It would not be a 2,000-page, trillion-dollar federal program micromanaging every aspect of health care in America with enormous, unresponsive federal bureaucracies manned by no-show public-sector union members enforcing a mountain of regulations that will bankrupt the country and destroy medical care,
CMS contracts out damned near everything. The organizations that actually process the claims are called FI's, or fiscal intermediaries. More populous states will have more than one run by a different company. They have their own staff and to my knowledge none of them are union, anywhere.
as liberals scratch their heads and wonder why Obamacare is costing 20 times more than they expected and doctors are leaving the profession in droves for more lucrative careers, such as video store clerk.
Indeed. I saw a neurosurgeon rooting through my trash the other day, oh, wait, that will never happen. Affordable care act doesn't cut payments to doctors. That game is the annual Medicare payment adjustment that gets pushed through every single year, like the AMT it just never gets fixed.