The Cato Institute site has an excellent and alarming article about a provision of Obamacare of which I was totally unaware. Here is a snippet from this article:
The Independent Payment Advisory Board: PPACA's Anti-Constitutional and Authoritarian Super-Legislature
by Diane Cohen and Michael F. Cannon
This law cannot be allowed to stand. The thinking behind this is a perfect illustration of the liberal left elitist who believes he/she knows best and should have the right to make you obey. This is a complete stripping away of protection from the Constitution and personal freedom, a giant step toward totalitarianism.
When a member of Congress introduces legislation, the Constitution requires that legislative proposal to secure the approval of the House of Representatives, the Senate, and the president (unless Congress overrides a presidential veto) before it can become law. In all cases, either chamber of Congress may block it.
In 2010, the Patient Protection and Affordable Care Act (PPACA) created the Independent Payment Advisory Board, or IPAB. When the unelected government officials on this board submit a legislative proposal to Congress, it automatically becomes law: PPACA requires the Secretary of Health and Human Services to implement it. Blocking an IPAB "proposal" requires at a minimum that the House and the Senate and the president agree on a substitute. The Board's edicts therefore can become law without congressional action, congressional approval, meaningful congressional oversight, or being subject to a presidential veto. Citizens will have no power to challenge IPAB's edicts in court.
Thanks to the CATO Institute for addressing this issue.