That loud sound you heard just a moment ago from Capitol Hill was the collective exhale of Democrats: Sen. Max Baucus's Finance Committee health care proposal won't add to the deficit over 10 years, according to the magical Congressional Budget Office. Read their score summary here: Baucus.pdf. In fact, it would reduce deficit projections by $81 billion, costing a total of $829 billion. The bill wouldn't achieve universal coverage -- excluding illegal immigrants, it would leave about 16 million non-elderly Americans without health insurance.
How did the CBO arrive at those figures, a gross cost of $829 billion and net savings of $81 billion? The bill's combination of an excise tax on insurance plans with high premiums, the money that'll come from people paying premiums for their new insurance plans in the exchange mechanism, savings from cuts to Medicaid and Medicare, and the tax impact that comes with the expansion in federally subsidized insurance. The bill provides subsidies to those earning between 100 and 400% of the poverty level.
Here's what the CBO says about the co-ops: they "had very little effect on the estimates of total enrollment in the exchanges or federal costs because, as they are described in the specifications, they seem unlikely to establish a significant market presence in many areas of the country or to noticeably affect federal subsidy payments."
Baucus says he can get this bill to the floor. It's a bill that at least one Republican -- Sen. Olympia Snowe -- could vote for. And no Democrat -- or Republican -- can argue that, based on the shared reverence for the CBO source, health care will add to the deficit...even though, as the CBO admits, a projection is just a projection.
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