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In one week, the Supreme Court will hear oral arguments surrounding the key provision of the 2010 health care law – the individual mandate.

But outside of the courts, efforts in Congress to tinker with the complex and controversial law continue, including a vote this week  to abolish a central piece of the 2010 health care law: the Independent Payment Advisory Board.

The intent of the board was to try and take the politics out of Medicare by giving some of its spending decisions to independent experts.  The controversy around the panel’s very existence, however, shows just how difficult that goal will ever be to achieve.

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