
One aspect of the law involves state led discount health care to provide competitive rates to allow people to choose the best discount medical plan. To get the ball rolling, the President has proposed creating an Independent Payment Advisory Board for controlling Medicare spending.
The goal would be to limit how much money is spent on insuring an increasingly aging population, with what is projected to be an unsustainable national debt. Medicare and other forms of discount health care would be effectively run by the Board, which would consist of 15 members who hold six year terms. Unlike the current Medicare Board, this panel would be able to implement its decisions, unless Congress rejects them within 30 days. The president could also veto the solution, and a 2/3 vote in Congress could override that veto.
In any event, this plan to improve discount medical plan efficiency will take time to implement, despite President Obama’s attempts at immediacy.