An Open Letter to the U.S. Senate: Repeal PPACA!

Dear Senator,

The undersigned 16 organizations representing grassroots, policy, taxpayer, senior and medical
professional groups urge Senate Republicans to aggressively seek opportunities to vote on full repeal
of the Patient Protection and Affordable Care Act (PPACA). We also urge you introduce bills and
push for individual votes on the damaging provisions that continue to be revealed within the law.

While a majority of voters still support repeal, there are deep rumblings of concern about what they
perceive to be inaction on the Hill, particularly from the Senate. We must affirm and solidify the
support for repeal with affirmative steps and constant opportunities to remind people why this
onerous bill is bad for patients, for seniors, for taxpayers, for doctors - for this country.

In a recent Quinnipiac University poll, 52% of registered voters nationwide said Congress should
repeal the law. A Kaiser Family Foundation poll of nationwide adults has only 42% with a generally
favorable overall view of the law. In November, nearly 66% of Ohio voters rejected the individual
mandate, adopting a constitutional amendment that "preserves the freedom of Ohioans to choose
their health care and health care coverage."

Doctors – the ones on the frontlines in medicine – also point the finger squarely at PPACA for
problems in medicine. A recent poll by the Doctor Patient Medical Association found that they
believe that PPACA will reduce the quality of care for their patients (78.7%) and that it is the single
factor that has made them more pessimistic about the future of medicine (74.8%)

As the second anniversary of PPACA's signing draws near, more damaging research and information
continues to be revealed every month.


• The CLASS Act has been shown as a “bait and switch” accounting trick designed to mislead
the public and Members of Congress as to the real costs of the PPACA in order to mask over
$70 billion in PPACA's total cost over its first decade - fully half of the claimed deficit
savings by PPACA proponents.
• IPAB's panel of 15 independent, unelected bureaucrats with unilateral authority and whose
decisions are freed from judicial and administrative review will most certainly cut payments
to physicians under Medicare, will limit patient access to, and quality of, medical care.


The CBO's recent estimates are staggering:


• PPACA's cost could be as high as $2.134 trillion through 2022 alone.
• As many as 20 million Americans could lose their employer-sponsored health benefits by
2019.
• As many as 49 million more Americans could become dependent on government-sponsored
health care by 2019.
• Individual and employer mandate penalties may be as high as $221 billion through 2022
alone.


The House has show tremendous leadership with votes on full repeal, CLASS Act, IPAB and others,
though defunding to slow implementation is still devoutly sought. As a critical election approaches
in November, particularly now that we “know what’s in it”, the American people deserve to see
where their elected Senators continue to stand on PPACA. Continued debate and votes on the Senate
floor will remind Americans which Senators are obstructionists to the effort for repeal. It will remind
the people that Congress is divided, and repeal-supporting Republicans do NOT control both houses
– something most apparently do not now recognize. It will remind them that PPACA is still the law
of the land, something that, remarkably, many assume is no longer the case. Further, these votes will
electrify the individuals and organizations we represent to ensure that a Congress and President are
elected in November that will enact repeal in 2013.

Our organizations collectively have organized and delivered millions of letters, calls and petitions to
your offices, calling on the repeal of PPACA. We’re beating the drum as loudly as possible, but we
need more from you. We ask you to continue your leadership on this vitally important issue and force
as many votes as possible until PPACA is repealed.


Sincerely,

Kathryn Serkes
CEO & Chairman
Doctor Patient Medical Association

Jane Orient, MD
Executive Director
Association of American Physicians & Surgeons

Ken Hoagland
Chairman
Restore America's Voice Foundation
David Williams
President
Taxpayers Protection Alliance
Grover Norquist
President
Americans for Tax Reform
Amy Kremer
Chairman
Tea Party Express
Jim Martin
Chairman
60 Plus Association
Andrew F. Quinlan,
President
Center for Freedom and Prosperity
Heather Higgins
President & CEO
Independent Women's Voice
Pete Sepp
Executive Vice President
National Taxpayers Union
Tim Phillips
President
Americans For Prosperity
Joseph L Bridges
President and CEO
The Seniors Coalition
Eric Novack, MD
US Health Freedom Coalition
Andrew Langer
President
Institute for Liberty
Amy Ridenour
Chairman
The National Center for Public Policy
Research
Colin A. Hanna
President
Let Freedom Ring