What In the heck is the Independent Medicare Advisory Council?

Let me say I am not for this. Broder at the Washington Post has Our New Medical Judges?

Here is just a part:

Each year, IMAC would have two responsibilities. First, it would recommend to the president updated fees that Medicare would pay doctors, hospitals, rehab centers, nursing homes, labs, home-care and ambulance services, equipment manufacturers, and all other providers. That is now done by Congress itself, and the lobbying by potent hometown individuals and institutions is one reason Medicare costs keep growing. To control costs, IMAC's recommendations could not exceed the "aggregate level of net expenditures" under Medicare.

Second, IMAC would annually recommend a set of broader reforms to improve the quality or reduce the cost of medical care. On each report, the president would have 30 days to approve or reject the recommendations, but he would have to act on the whole package, not pick it apart.
If he approved, the package would go to Congress and could be overruled only by joint action of the Senate and House within 30 days. Absent that, the secretary of health and human services would order the changes into effect.

As Broder points out this is the Military Base Commission model that was used. Heck no. We would be fools to allow this.


Update-
Mickey Kaus has thought here at ABC--Always be Base-Closing!

Here is a part:
Blow #3 to Orszagism in the last 24 hours: David Broder--who as Lucianne notes will surely be one of the first the Juiceboxers send to the ice floe--notices that what Orszag's base-closing style Medicare cost-cutting panel is designed to get around is ... the ordinary practice of representative democracy. Orszag's Independent Medicare Advisory Commission, or IMAC, isn't (yet) as undemocratic as, say, the Fed: As drafted, IMAC's recommendations could be blocked by either the President or the Congress (two-house veto required). But they'd have to accept or reject the package of reforms as a whole, in the manner of the famous base-closing commission. ...

Hmm. Why isn't a base-closing style commission the solution to every one of our problems? After all, it's logical that the problems our peculiar system of government--featuring a Congress that gives powerful voice to regional and local interests--hasn't yet solved will be precisely the problems that our peculiar system of government is almost incapable of solving. Otherwise they would have been solved already! The solution is a quick suprise switch to a different system of government, featuring powerful judge-like bureaucrats subject only to a broad legislative veto. Trouble imposing energy caps? Base-close it! An Independent Carbon Advisory Commission! If the Midwest objects, let them try to overturn it. Heh, heh. ... Tax code riddled with loopholes? An independent Loophole Closing Commission, empowered to recommend any changes in the tax code as long as they don't result in the collection of less revenue. Immigration? A Comprehensive Regularization Commission, empowered ... well, you get the picture. Always be Base-Closing. .........