What The Budget Scolds Are Saying

One of the paradoxes of health reform is that you have to spend money to save it. The current system is killing our long-term fiscal outlook, and so it needs reform, but to achieve such reform you have to spend more now in order to save money later. The same logic applied, in a way, to the argument that the stimulus package was fiscally prudent--spend now so the economy doesn't go off a cliff. After the Senate Finance Committee bill passed today, one of the leading budget scold groups--and I use the term affectionately because I think they're more right than wrong--the Committee for a Responsible Federal Budget praised the overall direction of the bill but noted things that could make it even more fiscally prudent. Given that the bill is going to get married to more liberal versions in the House and Senate, I doubt that'll happen, but it's worth noting what they point to:

    * Replacing the excise tax with a cap on employer-sponsored insurance tax exclusion at 75th percentile of premium costs - $160 billion
   
    * Increasing cost-consciousness in Medicare through a unified deductible, uniform coinsurance, and catastrophic limit - $26 billion
   
    * Restricting Medigap coverage of Medicare's cost-sharing - $41 billion
   
    * Reducing Medicare payment rates in high-spending areas - $51 billion
   
    * Enacting medical malpractice liability reform - $54 billion

Not gonna happen, but worth watching to see if fiscal hawks, Blue Dogs or anyone else can find wiggle room on these issues. By the way, do we take bets on whether Olympia Snowe votes for final passage of a bill? Kinda think so but wouldn't bet on my own bet.

Presented by

Matthew Cooper is a managing editor (White House) for National Journal.

Why Principals Matter

Nadia Lopez didn't think anybody cared about her middle school. Then Humans of New York told her story to the Internet—and everything changed.

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register with Disqus.

Please note that The Atlantic's account system is separate from our commenting system. To log in or register with The Atlantic, use the Sign In button at the top of every page.

blog comments powered by Disqus

Video

A History of Contraception

In the 16th century, men used linen condoms laced shut with ribbons.

Video

'A Music That Has No End'

In Spain, a flamenco guitarist hustles to make a modest living.

Video

What Fifty Shades Left Out

A straightforward guide to BDSM

More in Politics

Just In