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NYT: The Real Arithmetic of Health Care Reform

Author: Douglas Holtz-Eakin
March 20, 2010

ON Thursday, the Congressional Budget Office reported that, if enacted, the latest health care reform legislation would, over the next 10 years, cost about $950 billion, but because it would raise some revenues and lower some costs, it would also lower federal deficits by $138 billion. In other words, a bill that would set up two new entitlement spending programs - health insurance subsidies and long-term health care benefits - would actually improve the nation's bottom line.

Could this really be true? How can the budget office give a green light to a bill that commits the federal government to spending nearly $1 trillion more over the next 10 years?

The answer, unfortunately, is that the budget office is required to take written legislation at face value and not second-guess the plausibility of what it is handed. So fantasy in, fantasy out.

In reality, if you strip out all the gimmicks and budgetary games and rework the calculus, a wholly different picture emerges: The health care reform legislation would raise, not lower, federal deficits, by $562 billion.

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The Economy

Speakers: Austan Goolsbee, Robert Gwinn, and Douglas Holtz-Eakin

A Council on Foreign Relations panel discussion on the presidential candidates' plans for taxes, health care, and tackling the financial crisis.