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Mr. BUCSHON. Mr. Speaker, I rise today to urge my colleagues to support repeal of the Affordable Care Act. It's ironic that this legislation is called ``affordable,'' because in my home State of Indiana it will be anything but affordable.
What's in it?
How about 21 new taxes, most of which hit the middle class. The law has generated and will continue to generate thousands of pages of regulation to comply with, and establishes taxpayer-subsidized exchanges that are predicted to be overwhelmed when employers start dropping their private policies for their employees. Paying the penalty will just be more cost-effective for these employers.
In Indiana, there will be approximately 500,000 additional Medicaid enrollees in 2014, and by 2024 there will be approximately 700,000 additional enrollees compared to today.
Medicaid is already a broken, financially-strapped program that does not provide good insurance coverage for its beneficiaries. Why would we use Medicaid as the vehicle to provide coverage?
Access to physicians will continue to be a significant challenge, as fewer and fewer physicians take Medicaid. The additional cost will be 2.5 to $3.1 billion to Indiana's Medicaid expenditures. Once the Federal subsidies end, State taxes will have to be increased dramatically or, more likely, reimbursement to providers, hospitals, and physicians will need to be cut. This will result in further access issues for beneficiaries, as even more doctors drop out of the program.
As the number of Indiana residents depending on the exchanges for their insurance grows, the cost to the Federal taxpayer will grow rapidly. Either taxes will have to be increased or again, more probably, reimbursement to providers will be cut.
We now have a new group of citizens, many of whom previously had private health coverage, that are dependent on a government program that is financially strapped. Access to providers will begin to become an issue.
The ACA is a financial snowball rolling down the hill. We must repeal it before it's too late. We need step-by-step, patient-centered health care reform that decreases the cost while maintaining the access to and quality of medical care in this country.
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