As the Supreme Court gets ready to consider legal challenges to the Affordable Care Act, Republicans in Congress have also been working to repeal health care reform.
They’re not going after the ACA in its entirety. Instead they’ve targeted one key provision for review and its a decision that has managed to alienate both the left and the far right. That provision is the Independent Payment Advisory Board (IPAB), a panel of 15 experts that will be tasked with keeping down Medicare per-beneficiary costs and managing provider payments.
The repeal move easily cleared House committees with the support of even a few Democrats. But now tea party conservatives are attacking the Republican leadership for only targeting this provision and begging House Speaker John Boehner and Majority Leader Eric Cantor to not “muddy the water” of the opposition to the health care bill by somehow putting forward the idea that anything less than full repeal was acceptable.
The tension reflects the larger split between the Republican leadership that knows repealing health care reform is a lost cause and would rather take a targeted, strategic win and the base that simply cannot contain its hatred for health care reform.
Photo from gage skidmore via flickr.