One of the most politically intense fights over the Affordable Care Act was over the creation of the Independent Payment Advisory Board, infamously dubbed a "death panel" by Republicans during the 2010 elections.
On Thursday, Republican House Speaker John Boehner and Senate Minority Leader Mitch McConnell signaled that they would keep working to keep opposition alive by doing everything they can to impede the board's implementation.
The two leaders wrote a letter to President Barack Obama, notifying him that they would not be submitting any recommendations to the panel because of their opposition to it and to the law in general.
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