said it was understood as a condition of their support that the final legislation would not include a government-run health plan paying [[Medicare]] rates — generally 80 percent of [[private sector]] rates — or controlled by the [[secretary of health and human services]]. 'We have an agreement with the White House that I’m very confident will be seen all the way through conference,' one of the industry lobbyists, Chip Kahn, director of the Federation of American Hospitals, told a Capitol Hill newsletter."

On July 8, 2009, Barack Obama met with hospital [[lobbyists]] and struck a deal with the hospital industry to remove the [[public option]] in exchange for the industry's support of the bill, while also reducing costs for hospitals under the plan.<ref>Mogulesku, M. (2010, March 16). "[https://www.huffingtonpost.com/miles-mogulescu/ny-times-reporter-confirm_b_500999.html NY Times Reporter Confirms Obama Made Deal to Kill Public Option]." ''Huffington Post''.<br>Manjunath, Y. (2010, October 6). "[http://www.alan.com/2010/10/06/obamas-not-so-secret-deal-with-the-hospital-industry-to-kill-the-public-option/ Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''AlanColmes.com''.<br>Manjunath, Y. (2010, October 7). "[http://www.dailykos.com/story/2010/10/07/908619/-Obama-rsquo-s-Not-So-Secret-Deal-With-The-Hospital-Industry-To-Kill-The-Public-Option Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''Daily Kos''.</ref> {{cquote|"Not to worry, [[Jim Messina]], the deputy [[White House]] [[chief of staff]], told the hospital lobbyists, according to White House officials and lobbyists briefed on the call. The White House was standing behind the deal, Mr. Messina told them, capping the industry’s costs at a maximum of $155 billion over 10 years in exchange for its political support... Several hospital lobbyists involved in the White House deals said it was understood as a condition of their support that the final legislation would not include a government-run health plan paying [[Medicare]] rates — generally 80 percent of [[private sector]] rates — or controlled by the [[secretary of health and human services]]. 'We have an agreement with the White House that I’m very confident will be seen all the way through conference,' one of the industry lobbyists, Chip Kahn, director of the Federation of American Hospitals, told a Capitol Hill newsletter."

=== Impact on the deficit and expanded welfare spending ===

=== Impact on the deficit and expanded welfare spending ===

The Congressional Budget Office (CBO) projects that Obamacare’s refundable health insurance tax credits (or [[tax expenditure]]s<ref>[http://www.concordcoalition.org/publications/facing-facts/1996/0913/back-door-entitlement The Back-Door Entitlement], The Concord Coalition.</ref> in D.C. parlance) will add to the [[national debt]] $1.36 trillion in the first seven years of implementation. 85% of filers who claim the tax credit will end the year with zero or negative income tax liability. Since the tax credit is refundable, nearly all 11.3 million of these filers will have negative income tax liability and will no longer pay the cost of government by contributing federal income taxes.  Tax credits, or tax expenditures, are a form of federal un-appropriated [[backdoor spending]].  

The Congressional Budget Office (CBO) projects that Obamacare's refundable health insurance tax credits (or [[tax expenditure]]s<ref>[http://www.concordcoalition.org/publications/facing-facts/1996/0913/back-door-entitlement The Back-Door Entitlement], The Concord Coalition.</ref> in D.C. parlance) will add to the [[national debt]] $1.36 trillion in the first seven years of implementation. 85% of filers who claim the tax credit will end the year with zero or negative income tax liability. Since the tax credit is refundable, nearly all 11.3 million of these filers will have negative income tax liability and will no longer pay the cost of government by contributing federal income taxes.  Tax credits, or tax expenditures, are a form of federal un-appropriated [[backdoor spending]].  

For example, a family of four at 200 percent of the Federal Poverty Level (about $48,677 in 2016) cannot pay more than 6.3% of their income for health insurance. The CBO estimates that the average cost of the reference insurance plan (the plan used to calculate the tax credit) will be $14,100 for family coverage in 2016.  Therefore, a family of four that qualifies for a credit in 2016 and that makes $48,677 would be required to pay about $3,067 for health insurance (6.3% of household income).  The difference, $11,033, is the value of this family’s refundable tax credit.  According to the CBO, 20 million Americans will receive health insurance tax credits in 2020 at a cost of $130 billion.<ref>[http://oversight.house.gov/wp-content/uploads/2012/02/10-27-11_Obamacares_Subsidies_and_Tax_Distribution_Final.pdf Impact of the Obamacare Tax Credits], House Committee on Oversight and Government Reform, Staff Report, October 27, 2011.</ref>

For example, a family of four at 200 percent of the Federal Poverty Level (about $48,677 in 2016) cannot pay more than 6.3% of their income for health insurance. The CBO estimates that the average cost of the reference insurance plan (the plan used to calculate the tax credit) will be $14,100 for family coverage in 2016.  Therefore, a family of four that qualifies for a credit in 2016 and that makes $48,677 would be required to pay about $3,067 for health insurance (6.3% of household income).  The difference, $11,033, is the value of this family's refundable tax credit.  According to the CBO, 20 million Americans will receive health insurance tax credits in 2020 at a cost of $130 billion.<ref>[http://oversight.house.gov/wp-content/uploads/2012/02/10-27-11_Obamacares_Subsidies_and_Tax_Distribution_Final.pdf Impact of the Obamacare Tax Credits], House Committee on Oversight and Government Reform, Staff Report, October 27, 2011.</ref>

===Other impacts===

===Other impacts===

===Privacy Rights===

===Privacy Rights===

Section 163 of the America’s Affordable Health Choices Act of 2009 would have "require[d] the Secretary of HHS to adopt standards for typical transactions between insurers and providers such as claims, eligibility, enrollment, and prior authorization building on the standards in the Health Insurance Portability and Accountability Act of 1996".<ref>http://waysandmeans.house.gov/media/pdf/111/sbys3200.pdf</ref>

Section 163 of the America's Affordable Health Choices Act of 2009 would have "require[d] the Secretary of HHS to adopt standards for typical transactions between insurers and providers such as claims, eligibility, enrollment, and prior authorization building on the standards in the Health Insurance Portability and Accountability Act of 1996".<ref>http://waysandmeans.house.gov/media/pdf/111/sbys3200.pdf</ref>

==Rationed Care==

==Rationed Care==

{{Cquote|Enacting the proposal would result in a net increase in the federal budget deficits of about $1.0 trillion over the 2010-2019 period."<ref>Elmendorf, D.W. (2009, June 15). [http://www.cbo.gov/ftpdocs/103xx/doc10310/06-15-HealthChoicesAct.pdf Preliminary Analysis of Major Provisions Related to Health Insurance Coverage Under the Affordable Health Choices Act]. ''Congressional Budget Office''. U.S. Congress.</ref>}} However, deceptively, CBO analysis of the House and Senate versions of the health care reform bills show that they would reduce the federal budget deficit by $109 billion <ref>http://cboblog.cbo.gov/?p=421</ref> and $81 billion <ref>http://cboblog.cbo.gov/?p=387</ref> respectively.

{{Cquote|Enacting the proposal would result in a net increase in the federal budget deficits of about $1.0 trillion over the 2010-2019 period."<ref>Elmendorf, D.W. (2009, June 15). [http://www.cbo.gov/ftpdocs/103xx/doc10310/06-15-HealthChoicesAct.pdf Preliminary Analysis of Major Provisions Related to Health Insurance Coverage Under the Affordable Health Choices Act]. ''Congressional Budget Office''. U.S. Congress.</ref>}} However, deceptively, CBO analysis of the House and Senate versions of the health care reform bills show that they would reduce the federal budget deficit by $109 billion <ref>http://cboblog.cbo.gov/?p=421</ref> and $81 billion <ref>http://cboblog.cbo.gov/?p=387</ref> respectively.

In a 2010 report, HHS claimed a provision in the health-care law would extend the Medicare trust fund by 12 years. The Congressional Budget Office released a memo that said HHS’s math was more than a little off.

In a 2010 report, HHS claimed a provision in the health-care law would extend the Medicare trust fund by 12 years. The Congressional Budget Office released a memo that said HHS's math was more than a little off.

Health and Human Services Secretary [[Kathleen Sebelius]] appearing on Capitol Hill for questioning admitted to double-counting in the Obamacare budget.  Rep. Joe Pitts of Pennsylvania said “The same dollar can’t be used twice. This is the largest of the many budget gimmicks Democrats used to claim Obamacare would reduce the deficit.” <ref>[https://dailycaller.com/2011/03/04/hhs-secretary-sebelius-admits-to-double-counting-in-obamacare-budget/ HHS Secretary Sebelius admits to double-counting in Obamacare, The Daily Caller, March 4, 2011]</ref>

Health and Human Services Secretary [[Kathleen Sebelius]] appearing on Capitol Hill for questioning admitted to double-counting in the Obamacare budget.  Rep. Joe Pitts of Pennsylvania said “The same dollar can’t be used twice. This is the largest of the many budget gimmicks Democrats used to claim Obamacare would reduce the deficit.” <ref>[https://dailycaller.com/2011/03/04/hhs-secretary-sebelius-admits-to-double-counting-in-obamacare-budget/ HHS Secretary Sebelius admits to double-counting in Obamacare, The Daily Caller, March 4, 2011]</ref>