The Congressional Budget Office (CBO) projected that ten years after Obamacare will be fully implemented, more than 30 million Americans will still be without health insurance. Not to worry, there won't be enough doctors to deliver proper care or much care at all if you do have insurance. And the dreaded Death Panel that Sarah Palin was disparaged over will also be in full operation.

The Independent Panel Advisory Board (IPAB) is Obamacare's 15-member board of unelected, unaccountable to the public bureaucrats whose function is to make cuts in order to keep Medicare spending within certain parameters. These limits, starting in 2018, will consist of the rate of economic growth per capita plus one percentage point.

Since economic growth has been very sluggish due to a relatively deep recession, and the size of the economy has been shrinking, with higher unemployment and more discouraged workers than actually reported, Medicare spending will likely be lower, denying patients their much needed care. Additionally, Medicare is being stripped of $719 billion over a ten-year period in order to fund Obamacare.

These faceless omnipotent IPAB bureaucrats appointed by the President with the approval of the Senate will have unaccountable reign over your health. If your medical care or tests are denied, nobody will know if it is because there is no effective treatment for your illness or because one of those 15 people have decided that your life is not worth saving.

Ferrara wrote that "Obamacare requires IPAB to produce proposals to slow the growth in national health expenditures and non-federal health care programs. He continued, "This is a clear mandate to reduce both government and private sector health care spending." If medical spending is limited even in the private sector, that is a deliberate form of health care rationing.

Doctors will be overridden in their medical decisions by people with no medical training and patients may or may not get their needed tests or operations. Whether doctors will be at peace or in agreement with violating their Hippocratic Oath remains to be seen.

Many doctors will have been driven out of business by the low reimbursement rates from Medicaid and Medicare, will have retired, or will have switched to a different field entirely. Hospitals will also have been driven out of business by the massive debt amassed from servicing non-paying illegal aliens, impossible Obamacare mandates, and by low reimbursement rates from Medicare/Medicaid. Many private insurers will have been bankrupted by the financial expenditures to satisfy the health services mandates of Obamacare.

How many people will then pursue arduous medical school training, invest in human capital, invest in new developments in health care, new drugs, and new life-saving procedures if the return on investment is so low and medical care becomes severely rationed? As it is, there is a shortage of qualified medical personnel, but an augmented supply of millions of patients who are demanding care. What good is it if you have health insurance but cannot find a doctor who will accept you as a new patient, accept your insurance, or who is qualified to treat you?

Many Americans have been receiving letters informing them that doctors they've been using for years are no longer in the Obamacare approved exchanges and they must find new doctors. Other Americans enrolled in exchanges have had their plans switched two to three times due to the failure of the non-profit insurers to stay afloat in the face of an onslaught of claims eating away at their revenues and reserves, even with billions in federal grant money. Twenty-five of the 26 non-profit co-ops operating under Obamacare have registered losses so far.

If you are unable to receive the same timely and quality medical care that Americans have been accustomed to, if you are told that you can no longer buy the medicines or tests you need, receive proper cancer treatment to save your life, or see the doctors you've known for years and trusted, it is Obamacare mandates and its faceless agents reshaping how long you can live and what quality of life you are going to have.

As Dr. Donna Hurlock, a Board Certified Gynecologist, said, there is a "Medicare war against menopausal women" with its new "anti-estrogen policy that it's hurting menopausal women." This new policy is based on a 2002 National Institutes of Health study, Women's Health Initiative, which claimed that estrogen replacement therapy (ERT) "poses excessive risks to menopausal women."

Dr. Hurlock said that eighty years of estrogen use support the opposite conclusion that women on ERT live longer and better functional lives than women that elect not to replace hormones. Post-menopausal women that do replace their hormones "end up consuming fewer medicines than their peers because they don't develop the many health problems that result from estrogen deficiency, such as sleep problems, high cholesterol, bone loss, memory issues, dizziness, vaginal dryness, etc."

Medicare's new policy as of January 1, 2015 is to deny payment for ERT and to substitute hormone replacement therapy (HRT) with "alternative" drugs such as anti-depressants, neurologic drugs, bone density drugs, and vaginal estrogen creams. Each of these "alternative" drugs have a long list of side-effects, potentially more dangerous and more expensive than hormone replacement therapy (HRT), decreasing the woman's quality of life. To make matters worse, any HRT that includes testosterone has now been labeled a controlled substance and pharmacists must handle it accordingly. Such prescriptions expire every six months, necessitating repeat visits to the doctor.

Dr. Hurlock explained that many insurers are no longer "covering" her patients' payments for HRT because "a group of 'experts' has decided that HRT becomes dangerous as soon as a woman celebrates her 65th birthday, despite the plentiful literature to the contrary." In her opinion, these experts are "clearly not making recommendations in the best interest of the patients based on the entire HRT literature."

When the individuals, who wrote, publicized, lied about, voted on, and passed Obamacare as a tax, will be long gone from public life and forgotten, millions of Americans are going to suffer needlessly and potentially experience a shorter lifespan.

Liberals have created a faux "war on women." There is a war, but it is a "war on your health," a "war on middle aged women," and a "war on the elderly," all having a common denominator: rationing of care in order to reduce Medicare spending and to stretch the same health dollars to millions more, some of whom have broken into our country illegally. It is a war promoted by the progressive agenda that wants to fundamentally transform our country. They have succeeded beyond anybody's dreams, with little resistance.

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